Oral and Maxillofacial Surgery Expert Forum
Nerve damage after wisdom tooth extraction
About This Forum:

Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Nerve damage after wisdom tooth extraction

On 18th Aug '08 I had 4 wisdom teeth removed under G.A. at a UK hospital.  The operation took 90 mins.  Over the next 7 to 10 days I had intense pain, facial swelling/bruising and most worryingly very strong numbness and pain to the left hand side/front of my tongue and under my chin.

Between Aug and Oct '08 I attended the hospital with regards to the numbness.  I still had intense numbness in the left hand side of my tongue as well as under my chin.  These areas however were NEVER without a loss of complete feeling so I had hope at this stage.  Upon speaking to consultants I was informed if the feeling had not returned completely after 3 months it would not return to normal.  Other consultants said the same thing but stated 6 months, 1 year, or even 18 months - 2 years as the "permanent injury" point.  Surgery was mentioned as an option but they stated that the risk of futher injury was "high".  I asked how I have the numbness and the best answers I got were the nerve was stretched during a difficult extraction.  The consultants stated that it was unlikely the nerve was severed due to some feeling being in my affected areas.

In Nov '08 I got virtually complete feeling back in my chin.  I have about 65% feeling in the affected areas of my tongue, although no real improvement for 2 months.  Whilst I feel things on the affected area of my tongue very well I have a very odd sensation INSIDE my tongue.  I realise this can't be the case but I still feel a strong numbness/discomfort/pain despite having the feeling I do.  I had a consultation last week.  I was told surgery was not an option due to the feeling I have.  I was also infomed it was "unlikely" nearly 7 months on I would make a full recovery.  I am taking no medication.  I was put on nerve blocking tablets for 1-2 months however this gave me involuntary hand movements so I came off them.  I still feel a great level of discomfort, pain, numbness.  Can you offer any hope or advice?

Related Discussions
373693_tn?1324489102
Unfortunately the injury may not heal completely without sugery.  There are a wide variety of opinions with regard to nerve injuries, treatments and outcomes.

I would seek an opinion from a consultant who actually performs repair procedures on this nerve on a routine basis.  There have been reported cases of spontaneous recovery even at 12 months post-injury.

The three month rule is currently appropriate with regard to a high percentage of cases.  If you are experiencing and type of pain or discomfort then surgery may be the only viable permanent option.  Chronic pain is a debilitating condition and is not tolerated as well as anesthesia.

There certainly are risks for this type of procedure and you must ultimately make the decision that is best for you.  I know it's not the easiest thing to hear but it's really going to be up to you either way.

Keep us posted and best luck!

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
1 Comment
Blank
1325320_tn?1274812924
A related discussion, Nerves healing time was started.
Blank
Continue discussion Blank
This Forum's Experts
373693_tn?1324489102
Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
Caldwell, NJ
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank