I believe I wrote some in this section sometime before. For those of you suffer from traumatic nerve injuries, please read following writings, and I am not going to rewrite again.
Firstly, third molar surgery is the most common cause of inferior alveolar nerve and lingual nerve injuries. Clinical radio graphic exam and/or cone beam CT do provide significant information of risk. If highly risky, surgeons may inform you in advance or perform coronoectomy.the worst scenario of not removing impacted third molar is probably loss of second molar due to caries or periodontitis. Other complications are rarely associated with impacted third molar.
Secondly, if implant or other dental treatment is the cause, early removal of implant or offending tooth is indicated.
Thirdly, if symptoms persist more than 3 months, permanent dysesthesia, anesthesia, or pain is a likely event.
Fourthly, early intervention is helpful for nerves healing.nutritional supplements, such as Vitamin B1, B6, B12, folic acid, omega3fatty acid( fish oil) are helpful. Pharmacologic intervention, such as tricyclics antidepressant ( amitriptyline, nortriptyline), anticonvulsants( gabapentin, pregabalin),
ssri( duolexitine), or minocyline, either mono therapy or poly therapy are helpful nerve healing. Pharmacologic management require prescriptions from neurologist or Orofacial pain specialist.
15 days post surgery
I'm beside myself with pain, tingles and numbness.
If I had of known I would not have gone through with the surgery either.
Its been 9 days since I had all four impacted wisdom teeth removed and I have almost no feeling on the center and left side of my chin, lower lip, and gums. I have constant tingles and an uncomfortable feeling of pressure, but can not feel pain and an extremely small amount of pressure when I press against the area. I hope it gets better soon rather than taking months, years, or the dreaded never.
They warned me there was a chance of this happening and being permanent very casually. I was alarmed and asked for percentages. The said a 20 percent chance of numbness and 1 to 2 percent chance of permanence. I asked if there were any alternatives, and they said no and that I should have the tooth removed, because it could cause problems later. I felt stuck and decided to go with the doctors recommendation of having it removed.
I went in today for a follow up, the surgeon said he is optimistic, but their is always a chance of permanence. I strongly considered not having the high risk tooth removed, and now I wish I had waited.
Is it really worth the risk?
I have 4 wisdom teeth, and I am 24 years old. I know I need them removed because my bottom two are "boney" impacted.. however my doctor advised me that I have a 2% chance of permanent numbness in my chin and lip... I am contemplating if I even want to go through with this surgery now..
I occasionally have some pain but its very minor, I personally don't care to have them removed and if they mess up my teeth I'd rather just get braces again later on down the road if need be.. and as far as infections go, I'd rather have the infection and be on antibiotics then have some of the symptoms that most of you guys were describing above..
I'm at a fork in the road on what to do..
any suggestions, recommendations or opinions??..
Hello, I have read alot of these comments. I am 28, and the surgeon told me today that I would need to get all 4 wisdom teeht taken out, and there's a 50% chance that one side can impact and cause numbess to my chin, lip area. He basically mentioned this to me. Pretty much stating that this is a clear likelyhood.. So it's either become numb in the face, or have the impact cause more teeth to fall out eventually.
Confused to say the least and upsetting. I see some of you had no knowledge and feel this issue, and he basically stated this to me that it's a good chance. So I feel bad now. Going for second opinion this week.