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Lingual and Inferior Alveolar Nerve Damage Discussion Site

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Conferences Lingual or Inferior Alveolar Nerve Damage from Tooth Extractions Topic #632
Reading Topic #632
4alphapt
Member since Nov-14-04
4 posts
Nov-14-04, 05:26 AM (CST)
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"mental/inferior alveolar nerve severed"
 
   I'm writing for the first time although I've been reading for 2-3 months. I didn't have dental work performed like most everyone else here.

I had a "cosmetic" surgery on my chin called a sliding genioplasty. That was done on July 16th and I still have no feeling in the right side of my chin, lower lip, and gums. I have self-diagnosed myself with burning mouth syndrome with the help of this site and the info I've found online. No doctor I've seen yet has offered it as an explanation for my burning tongue that gives me so much more grief than the numbness on my chin!

I had an exploratory surgery on October 27th partly to try to repair my damaged nerve but it's gone - either retracted after it was severed or shredded along the nerve canal from the saw used in the "cosmetic" surgery.

I'm really bummed now because I realize that I'll probably have to live with this the rest of my life but I'm trying to stay optimistic. I thought joining in on these discussions would help. Does anyone know of a situation like mine?

Lori


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  Subject     Author     Message Date     ID  
  RE: mental/inferior alveolar nerve severed ness Nov-15-04 1
     RE: mental/inferior alveolar nerve severed 4alphapt Nov-15-04 2
         RE: mental/inferior alveolar nerve severed ness Nov-16-04 3
  RE: mental/inferior alveolar nerve severed reesatay Nov-16-04 4
     RE: mental/inferior alveolar nerve severed 4alphapt Nov-16-04 5
         RE: mental/inferior alveolar nerve severed ness Nov-17-04 6
             RE: mental/inferior alveolar nerve severed ness Nov-17-04 7
             RE: mental/inferior alveolar nerve severed Deepali Jan-23-05 38
                 RE: mental/inferior alveolar nerve severed ness Jan-23-05 39
                 RE: mental/inferior alveolar nerve severed Lori Jan-23-05 40
  RE: mental/inferior alveolar nerve severed alexey Nov-21-04 8
     RE: mental/inferior alveolar nerve severed Lori Nov-26-04 9
         RE: mental/inferior alveolar nerve severed Lori Nov-26-04 10
             RE: mental/inferior alveolar nerve severed Lori Nov-26-04 11
                 RE: mental/inferior alveolar nerve severed ness Nov-26-04 12
                     RE: mental/inferior alveolar nerve severed anita gamble Dec-26-04 24
  RE: mental/inferior alveolar nerve severed njb Dec-01-04 13
     RE: mental/inferior alveolar nerve severed Dr. B Dec-01-04 14
         RE: mental/inferior alveolar nerve severed Lori Dec-02-04 15
             RE: mental/inferior alveolar nerve severed Dr. B Dec-02-04 16
                 RE: mental/inferior alveolar nerve severed alexey Dec-19-04 17
                     RE: mental/inferior alveolar nerve severed alexey Dec-19-04 18
                         RE: mental/inferior alveolar nerve severed Dr. B Dec-19-04 19
                             RE: mental/inferior alveolar nerve severed njb Dec-25-04 20
                                 RE: mental/inferior alveolar nerve severed Dr. B Dec-26-04 21
                                     RE: mental/inferior alveolar nerve severed alexey Dec-26-04 22
                                         RE: mental/inferior alveolar nerve severed Dr. B Dec-26-04 23
                                     RE: mental/inferior alveolar nerve severed njb Jan-02-05 29
                                         RE: mental/inferior alveolar nerve severed Reesatay Jan-03-05 30
                                         RE: mental/inferior alveolar nerve severed Lori Jan-17-05 32
                                         RE: mental/inferior alveolar nerve severed karen Jan-19-05 34
                                             RE: mental/inferior alveolar nerve severed Lori Jan-20-05 35
                                             RE: mental/inferior alveolar nerve severed NJB Feb-26-05 47
                         RE: mental/inferior alveolar nerve severed Lori Jan-02-05 26
                             RE: mental/inferior alveolar nerve severed Dr. B Jan-02-05 27
                                 RE: mental/inferior alveolar nerve severed Lori Jan-17-05 31
                             RE: mental/inferior alveolar nerve severed reesatay Jan-02-05 28
  RE: mental/inferior alveolar nerve severed bobnjen7 Dec-30-04 25
  RE: mental/inferior alveolar nerve severed Karen Jan-19-05 33
     RE: mental/inferior alveolar nerve severed Jennifer Jan-21-05 36
         RE: mental/inferior alveolar nerve severed Lori Jan-22-05 37
             RE: mental/inferior alveolar nerve severed Jennifer Jan-24-05 41
                 RE: mental/inferior alveolar nerve severed Karen Jan-24-05 42
                     RE: mental/inferior alveolar nerve severed Jennifer Jan-25-05 44
                 RE: mental/inferior alveolar nerve severed Lori Jan-25-05 43
                     RE: mental/inferior alveolar nerve severed Jennifer Jan-25-05 45
  RE: mental/inferior alveolar nerve severed Larry Feb-12-05 46
  RE: mental/inferior alveolar nerve severed GeoR Jul-28-05 48

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ness
unregistered user
Nov-15-04, 02:06 AM (CST)
 
1. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   Hi Lori
Sorry to hear your story, although l cant remember anyone coming here due to cosmetic surgery go wrong there are plenty of people on here who have had car accidents, bike crashes ect the outcome is still the same you are still a person suffering and in pain, so you have come to the right place, plenty of old dinosaurs lol on here suffering numbness that lm sure can give you plenty of good advice, fortunatley or unfortunatley l dont have numbness not sure which of the two would be better but have long tern nerve pain from a dental extraction nearly years ago , origin of exact injury unknown what a joke but l live in hope that the body will find away to block out the pain signal eventually although some report that constant pain signals are wired into the brain causing them to never stop, l go by the theory right or wrong that the body can just as easily rewire around the pain, oh my little ray of hope anyway
good luck ness


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4alphapt
Member since Nov-14-04
4 posts
Nov-15-04, 04:56 PM (CST)
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2. "RE: mental/inferior alveolar nerve severed"
In response to message #1
 
   Thanks for replying Ness!

What is your pain like?

When I first felt mine, it was just on the tip of my tongue-like it was rubbed raw. Now, half of my tongue, my gums,and my inner and outer lower lip feel so hot and irritated all the time-like I could breath out fire! My lower lip feels chapped even though it isn't.

Is your pain from lingual or inferior alveolar nerve injury? The symptoms are different for each, aren't they?

Lori


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ness
unregistered user
Nov-16-04, 00:30 AM (CST)
 
3. "RE: mental/inferior alveolar nerve severed"
In response to message #2
 
   Hi Lori
Not really sure what part of my mouth was damaged, basically the Drs all say a different thing but the cause was dental trauma from the extraction of my wisdom teeth, in the begining it was like a heavy weight sensation hanging of my left jaw area , not painful but the altered feeling drove me nuts that l spent most of my time with my hand cupped over that part of my face to hold the pressure, that was the 1st month and then it started to give like electric shock pains all over my left hand gumline, which then graduated onto top molars feeling like they are going to explode, so l have had a real gamut of different pain, the past year has been standard burning pain in the upper extraction area and top molar exploding feeling not really pleasant but its becoming a way of life now,
l take lexapro which is an antidepressant and clonazepam which is a antispasmodic, epeleptic type drug which is given to neuropathic pain conditions, l doubt the benifit they give me is worth the drug abuse in your body but l take them anyway for what little relief they give, There are heaps on this site suffering numbness ect and lm sure someone will enlighten you on there treatments ect, keep hanging in there l know its the pits love ness


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reesatay
Member since Nov-1-04
773 posts
Nov-16-04, 11:38 AM (CST)
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4. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   4alphapt

I'm sorry your surgery caused you this injury. I understand how hard the burning feeling can be. It has been the hardest part of my injury.

The one thing I found from my injury is that when one branch of the Trigeminal Nerve is injured another branch can act like it is injured too. This could be why you are having pain in your tongue even when your lingual nerve branch wasn't injured. Are the doctors sure that your lingual nerve wasn't injured during your surgery?

Are you taking any medications to help your burning pain?

I'm glad you found this site to share your situation and hope you find relief soon.

Take Care

"T"



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4alphapt
Member since Nov-14-04
4 posts
Nov-16-04, 09:04 PM (CST)
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5. "RE: mental/inferior alveolar nerve severed"
In response to message #4
 
   Ness and "T",

It's so nice to see responses when I log in! It's nice to know I can talk to others who understand how I feel!

Ness, I'm sorry you have so much pain - I know simetimes it just gets overwhelming. Don't feel bad about taking the meds - be informed on the potential side effects - but it's your pain and your life.

I take lexapro too, what a coincidence! I think it is an anti-anxiety med and I take wellbutrin for depression (it just runs in my family - lucky me!). Anyway, thanks for being the first person to answer me - I've never chatted online before!

Hi "T",

I'm not certain how far back the nerve was damaged. My doctor did an exploratory surgery and told me the nerve is gone from the mental foramen and back towards the jaw. She said she couldn't find the other end of the nerve - she cut 4 windows into the bone to look for it until she couldn't go any further.

I'm on 2700 mg of neurontin daily and I take darvocet too.

What happened to you "T"?

Lori


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ness
unregistered user
Nov-17-04, 02:21 AM (CST)
 
6. "RE: mental/inferior alveolar nerve severed"
In response to message #5
 
   Hey Lori
How funny this was my 1st experience with the web as well never having really used the net before and was lucky enough to come across this site whilst doing a search on nerve injury from wisdom teeth extraction, l have been part of this little community now for coming on 3 years and it has been my guiding angel when things are bad, l have come along way from my 1st post way back then,
l notice your meds a pretty much run of the mill around this site most are on neurontin or have been and l have seen weelburtrn mentioned a few times, does your dentist that injured you support you, what sort of Dr do you see, l have seen OS and facial pain specs but lm currently treated soley by my small country town GP between the 2 of us we trial different meds that l come across on the site trying to get the best one, actually have an app tomorrow to see about some type of painkiller for break through pain that l could safely take as needed for when the pain is bad ,
what part of the world do you come from? lm an Aussie, we must have really good dentists here because there are hardly any aussies on here,lol
how long have you been injured for?
bye for now ness


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ness
unregistered user
Nov-17-04, 02:22 AM (CST)
 
7. "RE: mental/inferior alveolar nerve severed"
In response to message #6
 
   sorry Lori just reread your 1st post on when you were injured


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Deepali
unregistered user
Jan-23-05, 03:52 AM (CST)
 
38. "RE: mental/inferior alveolar nerve severed"
In response to message #6
 
   Hi Ness

I'm in sydney, australia and aslo going through post op complications. I had genioplasty dome , nine weeks now. My doc told me that mu nerve o the left side of my lip was nipped a liltle ( dunno how liltle or big) and now i have a stiff lower lip which can be harly seen, it's so small , did u suffer from anything of the sort. What was your experience? I'm going through anxiety all the time, and no proper sleep.

