Post-Wisdom Tooth Extraction Complications - Dentistry

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Issues After Wisdom Tooth Extraction


I had my upper and lower left wisdom teeth extracted on August 31.
The extraction process went smoothly according to the doctor, but after the anesthesia wore off at home, I noticed that my tongue remained numb, and swallowing was very uncomfortable.
The next day, I returned for a follow-up appointment, and the doctor said this was normal.
He mentioned that my teeth were close to the nerve, so there was some damage, but he didn't inform me that this could happen beforehand.
Additionally, he extracted the teeth in one piece; could this have caused the nerve to be pulled? He advised me to take a vitamin B complex supplement and mentioned that it should improve within nine months, but I'm worried it might be a permanent injury.
Also, my lower left gum is very painful; what should I do? 😢😢

Dou Dou, 20~29 year old female. Ask Date: 2015/09/02

Dr. Huang Zhicheng reply Dentistry


Dear Dou Dou,
Hello.
It is possible that extracting wisdom teeth may result in tongue numbness and postoperative numbness of one side of the lower jaw due to pressure on the inferior alveolar nerve within the mandibular canal (especially if the impacted tooth is positioned very low and is pressing directly on the nerve).
Postoperative hematoma and inflammation can also exert pressure on the nerve, necessitating a period of healing.
Post-surgical gum pain can typically be managed with medication for pain relief.
Wishing you safety and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/09/02

More Info


After undergoing wisdom tooth extraction, it is not uncommon to experience various complications, including numbness in the tongue and discomfort in the throat. These symptoms can arise from the proximity of the wisdom teeth to the nerves that control sensation in the mouth and tongue. In your case, it seems that the extraction process may have inadvertently affected the nerves, leading to the persistent numbness you are experiencing.

The inferior alveolar nerve, which runs along the lower jaw, is particularly susceptible to injury during the extraction of lower wisdom teeth. If the teeth are positioned close to this nerve, the extraction can result in temporary or, in rare cases, permanent nerve damage. The numbness you feel in your tongue and the discomfort in swallowing could be indicative of this type of nerve involvement. It's important to note that while your dentist mentioned that the numbness could resolve over time, it is understandable to be concerned about the possibility of long-term effects.

In terms of management, your dentist's recommendation to take B vitamins is a common approach, as these vitamins can support nerve health and potentially aid in recovery. Additionally, it is crucial to maintain good oral hygiene to prevent infection, especially if you are experiencing pain in the gums. You may consider using warm salt water rinses to soothe the area and promote healing. Over-the-counter pain relievers can also help manage discomfort, but ensure you follow the dosage instructions.

If the pain in your gums persists or worsens, or if you notice any signs of infection (such as increased swelling, pus, or fever), it is essential to return to your dentist for further evaluation. They may need to assess the extraction site for any complications, such as dry socket, which can occur when the blood clot at the extraction site dislodges or dissolves, exposing the bone and nerves underneath.

Regarding your concern about permanent nerve damage, while many patients do recover fully from such complications, it is essential to monitor your symptoms closely. If numbness or discomfort does not improve within the timeframe your dentist provided, or if you have any new symptoms, seeking a second opinion from an oral surgeon or a specialist in dental neurology may be beneficial. They can provide a more comprehensive evaluation and discuss potential treatments or therapies to aid in your recovery.

In summary, while experiencing numbness and discomfort after wisdom tooth extraction can be distressing, it is a known complication that may resolve over time. Following your dentist's advice, maintaining good oral hygiene, and monitoring your symptoms will be crucial in your recovery process. If you have ongoing concerns, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing these issues promptly can help ensure a smoother recovery.

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