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Oral and Maxillofacial Surgery (Expert Forum)
numbnes & pain after wisdom tooth extraction
Answered by
Michael H Kirsch, DDS - Oral Surgery, Maxillofacial, Wisdom Teeth, Bone Grafting, dental implants
Dr. Michael H. Kirsch
Caldwell - NJ
Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch. 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.
numbnes & pain after wisdom tooth extraction
by evenzouk, Jul 02, 2008 01:04AM
I know there are a lot of posts on this. I had my bottom wisdom teeth extracted 2.5 months ago. My inferior alveolar nerve was traumatized. I am seeing a deep muscle therapist and a TMJ pain specialist (I don't have TMJ but they are familiar with this issue). I am getting feeling back in my chin/lip, although it's hypersensitive. The discomfort is more in my eye tooth when I touch a certain area of my lip and my lip and the muscle in that area are still very tight and at times very painful. The TMJ specialist wants to put me on an anti-epileptic medication. I'm a bit resistant because there is substantial weight gain associated with these medications (which can be even more unhealthy than nerve damage). I have just had my 2nd steroid injection and although the tooth pain has subsided a bit, I am still having pain and the muscle is still very tight. Can I get any info on what treatment I should be pursuing aside from what I'm already doing? Can an acupuncturist help me? Has anyone tried the anti-epileptic meds and do they work? I pretty much understand what's happened with the nerve but can anyone explain what is happening with the muscle and does it need to be treated in a different way.
Thank you.
Thank you.
Doctor's Answer
by Michael H Kirsch, DDS, Jul 02, 2008 06:53PM
, Jul 02, 2008 06:53PM
You've described several treatments for several different conditions you have (nerve dysfunction, muscle issues) These are two separate and distinct problem.
I am unaware of steroid injections being an appropriate treatment for either of these problems. Several medications including antiseizure and a drug call Neurontin have been successfully used to treat dysthesias. The risk vs benefits must be carefully weighed and these medications must be closely monitored by the prescribing doctor.
I am not familiar with any prospective clinical studies on acupuncture for your conditions.
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.
I am unaware of steroid injections being an appropriate treatment for either of these problems. Several medications including antiseizure and a drug call Neurontin have been successfully used to treat dysthesias. The risk vs benefits must be carefully weighed and these medications must be closely monitored by the prescribing doctor.
I am not familiar with any prospective clinical studies on acupuncture for your conditions.
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.
Member Comments (2)
by evenzouk, Jul 02, 2008 10:48PM
So am I right to be seeing the TMJ (pain management) specialist and the deep muscle therapist or should I look into seeing someone else? The TMJ specialist has given me the injections hoping by treating the inflammation around the nerve that the nerve would have room to move/heal. The deep muscle therapist feels there is scar tissue around the nerve that needs to be broken down. He uses a combination of ultrasound and deep tissue massage (which is no picnic). I'm thinking this is the reason I'm getting feeling back but I wonder if I would have gotten it back anyway since I was told it might take about three months to start getting feeling back. Everyone just seems so vague about this issue. If anyone can point me in a direction about this I would be so appreciative.
