I too had a wisdom extraction 6 days ago and I am really thankful to all the positive posts and I am truly confident that I should give it time to heal.It will take some adjusting but I will be fully healed and will live to tell the testimony.
Hi. You said it took you 15 years to heal. Have you had any small improvement over the 15 years or did it come back towards the end? My daughter has not had any change for over years. 3 months after the injury, she had a slight improvement (very subtle) but after that there was nothing. I don't want to lose hope for her recovery. Thanks for your help.
Can you tell us about your daughter's injury...was it a wisdom tooth extraction? What did the doctors say when there wasn't much improvement?
Did you have a post surgery CBCT scan performed to determine any nerve impingment? What are her current symptoms? Major numbness?...any neuropathic pain? In what area?
Thought I would weigh in with a an update and pose a question to those past the 1 year mark or even past the two year mark....
Today, I am right at 1 year and 5 months from my injury. The day before yesterday, I had a day that I thought or rather hoped wouldn't come or was behind me and reminiscent of suffering in the past. A few days every month or so, I suffered with high discomfort. Call it a high level of nerve agitation and/or hypersensitivity. This last time a couple of days ago, my old nemesis electric pain came along as well throughout my chn.
Many here understand the counterintuitive aspect of this insidious affliction. Not easy to embrace the pain of course but many if not most agree that many times pain is a precursor to further healing although with greater time, this becomes harder to accept. Its like...when am I ever going to recover from this? We try not accept the fact we may have to live with pain the rest of our lives. But after many repetitions of this followed by further healing, in the back of our minds, this coaxes us through the day or two of pain to get to the other side of a calmer mouth with perhaps even greater sensation. This just happened again to me. Every month I have an awful couple of days when I start thinking about climbing up on the high ledge again. ;-) I mean it really crosses my mind but of course I wouldn't and haven't so far. :-) But then, two days later like today and my mouth is better than its ever been since my injury. So this yoyo effect is...taking into account this unbelievable elapse of time from my injury...I am still having brief episodes of electric shock therapy and then somehow making it through the dark tunnel of denial to feeling better.
My only explanation is the nerve is still regenerating in fits and starts. When the nerve changes, initially the brain doesn't like it and hypersensitivity occurs...what I call nerve agitation interspersed by the nasty companion of pain...only to dissipate and be replaced by a more normally feeling mouth....but still well removed from a normal mouth on my right lower side.
So that is my best characterization of where I am at, and wonder to all longer term sufferers, are you going through the same?...recognizing that no two of us have precisely the same injury.
Are you still having pain after 1 year? Are these episodes of pain and agitation followed by more recovery? How about after 2 years?..does this cycle continue and hopefully dissipates over time?
Thanks to all who share their journey here. My thoughts are with each of you wishing you strength through the tough days.
Hello, I went through the wisdom teeth extraction procedure a month ago and got both the bottom wisdom tooth out because of the horizontal impaction with bone and an OMF surgeon did the procedure. I do feel the numbness on the left half of the chin from the day the local anesthesia weared off. I still can feel it. I can't feel when i touch in the region. Although, i can feel some sensation that might be little itchy but not something that motivates me to scratch there. Also, when i touch in the bottom left canine tooth region with my tongue, i can feel the nerve is being forced and released kind of sensation. My question is, if the nerve damage is permanent, will i feel anything at all in the numb region of the chin? If i start the feeling of little itchy, can that be considered a good sign? On my post operative visit on 2nd week after surgery, doctor tested the numb region to see if i have any sensation at all with a couple of tooth picks. If he uses 2 of them, all the time i can feel just one or none. Do i need to cope up with the fact that i can never get the sensation there? Or should i do something to gain back the normal!
Answer is and perhaps the hardest aspect to deal with this injury, is, none of know the level of recovery we will achieve over time. I have spoken with 30 different doctors and neurologists about this. No two injuries are the same. Some recover and in fact quickly from this injury. Others like myself have suffered longer term and even then there is hope.
Peripheral nerves grow back. The issue is...will they grow back to their original configuration. Generally perhaps not but the brain adjusts the 'new anatomy' of the nerve as it regrows.
Itching is a very good sign. If you aren't in great pain...perhaps it will come...with time...many believe and I am of this school that pain is actually good in that the nerve is changing. Change is good. The brain however doesn't like change initially which equates to pain. Numbness shows lack of connection...like a broken circuit. Most of us were numb initially for up to a month and then slowly emerged with a combination of pain and more sensation.
I encourage you to read back thru the entire forum. Or click on my user and read my accounts from the beginning when I was in a state of despair. My nerve was damaged quite badly I learned from my extraction. But believe it not, I still have hope although someday not so much...by even my most recent bout of pain followed by even more sensation and more normal feeling, that 1-3 years from now I will be better and perhaps even a lot better.
What I have learned and this is a philosophy of sorts and I am neither polly annish or religious...is when you don't know the impending outcome of a given event and this pertains largely to the mystery of life....ALWAYS choose hope over despair. The reason why not to choose despair is there are compelling reasons why you will improve. There is a cool woman on this forum by the name of one4love that took 10 years to recover and then the unthinkable happened and her other side was injured in a later tooth extraction. Unthinkable and yet she believes resolutely that she will recover from that side as well.
Choose hope tatipelli and read the accounts on this forum for your guidance. This forum is more important than any doctor's rote advice because it consists of what many have gone through with this injury.
Stay strong and positive...better days ahead.
SAME THING JUST HAPPEND TO ME. I WENT TO CANCUN MX. FOR IMPLANTS. I HAVE TO SAY THEY HAD BETTER EQUIPMENT THAN THE USA DENTISTS DO. A 3D X RAY MACHINE.. HOW COOL IS THAT..
I HAVE NUMBNEASS ON MY LIP AND CHIN BUT FROM WHAT I READ AND FROM WHAT THEY TOLD ME, IT IS NORMAL . ITS ONLY BEEN 2 WEEKS...THIS PLACE I CHOSE AFTER RESEARCHING 4 MONTHSIN THE WORLD, FROM INDIA TO BUDAPEST TO TAIWAN TO MEXICO. .I MIGHT HAVE CHOSE INDIA.. WE WILL NEVER KNOW... AN 18 HOUR FLIGHT WAS THE REASON I DIDN'T.. BUT THEY USE A SWISS COMPANY, AND THEY CAN DO PERMENANT TEETH IN 1 VISIT. IT IS CALLED PERMENANT TEETH IN 3 DAYS..AND THEY USE 16 IMPLANTS.. . IT ACTUALLY TAKES 10 DAYS. BUT THEN YOUARE DONE. I CHOSE OCEAN DENTAL IN CANCUN BECAUSE MOST OF THE STAFF SPEAK FLUENT ENGLISH. AND HALF THE STAFF STUDIED IN AMERICA. DR. IRMA THE OWNER WHO SITS IN ON ALL CONSULTATIONS AND IS IN CHARGE OF TREATMENT PLANS, STUDIED IN CALIFORNIA AND MICHIGAN, AND TAUGHT IN MICHIGAN. SHE IS US BOARD AND ADA CERTIFIED. PLUS THEY HIRE THE BEST IN THE WOLD OR EACH FIELD INCUDING BRACES........THEY ALL TOLD ME NOT TO GET A TON OF WORK DONE IN 1 VISIT BUT I AN IN A RUSH.. I HAD A BONE GRAPH. 9 IMPLANTS AND 7 EXTRACTIONS AT 1 TIME.. NOW I HAVE SOME PAIN 2 WEEKS LATER. NUMBNESS IN LOWER LIP AND CHIN., AND LOWER CHIN IS PAINFUL WHEN TAPPED OR ACCIDENTLY HIT MY CHIN, WHERE THE IMPLANTS ARE AT. THEY SAY IT IS NORMAL... FOR A SECOND OPINION IS IT????? SIGNED RANDY SAVED 30 GRAND IN MEXICO
I am not saying another practitioner wouldn't have injured you...but what you report is NOT normal. For the symptoms you reference, they damaged your Inferior Alveolar nerve. The big concern with implants is 'why' you have numbness and pain.
There are two potential reasons:
1. when they extracted your rear bottom teeth, you disrupted the nerve...I am presuming and hope only on one side. This may recover quickly or may take years to improve with uncertain outcome...depends on extent of the injury to the nerve.
2. with implants...they didn't size them properly and the implant screwed right into the nerve.
For me, I would absolutely have a post surgery CBCT scan performed to see if the implant is pressing on the nerve. If this is the case and the implant not removed and properly sized, your nerve will never recover.
Somebody tell me, the numbness in lower lip will ever get healed or not?
After 1 year and 10 month I have 10% numbness in my lower lip, it's killing me. I need to know, is it ever going to heal or not? For example after 3 years later.
Sorry for my bad english. Please answer.
Thaks in advance.
Just curious why 10% numbness would be killing you?
As to what level of recovery you will achieve...its the same question each of us ask. I suggest you read the entire forum for personal accounts.. Many accounts of recovery...including one lady here that recovered after 10 years. Likely the only reason we ever learned of her recovery is because she was unfortunately injured on the other side. A common dynamic is...when people heal over a very long period, they are so relieved they don't return to a forum such as this and remind sufferers it is possible.
My opinion only.
My mantra is...choose hope over despair. All we have.
Good luck to you and everybody here.
Hi again Timeheals60
I read the forum, and realized my problem is 10-15% tightness. I can feel everything in my lower lip, but it's sort of cold and heavy and tightness. Is this as the same as numbness and will heal eventually or not?
I don't want to say your question is unanswerable, but all any of us can do is consider the experience of what others have reported with the same injury. The tough part is, within the family of the same injury, there is quite a variance in terms of how the nerve can be injured because of a tooth extraction, implant or say a needle injection. Injuries occur at various degrees of severity and this affects prognosis and time line for recovery.
The way I look at it is...having read as much medical literature as I could find, talking to as many MD's and PhD's as I could etc and listening to the anecdotal accounts on this forum...is the following.
From my personal experience, I believe the answer is, if your mouth is continuing to change say week to week or even more broadly month to month...then you most likely are on a trajectory of healing. So I believe first and foremost that is the question each of us must ask ourselves...is our mouth changing with time albeit excruciatingly slow which is the speed that the nerve heals and why hard to know with precision. But it is more complex I believe as many here have discovered. There is regression at times for some unfortunate like myself that had their inferior alveolar nerve badly injured. I had a very difficult extraction. In fact my symptoms at times are difficult to live with because I have intermittent tongue electric pain as well...that seemed to heal but has re-emerged in the last 6 months or so. I haven't been able to determine if this is simply a branch of the same IAN nerve tree or more specific to damage to the lingual nervel which affects tongue sensation and pain in spite of my efforts to determine this. I suppose at the end of the day it doesn't matter. But when my chin flares which is every week or so due to what I believe is the brain struggling with further regeneration of the nerve...some believe pain is a healthy sign for example...when my chin flairs, my tongue can too and that equates to a difficult day or part of the day when this occurs.
But stepping away from the above a bit on more benign days when my mouth seems more dormant...or when not having a regressive episode of nerve hypersensistivity and flaring due to the nerve regenerating....I believe I have a 'chance' of more recovery but even just shy of 1.5 years where I am today, still impossible to determine if I will fully recover. I believe the probability goes down with greater time...say over 2 years...but again, I bring up one4love....10 years and her numbness finally went away.
So I would say almost anything is possible when it comes to the nerve regenerating ..or pain going away for example...just like the overwhelming pain many of us had in the early days has largely been replaced with either numbness or more sensation.
