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Lingual and Inferior Alveolar Nerve Damage Discussion Site

Subject: "INJECTION INJURY"     Previous Topic | Next Topic
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Conferences Injectional Nerve Injuries Topic #779
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joelmar19
Member since Oct-4-08
1 posts
Oct-04-08, 07:47 AM (CST)
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"INJECTION INJURY"
 
   Three weeks ago I went to the dentist to have a crown. During the first visit I received several injections. When I got home I felt a pain below the gum line . It continued to get worse to the point I needed to take pain killers and apply oralgel at night and thru the night just to get some sleep. I thought it was just a reaction to the injection and would go away in a few days which it did not.

The pain feels like a tooth ache (I can barely eat). It also gives me head aches which travels from my jaw up to and above my ear.

When I went back to the dentist to have the permanent crown installed I explained the problem to the dentist thinking maybe my tooth was impacted. He told me it had nothing to do with my previous dental procedure and that all I had was a cankar sore that I probably got from brushing my teeth or eating pizza. He said it would go away in 3 or 4 days.

I can't beleive that he didn't tell me it was from the injection hitting a nerve. Don't they cover this injury in dental school? Why didn't he schedule me to come back or refer me to an oral surgeon?

Thank goodness for this site. At least now I know I'm not crazy or alone. My plan is to schedule an appoinment with an oral surgeon next week.

Let me know what what the best course of action is to take. Thanks.


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  Subject     Author     Message Date     ID  
  RE: INJECTION INJURY bowho Oct-04-08 1
  RE: INJECTION INJURY Bob Oct-04-08 2
  RE: INJECTION INJURY Dr B Oct-04-08 3
  RE: INJECTION INJURY debbiem1776 Oct-07-08 4
     RE: INJECTION INJURY charlottefr Nov-22-08 5

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bowho
Member since Nov-26-07
641 posts
Oct-04-08, 12:47 PM (CST)
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1. "RE: INJECTION INJURY"
In response to message #0
 
   Oh these dentists today had to of learned about nerve injuries in dental school at some point we just assume .. But when it happens they act dumb or maybe its just a way to cover their ass by making you think it must have been something else that caused this and not what they did ... You might want to find out what used in the numbing injection .. It wont really make a difference in your healing but it could and people are taking a survey here for a purpose ... And you should call the dentist back and demand that you be treated properly or you could be forced to resort to legal help and sue for negligence ... We the injured know your not crazy or you wouldn't be on here complaining ...


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Bob
Member since Aug-6-07
188 posts
Oct-04-08, 10:15 PM (CST)
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2. "RE: INJECTION INJURY"
In response to message #0
 
   ENOUGH of this BS from dentists. If you are able... SUE. Sue for neglegence, sue for malpractice. He obviously injured a nerve in the procedure and for the idiot to try and cover it up is unconscionable.


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Dr B
Member since Oct-6-06
824 posts
Oct-04-08, 11:27 PM (CST)
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3. "RE: INJECTION INJURY"
In response to message #0
 
   See an endodontist and make sure you do not need a root canal.

Dr B


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debbiem1776
Member since Sep-9-08
16 posts
Oct-07-08, 01:01 PM (CST)
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4. "RE: INJECTION INJURY"
In response to message #0
 
   > He told me it had nothing to do
>with my previous dental procedure and that all I had was a
>cankar sore that I probably got from brushing my teeth or
>eating pizza. He said it would go away in 3 or 4 days.
>
>I can't beleive that he didn't tell me it was from the
>injection hitting a nerve. Don't they cover this injury in
>dental school? Why didn't he schedule me to come back or
>refer me to an oral surgeon?
>
>Thank goodness for this site. At least now I know I'm not
>crazy or alone. My plan is to schedule an appoinment with an
>oral surgeon next week.
>
>Let me know what what the best course of action is to take.

The endodontist who injured me during an injection did the same thing. Didn't even want to see me after it happened. I was told by just about every doctor I have seen since, probably about 20 now, that I should have been put on a course of steroids to keep the inflammation down. I did take steroids for a short while after the injury and while I was on them I had none of the burning pain which I have had for 8 years now since I was injured. Unfortunately, since I wasn't diagnosed for a full year, nobody would keep me on steroids for over a week and I lost the small window you have to treat inflammation. If steroids don't work then inflammation probably isn't the problem. I personally would rather risk any side effects from steroids rather than not take them and suffer the lifetime of pain I am now stuck with. Good luck, don't lose hope and let us all know how you are doing.


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charlottefr
Member since Feb-22-08
300 posts
Nov-22-08, 09:57 AM (CST)
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5. "RE: INJECTION INJURY"
In response to message #4
 
   Clinical evaluation of inferior alveolar nerve block by injection into the pterygomandibular space anterior to the mandibular foramen.
Y. Takasugi, H. Furuya, K. Moriya, and Y. Okamoto
Department of Anesthesiology, Nippon Dental University, School of Dentistry at Tokyo, 2-3-16 Fujimi, Chiyoda-ku, Tokyo 102-8158, Japan.
Y. Takasugi: takasugi@tokyo.ndu.ac.jp

Abstract

The conventional inferior alveolar nerve block (conventional technique) has potential risks of neural and vascular injuries.

We studied a method of inferior alveolar nerve block by injecting a local anesthetic solution into the pterygomandibular space anterior to the mandibular foramen (anterior technique) with the purpose of avoiding such complications. The insertion angle of the anterior technique and the estimation of anesthesia in the anterior technique were examined. The predicted insertion angle measured on computed tomographic images was 60.1 +/- 7.1 degrees from the median, with the syringe end lying on the contralateral mandibular first molar, and the insertion depth was approximately 10 mm. We applied the anterior technique to 100 patients for mandibular molar extraction and assessed the anesthetic effects.

A success rate of 74% was obtained. This is similar to that reported for the conventional technique but without the accompanying risks for inferior alveolar neural and vascular complications

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2149033

The complete article with diagrams can be found at: http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2149033&blobtype=pdf


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