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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
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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.


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Lori
unregistered user
Dec-02-04, 01:04 AM (CST)
 
15. "RE: mental/inferior alveolar nerve severed"
In response to message #14
 
   Dr. B,
Do you have an opinion as to why I would have the symptoms of burning mouth syndrome after a sliding genioplasty? I think it is a result of a nerve injury but my doctors so far don't have a good explanation!

My mental/inferior alveolar nerve is severed at the right mental foramen and the other end has maybe retracted. I had some damage to the mentalis muscles caused by "digging" for a silicone implant after an infection.

The numbness I have in the right chin, low lip and gum I was told is due to the the mental nerve injury and I have accepted the fact that it will never go away.

But why BMS too? It was finally diagnosed yesterday by a somatology specialist. She told me that the original surgery probably "triggered" it and continued emotional stress is probably exacerbating it. She was not familiar with how it could be nerve related.

The top and bottom of my tongue, the incision site and the inner and outer bottom lip are the affected areas. The sensations are so hard to describe but it's like a burning/stinging/tingling sensation - very hot - like it's surrounded by a wierd energy field! When I salivate, I get a rush of burning that spreads through my mouth, then goes away - kind of like goosebumps do.

I's searching for an explanation for why this occurs - I'm hoping that someday this will go away! I would be so grateful to you or anyone who might help me!!

Lori




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Dr. B
unregistered user
Dec-02-04, 06:59 PM (CST)
 
16. "RE: mental/inferior alveolar nerve severed"
In response to message #15
 
   I am sorry but I cannot come up with a cause.


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alexey
unregistered user
Dec-19-04, 08:53 PM (CST)
 
17. "RE: mental/inferior alveolar nerve severed"
In response to message #16
 
   hi Lori / everyone.

I have not only loss of sensation, but a partial paralysis also, i have lost my smile, cannot move my lips, and trouble speaking. My Doc had only told me that "theoratically speaking" things could happen, but not clearly, that there is sufficient risk. Now I dont know what papers i had signed and what the fine print was.

I did the cosmetic surgery thinking that there is no risk, but just some theoratical risk, maybe 1 in 100 or so. But this appears to very common problem. I have become 30 years older then my age, with lips like this.

My doc had said, if there is burning sensation or pain, then its good, cause it indicates things "may" get back to normal. But for me, the burning sensation only comes when i drink hot stuff, and usually my lips and gums are dead.


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alexey
unregistered user
Dec-19-04, 09:03 PM (CST)
 
18. "RE: mental/inferior alveolar nerve severed"
In response to message #17
 
   i wish you all best, i hope you all recover. For me so much time has passes since surgery that now i have no hope. i have ended with a distorted chin and now that damage is done thinking to get one more surgery to get it fixed. Lori, could we talk offline, i'm thinking going to a cosmetic surgeon in San Fran, i just want to make sure, i dont hit the same doc who screwed yours. my email is: alexmn22@lycos.com


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Dr. B
unregistered user
Dec-19-04, 10:04 PM (CST)
 
19. "RE: mental/inferior alveolar nerve severed"
In response to message #18
 
   You should investigate very hard before submitting to more surgery.
Plastic surgery does not repair nerves nor can it reverse paralysis and may indeed make you worse.


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njb
unregistered user
Dec-25-04, 11:02 PM (CST)
 
20. "RE: mental/inferior alveolar nerve severed"
In response to message #19
 
   I am so sorry that we have been injured by surgeons who did not explain the risks. I am angry for all of us. I have spent three months in misery from intestinal infection resulting from massive antibiotic dosages rx'd after my chin augmentation. I have been scoped, scanned, and admitted to the hospital due to dehydration from the intestinal infection. I hope that anyone out there who is considering a chin implant will really weigh the cost to benefit ratio. It definitly was not worth it. My family has lived through this as well and the stress level has been horrible for everyone. Love yourself as God has created you. I wish I had.


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Dr. B
unregistered user
Dec-26-04, 09:37 AM (CST)
 
21. "RE: mental/inferior alveolar nerve severed"
In response to message #20
 
   I really do not beleve in facial implants, there is too much possibility of negative outcomes. Were these things explained to you?
I know many people accept orthognathic surgery even though they are told that the chances of permanent numbness is high, and some of them are so thrilled with their appearance that they don't care at all.
Infection is another matter, and is more common in the facial implants.