Dee


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ness
unregistered user
Jan-23-05, 05:32 AM (CST)
 
39. "RE: mental/inferior alveolar nerve severed"
In response to message #38
 
   Hi Dee
Apologies in advance for my spelling lm way over due for bed!!!!
Welcome fellow Aussie, although l dont like to see anyone new join this club l do get a little excited when its an Aussie as we are a lone breed on here,
not sure if you have l numb lip or is it stiff, does it feel like it is still under anestetic??
Are you in pain ?
After 9 weeks have you been refered out to a oral nerve specialist, if not you should have been by now,
sorry what is genioplasty is it like plastic surgery???
my experience in terms of the actual trauma and effect is totally different than you, 4 wisdom teeth extracted in Albury NSW was excessively bruised and swollen for weeks, had a entire numb head inc scalp for 24 hrs man this guy shot me full of local while l was out to it, and it has resulted in a unusual {rare} so they say
neuropathic pain syndrome, due to nerve trauma, will never no hat exactly caused it, may have been just bad luck, bad local needle or bad surgeon, anyway l have like phantom toothaches in the upper left molars, burning pain in upper left socket,24/7 every day to some extent,
Now although we differ in cause and outcome l can totally understand your anxiety and poor sleep , is the sleep due to pain or stress?
if its pain , it is fixable as a GP local Dr if you explain the whole story will definetley help you , you can not heal if you cannot sleep,
Anxiety in my opinion is bred from fear of the unknown and loss of control, and all these things apply to us, we fear it may never end , we fear it is permanent , and we cant control what is happening,
Honestly l think you should have a chat with your GP as they can address all these thing, it is normal l promise, but you do need to know the specifics of you injury, what nerve was nicked , how does he know did he see it nicked or servered,what is his opinion of outcome, dont be afraid to ask for a referal for a second opinion,
arm yourself with heaps of knowledge about what has happened, a little knowledge is frightening so they say but learn as much as you can from your surgeon about the details and then do alot of reasearch on options, cause if this Dr is wrong and it is severed you only have a window of oppitunity to have it fixed,thats why l think you hould see someone else independent,
although we want to believe all Drs , dentist ect are good its just not true , they are human and they stuff up dont we all, but the difference is owning your mistake and moving heaven and earth to make your stuffed up patient feel like a person they are sorry for injuring and not an embarassment to there career that they want to sweep under the table.
i have said this l million times on this site that l believe 99% of those who are suing there dentists/Dr are doing so not because of an accident but because of the way they are treated afterwards, the exception being those who operated while on drugs or drunk { yep it has happened} these are not accident they are fools who dont deserve to have people lives in there hands,
sorry for going of track into a rant
try and be positive and not to worry to much but dont fear the unknown go out and find everything you can about what happened to you as l dont think you are being informed as you should be.
bye love ness


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Lori
unregistered user
Jan-23-05, 07:05 PM (CST)
 
40. "RE: mental/inferior alveolar nerve severed"
In response to message #38
 
   Dee,
Ness is right. Find out which nerve was injured and whether it will heal on it's own. If you need surgery to repair it, you have a short window of time to do that.

I'm 6 months out from my genioplasty now and my lips look normal. My lower lip is stiff and numb. I remember that my lower lip looked smaller after my surgery too but I was told it was due to all the swelling.

Good luck and keep writing. People here are very nice and helpful.

Lori


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alexey
unregistered user
Nov-21-04, 07:03 PM (CST)
 
8. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   HELLO 4alphapt, I HAVE SAME THING. I FEEL VERY VERY NERVOUS. I had cosmetic sliding genioplasty surgery from a surgeon in Philadelphia. I have lost my sensation from the whole lower lip gums, teeth, everything burns. I get a feeling as if my lower lip, teeth are going to fall down. It has been 1.5 years since surgery, my doc had said it will improve with time, but it hasn't.

I am very nervous, and regret having surgery, i have spent a fortune and the doc keeps me charging more and more and i'm paying everything from pocket. Did your doc, give you refund of the cosmetic surgery or any sort of compensation or anything ?. I feel very let down by my doc. Please reply.