In the last couple of months, I have regained more feeling in my lower lip for example...and there seems to be a further shift of tightness more toward the bottom of my chin versus a larger area of my chin. So when I don't focus on the bad days I still have, it seems my mouth is improving overall but with each passing month, the bad days I still have reminds me that I may have to live with this at some level.
I believe nobody has a precise answer to your question because it is asked repeatedly whenever the IAN is injured and no medical expert has a solid answer because of the complexity of the injury that occurs on the molecular level within the nerve trunk. I do believe with some certainty however...if your mouth is changing versus say staying the same for 3 months or so, then you are still on a path of recovery. Whether you recover to 100% past 2 years....perhaps not...but to a level where hopefully your life will be affected very little...the hope each of us have with a longer term IAN injury.
And want to add a further footnote relative to the above and address the concept of "tightness" that myself and so many here have struggled with and as in my case, continue to experience.
I want to say further, how ignorant the medical community is about the symptom of tightness when I mention it. I tell all the MD's I have spoken with that the overarching symptom of the IAN being injured aside from either neuropathic pain and numbness...is tightness based upon all I talk to with this injury. They look back at me like they don't even believe what I am telling them. This level of ignorance about this injury is almost inexcusable really. So called experts that don't even understand the symptoms.
My hope moving forward. Let's say there are a small percentage of us that don't heal from this and have to live with tightness moving forward which some days all will admit is pretty awful in spite of efforts to cope. My hope is a therapy will come along to ease this tightness and make our mouths feel more normal...perhaps not resolving the numbness issue which is more benign...but addressing the tightness many of us feel. I hope the medical community wakes up and addresses this issue and a therapy comes along. No doubt it with time....there is no question. But will it occur in the next 5-10 years is the question.
I am about 3 weeks shy of 1 1/2 years since my wisdom tooth extraction where my IAN was badly injured and have been battling this ever since. Today my mouth has made another transition. I reported that my mouth feels like it has been changing each couple of weeks or so.
It is difficult to even choose words to describe this change. In fact, I am reluctant to even say that it is healing. I have written about several bad days along the way. But for me at least, my nerve continues to change at almost 1 1/2 years. Pretty remarkable. I believe my nerve is still waking up. I have more sensation. It isn't an itchy feeling exactly but would say very close to feeling that way. I wanted to ear mark this date and also report that my nerve continues to regenerate at well after 1 year. No idea where this is headed but to me this amount of change is quite palpable and hope is...a stepping stone to further recovery. I have to say the sensation change is disarming. I am almost in denial but it is too significant to deny. A discernible step and noteworthy.
Based upon where I am at as I just posted above with a noticeable change to my mouth at 17.5 months aka just shy of 1 1/2 years...I wanted to repost what Aprilchristine posted previously as she was just shy of 2 years at 22 months. Her words I believe exactly describe the path I hope I am on in ensuing months and provides hope to many here that say aren't at the 1 year recovery mark with a long way to go that when you hit the two year mark you may be in a lot better place.
Aprilchristine's post this past June:
Hey Everyone, I haven't posted in a while, but wanted to give an update. It's been 22 months for me. While the first year and a half, this lingering tightness and numbness consumed almost my every waking thought, I am having more and more days, I realize I haven't thought about it in a while. It is so hard to quantify improvement because it is so subjective, and I have never chosen to place a percentage on my healing because I would have always put it SO low, like not even 50%. But I am here to say that I think that finally the lingering tingling in my chin is almost completely gone! This makes me so happy! Also, the tightness is still there somewhat, but honestly it seems to be decreasing ever so slowly as well. Oh I will be SO SO excited to post here one day that everything is back to normal! I think it is a long way off still, but today I will finally go ahead and say that I think I may be around the 80% mark. I do sincerely wish you all strength and grace, and hope through this.ya'll!
I can only hope for April, myself and many other long term sufferers that we follow one4love's long term recovery which took several years in which she recovered fully....reaching a place along this protracted journey whereby this injury no longer distracts us from the joy of living.
Happy for you my friend. Hope everyone of us get heal sooner.
Thank you again for your support and helpful and synergetic notes.
I believe my tightness one day will be lost.. Hope any others too.
I will let you and others know if one day I fully recovered.
Wishing you all the best.
Thanks. I believe at the end of the day all we can do is learn from one another in terms of what to expect moving forward relative to time. As discussed, our injuries though similar, are not necessarily the same. So we all may share general aspects like tightness which seems to be extremely common and what I feel quite a bit of...and of course numbness...but degree and combination and where in the mouth these occur and even time line to recovery are probably much different for many. Nor is each of our bodies ability to heal from a given injury to the IAN the same. So above creates quite an elastic scale to recovery for each of us.
There are also many insidious elements as we all have learned based upon an IAN injury. For me, its the continuous companion of regression along with slower than slow progress. This is quite disconcerting because there are days for example that I feel much worse than I did 3 months back...when further changes to the nerve has caused a large degree of agitation. And then...2 days later that change to the nerve settles down and manifests improvement. So it is jagged staircase of recovery with many relapses along the way for me at least. Bad days seem to have to follow better days.
What I have tried to glean as my recovery has languished now for almost 1.5 years is...what is the expectation for longer term suffers? Will we recover? The book on this I believe isn't widely understood including within the medical community. And...perhaps there are even exceptions to the norm based upon a given type of injury to the nerve. One problem with a solid data base is...after a long and protracted recovery where a certain level of healing has occurred, many people I believe stop posting on forums like this. So long term recoveries are not charted with any specificity.
Best of luck to those that say are less than one year from their injury and yet believe they are well away from being healed. Many have come forward here and stated pretty unanimously that there is discernible healing between the 1 and 2 year period. What is less clear is what the subsequent healing pattern is after 2 years. To me, there is no data to suggest that the healing process stops after 2 years. The nerve continues to regenerate and then the brain tries to make further sense of these changes which hopefully leads to greater sensation and an overall sense of greater normalcy with less impact on our lives over time.
Hi Timeheals and everyone thank you for posting. after 18 months of the dental injection injury to the IAN I still have good days and not so good days, on the good days I am not really bothered by the slight tightness and tingling sensation, mainly in the lip and chin area and can very easily be distracted from it ie when I am eating or drinking. Some of the trickling sensations of water running down my chin I had initially have gone which is a good sign. I have had an ache at the site of the injury and sometimes seems to move towards my ear on and off for about 6 months which I am hoping is a sign of attempts to repair the nerve. I believe that the nerve will continue to heal,even though this is a very slow process and this keeps me positive. Very best wishes to you all and enjoy life.
Most dentists have patients sign a waiver stating that parasthesia is a possbility with wisdom tooth extraction which precludes impeding lawsuits due to this issue. I am not sure there there is a sum of money that atones for the heartache of this condition.
I joined the numbness club a week ago when I had all 4 wisdom teeth extracted under general. I just wanted to check in and say that this forum has been my saving grace as I am come to understand what this torturous affliction is. 'Luckily" (although at the moment I don't really feel it) I only seem to have had damage on my lower left side. My surgeon was brilliant and walked me through all the possible outcomes of surgery. Paresthesia was actually right at the bottom of my list of concerns, which seems really ironic now as it is ALL I think about! I have total numbness over the left side of my chin, lower lip and my lower left gums. Tingling, yes, itching, yes, tightness, fluttering sensations, 'cold pain' and OH MY GOSH the burning in my lip, YES.
I know from these posts that I am in the VERY early stages but this past week has been a rollercoaster of fear, sadness, frustration and anxiety, not to mention lack of sleep! All the usual fun stuff that everyone here is going through :-) EVERYONE here, especially you Timeheals, and all these posts have given me a huge boost of hope and positivity that we can all come through this. It is the worst thing when you think you are alone - no-one I speak to about it seems to understand and no matter how busy I keep myself it always pushes itself to front and centre throughout the day.
I believe and am trying to accept that this is the beginning of potentially a long journey but you guys are really keeping me sane. Thank you so much for being here and sharing. Sorry for the long first post. I wish you all the very best and look forward to hearing how everyone is doing. :-)
Much of what you are about to experience has been written. Yes, this forum is a godsend to us sufferers. Hard to know how long or arduous your road will be. You won't learn much from your so called 'brilliant' surgeon. They don't know if or when you will recover and honestly, they won't tell you the extent of the damage to the nerve either because they did it and a self indictment although they may rationalize it as it was unavoidable which I dismiss.. I could go into a long rant about all the new people coming here which will continue for years to come unless dental practices are changed. You see dental procedures are OK for the masses but there is a minority that become injured either do to lack of due diligence of the dental practitioner..or archane dental practices designed for a comfortable margin between tooth root and IAN. Reality is...for those with close proximity of nerve to root, conventional practices for wisdom teeth should NOT be used. They are inappropriate and doing so has life altering consequences as I can attest and as the other hundred or so here can as well...and no doubt thousands of sufferers throughout the world. Needless. Surgeons don't use a giant lever when performing brain surgery and they shouldn't for extracting an impacted wisdom tooth either. We are simply alive during the stone age of dentistry. 50 years from now wisdom tooth extractions performed today will be looked upon as anvil and chisel which is precisely what it is. So please feel my outrage to every single person here affected needlessly. I feel for you.
If you want to learn the trajectory of my healing please click on my user as I have written a fair amount about my spotty recovery from the beginning. I encourage you to read Starbrite's path as well who was my inspiration to do the time with some hopefulness.. In the last week...and this is 1.5 years from my injury I came through a pretty horrific week of pain. But today...I am better. One odd dynamic to keep in mind is, the nerve heals generally after periods of pretty intense pain at times. Its hard to embrace this pain, but that is how it goes with this injury. The brain rejects the anatomical change to the nerve as the nerve heals and then adjusts to this new connection and greater normalcy emerges. A most peculiar and disconcerting healing pattern.
Post with any concerns. If you feel you are literally going off the deep end, there is relief in terms of meds that will give you much greater peace of mind. I have written about this. I personally went through a very dark episode and making it through would have been very difficult without a little help. Don't needlessly suffer. FWIW nobody can will mental health. Your brain chemistry changes due to the depression of this injury. Post with ANY concerns and myself and others will try to help you get to the stage of recovery where you will have more confidence you will be ok. Hopefully you will recover quickly. Meanwhile stay close to family and friends and lighten your load as much as possible. Some do recover quickly , so hold out for this hope.
Thank you for your response Timeheals. I totally agree that we all seems to be at the mercy of outdated dental practices and the sheer number of people on this site alone highlights how much of a concern it should be in the medical field. The fact you are still seeing improvements after 1.5 years is amazing, but understand how frustrating the non-linear progress must be. I'm really not sure if I am seeing significant enough pain to warrant any breakthroughs, but I guess I am still in the early days and everyone is so different...
Seeing my surgeon tomorrow for my post-op but know that however great he is, he will not be able to tell me how long it will take to heal. Sure he will try and fob me off with some kind of empty promises, but I signed the waiver, and paid an exorbitant amount of money for the privilege to have him operate on me, so more fool me :-) My problem is that i am constantly thinking 'what if i went with another surgeon?' but know that the location of my nerve was always going to be an issue no matter who performed the extraction. Ah well.