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alexey
unregistered user
Dec-26-04, 10:02 PM (CST)
 
22. "RE: mental/inferior alveolar nerve severed"
In response to message #21
 
   Dr B, cosmetic surgeons tell about the risks - a partial list and more imp. the way they mention ... they make it appear, its very minute chance of complication ... however in practise i'm seeing too many people having complications - a very large percentage, hence a very significant risk. I also feel they manipulate you ... at first making you want to do surgery, but just few days before when you are all set mentally set .. to start telling you about risk, and even hesitating to go ahead.

i am young and healthy, i'v had infection, excessive blood loss, facial assymetry increased rather than decreased, a strange funny crooked double chin ... i get a feeling if docs are like crooked mechanics ... who steal/swap parts while fixing vehicles.


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Dr. B
unregistered user
Dec-26-04, 10:33 PM (CST)
 
23. "RE: mental/inferior alveolar nerve severed"
In response to message #22
 
   I do believe this manipulation can occur, I have seen it myself. Right now you need to beat the infection and then find someone who can repair any deformity you might have. Where are you located?


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njb
unregistered user
Jan-02-05, 04:13 PM (CST)
 
29. "RE: mental/inferior alveolar nerve severed"
In response to message #21
 
   The issue is not that I did not research the procedure. The issue is that none of the literature or websites tell the real story. They indicate that the risk is less than 3% for serious infection or ongoing complications such as numbness, soreness, etc. The oral surgeon I used was prominent and respected. This is not a case of selective hearing. He completely minimized the complications. He made it sound like I would be back at work within 5-7 days. Instead I was black and blue from my jaw to my shoulders., swollen to an unbeleivable extent, infected to the point of needing 600 mg of clindamycin for 3 weeks, prednisone, painkillers, etc. I missed two weeks of work and returned looking as though I'd been in an accident. When I reported back for a followup visit it was almost as though he was in denial as he examined me at one week post-op. He had his partners come in to look at me, stating that he could not believe how I had reacted to the procedure. When I returned after 4 weeks at the advise of his nurse, I was greeted with a flip, "what's up?" He gave me approximately 5 minutes of his time and said- "Don't worry it will all heal in time. This is a rare outcome but you'll be okay.Can we get some pictures as comparison profiles for the office to show other patients considering the procedure?" I thought he was kidding. When I asked him about the discomfort, chronic contractions, poor draping, numbness, he said "I can offer you either shots of botox or nuerontin. If you are not interested there is really nothing other than time which will help." At that time I had lost all confidence in him and was afraid he would injure me further. At no point did he acknowlege the risk of C-diff (bacterial infection resulting from the clindamycin). I would probably feel less violated if he were honest and said "this has turned out very poorly" instead of the pep talk he gave me. I am considering an appointment at the Mayo Clinic to see if there is any wasy to repair the damage to the nerve. While I appreciate your perspective, it seems as though you are in some way blaming victims of poor professionals. If you have never been in this position I guess it is difficult to relate to those who have been mislead for profit. I think this guy was doing a procedure which was beyond his capability and experience level.


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Reesatay
unregistered user
Jan-03-05, 00:55 AM (CST)
 
30. "RE: mental/inferior alveolar nerve severed"
In response to message #29
 
   NJB,

I agree that doctors/dentists don't take the time to share the serious side effects. When they talk about what can happen it is sugar coated.

When a side effect does happen it appears they are shocked it happened. Then they don't seem to take the side effect seriously. Oh give it time. Everything look great. Yah right, everything look right even though I was in pain. Hummm I don't understand that kind of care.

I shouldn't be expected to understand all the aspects of surgery. I'm paying the doctor/dentist for their expertise. It should be up to them to be honest with their patients.

I remember my dentist being annoyed with me when I was upset after surgery. He told me... well I asked if you had any questions... My response was... I never had this procedure before so how can I be expected to know all the questions I should ask. I didn't know what could happen nor what type of questions I should ask.

I agree with you that went something goes amis the doctor should be honest and say that there is a problem. Then reasure me that I will be taken care of. If there is a problem then more personal care needs to be given the patient.

Teresa


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Lori
unregistered user
Jan-17-05, 03:03 AM (CST)
 
32. "RE: mental/inferior alveolar nerve severed"
In response to message #29
 
   NJB,

Wow, did we have the same doctor because my story IS your story!

I had asked my doctor how I would look and feel 9 days after surgery because my family was due in from out of state. He told me I would be "beautiful" and very pleased.