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Lori
unregistered user
Nov-26-04, 03:05 AM (CST)
 
9. "RE: mental/inferior alveolar nerve severed"
In response to message #8
 
   Hi Alexey. I feel very let down by mine too. This doctor came highly recommended. I stopped seeing him 6 weeks after the surgery because I found out with the help of an OS that this doctor REALLY SCREWED UP!

No, I don't plan on seeing him again unless it's in a courtroom! He MUST HAVE KNOWN that he injured me but he didn't tell me. If he had, I might have had a chance of nerve repair. Instead, I will probably live the rest of my life on meds for the constant burning and will never feel normal again.

I'm sorry for the dismal reply but I'm past the "nervous" stage. I was nervous when I thought the nerve might be severed. Now I'm angry. Have you ever had any type of xray to see if your nerve is intact? I would recommend trying to find out - I originally had a Panorex done by my OS, then my 2nd surgeon in San Fran ordered a C-Dental NewTom image which actually takes a picture of your skull. Then, if nothing else, AT LEAST YOU WILL KNOW!!

Take care and keep in touch. I don't think there are many of us.

Lori


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Lori
unregistered user
Nov-26-04, 03:11 AM (CST)
 
10. "RE: mental/inferior alveolar nerve severed"
In response to message #9
 
   Alexey,

I forgot to tell you that I get the sensation sometimes that my lower lip is hanging down to my chin. It's the strangest thing - I touch it just to be sure it's OK! We have the same things going on. You should go to A DIFFERENT DOCTOR and ask for the images.

Lori


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Lori
unregistered user
Nov-26-04, 03:15 AM (CST)
 
11. "RE: mental/inferior alveolar nerve severed"
In response to message #10
 
   Hi Ness,

How did your appt go with your doctor on 11/18? Any new med?

I just started on Elavil too - I don't feel any different yet. Just hungrier and that's no good!

Lori


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ness
unregistered user
Nov-26-04, 04:02 AM (CST)
 
12. "RE: mental/inferior alveolar nerve severed"
In response to message #11
 
   hi Lori
Dr App went ok she has added capadex a pain reliever to my drug cocktail, to take only when really needed, l have not yet taken any as l have not been in too much pain, l would like to cut out the lexapro or reduce the clonazepan soon but will wait and see,
avanza made me hungry it was ridiculous l could not sleep because all l could think about was food,aggg l put on so much weight which lucky or unlucky but my gall bladder started to cark it a few months back and in a month l lost all the weight l had put on and then some,
glad to see your still hanging in there, keep in touch ness


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anita gamble
unregistered user
Dec-26-04, 11:32 PM (CST)
 
24. "RE: mental/inferior alveolar nerve severed"
In response to message #12
 
   I was reading your post. I also have severe comoplications from bone graft surgery done over a year ago. I have muscle and nerve damage that has left me with burning sensations in my chin and lips and what is known as an "incompetent lip". (stiff and inflexible)
I am very sorry for your injury and hope and pray you WILL get better with time. I wanted to ask if the Botox gives you any relief and if it leaves you with a drooping lip or chin?
Thanks
anita gamble
gamble3@socket.net


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njb
unregistered user
Dec-01-04, 08:33 PM (CST)
 
13. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   I share the same problem. I had chin augmentation 3 months ago. I continue to have constant sensations of muscle tension and soreness in my chin area. I am sorry I elected to have this surgery by a maxillofacial surgeon and I believed knew what he was doing. His solutions are neurontin or shots of botox. He maintains that the sensations will go away in time but I am skeptical since there is no improvement. I would love to hear feedback from other who have had similar experiences.


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Dr. B
unregistered user
Dec-01-04, 09:51 PM (CST)
 
14. "RE: mental/inferior alveolar nerve severed"
In response to message #13
 
   This is very common with this type of cosmetic surgery and most people accept it as part of the package. However you should have been told it was a probability. The numbness usually does improve over time.