I will certainly be checking in to see how you and everyone is doing when I can. All the best guys,
In some ways the early days are a bit easier to cope with than the days after 1 month or so. Not to alarm you about what to expect. Then after several months after greater healing you will hopefully achieve enough improvement to give you confidence you can do the time with more grace as you proceed toward greater normalcy. If say you have a stretch injury and the IAN trunk is intact..I had what I believe to be a pretty extreme stretch injury to the IAN where most axons where severed within the nerve...then the connection is lost and the there is pretty pervasive numbness in the early days. Basically the lamp wire inside the lamp cord was cut and the light was turned out. Then...remarkably...the body goes to work and all the broken axons die and within the trunk of the nerve which is a sheath or conduit of sorts to protect the axon...then Wallerian degeneration occurs and the body clears away these dead axons and new axons begin to sprout. It is the sprouting or rebirth of the nerve that causes pain. So in some ways, pain is good if one can mentally overcome this counterintuitive aspect of the healing process. It is only through the 500th repetition of this cycle that a given patient aka me :) starts to question the veracity of the healing process ;) A long road for some with this as noted by those that have gratefully contributed their story here.
There are many difficult elements to the recovery process mentally. And there is the grieving process of loss of health. Not a single person here for a moment ever thought of the consequences of this going in to have their wisdom teeth removed. What the dental industry tells prospective patients is tantamount to gross misrepresentation. There can be tremendous suffering with this injury if severe enough. I have suffered beyond description with this. But...through this exhaustive recovery...I am slowly emerging i.e. remain hopeful as I type this...in another 2 years or so, I am hopeful I will be well enough to be unbothered. My mouth continues to change on this jagged trajectory of beyond slow recovery.
I am hopeful your injury is much less and you recover quickly as some do. It is not abnormal for the person with this injury to have pervasive numbness for 1-2 months when more sensation returns and discomfort sets in on the way to complete healing. When the pain starts, look upon this as a healthy sign...new axons growing within the nerve trunk. Statistically only a very minute percentage don't recover from this.
Simply try to accept the steps involved moving forward. This takes mental tenacity and hopefully a full life to distract you. Don't be silent. Tell your love ones about your pain to help you cope.
All the best.
I am so grateful to have found this post and see the most recent postings being updated. I had an implant put in back in Jan 2015 and had IAN injury due to the drilling instrument. I am fortunate to have never had any pain but with some one with no health history, this has been a log ordeal of despair and a significant Quality of life alteration. MY oral surgeon tells me what you have after 6 mos is the "new normal" and I am stuck with for life. I am delighted to hear differently and wish those who have had complete remedy of their situation had stuck around to tell more.
This forum is a revelation on many levels and one thing it reveals is the malpractice associated with installing implants. This reality is largely more insidious and unforgivable compared to genetic outliers of the inferior alveolar nerve being intimate with an impacted wisdom tooth root which causes injury upon extraction. The reason is...incompetent oral surgeons don't adjust their drilling depth properly and they drill into the nerve. Depth of drilling is determined by a CBCT scan to understand proximity of the nerve relative to fastener depth...the implant attachment is effectively a screw. The important point and this is significant for you to consider is...that there hasn't been double jeopardy to the IAN as the fastener that holds your implant in place isn't now placing compression on the injured nerve. So insult to injury can be perpetrated if the nerve is drilled into and then the fastener is screwed down pressing into the nerve. This needs to be discussed with the surgeon and reviewed on a "post operation' CBCT scan to ensure the implant is not pressing on the nerve.
Further injustice to those needlessly injured? What the medical literature teaches surgeons and dentists about nerve recover. It is widely inaccurate and irresponsible and in layman's terms, utter BS. The 6 month mantra of what you see is what you get, it a complete false narrative as debunked by many testimonials here and a gross injustice to those unfortunate to suffer this injury and live in silent despair believing their quality of life will be forever degraded.
I wrote a while ago I was a cyclist and I come across many MD's and PhD's who gravitate to this sport. I ran across two MD's while cycling...man and wife...and when I find out and individual is a doctor, I generally ask about nerve recovery...their experience. An interesting conversation. Both in this case as it turns out had peripheral nerve injures....an uncanny probability...the woman was a surgeon and had her finger crushed in a car door. The man had a needle injection in his arm made by an inexperienced intern that hit a critical nerve which caused debilitating neuropathic pain many of us have experienced with our mouth injuries. Quite a freakish occurrence for two married doctors. Of course the finger damage to the woman doctor was devastating...she couldn't feel her finger and had dyesthesia which is devastating to somebody who requires ultimate dexterity to perform her job. So when I asked the million dollar question...if or rather when I would recover from what I characterized as a devastating nerve injury affecting my mouth and face, they both responded in unison...2 years. I am on this trajectory as it turns out. I have asked the question here. Who that are still injured after 1 year has achieve further healing by the 2 year mark? Those that responded pretty much all said they did. The nerve continues to improve in spite of the bogus assertions made by ignorant oral surgeons who btw, do not injury patients often. We are outliers and members of an unlucky club...but thousands have been injured like we have throughout the world. But in your case Titan, it was largely malpractice..make no mistake and this issue has become more prevalent as implants are becoming more common with aging baby boomers. Oral surgeons have to be highly vigilant about drilling depth and when they get it wrong, a very dire result as you know.
One4love recovered from her IAN injury after 10 years. She said the numbness gradually faded away and one day she woke up and her mouth felt normal. She came back her to reflect this only because...and this defies understanding from a statistical standpoint...only to have her other side injured when wisdom tooth was extracted on opposite side.. But she gained tremendous confidence from her ordeal that she will recover on the other side as well.
In summary...no we don't have crystal ball. But just like my mouth has changed 'substantially' from the 6 months to 1.5 year point, yours will too.
My mouth in fact continues to change weekly and I expect to follow the path of AprilChristine and Starbrite and others who have made it past the two year point and are still recovering.
Of critical importance Titan however is you either see your oral surgeon for a CBCT scan to ensure the implant is not pressing on the nerve...or another surgeon to confirm this. This should be done now and not later as chance of recovery is highly compromised if the fastener is compressing the nerve.