I didn't mind when I didn't look beautiful. I too was bruised all the way down to my chest but I knew this was normal and my fair skin is probably more sensitive.

I was concerned about the numbness and the burning sensation in my mouth. I asked him about it at every follow-up visit. He told me the numbness would go away in 4 to 6 weeks and everyone has different sensations. He obviously didn't want to talk about it. But I believed him and it was OK because he had told me the surgery went very well with no complications. So this was just part of the package - I just needed to wait it out.

When I called him almost 4 weeks after the surgery and told him the right side of my chin was swollen like a golf ball and I thought I had an infection, he told me that it couldn't be an infection but to come in anyway. When I got there, he looked at it from the outside, briefly looked inside and sent me home and told me it must be inflamation and would go away.

When I called him the next morning, I told him I knew it was an infection because I had the same thing happen with a wisdom tooth many years ago. Again he said he didn't understand how it could be an infection but to come in again anyway. Again, he sent me away without thoroughly examining my mouth. He thought I had an inflammed tooth and sent me to my dentist.

Luckily, my dentist got me in right away, concerned that the infection was traveling into my neck. He immediately found the abcess in my mouth oozing yellow puss and put me on a strong dose of clindamycin.

Anyway, that night the doctor brought me into his office after hours and without explaining anything to me, put me in his chair, stuck needle after needle into my mouth and chin, cut me open again and dug and dug and dug with forceps until he "tore" the silicone implant out of my chin - an implant that he put in without my consent!!! I felt at that point like I was in a mad scientist's lab. When I finally got up, my back was completely drenched in sweat. He patted my shoulder and again told me I would be fine. Today, my chin has strange dimples and wrinkles basically whenever I put my lips together.

This doctor told me in our final conversation that he still didn't believe it had been an infection. He also told me that he may have touched the nerve but that the numbness would go away some day.

I'm sorry this is so long. You really "hit a nerve" (haha) with me because this is what it's all about! I can't stand the thought of this "talented" and "respected" doctor getting away with what he did to my life without being held responsible. No "I'm sorry, I made a mistake". I can't accept that.

Keep your chin up NJB and I'll try too!

Lori



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karen
unregistered user
Jan-19-05, 09:00 PM (CST)
 
34. "RE: mental/inferior alveolar nerve severed"
In response to message #29
 
   Did you get an appointment at the Mayo Clinic, and if so, did they offer any help? Or did they tell you that you waited too long for help? Karen


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Lori
unregistered user
Jan-20-05, 03:41 AM (CST)
 
35. "RE: mental/inferior alveolar nerve severed"
In response to message #34
 
   Karen,
Sorry about your injury. I live closer to San Francisco and I was told UCSF was the place to go. I've heard a lot of people go to the Mayo Clinic. Where is it anyway?

They told me I probably waited too long (at 10 weeks) but they tried anyway. Couldn't fix it though. I guess the ends start to die right away. What happened to you?
Lori


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NJB
unregistered user
Feb-26-05, 09:03 PM (CST)
 
47. "RE: mental/inferior alveolar nerve severed"
In response to message #34
 
   Sorry for not responding earlier. Mayo Clinic is located in Rochester, Minnesota, Scottsdale, Arizona and Jacksonville, Florida. I have not been to the plastic surgery department but I may go to the Rochester, MN location. When I spoke with a nurse in that department she advised waiting until 7 months out from the procedure to find out how many of the symptoms may resolve. Although I was experiencing some reduction in the sensations- they all came back with temperature changes when I was in 78 degree temperatures and also in extreme cold. Weird-has anyone else experienced this?


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Lori
unregistered user
Jan-02-05, 00:29 AM (CST)
 
26. "RE: mental/inferior alveolar nerve severed"
In response to message #18
 
   Alexey, sorry I haven't checked in for a while and I'm surprised to finally see responses from people who are in similar situaitons. I'm relieved to see I'm not completely alone but yet I'm so sorry to hear about the pain and sadness others are feeling.

DR. B., I know you don't believe in plastic surgery and it sounds almost like you believe a person deserves whatever they get. Do you believe someone would have a procedure done if the true risks were explained to them??? Do you think that there might be surgeons out there who "skim" over and even omit the risks during their sales pitches????

