Lingual Numbness After Wisdom Tooth Extraction - Dentistry

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Wisdom teeth


Dear Doctor,
I hope this message finds you well.
I was advised by my dentist to have my wisdom tooth extracted, so I went to the dental clinic on July 27 to have my lower left wisdom tooth removed.
It has been almost three months since the extraction, but I still feel numbness on the left side of my tongue, my taste sensation seems to be less sensitive, and my tongue feels persistently dry.
In summary, it feels like my tongue is not my own.
I am very worried that this condition may not improve, as these symptoms are quite uncomfortable for me.
I would like to know which specialist I should consult for assistance and what I can do to help my tongue return to normal.
I am feeling very anxious and fear that my tongue may never recover.
I am unsure of what to do...

Xiao's, 20~29 year old female. Ask Date: 2011/10/26

Dr. Zhuang Suhui reply Dentistry


Hello: I suggest you consult an otolaryngologist to evaluate whether there is any nerve damage before deciding on the treatment direction.

Reply Date: 2011/10/26

More Info


After wisdom tooth extraction, experiencing lingual numbness can be a concerning and uncomfortable situation. It is important to understand the potential causes and the steps you can take to address this issue.

Firstly, numbness in the tongue following wisdom tooth extraction is often related to the proximity of the lower wisdom teeth to the lingual nerve, which is responsible for sensation in the tongue and the floor of the mouth. During the extraction process, especially if the tooth is impacted or positioned close to the nerve, there is a risk of nerve injury. This can lead to temporary or, in some cases, permanent numbness, tingling, or altered sensation in the tongue.

In your case, since it has been nearly three months since the extraction and you are still experiencing numbness, it is crucial to consult with a specialist. The best course of action would be to see an oral surgeon or a dentist who specializes in oral and maxillofacial surgery. They can evaluate your condition more thoroughly, possibly through imaging studies or nerve conduction tests, to determine the extent of any nerve damage and the likelihood of recovery.

In terms of recovery, many patients experience gradual improvement in nerve function over time. The healing process can vary significantly from person to person. Some may notice improvement within weeks, while others may take several months. In some cases, if the nerve was severely damaged, the numbness may persist longer or even become permanent. However, it is essential to remain hopeful, as many individuals do regain normal sensation over time.

To help facilitate recovery, consider the following recommendations:
1. Follow-Up Appointments: Regular follow-ups with your oral surgeon or dentist are essential. They can monitor your progress and provide guidance on managing your symptoms.

2. Oral Hygiene: Maintaining good oral hygiene is crucial, especially if you have altered sensation. Be gentle while brushing your teeth, particularly around the extraction site, to avoid irritation.

3. Dietary Adjustments: If you are experiencing altered taste or sensitivity, consider adjusting your diet to include softer foods that are easier to manage. Staying hydrated is also important, as dryness can exacerbate discomfort.

4. Avoid Irritants: Try to avoid spicy, acidic, or very hot foods that may irritate your tongue or the surgical site.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers can help manage symptoms. However, consult your healthcare provider before taking any medication.

6. Nerve Rehabilitation: In some cases, physical therapy or specific exercises may be recommended to help stimulate nerve recovery. Your oral surgeon can provide guidance on this.

7. Stay Positive: It is understandable to feel anxious about your condition, but maintaining a positive outlook can be beneficial for your overall well-being. Engaging in relaxing activities and seeking support from friends or family can help alleviate stress.

In conclusion, while lingual numbness after wisdom tooth extraction can be distressing, it is important to seek professional evaluation and guidance. With appropriate care and time, many patients experience significant improvement. Remember to communicate openly with your healthcare provider about your concerns and follow their recommendations for the best chance of recovery.

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