nerve damage after implant placement

[mikep118]

Two weeks ago i had an implant put in my mouth on the right side of my lower jaw. Unfortunately  my dentist drilled to far with the implant drill and nicked the Inferior alveolar nerve which provide sensation to my lower lip, chin as well as gums and teeth. It took me a week just to come to terms with. I'm trying to remain hopeful but its hard.
this. My dentist informed me that nerves heal slow and this might take weeks months or even a year. He cant even guarantee ill ever get feeling back. The tightness in my lower right teeth are the hardest thing to deal with right now. Its feels like a have toothpicks stuck between each of them.
My current dilemma is trying to decide whether or not to remove the existing implant that he was then able to install. We confirmed the next day by 3d scan that the implant he installed is not near the nerve canal so his feeling was to leave it in. I would rather leave it in and not risk causing more damage to an already injured nerve. Now the confusing part is when i got a second opinion from a different dentist he advised me to take the implant out. My question is if its not violating the nerve canal what is the harm in leaving it in? He acknowledge that there is no physical impingement to the nerve from the implant but wont elaborate further about why to remove it. I just want to make sure i give myself every opportunity to heal. I just dont know whether to leave it in or take it out.                               Also is there a type of doctor that specializes in this type of thing? Possibly a neurologist? Any suggestion or any other healing tips or protocol in this type of situation would be greatly appreciated. Thanks Mike

[KristinaV13]

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[scottma]

If the implant be not compressing inferior alveolar nerve evidenced by CT imaging, leaving it in site is probably o.k. Otherwise, taking out is a better choice since removing an implant is very easy as long as it is only installed within a week or two. Nutritional supplement and pharmacological management may help resume nerve function. vitAmin B1,B6,B12,folic acid, and omega 3 fatty acid are helpful for nerve healing. Gabapentin(neurontin)starting at 100mg,T.I.D. And titration every 3days or weekly may speed up nerve healing. Seeing a neurologist  who is experienced in managing traumatic Trigeminal neuropathy is advised.