Hope above helps and good luck to you and everybody here.
Hi everyone, I've been reading (almost) every single one of your responses over the past week hoping I would not have to join in. But I do. Tomorrow will be one week since I had my 2 lower wisdom teeth removed under general anesthesia. I'm a 26 year old female, otherwise generally healthy. Like many of you my lower lip and chin on the right side is still numb and tingling as well as the outside portion of my gums in that area. At first I was optimistic because in the beginning it seemed as my damage wasn't as bad as most people on here and more on track with the couple people who said they recovered quite quickly...but now I'm not so sure. The very first day I was itching like CRAZY but couldn't relieve it because I couldn't feel anything at all. I was also very tingly since the very first day. I thought this was good because I know a lot of you didn't have that until a little later on if I'm not mistaken? I called the surgeons office on the first and second day in a panic and neither of the nurses seemed to be concerned and said it could take a few days. Well tomorrow will be one week and I know this is very early on but I'm still super scared. I saw the surgeon today for a follow up but it was not the one who did my surgery (my fault because of my schedule) he showed me the X-ray where my tooth was super deep into my nerve on that one side. That side has also been worse recovering from surgery. And bruised. Anyway, in the past week I actually have had some very SLIGHT improvement the area is slightlyyyy smaller and if I poke with my fingernail or something sharp I can feel it slightly in random spots. Also I just feel generally less numb only in my lip. It tingles like crazy mostly at night as everyone has said. I'm scared because I have not yet felt a burning pain. The pain is there but has been mild and bearable. I also just tonight did the shower head test and couldn't feel anything :( but immediately after felt a burning sensation that I haven't felt before. It was a much more intense pain than what I've been feeling. I thank you all for your reassuring words and updates. If it weren't for this forum I would be hysterical all the time!! I am grateful of course because I am otherwise healthy and it could be much much worse but this has affected my life so much in just one week as I know you all can relate to. I have anxiety disorder to begin with and can't even fathom having to deal with this for a year or more!! Or even 6 months! :(
We basically need a group hug. :-) My heart hurts when I read your account which is all too common. Some words of hopeful encouragement. You WILL recover. It may be soon or it maybe a long time like me, but your age and health is a BIG factor to your recovery.
The thing about life which is fraught with unknowns.....NEVER choose despair over hope unless you are certain of an untenable outcome. In this case you aren't certain you won't recover. No we don't know the future, but statistics are largely in your favor and if not perhaps perfect recovery...more like a benign acceptable or new normal which will be perfectly tolerated and perhaps diminish to perfect normalcy over time.
You are a well spoken young lady with your whole life in front of you. If you are prone with anxiety disorder or this tendency, get help. In fact what has happened to you maybe the beginning of your journey to explore the basis for your anxiety and your journey to beat it. This injury robs serotonin. For people like you (and me) this may put us over an anxiety threshold we can't tolerate. You need to tweak your brain chemistry to bring this back into more normal balance. As I have written prior and maybe some don't understand or even agree, nobody has the force of will to beat down mental illness. Your brain chemistry, and mine and others is largely genetically predisposed including your IQ, your personality and even your talent level. Don't suffer in silence when you feel the world spinning around you. I am older than you with a lot of life experience. When this happened to me, I started to have anxiety attacks even on my bicycle...I am a cyclist. So I understand the mental anguish involved. Many here do.
For people that are toward the anxiety end of the spectrum, go to your MD, tell him/her what is going on and request either a long term anti anxiety med...or...what I did...past tense, a prescription for Ativan when I needed it periodically. You will have bad and fearful days. Other days you will be more hopeful and ok. On the bad days when you start having very dark thoughts, take a med to calm down. The way this will work is...you will recover each month. This will give you further confidence you will be OK which will lower your anxiety level. Once you improve enough....say in 6 months when you know you will be OK...you won't need any help because your brain chemistry will be closer to normal. I can't remember the last time I took an Ativan...but in the early days, I was suicidal about this. Don't needless go to this dark place. See your MD...he will understand and you will be a lot happier for doing so.
Again, when you don't know the future, don't choose despair about anything. None of know the future about anything. There are many inspirational stories here. Choose hope Smorat and see a MD for a script for Ativan or Xanax as your safety net to take you through the dark days. Btw, I am not even a proponent of meds. I take no meds. But I know anxiety because my family is prone to it. We are all ruled by our brain chemistry and again, nobody has the strength of will to order up good mental health in the face of adversity. Sometimes we need a little help and a life saver it is.
Timeheals, thank you so much for taking the time to write such a beautiful and well thought out response. You are correct some days are better than others. Although it's only been a week I shift my attitude. Today was much better and hopeful for me. I try to think of it as yes this is horrible and will be horrible if it lasts such a long time or even forever BUT there are people with far worse conditions like cancer or other paralysis etc. who would kill to only have what we do. Actually, as I type this the TV is on in the background and I'm watching "K-9 Cops" and a girl just got shot while 7 and a half months pregnant!! It could always be wise. While this condition is life altering, it's not life threatening and I suppose that's what matters most. So for that I am grateful. That's the thing about anxiety, depression, etc is that you can be great one day and terrible the next. I do also have Xanax that I take on an as-needed basis. So that helps in my daily life although I've been taking it more in the past week lol but like you, I do not like to take meds unless absolutely necessary. I am certainly starting to come to terms with this because even if it's not healed I know for sure that it can only get better from here! Hopefully.. Lol :)
You have the right perspective and each of us need reassurance when adversity knocks on our door which it will as part of life. I can tell you so many stories including about the poor couple I saw maimed in a car accident when I was waiting in the waiting room to see my surgeon for a follow up. The man sat next to me and the unthinkable happened to them out of nowhere. I had my tooth removed in a hospital setting and even the smartest man probably in my state that puts people's faces back together after accidents and disease couldn't extract my tooth without a level of devastation to the nerve. So the blessing of my health that I had almost taken for granted was stripped from me. For each of us, there is an inevitable grieving of lost health. I still honestly grieve but try to focus on other incredible blessings in my life as I have been so fortunate. Love gets us through the hard times Smorat...love of family, s/o and love of self. Let others know your pain and anguish and lean on them.
Those prone to anxiety like you and me of course are further rocked when things don't go as we hope. Meds are a literal life saver during these difficult times. Free will is largely a myth. The subconscious is what each of truly believe and wins the day and steers the ship...us. So unless we believe something in our core, our anxiety will be present and no amount of self determination or self talk can redirect this thinking. Yes modeled behavior influences our anxiety level. So important to surround yourself with reasonable and positive people if you can find them in this crazy world. :-)
But as stated, now is the time to really exam your anxiety about all things. Many good books on the subject btw. What came first...modeled behavior around you determining your brain chemistry of anxiety or your natural predisposition to anxiety based upon your genetics? Actually its both. But through understanding, you can cope much better. I have. Even choice of careers makes a big difference. Choose a career compatible with your personality type. If you don't like public speaking for example, don't choose a job where you have to get up on stage all the time. Some are born to do this and crave the lime light and some prefer to be behind the scenes. Accept the way you are hard wired and love who you are and accept each of us are special in different ways.
With the right perspective, anxiety will fade. But I will tell you. I have always been on a path of enlightenment and self discovery as self improvement is who I am. This rocked my world....the worse thing that has ever happened to me. I couldn't talk myself out of my anxiety even with all of my life experience. During these times, don't needlessly suffer. Take a med to get you through the rough times and they will come. With time you won't have to.
Please be sure to share your recovery with the forum here as each of us have learned from one another from those gracious enough to contribute their stories. Each of us always get back much more than we give by helping others through their difficult days.
Hey guys, been reading about all of your expiriences with the same thing I am feeling !! I am 16 days post surgery and my right lower lip chin gums and teeth are numb.. My teeth feel like they are being pushed together! And my Chin hurts most of the time .. I feel itchy on my chin, a burning sensation on my lips, and a tingly almost like a lightning on my chin too. Sorry I don't know how to describe it . But I'm sure you all know what I mean. The first week all I could do was cry day and night .. With the feeling that this was going to last forever. Luckily I found this site and it's giving me so much hope ..! Been reading TIMEHEALS60,STARBRITE.. And a few others I can't remember the names .. Haha but I do have one fear... That the one side is going to completely freeze and my lip is going to be uneven .. And I will not be able to talk.. I constantly talk to myself in the mirror to see how I look, I look normal. But I don't feel normal..;(
Hi. The scourge of this injury is the burden we personally bear...the private pain of how we feel which is transparent to the world around us. That is why this forum is so valuable. You have come to a place to share how you feel and you will be completely understood. Each of look normal but feel far from it. If you follow the pattern of a so called typical invasive injury to the nerve which sounds like you are...you for the next few weeks will slowly emerge..emphasis on slow...with greater sensation which is typically interspersed with many weird sensations including electric pain, tingling, itching etc. This is not for the feint of heart however should be looked upon as a positive step to the healing process. So do consider the changes you will be experiencing as disconcerting as they are to being a net positive. But total numbness or pervasive numbness should be looked upon as almost normal for the reasons I wrote about in a few posts prior.
Also, important to note, your young age of 25 is a big factor to your recovery. Your young body will rejuvenate itself quicker and more thoroughly than an older person based upon the medical literature.
Even though you feel like your mouth is frozen...my speech was badly impaired initially because of my pretty extreme nerve injury which involved my tongue as well by connection through the gums...motor function is unaffected by this injury. But...our motor function is affected in terms of the feedback we get from our change in sensation which alters this feedback and so we don't move our mouth the same way and hence your concern which should slowly dissipate as you gain more sensation. My speech after a long period of recovery and I am a long way from full recovery which btw in my case, I may not achieve...my speech is good now. I love to talk as much as I like to write :-) and so this has been a big burden for me and when I speak I am reminded I have not recovered as I have altered sensation which affects my enunciation and so I have to concentrate a bit harder on speaking although nobody can tell but me. Hopefully you will not experience this in your recovery.
Stay hopeful you will recover quickly. I believe through this forum, much about this injury has been written including astounding accounts of long term recovery like one4love. You are just starting your recovery so choose hopefulness you will recover quickly and completely with time.
Importantly however, if you are suffering with great anxiety, 'get help'. See your MD for meds to get you through this dark period. Don't needlessly suffer because this is in effect double suffering. I wrote above about how anxiety is spiked for many if not most and some like myself go to a darker place than others. Please get help if you feel this way because this injury alone is almost too much to bear and if you feel you are going off the rails, don't suffer further.
I received your PM and wanted to respond publically because sadly there are newly injured that come here and need affirmation about the future and what to expect.
You are just beginning your journey back to full health and stay positive and hopeful.
I hope above words help.
Timeheals60- thank you for
Your encouraging words, and
For taking the time to answer me. Yes my injiry was due to a wisdom tooth extraction that was done while I was awake.. He inserted novacane into my gums. And I'm not sure how much is the right amount, but I really think he put too much ... He put around 4 injections in there ... But anyway, yes some days are better than others . Today I have a tingly feeling on my lip even if I stretch to smile or talk. Feels so weird .. Now my main concern is that my lip will become uneven ...does that happen to people with this type of nerve injury ? Worries me
So much !
The unevenness you feel or observe is based upon the numbness and altered sensation. Motor function should be unaffected but the feedback of your sensation likely alters the position of your lip on the side affected. This should subside with time...but maybe weeks.