I put my complete trust in a very distingued and well known surgeon in the Sacramento area. In fact, he testifies as an expert witness in cases just like mine!! I was referred for a nose job and he also recommended the sliding genioplasty to me, making it sound as if it was a very simple and uncomplicated procedure.

He explained to my husband and I that he perfected the surgery in another country and then he moved here and has performed them for years with no occurence EVER of nerve injury. According to him, the genioplasty was the best choice over the silicone implant. But instead, he did them both, WITHOUT MY CONSENT and I developed the complications from both! Lucky me!!!

OK, I was naive and I feel stupid about it now. I accepted the advice of people I trusted rather than research the subject myself.

BUT - I paid for a service and received unbelievably SCARY care. Maybe this surgeon needs to retire, I don't know. He must be in his 70's. This is another thing I feel stupid about. I should have gone with my gut instinct.

Anyway, I'll check in again soon. I'm really sorry for everyone out there who has the burning and numbness stuff going on. Whether you needed the procedure, or elected to have it done, you don't deserve what you got.

Alexey, I'll email you later at work. I'm not hooked up here. But, to answer you question, I've heard UCSF has great doctors. Dr. Janice Lee did my follow-up surgery and Dr. Pogrel has a great reputation.

Lori


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Dr. B
unregistered user
Jan-02-05, 09:51 AM (CST)
 
27. "RE: mental/inferior alveolar nerve severed"
In response to message #26
 
   Lori,
I have no problems with "plastic" surgery but orthognathics is NOT plastic surgery. With plastics, you are moving skin around period.
Orthognathics involves repositioning of bones, teeth and muscles and is very complicated. This should always have a team approach, having at least one other Dr. involved. Many people get numbness with it and accept it as part of the package.

Was this "surgeon" an OS or an MD? I would not want a "plastic surgeon" to do this type of surgery, but a super-trained oral surgeon, preferably a DDS MD combo. I would not want my surgeon to be in their 70's, the job is too demanding, 4-6 hours in the OR, no one much past mid 60's for me thanks.

I would never trust anyone who made big claims about being in the vangard, never having problems or having perfected surgery. The more the blather the worse the surgeon in my experience.

In any case, I am sorry you are injured. You most probably have a law suit if you choose to go that route. I do not testify in such cases but know a CA oral surgeon who might.


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Lori
unregistered user
Jan-17-05, 01:38 AM (CST)
 
31. "RE: mental/inferior alveolar nerve severed"
In response to message #27
 
   Dr. B,

The surgeon who performed my genioplasty is an MD(an ear-nose-throat specialist)and has a DDS degree. He is a former chairman at UC Davis Medical Center, the past president of the American Academy of Facial Plastic Surgery, and is certified by the American Board of Facial Plastic and Reconstructive Surgery. I'm told by other doctors that he is well known and has written books in his field.

When I told the doctor who referred me to him what had happened, he looked truly shocked , like he couldn't believe THIS doctor could have made such a mistake. Thankfully, he apologized that this had happened to me and thanked me for telling him. I have nothing but respect for THIS man.

I DO plan to sue if I can find an attorney to take my case. I found a reputable "dental law" attorney whose office is in San Francisco but he turned me down last week, even before he reviewed my records. He told me that he doesn't doubt that I have a case BUT because this surgeon testifies as an expert witness in cases like mine, he knows the process and that gives him a big advantage. Also, because of his reputation, we would pretty much need the dept chairman at my hospital to testify against him. But he told me the dept chairman stated this surgeon "is mean-spirited and that because he values his wife and children, he would likely not testify."

I've been under grey clouds since then. I'm really surprised and disappointed that my hospital doctors (who did my second surgery) won't/can't stand up for me and frightened that maybe no one else will either. What kind of man are we dealing with here?

I'm going to mail my records to this San Fran attorney anyway, in hopes that he may change his mind. He said he would look at them. Dr. B, can you refer me to any expert-expert witnesses or to another good attorney? I could really use some help right now!

My email address is alphapt@starstream.net.

Thanks!

Lori


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reesatay
Member since Nov-1-04
773 posts
Jan-02-05, 02:29 PM (CST)
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28. "RE: mental/inferior alveolar nerve severed"
In response to message #26
 
   Lori,

Dr Janice Lee is my OS specialist at UCSF. Did Dr Lee help you? She couldn't do anything for me.

