Numbness from the corner of the mouth to the chin after dental implant surgery?
Dear Dr.
Wu,
I underwent dental implant surgery on December 16, where implants were placed in the third, fourth, and fifth positions behind the lower right molar.
Since the surgery, I have experienced a numb area approximately 3 cm in size from the right corner of my mouth to my chin, which has not improved.
I have to be very careful when eating or drinking, as liquids tend to spill out.
The healing of the gum wound is progressing well, but I am concerned that a nerve may have been injured during the procedure.
If this is the case, would it result in permanent damage? What kind of medical intervention should I seek, or should I consult another specialist? Thank you!
susan, 40~49 year old female. Ask Date: 2006/12/18
Dr. Wu Jinjun reply Dentistry
Hello: It is recommended that you contact your implant dentist immediately to evaluate the condition of your dental implants.
Dr.
Wu Jin-jun, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/12/18
More Info
After undergoing dental implant surgery, experiencing numbness from the mouth to the chin can be concerning, especially if it persists for an extended period. Numbness in this area may indicate potential nerve involvement during the procedure, particularly if the implant was placed in the lower jaw, where the inferior alveolar nerve runs close to the roots of the lower teeth.
In your case, since the numbness has persisted since your surgery on December 16, it is essential to consider a few factors. First, it is not uncommon for patients to experience temporary numbness or tingling in the area surrounding the surgical site due to swelling or inflammation. This is often a normal part of the healing process and may resolve on its own within a few weeks. However, if the numbness continues beyond this timeframe, it could suggest that the nerve was either compressed or damaged during the surgery.
The inferior alveolar nerve is responsible for sensation in the lower lip, chin, and the teeth in the lower jaw. If this nerve is injured, it can lead to symptoms such as numbness, tingling, or a burning sensation. In some cases, nerve injuries can be temporary, and sensation may gradually return as the nerve heals. However, in more severe cases, nerve damage can lead to permanent loss of sensation.
Given your concerns, it is crucial to take the following steps:
1. Follow-Up Appointment: Schedule a follow-up appointment with your oral surgeon or dentist as soon as possible. They can assess your healing process and determine if the numbness is a result of nerve involvement. They may perform a clinical examination and possibly imaging studies to evaluate the area.
2. Neurological Evaluation: If your dentist suspects nerve damage, they may refer you to a neurologist or an oral and maxillofacial surgeon specializing in nerve injuries. These specialists can provide further evaluation and management options.
3. Monitoring Symptoms: Keep track of any changes in your symptoms. If you notice any improvement in sensation or if the numbness worsens, make sure to inform your healthcare provider.
4. Avoid Irritation: Be cautious while eating and drinking to avoid biting your lip or cheek, as you may not feel when you are doing so. This can lead to further complications such as ulcers or infections.
5. Treatment Options: Depending on the severity of the nerve injury, treatment options may vary. In some cases, medications such as corticosteroids may be prescribed to reduce inflammation and promote healing. Physical therapy or nerve stimulation therapies may also be considered to aid recovery.
In conclusion, while numbness after dental implant surgery can be a common occurrence, persistent numbness warrants further investigation to rule out any serious complications. Early intervention can be key in managing nerve injuries and improving outcomes. Make sure to communicate openly with your healthcare providers about your concerns and follow their recommendations for follow-up care.
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