Gum Numbness After Dental Treatment: Causes and Remedies - Dentistry

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Numbness of the gums?


Hello, doctor.
Several years ago, I had a root canal treatment on one of my teeth.
A few days ago, I started to feel a swelling sensation.
I went to see a dentist, and he applied a paste on that tooth (the paste had many small fragments resembling orange peel fibers).
He instructed me to hold it in my mouth for 4 hours before eating or drinking.
He also prescribed me pain relievers, anti-inflammatory medication, and stomach medication.
After 1 to 2 days, my gums began to feel numb, with the numbness peaking on the second night and gradually subsiding over the next few days.
I would like to ask if the paste that the dentist applied could possibly be a local anesthetic? Otherwise, why would my gums feel numb? Also, are there similar types of anesthetics available on the market? From my online research, it seems that topical anesthetics have a quick onset but only last for a few hours.

Z, 30~39 year old female. Ask Date: 2021/06/01

Dr. Lin Jiayong reply Dentistry


Hello: I cannot determine whether the medication applied by the doctor is an anesthetic, as the use of anesthetics to alleviate swelling and discomfort is indeed one of the treatment methods.
I recommend that you call the original clinic to inquire further.
(Most dental anesthetics are in liquid or gel form.) Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/01

More Info


Understanding gum numbness after dental treatment can be quite perplexing, especially when it follows a procedure like root canal therapy. The symptoms you describe—swelling, numbness, and the application of a medicated paste—suggest a few potential causes and remedies that are important to consider.

Firstly, the numbness you experienced in your gums could indeed be related to the medication applied by your dentist. While it’s common for dentists to use local anesthetics during procedures, the paste you mentioned may have contained a topical anesthetic or anti-inflammatory agents designed to alleviate pain and swelling. Topical anesthetics, such as benzocaine or lidocaine, can cause temporary numbness in the area where they are applied. These agents work by blocking nerve signals in the area, which can lead to a sensation of numbness.
The presence of small fibers resembling orange peel in the paste could indicate that it was a medicated dressing meant to promote healing and reduce inflammation. Such dressings often contain various compounds that can help soothe the gums and reduce discomfort. The fact that you were advised to keep the paste in place for several hours suggests that it was intended to provide prolonged relief.

As for the numbness itself, it is not uncommon for patients to experience this sensation after dental procedures, especially if there was swelling or inflammation in the area. The swelling can put pressure on the nerves, leading to a temporary feeling of numbness or tingling. This is usually a transient condition and should resolve as the inflammation decreases.

Regarding your question about whether there are similar types of anesthetics available on the market, yes, there are topical anesthetics that can be purchased over the counter. However, these are typically used for minor discomfort and are not as potent as those used in dental offices. They usually provide quick relief but have a shorter duration of action, often lasting only a few hours.

If the numbness persists or is accompanied by other symptoms such as severe pain, prolonged swelling, or signs of infection (like fever or pus), it is crucial to follow up with your dentist. Persistent numbness could indicate a more serious issue, such as nerve damage or an infection that may require further treatment.

In summary, the numbness you experienced after your dental treatment could be attributed to the medicated paste applied by your dentist, which may have contained a topical anesthetic. This is a common occurrence following dental procedures, particularly when there is swelling involved. If you have concerns about the numbness or if it continues for an extended period, it is essential to consult your dentist for further evaluation and management. They can provide a thorough examination and determine if any additional treatment is necessary to ensure your oral health is maintained.

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