Loss of sensation in the chin after wisdom tooth extraction?
Hello Dr.
Yang: Thank you for taking the time to answer my questions.
Four days ago, I had my lower left wisdom tooth extracted at the dental clinic, and I have been following the doctor's advice by taking medication and applying ice to the affected area.
However, on the second day, I noticed that I have lost sensation in my lower left jaw.
I called the dentist, and he asked me to come in for a follow-up appointment, stating that it was due to the anesthesia.
He advised me to apply heat and to monitor the situation for a few more days.
However, it has been four days, and I am very worried and unsure of what to do! Could you please give me some advice? Thank you once again!
Xiao Hua, 20~29 year old female. Ask Date: 2010/01/21
Dr. Yang Zhiren reply Dentistry
Hello, during wisdom tooth extraction, sometimes postoperative swelling can compress the inferior alveolar nerve, or the position of the tooth itself may be very close to the nerve.
After the extraction, there may still be a tingling sensation.
In some cases, this can persist for several weeks to months, but as long as the nerve is not severed, most patients will recover.
Reply Date: 2010/01/21
More Info
Experiencing loss of sensation in the jaw after wisdom tooth extraction can be concerning, and it’s understandable that you are feeling anxious about this situation. The loss of sensation, particularly in the lower jaw, is often related to the proximity of the lower wisdom teeth to the inferior alveolar nerve, which runs through the jawbone. During the extraction process, this nerve can be temporarily or, in rare cases, permanently affected, leading to numbness or altered sensation.
In your case, you mentioned that you had the extraction four days ago and that the dentist advised you it might be due to the anesthesia used during the procedure. This is a common occurrence, as local anesthetics can sometimes cause temporary numbness that may last for a few days. However, if the numbness persists beyond a few days, it could indicate that the nerve has been impacted more significantly.
Here are some steps you can take to address your concerns:
1. Follow-Up Appointment: It is crucial to keep your follow-up appointment with your dentist or oral surgeon. They can assess the situation more thoroughly and determine if there is any nerve damage or other complications that need to be addressed.
2. Monitor Symptoms: Keep track of any changes in sensation. If you begin to notice improvements, such as tingling or a gradual return of feeling, this is generally a positive sign. However, if the numbness worsens or you experience additional symptoms like pain, swelling, or changes in your bite, it’s essential to seek immediate medical attention.
3. Heat Therapy: Your dentist recommended heat therapy, which can help improve blood flow to the area and promote healing. Applying a warm compress to the jaw can be beneficial, but ensure it’s not too hot to avoid burns.
4. Pain Management: Continue to take any prescribed pain medications as directed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage discomfort.
5. Avoid Irritation: Be cautious with your diet and avoid hard or crunchy foods that may irritate the extraction site. Stick to soft foods and maintain good oral hygiene to prevent infection.
6. Seek a Second Opinion: If you feel that your concerns are not being adequately addressed, consider seeking a second opinion from another dental professional, preferably one who specializes in oral surgery or neurology.
7. Understanding Recovery: It’s important to understand that nerve recovery can take time. In many cases, sensation gradually returns over weeks to months. However, if the numbness persists for an extended period, further evaluation may be necessary to determine the extent of any nerve damage.
In summary, while it’s common to experience some loss of sensation after wisdom tooth extraction, especially if the tooth was close to a nerve, persistent numbness should be evaluated by a dental professional. Keeping an open line of communication with your dentist and monitoring your symptoms will be key in managing your recovery. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Your health and peace of mind are paramount, and it’s essential to ensure that you receive the appropriate care and support during your recovery process.
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