Teresa


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bobnjen7
Member since Dec-30-04
1 posts
Dec-30-04, 02:14 PM (CST)
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25. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   Jennifer

I had my bottom wisdome teeth extracted in Jan. 2003. When the novicane never wore off and my tongue started to burn I new there was a problem. My tongue burned so bad that I would fall asleep every night with water in my mouth. It seemed to help put out the "flame" feeling on my tongue. Luckily for me, I went to an oral surgeon to get a second opion and he sent me to Dr. Gregg in Blacksburg, VA. Dr. Gregg did a bilateral nerve decompression surgery in April. My nerves too had started to retract where they had been severed but thanks to the Oral Surgeon; I got there in time and he was able to put them back together. The burning was imediately better and like you that was the most important thing to me b/c the pain from that is incredible and it is non-stop 24/7. The second most important thing for me was learning how to talk all over again. It is hard to imaging not being able to feel your tongue but when that happens you have to learn how to use it in order to talk. I sounded like a deaf person for about 7 months. It gradually got better over that 7 month period as I learned how to use it again. April will be a year since my surgery and I am still left with a numb tongue and gums, no taste buds and my tongue also has an extreme sensitivity to hot and cold. I had to change the way I eat like adding ice to my coffee and that sort of thing.

I wish you the best


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Karen
unregistered user
Jan-19-05, 08:55 PM (CST)
 
33. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   I had major jaw surgery 2 1/2 years ago, and my entire nerve was severed during the surgery. I was told the feeling would probably come back, which it never did. Went to see a nerve speialist, but he said it was too late. I just wonder if he could go in and make it longer because it always feels stretched too tight and it is painful and very uncomfortable.


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Jennifer
unregistered user
Jan-21-05, 12:54 PM (CST)
 
36. "RE: mental/inferior alveolar nerve severed"
In response to message #33
 
   If anyone can i would put my faith in Dr. Gregg. He helped me alot and mine was severed too. Fortunately i got to him in time. My nerves were receding where they had been cut but there was still enough left to cut off the bad part. He is in Blacksburg, VA. His office is Dr. Gregg, Howard and Boyle. I would ask for a free consultation with Dr. Gregg if I were you.

Good Luck!
Jennifer


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Lori
unregistered user
Jan-22-05, 02:54 PM (CST)
 
37. "RE: mental/inferior alveolar nerve severed"
In response to message #36
 
   Jennifer, thank you for the info! Did you have more pain or discomfort after he reattached (I mean instead of numbness)? How much time was there between your injury and the reattachment? It's been 6 months for me now.

Lori


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Jennifer
unregistered user
Jan-24-05, 10:21 AM (CST)
 
41. "RE: mental/inferior alveolar nerve severed"
In response to message #37
 
   Lori - it was four months between my injury and reattachment. You should not wait any longer then you already have.

the surgery was rough; it took four hours and i was really swollen after words. My recovery was rough too because my stitches came out on one side causing a huge wound in my mouth that had to be cleaned all the time and then I got Strep throat because of taking steroids to help with the swelling. But, the burning in my tongue was immediately better after surgery. I mean i still have some but i can live with it whereas before, it burned so bad I could not have lived with it. I am at almost one year after my reattachment surgery and what I have left is: Extreme hot/cold sensitivity to my tongue, numbness/tingling on my tongue and entire bottom part inside of my mouth (which is tolerable compared to how it was before the surgery), and I cant taste anything I cant smell. All the taste buds on my tongue are gone and Dr. Gregg said that is the last thing to get back so I am still hopefull about that.

Good luck to you and please let me know how it goes.

Jennifer


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Karen
unregistered user
Jan-24-05, 09:21 PM (CST)
 
42. "RE: mental/inferior alveolar nerve severed"
In response to message #41
 
   I had chin surgery about 7 weeks ago. I have no feeling in my lower mouth.Gums and teeth. I ask my doctor about it and he said he had never heard of such a thing. That scared me I wanted to hear it would be okay later or something. I know that there were several problems during the surgery, but he hasnt told me what happened. What do I do now?


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Jennifer
unregistered user
Jan-25-05, 12:35 PM (CST)
 
44. "RE: mental/inferior alveolar nerve severed"
In response to message #42
 
   For whatever reason; doctors do not like to admit they damaged a nerve. I think it is because it means they are giving you very bad news. And, that is what it usually is - bad news. You need to get another opinion from someone. I would call an oral surgeon in your area. That is how I found out that my dentist cut the nerve in my mouth when he extracted my bottom wizdom teeth. He told me it was the anesthetic and that i just needed to wait, he said sometimes it can last 6 months. I was too unconfortable with that so I went to get a second opinion and was immediately sent to Dr. Gregg in Blacksburg, VA. He specializez in oral nerve damage. Lucky for me, I didn't wait until the damage was unreversable. He was able to put my nerve back together on both sides. Now I am waiting to find out how well it worked. I know it worked some but the healing time is 2 years.

