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Lingual and Inferior Alveolar Nerve Damage Discussion Site

Subject: "Anyone had Inferior Alveolar Nerve Damage Rep"     Previous Topic | Next Topic
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Conferences Lingual or Inferior Alveolar Nerve Damage from Tooth Extractions Topic #73
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fculp
Member since May-14-08
5 posts		 May-14-08, 05:38 PM (CST)
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"Anyone had Inferior Alveolar Nerve Damage Rep"
 
   Hello. This is my first posting. This site has been very helpful to me over the past five weeks as I have struggled with pain and numbness following a third generation molar removal. The tooth was impacted and close to the nerve. Bottom line is that I have no feeling in a quarter of my lip (lower right), half of my chin and I have the vice-grip like feeling in my jaw/teeth area on the bottom right (many other's have described this same feeling).

After going to a specialist yesterday he presented me with the options. First we wait two more months to see if there is improvement and if there is not then I am faced with (a) living with it and (b) surgery to include breaking the jaw, making a fresh cut to the nerve line and then make an attempt to repair it. The percentage that the nerve will recover as a result of this repair is unknown, but of course not 100%.

Here's my question.....has anyone had this type of repair surgery and if so what was your experience?

Thank you for taking the time to read this and I look forward to any responses.


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  Subject     Author     Message Date     ID  
  RE: Anyone had Inferior Alveolar Nerve Damage bowho May-14-08 1
     RE: Anyone had Inferior Alveolar Nerve Damage fculp May-15-08 2
         RE: Anyone had Inferior Alveolar Nerve Damage bowho May-15-08 3
             RE: Anyone had Inferior Alveolar Nerve Damage fculp May-15-08 4
                 RE: Anyone had Inferior Alveolar Nerve Damage bowho May-15-08 5
  RE: Anyone had Inferior Alveolar Nerve Damage marais May-19-08 6
     RE: Anyone had Inferior Alveolar Nerve Damage bowho May-20-08 7
         RE: Anyone had Inferior Alveolar Nerve Damage fculp May-21-08 8
             RE: Anyone had Inferior Alveolar Nerve Damage MaverickDMD May-21-08 9
                 RE: Anyone had Inferior Alveolar Nerve Damage reesatay May-22-08 12
             RE: Anyone had Inferior Alveolar Nerve Damage bowho May-21-08 10
                 RE: Anyone had Inferior Alveolar Nerve Damage Dr B May-22-08 11
                     RE: Anyone had Inferior Alveolar Nerve Damage pim May-29-08 13

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bowho
Member since Nov-26-07
378 posts		 May-14-08, 06:32 PM (CST)
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1. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #0
 
   are you on any meds to help with the pain yet ? sounds like your ian was injured..i know 5 weeks is a long time to suffer..you may feel improvements hopefully in the next few months or it could be years..i have the other injury which is considered the worst of the 2 with unlikely recovery....i had a repair surgery about 6 months after the injury..it felt like they broke my jaw but they didnt and i didnt wake up miraculously cured..im about 80% better at the 6 1/2 YEAR mark..are you in the USA ? no matter where you are..find a new specialist thats my opinion...they sound like money sucking hackers..


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fculp
Member since May-14-08
5 posts		 May-15-08, 08:39 AM (CST)
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2. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #1
 
   Thank you for your response. Yes, I should have said....I do have and IAN injury. I would not expect to wake up cured, altough it would be nice. What was your recovery like after your repair surgery; your's was for the lingual nerve? I am in the USA and the specialist was from the University of Maryland. I have not taken any meds to date and in fact no one has mentioned meds...neither the OS who performed the initial surgery nor the specialist at U of MD.


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bowho
Member since Nov-26-07
378 posts		 May-15-08, 11:23 AM (CST)
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3. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #2
 
   hi neighbor,
im in cleveland ohio...yes i have a lingual nerve injury..
it doesnt surprise me that no one has offered you any meds yet ?
the injury is rare and the doctors dont have a clue how to treat it..
good thing you found this site..your general doctor can prescribe all the meds you need to help with the pain..the meds wont give you 100% relief but they can help lessen the torture..you will have to ask to try something..
i was on paxil,wellbutrin,neurontin,percocet and flexaril all at once...others get relief on a cocktail of other meds..what works for some may not for others..nothing takes the numbness away..time and patience is all you have..
as far as the repair surgery goes all my jaw surgeon did was remove scar tissue from around the nerve..recovery was like living in the grip of hell..the biggest relief for me was that my tongue snapped back into place and i regained feeling in the tip and back the middle remains numb..i dont have the clamp like feeling on my jaw or the burning tongue 24/7 anymore..it comes and goes on a lesser intensity..
do you know what numbing shot you were injected with for your extractions ?
hope this helps you somewhat..im sure others with your injury will jump in and offer help too..good luck..hang in there better days are bound to come...


