Numb after wisdom teeth removal

Discussion in 'Dental Archive' started by boston_05, Jul 26, 2005.

  1. boston_05

    boston_05 Guest

    Hi All -

    I had my wisdom teeth removed about 5 weeks ago and the left-hand side
    of my bottom lip is still numb. I've been in steady contact with my
    oral surgeon, etc., but I was just wondering if anybody else has
    experienced this and when I can expect for the feeling to return. If
    the feeling does not return, are there any surgical options I should
    know about? It still is quite painful, which leads me to believe that
    perhaps it will eventually resolve itself, but I am starting to really
    worry about all of this. Please let me know if you have any advice or
    experiences to share. Any and all stories are welcome and appreciated.
    Thanks for reading.
     
    boston_05, Jul 26, 2005
    #1
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  2. boston_05

    Dr Steve Guest

    90% of such cases tend to resolve in less than 6 months. Your surgeon
    should be monitoring your progress.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "boston_05" <> wrote in message
    news:...
     
    Dr Steve, Jul 27, 2005
    #2
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  3. Actuallaly its 6 months to 1 year.
    If it doesn't resolve there are no surgical options you will eventually
    get used to it and every once in a while realize the lip is still numb.
    When I had my wisdom teeth taken out I had the exact same problem so
    what you are experiencing is pretty common risk of the procedure.


    Dr Steve wrote:
     
    Alexander Vasserman DDS, Jul 28, 2005
    #3
  4. boston_05

    Tom Guest

    On 27 Jul 2005 18:34:44 -0700, "Alexander Vasserman DDS"
    <> wrote:
    You should add that the person may get used to it or they may not. I
    find it really annoying that surgeons.. okay not always dental
    surgeons.. assume that when they mess you up you'll get used to it.

    I had an op to take tissue from inside the lower lip for grafting
    elsewhere and was told that it would all be healed in a few months.
    It hasn't. I have a large numb area which I can't get used to no
    matter how much I try. It gets sore for one thing. Why is it that we
    are just brushed aside and told that we will get used to it....
     
    Tom, Jul 29, 2005
    #4
  5. You are right some people may not get used to it.
     
    Alexander Vasserman DDS, Jul 30, 2005
    #5
  6. boston_05

    Guest

    It could take up to six months for the area to get back to normal.
    Sometimes numbness is permanent. There is also a local anesthetic
    called Articaine or Septicaine that is more likely to cause nerve
    damage if used. It should not be used to block a whole segment of a
    nerve. But any local anesthetic can cause numbness. Ask your dentist
    to map the area where you are numb, to track the progress of the
    numbness. i.e. if the area is mapped a month later and it is found
    that the area of numbness is getting smaller, then there is progress.
    Basically the dentist pin-pricks a lot of points in the area around the
    numbness and asks where you feel the pinprick and where not, and then
    he can get a feel for the boundary of the numbness. Then he draws a
    diagram of the area in your chart to document it. State-of-the-art
    technique, like the space shuttle.

    Disclaimer: this is not intended to be professional dental advice.
    advice may be wrong. not responsible for damage, death, injury used
    from following advice. Have fun.
     
    , Jul 30, 2005
    #6
  7. boston_05

    Dr Steve Guest

    Studies show Articaine to have NO higher incidence of parasthesia than
    mepivicaine .

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    <> wrote in message
    news:...
     
    Dr Steve, Jul 31, 2005
    #7
  8. boston_05

    NOYB Guest

    "Dr Steve" <> wrote in message
    news:z_5He.71$...
    I'm not so sure anymore. I've had two cases of residual paresthesia after
    using articaine...and zero with lidocaine. Both resolved fully within 3
    weeks; however, they made me quite uneasy. The latest CRA newsletter
    reports a much higher incidence of residual paresthesia from articaine when
    used for a mandibular block. I've stopped using it for IANB's and use it
    solely for infiltrations now. Check out he lastest CRA newsletter for more
    info on this.
     
    NOYB, Jul 31, 2005
    #8
  9. Articaine has been documented to cause parasthesia but it was always
    temporary and in areas such as the palate and in all of these case a
    lot of it was used. It is one of the best local anesthetics around in
    my opinion dispite the questionable reviews.
     
    Alexander Vasserman DDS, Aug 1, 2005
    #9
  10. boston_05

    Dr Steve Guest

    Check out JAGD, Nov/Dec 2003 p498-501.

    I can email a copy of it to you if you like.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "NOYB" <> wrote in message
    news:...
     
    Dr Steve, Aug 1, 2005
    #10
  11. boston_05

    Dr Steve Guest

    I do not use CRA as a reference for anything. I don't feel they have any
    credibility beyond the fact that the report is mailed to a lot of offices.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "NOYB" <> wrote in message
    news:DSpHe.1337$...
     
    Dr Steve, Aug 1, 2005
    #11
  12. boston_05

    W_B Guest

    On Mon, 01 Aug 2005 13:56:51 GMT, "NOYB" <> wrote:
    Have been using articane for IANB for over two years now with no
    paresthesia. Could be tecnic sensitive.

    Usually give a Gow-Gates.

    YMMV
    --

    W_B
    Take out the G'RBAGE
     
    W_B, Aug 1, 2005
    #12
  13. boston_05

    W_B Guest

    On Mon, 01 Aug 2005 16:26:34 GMT, "NOYB" <> wrote:
    Very possible, and paresthesia would result with any anesthetic IMO.

    Same here.

    For ext or rct I follow up with marcaine.

    Otherwise, it's ligamentary injection or X-tip with
    mepivi 3% plain for restorative.

    --

    W_B
    Take out the G'RBAGE
     
    W_B, Aug 1, 2005
    #13
  14. boston_05

    Dr Steve Guest

    The only times a parasthesia occurred in my office after IANB, I was using
    Mepivicaine.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "W_B" <> wrote in message
    news:...
     
    Dr Steve, Aug 1, 2005
    #14
  15. boston_05

    Dr Steve Guest

    I find, if the patient needs a second carpule, I use lidocaine with
    1:100,000 epi. The combination works very well. Plus, the second carpule
    only gets about 1/3 into the normal IANB location. 1/3 up behind the
    maxilla, and 1/3 towards the TMJ. Since doing it this way, I have yet to
    have a patient still sensitive. The X-Tip kit sits on the shelf.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "NOYB" <> wrote in message
    news:_2sHe.8667$...
     
    Dr Steve, Aug 1, 2005
    #15
  16. boston_05

    NOYB Guest

    "NOYB" <> wrote in message
    news:XStHe.1403$...
    Hold on. I corrected myself too soon. IANB=inferior alveolar nerve
    block=mandibular nerve block. You had me confused, Steve. What you're
    describing is a superior alveolar block...not an IANB.
     
    NOYB, Aug 2, 2005
    #16
  17. boston_05

    Dr Steve Guest

    If you fail with the IANB, try placing a little anesthetic back behind where
    you would normally put a SANB. The mandibular nerve often branches off back
    there. You get the lingual and mandibular on those patients who are wired a
    tiny bit differently. Trust me it works almost 100% of the time.

    --
    ~+--~+--~+--~+--~+--
    Stephen [What's a Temporary?], D.D.S.
    Michigan, USA
    .....................................................

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    .......................
    "NOYB" <> wrote in message
    news:...
     
    Dr Steve, Aug 2, 2005
    #17
  18. boston_05

    calcium48

    Joined:
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    Messages:
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    any update on this?
     
    calcium48, May 15, 2017
    #18
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