Dont wait!
Jennifer


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Lori
unregistered user
Jan-25-05, 04:26 AM (CST)
 
43. "RE: mental/inferior alveolar nerve severed"
In response to message #41
 
   Jennifer,

Wow! That's exciting - good for you!!

But I think I'm unfixable. I already had an exploratory to try to reattach the two ends of the nerve. They located one end but the other end is not there anymore. There's nothing to re-attach it to -they searched as far back as they could without doing a really major surgery.

I don't know. Maybe I should call him anyway. I guess it never hurts to have a second opinion, right?

Thanks Jennifer! I'll look him up.

Lori


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Jennifer
unregistered user
Jan-25-05, 12:38 PM (CST)
 
45. "RE: mental/inferior alveolar nerve severed"
In response to message #43
 
   I think you should. I had the major surgery and as horrible as it was, it was worth it just to lose some of the burning I had. You should not give up until this Doc. sais you should.

Dont waite any longer. Please let me how it goes.

Jennifer


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Larry
unregistered user
Feb-12-05, 00:45 AM (CST)
 
46. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   First, I want to tell you that my heart goes out to you for your pain.

Second, my own distress is not nearly so severe. . . but it is, nonetheless, becoming more and more difficult to bear.

I suppose the reason I'm responding to your post is that I'm beginning to wonder if the quality of dental care we're receiving in the U.S. is diminishing.

In my own situation, I had a molar (#2) removed a couple of weeks ago in a procedure performed by an oral surgeon who seemed to have received his training from a local butcher; his handling of my mouth and teeth was MUCH rougher than I've ever been accustomed to, banging my teeth several times with a heavy U-shaped metal instrument that he used to hold open my mouth.

In order to numb me, he injected me 6 times, not even bothering to give me a topical for the first one. Number 6 was the worst and most painful.

The actual extraction was much worse than I anticipated (I've had both upper wisdom teeth extracted); the tooth was partially broken and infected. I'm not normally a wimp about these things but this would have to go down as my worst and most stressful dental procedure.

The bad part is, subsequent to the extraction, now two weeks ago, I am having some side effects I never expected and he never told me about (as a possibility). My salivary glands are in overdrive (which is giving me constant heartburn), the inside of my mouth tastes like the floor of a cattle trailer, my tongue feels and looks in the mirror as if it's now thicker, and my speech is affected; I'm now much more sibilant (more of a shhh sound than sssss sound, really) AND I sound like I've got cotton stuffed in my cheek still.

Sorry to go off on your dime. You got me to thinking, however, that dental care in this country has really gone to hell and I just had to spout off.

I do hope you recover from your injury; let us know how you are.


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GeoR
unregistered user
Jul-28-05, 10:10 PM (CST)
 
48. "RE: mental/inferior alveolar nerve severed"
In response to message #0
 
   Hi Lori, im sorry about your pain because i suffer from a case like yours too. I had an chin implant surgery on july of 1999, but I had to have it corrected because the implant moved to my right side of my jaw. So I had another surgery for this and done the next year. When I came out of my second chin surgery, I still had my implant to right side. I was angry at this, but then i encounter my problems. I started feeling symtoms like some chin numbness, fatigue, and pain. I ask my doctor about this and he told me that it'll go away. But it really didn't go away it got worser as time moved on. I started to getting spasms and pain around my neck and at my TMJ which got worse too when i ate large solid foods. And I also had migrains, weaknesses, and drowsiness which I got dementia aswell. I took some medication for this like Tylenol, Ibuprofen, Gabapentin, and Trileptal, precribed by doctors but didn't help me or made me feel worse. The only thing that help supress it was warm or cold compression. So then I went to see another plastic surgeon for my problem. So this doctor recommended me to get Botox injection on my TMJ area. This will relax my muscle which contributes to my pain. I'm having this currently done still and hoping it will take away my illness. I thought this might help you too, knowing that others too have trauma like yours. I'll tell you more about my condition as I move on.


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