Let us know what your surgeon says about what happened. Possible he did inject the nerve directly with the numbing needle which can injury the nerve. A more likely scenario is he injured the nerve while extracting the tooth based upon the position of the tooth. Tell us if the tooth was horizontally impacted and what your surgeon says when you have your follow up and more can be answered...that is if he tells you truth which he may hedge to protect to him from liability. They basically have a similar mantra when these injuries occur but worthwhile to see what he says.
Timeheals60- I have an appointment on January 4th with a different surgeon... Would not dare go back to him !!! I'm hoping all will turn out well for me. I'm scared I will never heal. But as I read posts from others the feelings of tingling burning and itching are good, and I do feel that, so I may be on the right path of healing and recovery ! I pray to god I am at least . I will keep you posted if I feel any changes ... Thank you for assuring me about the uneven lip. That's the only thing that really makes me crazy!
For the vast majority...you start at total numbness if the nerve is damaged when the tooth is extracted...then the healing starts which results in more sensation. For most if not all, everybody recovers to a substantial degree. I haven't heard of anybody getting worse. For those with a substantial nerve injury like me, recovery can be long and painful...some ok days and many with discomfort. It really depends on the magnitude of injury to the nerve and a person's health.
Hope that helps.
Hello, all. It's been a while since I have posted, but I promised to always check back here and report, so I try to come back every few months. It's been two years and four months since my wisdom tooth removal. The first few weeks were horrible, the first few months extremely difficult, mostly from fear that this condition would be permanent. I couldn't imagine having the paresthesia the rest of my life! I just wanted to offer some hope and let you all know that even though I haven't regained all of my normal sensations in my chin, it is a LOT better and before I got on here tonight, I don't think I even noticed the slight numbness at all today. And I feel confident that by next year, I will be even better. Even this past summer, my smile was just slightly crooked, but the family pictures we took this fall, no crooked smile! To me that tells me that even though I can't necessarily tell a difference from this past summer, my nerves are continuing to heal. If you are going through this, you may feel completely discouraged that your life will never get back to normal, but I am here to say that it is possible, and I pray that will be the case for you all who are experiencing this as well. Have a blessed and Merry Christmas!
Just wanted to thank you for sharing your update and congratulate you on your progress:) I have a question . You said you had a crooked smile .. When did that start ? And did it get worse as time passed ?
I sent you a private message with a question about your further recovery. Can I also ask about any residual tightness you feel? Has this improved steadily over the last six months? You mentioned slight numbness but do you still notice tightness when you move your mouth?
Many thanks and continued healing.
I noticed from the beginning that my smile wasn't exactly symmetrical, meaning that if I smiled really big, one side of my lower lip was lower than the other. It never worsened as time passed. It seems to be resolved now.
My nephew had his wisdom teeth extracted recently. His lower wisdom teeth were near the nerve. He was still having problems with numbness and feeling of swelling 3-4 weeks out. He was given a round of steroid and is feeling back to normal. I hope this may help someone. I think it helped him because it was given early enough. It doesn't hurt to try.
Thank you for answering my question.. It's just so hard to know what to expect with this kind of thing bc everyone is different in the healing process.. Me, well I am 5 weeks post surgery and still numb, I am expiriencing what they call hypersensitivity and it ***** !! Well it doesn't hurt, it's just a weird feeling. My chin and lip are very tingly, itchy, crawly, burning, all that good stuff. My oral surgeon did testing and said I should recover 100% within 6 months. I guess only time will tell. I have the left side wisdom tooth coming in, he did X-ray and said it lays close to the nerve as well, so he is just going to take the crown out and leave the roots, and if they begin to give me problems in the future, then it will give the roots time to position away from the nerve and he'll extract . Then I have 2 upper wisdom teeth. They don't bother me, yet..... I'm not sure weather to take them out or not
I have just had a dental implant put in 8 days & had no idea of any of these side effects beforehand, had I known I would never have had this procedure. My dentist said he did not hit or damage the nerve but during the prodcedure I had a pinching feeling in my chin. I now do not ahve any feeling in my lower front jaw , chin & lip...I am not happy about this. He said it could take 6 to 8 moss for full recovery. Now I'm wondering if it will ever be the same way it was before the implant?
Frozen lip Canada
Is it in both sides?...or just one side?
Your dentist did something and he can deny it all he wants.
Two possible causes for your condition:
1. he drilled into the nerve when creating the fastening hole for the implant.
2. the threaded screw is sized too long for the implant relative to the position of the nerve and is therefore compressing the nerve.
I will tell what I personally would do.
You need a CBCT scan to determine if your dentist did 1. and/or 2. above.
Not much you can do if he drilled into the nerve which sadly is much more common with this surgery than the public knows.
But...if the implant fastener is compressing the nerve the implant MUST be removed for any chance of the nerve recovering.
To ask him to perform a CBCT scan maybe beyond his scope...he may not have such a machine however many oral surgeons do in contrast to dentists who rely more heavily on xrays. Call around to see who has a CBCT machine and can assess 1. and 2 with the greatest clarity. This is tell you whether the implant much be removed and/or resized.
Best of luck. Recovery with damage to the inferior alveolar nerve is largely about the magnitude of injury...how invasive the injury was and your health in terms of bodies' ability to heal itself. You will not recover however if the implant is compressing the nerve and at this point, its hard to trust what your dentist says because he will try to protect himself from liability for injuring your nerve.
Many here including me...my IAN was badly damaged and I am still trying to recover...we each know what you are going through. Keep in mind not a single person here...and there have been others injured in a dental chair having implants...ever expected this to happen. None of us. Coping moving forward as we try to recover is difficult but some do recover relatively quickly and others like myself hopefully will recover over several years. The IAN does regenerate on some level...sometimes back to 100% but no doctor can predict magnitude of recovery or time frame.
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