My sis had her wisdom tooth removed ... she is around 35yrs ..she had it done under LA .... after the procedure she had a huge swelling of that side of face for 3 days .... we did a xray and a ct and it showed a fracture line of the mandible .... went to the dentist and he said it will resolve on it's own .... now she has numbness in the lips and around it .... being a medecine student myself i know they have injured inf.alveolar nerve .... what i need to know is if the sensations does'nt come back in a month will she need prednisone therapy or microsurgery for the nerve ???
2007-02-02 09:23:13 · 5 answers · asked by Anonymous in Health ➔ Dental
This is something that happens very rarely, I've been lucky and have never had a patient with this extensive of complications. Although this type of complication is not something that is explained to patients prior to the surgery, it should be. I am sorry this happened to your sister and more concerned with the lack of compassion that her dentist has exhibited. The gross swelling should have been an indication that something more serious was wrong as you well know being a medical student. Fractures just don't happen that easily without force being applied. I have to wonder if the tooth was sectioned for removal, luxated out or how exactly it was extracted. As for the nerve damage, it will depend on the extent of it. In some cases it does return and in others it has been known to never return. The damage is done none the less, but for now my advice would be to consult with an Oral Surgeon as to what extent the damage is, what options may be available for your sister, also was this negligence on the part of the dentist. Most Dentist will determine the possible difficulty an extraction presents based upon x rays and a pano prior to commitment of preforming the procedure. It looks to me as if he didn't do this or steped into an area outside of his expertise, that he shouldn't have. There are some dentist that think they can "do it all" rather than refer the more difficult cases out. I would hate to think this happened with your sister, but it could be a possibility. If this is the case, he should not be allowed to do this again to another unknowing patient. When we go in for treatment, we expect to be in competent hands for our dental care and trust the advise and skills of the Dentist. Once again, I am sorry this happened and I hope I've given you something to think about and discuss with your sister. Good luck.
2007-02-02 10:25:58 · answer #1 · answered by HeatherS 6 · 0⤊ 0⤋
I'm fairly certain that there shouldn't be any hole still there. I only had my top ones removed, but the hole's were stitched shut, and even though I had some complications (an infection) they were still completely back to normal after 2 weeks. If you're uncomfortable going back to your surgeon, find another one to go to. It sounds like bacteria is getting trapped in the hole and you're setting yourself up for infections. Good luck.
2016-03-29 02:00:13 · answer #2 · answered by ? 4 · 0⤊ 0⤋
If the IAN was completly severed, I'm sorry but it will be numb forever. If it was just bruised or crushed, it may take upto 6 months to get sensation back, and it may not all come back. This is one of the risks with wisdom teeth removal on the lower and should have been explained pryor to the extraction.
2007-02-02 09:31:34 · answer #3 · answered by toplesbabe 2 · 1⤊ 1⤋
I AM SORRY THAT THIS HAPPENED, THIS IS AN UNFORTUNATE RESULT OF FORCEFLLY TRYING TO REMOVE A TOOTH. THE PREDNISONE WILL WORK TO DECREASE ANY INFLAMATION IN THE BODY, AND THE TRAUMATISED NERVE MAY HEAL. IF IT WAS ACTUALLY SEVERED IT WILL NEVER HEAL. I AM NOT AWARE OF MICROSURGERY FOR AN INFERIOR ALVEOLAR NERVE.
2007-02-02 10:08:05 · answer #4 · answered by Dr. Albert, DDS, (USA) 7 · 0⤊ 0⤋
Never See Dentist Again : http://DentalBook.uzaev.com/?WOcn
2016-06-29 15:58:41 · answer #5 · answered by ? 3 · 0⤊ 0⤋