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fculp
Member since May-14-08
5 posts		 May-15-08, 08:09 PM (CST)
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4. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #3
 
   I was under GA. Should I find out what numbing shot was used?
Again, thanks for your reply. Any information is helpful to me at this point. I do hope better days are to come. Eating is so unenjoyable.


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bowho
Member since Nov-26-07
378 posts		 May-15-08, 10:58 PM (CST)
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5. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #4
 
   you might want to know some of the people here have been injected with septocaine aka articaine and have reported it to the FDA..i was injected with lidocaine..were you given steroids soon after your injury ? you may also like to know this just in case..

http://www.associatedcontent.com/article/34828/dental_malpractice_cases_should_you.html
Dental Malpractice Cases: Should You Consult an Attorney? - Associated Content


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marais
Member since May-12-08
2 posts		 May-19-08, 11:21 PM (CST)
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6. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #0
 
   I went to UMDNJ to professor who specializes in microsurgery. (I actually didn't know I was going for a surgery assessment. My original OS didn't tell me that or how important it was to go quickly).

Some facts about microsurgery (small area of incision) are as follows:
1. Small window of time to perform surgery
2. It MAY give back 50% to 80% normalcy to affected area.
3. Any surgery on your mouth will leave you very bruised and major surgery may require a long healing period where you might not be able to eat solid food.
4. Until they cut open the gum, they don't know exactly what is causing the problem.

I would ask about steroid treatments. If I had gone more quickly to the specialist, that would have been an option for me. I'm too far out from the original surgery (8 months) for it to be an option now.


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bowho
Member since Nov-26-07
378 posts		 May-20-08, 00:43 AM (CST)
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7. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #6
 
   small area of incision is not true... one poster on here has had nerve damage for 20 years and is going on having his 4th repair surgery..first 3 didnt work.. very bruised is an understatement.. not being able to eat even soup for months is true... its taken me 6 years to be at 80% healed after repair surgery... its correct not until they split your gums wide open from the molar to the canine on both side down to underneath the bone where the nerves are can the get a peek at the real damage that was done..and theres also a slice made to the inside of the cheek from the molar to the canine .. dont believe everything 1 so called professor tells you..


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fculp
Member since May-14-08
5 posts		 May-21-08, 03:51 PM (CST)
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8. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #7
 
   Thank you for the information. All of it is helpful as I near my "window of opportunity" for microsugery. I was told by several dentists as well by the specialist at U of Md that it is protocol to wait 90 days after the original date of injury (I guess this is the time frame that natural healing can occur?) before considering repair surgery. Any insight on that?


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MaverickDMD
Member since Dec-14-07
92 posts		 May-21-08, 04:54 PM (CST)
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9. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #8
 
   I would tend to take the advice from trained professionals rather than angry and untrained laypeople.


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reesatay
Member since Sep-29-06
1047 posts		 May-22-08, 09:32 AM (CST)
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12. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #9
 
   LAST EDITED ON May-22-08 AT 09:35 AM (CST)
 
Whatever... Why do you insist on putting down the people on this site?

Not all dentists give the best advice after this type of injury, but in this case it appears the advice is good because it is coming from an actual nerve repair specialist.

I think the specialist want to see how much you will heal on your own before doing surgery. Surgery usually doesn't give you 100% so if you can get to about the same level as you would without surgery as with surgery it is best to do nothing. If on the other hand you don't improved that is good evidence that you need surgery to help you heal.

I've found that most of the best advice has come from these untrained lay people that are living with this injury so don't discount what is said because the advice doesn't have at DMD, etc after the name.

"T"


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bowho
Member since Nov-26-07
378 posts		 May-21-08, 10:39 PM (CST)
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10. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #8
 
   During the fifth month after my LN injury became progressively worse with time.. i was considered for search and possible nerve repair surgery. It took place at 6 1/2 months.. Maybe IAN surgery is totally different than LN surgery ?


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Dr B
Member since Oct-6-06
714 posts		 May-22-08, 08:43 AM (CST)
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11. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #10
 
   IAN isa much larger nerve so the surgery seems to have a larger success rate.

Dr B


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pim
Member since Oct-19-06
234 posts		 May-29-08, 09:35 PM (CST)
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13. "RE: Anyone had Inferior Alveolar Nerve Damage"
In response to message #11
 
   That is interesting. I found that no one would touch my nerve to try to do a repair...either cut out damaged area and allow to grow back together in a conduit or to graft it. I always wonder if it would have helped but the risk I was told about was enough to scare me away from it.


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