Post-Wisdom Tooth Extraction Nerve Sensations - Dentistry

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Post-operative issues after wisdom tooth extraction?


An X-ray revealed that the root of the lower right wisdom tooth was in contact with the nerve.
At the end of March, due to a deep cavity in the wisdom tooth that likely reached the nerve, I experienced intermittent nerve pain.
I went to a major hospital to have it extracted, and collagen was also applied.
The wound healed well, but over the past seven months, I occasionally feel slight twitching in the same area of the nerve.
It’s not painful, just a sensation.
What could be the reason for this?

Zong, 20~29 year old female. Ask Date: 2023/10/23

Dr. Qiu Qiongyao reply Dentistry


Hello: If the wisdom tooth is in contact with the inferior alveolar nerve, there may be some nerve contact or traction injury during the extraction of the wisdom tooth.
The application of collagen for recovery is a good sign, and the absence of pain indicates a positive healing process, so there is no need for concern.
It will gradually recover over time, and it may be beneficial to supplement with B vitamins.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2023/10/23

More Info


After wisdom tooth extraction, experiencing unusual nerve sensations can be concerning, especially when the tooth roots are in close proximity to the nerves. The sensations you describe, such as occasional twitching or a feeling of discomfort in the area where the tooth was extracted, can be attributed to several factors related to the healing process and nerve recovery.


Possible Causes of Nerve Sensations Post-Extraction
1. Nerve Irritation or Damage: During the extraction of a wisdom tooth, particularly if it was impacted or had roots close to the inferior alveolar nerve (which runs through the jaw), there is a risk of nerve irritation or even damage. This can lead to sensations such as tingling, twitching, or a feeling of pressure in the area. While some degree of nerve irritation is common and may resolve over time, persistent sensations could indicate that the nerve is still healing.

2. Healing Process: The healing process after tooth extraction involves the regeneration of tissues, including nerves. As the area heals, it is not uncommon to experience sensations that may feel unusual or different from normal. This can include sensations of tingling or slight twitching as the nerves begin to reconnect and regenerate.

3. Scar Tissue Formation: After surgery, scar tissue can form in the area, which may also contribute to unusual sensations. Scar tissue can sometimes press against nerves or other tissues, leading to feelings of discomfort or twitching.

4. Neuropathic Pain: In some cases, patients may experience neuropathic pain, which is a type of pain caused by nerve damage or irritation. This can manifest as sharp, shooting pains, tingling, or a feeling of electric shock in the affected area.

5. Psychological Factors: Anxiety or stress about the surgery and recovery can also heighten awareness of sensations in the area, making them feel more pronounced than they might otherwise be.


Recommendations for Management
1. Consult Your Dentist or Oral Surgeon: It is essential to communicate any ongoing sensations to your dentist or oral surgeon. They can perform a thorough examination and may recommend imaging studies, such as a 3D cone beam CT scan, to assess the status of the nerves and surrounding tissues.

2. Pain Management: If the sensations are bothersome, your dentist may suggest over-the-counter pain relief options or prescribe medications to help manage nerve-related discomfort.

3. Physical Therapy: In some cases, physical therapy focused on the jaw and facial muscles may help alleviate discomfort and improve nerve function.

4. Monitoring: Keep track of the frequency and intensity of the sensations. If they worsen or are accompanied by other symptoms, such as swelling or significant pain, seek immediate medical attention.

5. Patience: Nerve healing can take time. Many patients experience gradual improvement over several months. It is important to be patient and allow your body the time it needs to heal.


Conclusion
In summary, the sensations you are experiencing after your wisdom tooth extraction may be related to nerve irritation, the healing process, or even psychological factors. While it is common to have some lingering sensations post-surgery, it is crucial to stay in touch with your healthcare provider to ensure that your recovery is progressing as expected. If you have any concerns or if the sensations change in nature or intensity, do not hesitate to reach out for further evaluation and support.

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