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Lingual and Inferior Alveolar Nerve Damage Discussion Site

Subject: "Lip numbness after apicoectomy (5 weeks now)" Archived thread - Read only
 
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Lin
Charter Member
Sep-18-00, 09:55 PM (CST)
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"Lip numbness after apicoectomy (5 weeks now)"
 
   Hi, I cant believe I found this website! ThanksI had an apicoectomy about 5 weeks ago and as a result ended up with total numbness or parasthesia in half of my lower lip which has not gotten any better. So far, I have no pain, only numbness. I went to see a plastic surgeon who specializes in nerve repair of this kind. Then, to make matters worse, I still had pain in the tooth after the surgery so I went to another endodontist who said that the apicoectomy never should have been done in the first place, the tooth needed to be extracted! I am SO upset and angry. I never signed a waiver and never was informed that this could be a complication of the surgery. This is awful. Any thoughts?


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  Subject     Author     Message Date     ID  
  RE: Lip numbness after apicoectomy (5 weeks n... Ann Sep-19-00 1
  RE: Lip numbness after apicoectomy (5 weeks n... Rossadmin Sep-19-00 2
     RE: Lip numbness after apicoectomy (5 weeks n... Lin Sep-20-00 3
         RE: Lip numbness after apicoectomy (5 weeks n... Rossadmin Sep-21-00 4
  RE: Lip numbness after apicoectomy (5 weeks n David Oct-22-02 5

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Ann
Charter Member
28 posts
Sep-19-00, 05:29 AM (CST)
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1. "RE: Lip numbness after apicoectomy (5 weeks now)"
In response to message #0
 
   Sorry to hear about your problem. Besides doing something about your medical problem - checking with someone else, again whether the tooth needs to be extracted, to be on the safe side. I would contact a lawyer that specializes in these types of cases. I think you at least have a chance to recover some expenses & damages if nothing else. That doesn't solve your problem, but I know in my case in would have helped to cover some of the additional costs I have had as far as medical consults, exams, etc.
Good Luck


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Rossadmin
Member since Apr-21-07
1186 posts
Sep-19-00, 07:31 PM (CST)
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2. "RE: Lip numbness after apicoectomy (5 weeks now)"
In response to message #0
 
   Lin,

Sorry to hear about your injury. Assuming that this is your lower lip, the injury would be to the inferior alveolar nerve, which runs inside the mandible. I am assuming that the damage is probably from the surgery rather than the anesthetic injection. Either way, it would be reasonable to seek an opinion from an oral surgeon with experience in nerve repair if you do not have improvement by the 8 week mark. You may want to start the process now, as it can take some time to find a surgeon with experience in this area, and to get an appointment.

I am not familiar with the literature specifically about nerve damage from apicoectomy. A quick literature search tonight did not yield anything. The inferior alveolar nerve injuries from tooth extraction seem to do pretty well with surgical intervention. Not everyone recovers, but a majority recover some sensation if the surgery is performed within 6 months (and most like to do it around 3 months).

Again, I am mostly extrapolating from the tooth extraction nerve damage data, and assuming that apicoectomy would be similar. If you find out otherwise from a knowledgeable oral surgeon, be sure to let me know.

If your plastic surgeon has significant experience in oral surgical repair and nerve repair, he may be as good. Many do nerve repair elsewhere but not in the mandible.

Did your first dentist imply that the injury was from the injection or from the procedure?

Ross


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Lin
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Sep-20-00, 06:18 PM (CST)
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3. "RE: Lip numbness after apicoectomy (5 weeks now)"
In response to message #2
 
   Thanks for the response (this website is great). My dentist (who did this) is an idiot. I believe it was from the surgery and not the injection itself, because a dentist from whom I sought consultation said that the surgeon cut too far forward (the tooth was #18, last lower left molar). When I came back to the dentist who did this, he basically blew me off - 'it'll probably come back (the feeling).. I can't tell you when'. He never acknowledged that this was a big deal. I was also never informed that this could be a risk involved in the surgery.

I have consulted with a plastic surgeon, who is also the chief of plastic surgery in one of the major medical centers in NY. He gets referrals often from oral surgeons who need a nerve repair specialist. In fact, he invented one of the major ways of reconstructing peripheral nerves! I trust him. He, unfortunately, says that he sees a lot of this type of damage from dental work. He also surprised me when he said that many people never seek medical attention and just go on living like that without even knowing of other options. My personal opinion is that these dentists and surgeons want to cover their a__es and end up not referring the patient for follow up because they fear litigation.


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Rossadmin
Member since Apr-21-07
1186 posts
Sep-21-00, 06:18 PM (CST)
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4. "RE: Lip numbness after apicoectomy (5 weeks now)"
In response to message #3
 
   Glad to hear that you are being followed by an appropriate person. If he has published any articles, send me his name via email (webmaster link on any of the pages), and I will get copies to add to my collection. I have not contacted any plastic surgeons doing this type of repair, but have known some that did a lot of radical head and neck surgical repairs.

I would be interested in whether he has seen or repaired any cases from injectional nerve injury as well.

While I am sure that some dentists and surgeons have litigation on their minds, I suspect that most of them do not refer because they do not have enough knowledge about the injury and the repair possibilities. The success rate for repair is not too bad if the injury is surgically induced, so it would seem that their risk would be reduced by the repair rather than increased. Many cases do recover by themselves, so most of them just hope that will happen without intervention.

Thanks for the comments on the web page. It has been more popular than I predicted.

Ross


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David
unregistered user
Oct-22-02, 01:41 PM (CST)
 
5. "RE: Lip numbness after apicoectomy (5 weeks n"
In response to message #0
 
   I had an apicoectomy too and I want to discuss it with you. I feel so upset right now. I never signed anything, was never told any of the risks, and I too, should have never had surgery....I feel so stupid!! Please e-mail me back at daskuvich@hotmail.com


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