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Guidelines for the use of local anesthetics in the dental treatment of patients who are susceptible to malignant hyperthermia.

There is controversy regarding the safe use of local anesthetics in patients who are susceptible to malignant hyperthermia undergoing dental treatment. This article reviews the literature for reports of malignant hyperthermia reactions under local and general anesthesia, and suggests a protocol for the management of these patients in the dental office.