Lingual nerve injury
Hello, doctor.
My lower right molar (not the wisdom tooth) had a filling that cracked due to a previous cavity.
I went in for a dental filling, and when the doctor administered the first injection of anesthesia, I felt some pain at first, but then suddenly my tongue started to hurt a lot.
I thought it was normal and didn’t ask the doctor further.
However, the next day my tongue still felt numb, and after searching online, I found out that it might be due to nerve damage to the tongue.
I'm also concerned because I have a tooth in the upper right that feels sensitive, and I worry it might be a cavity.
If I go for an examination and it turns out to be a cavity, I would like to know if I can still receive anesthesia with the tongue nerve damage.
I read online that nerve damage to the tongue can take a long time to heal.
Li, 20~29 year old female. Ask Date: 2023/01/31
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended that during your next dental visit, you ask the dentist not to administer anesthesia.
If the lingual nerve is not directly severed, it will eventually recover over time, so there is no need to worry excessively!
Reply Date: 2023/01/31
More Info
Lingual nerve damage can be a concerning complication following dental procedures, particularly those involving the lower jaw. The lingual nerve is responsible for providing sensation to the tongue and the floor of the mouth. Damage to this nerve can lead to symptoms such as numbness, tingling, or pain in the tongue, which can significantly affect a person's quality of life, including their ability to taste and speak comfortably.
In your case, it appears that the nerve may have been affected during the administration of local anesthesia for your dental procedure. While it is not uncommon for patients to experience temporary numbness or tingling after receiving anesthesia, persistent symptoms, such as ongoing numbness or pain, may indicate nerve injury. The severity of the injury can vary, and in some cases, the nerve may recover on its own over time. However, the duration and extent of recovery can depend on several factors, including the degree of nerve damage and individual healing capabilities.
Regarding your concern about receiving further anesthesia after experiencing lingual nerve damage, it is essential to communicate openly with your dentist or oral surgeon. They can assess the extent of your nerve injury and determine the safest approach for any future dental work. In many cases, if the nerve has not been completely severed, it may still be possible to administer anesthesia, but the dentist may need to take extra precautions to avoid further injury.
Recovery from lingual nerve damage can vary widely. Some patients may experience complete recovery within a few weeks, while others may take months or even longer. In some cases, patients may have lingering symptoms, which can be distressing. Physical therapy or medications may be recommended to help manage symptoms during the healing process.
If you are experiencing significant discomfort or if your symptoms do not improve, it may be beneficial to seek a consultation with a specialist, such as an oral surgeon or a neurologist. They can perform diagnostic tests, such as nerve conduction studies, to evaluate the extent of the nerve damage and provide guidance on potential treatment options.
In summary, while lingual nerve damage can be a challenging situation, many patients do experience recovery over time. It is crucial to maintain open communication with your dental care providers about your symptoms and concerns. They can help guide you through the healing process and address any future dental needs with appropriate care and consideration for your nerve health.
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