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Medical Forum / General / Dentistry / March 2005Wisdom tooth - nerve
Just been to the dentist about getting my wisdom tooth out - he offered to take it out for ?150 - not bad Had X rays done and he recommended I get it done in the hospital while asleep because I have a nerve running very close to the tooth (the tooth is almost sideways) Then he told me that if the nerve got damaged I could get a numb feeling in that side of my face for 3 weeks - 6 months (maybe 3 years, maybe forever) Now I am f.cking worried, I think he may have said my nerve was damaged - i.e not in the normal place - is this common or what? cheers >Just been to the dentist about getting my wisdom tooth out - he offered to >take it out for £150 - not bad > >Had X rays done and he recommended I get it done in the hospital while >asleep because I have a nerve running very close to the tooth (the tooth is >almost sideways) Why not post the x-ray for a more informed opinion from the internet gang? Joel >Then he told me that if the nerve got damaged I could get a numb feeling in >that side of my face for 3 weeks - 6 months (maybe 3 years, maybe forever) [quoted text clipped - 3 lines] > >cheers I havent got the X Ray - however even if I did I dont I have a scanner good enough to get that sort of detail in, i could barely just about see the lines he was on about myself! Deeply impacted wisdom teeth sometimes are either touching the nerve or so close to the nerve that contact occurs during removal of the impacted tooth. Rarely, wisdom teeth will even have roots which wrap around the nerve. In these cases, the patient ends up with some post-operative nerve damage. Most times, the damage heals itself in 1-6 months. A few have permanent numbness. Everyone's nerve sits in a slightly different location. Each impacted tooth is different. It sounds like yours are either close together, or you are hearing the standard disclaimer when removing wisdom teeth and getting excited. From here, I cannot advise you about the odds of getting numbness afterwards. In my practice, we discuss this possibility even when removing wisdom teeth which are erupted through the gum tissues. Personally, I never remove a wisdom tooth which appears to be less than 2mm from the nerve on a good quality x-ray image. I send those patients to a specialist. Perhaps because of this extra caution (on my part), I have done dentistry for over 20 years, and never experienced this problem for any of my extraction patients. Last time I asked the OMFS, I was told that they get about one case ever 6-12 weeks, and that 95% of those go away in 6 weeks. One or two a year persist with numbness beyond the 6 month point. However, the OMFS is doing all the tougher cases and doing it all day long. Personally, I do not like removing wisdom teeth which are tipped ( a lot) to the back of the mouth. Those that are tipped towards the front are not bad. Other complicating factors are how deep in the bone the tooth is, (most are at least partially through the top of the bone). If the wisdom tooth is totally encased in bone, the extraction is more difficult. Patient age has a lot to do with complications and healing.  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, 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. ...................... > Just been to the dentist about getting my wisdom tooth out - he offered to > take it out for ?150 - not bad [quoted text clipped - 11 lines] > > cheers > Deeply impacted wisdom teeth sometimes are either touching the nerve or so > close to the nerve that contact occurs during removal of the impacted [quoted text clipped - 6 lines] > removing wisdom teeth and getting excited. From here, I cannot advise you > about the odds of getting numbness afterwards. i am going back tomorrow so I will ask him for more info This sound like the standard disclaimer about wisdom teeth. If you have to get them out then what is there to think about. All of what you 've been told are risks it does not mean it will happen to you just that there is a risk of it happening and perhaps by the x-ray it is more so on you than anyone else. The hospital and being under are just for your comfort. In a difficult extraction there is a lot of pressure, cracking noises, bleeding, having the mouth open wide and for extended periods that may make it more comfortable for you to be under sedation. Frankly taking out wisdom teeth you are going to feel like crap but in no way is it worse than say getting a facelift. In a face lift you can have nerve damage as well and more so and yet many people undergo this risky unnecessary/cosmetic procedure every day just to remove some wrinkles and saggy skin. I would not worry but plan some recovery time. good luck. > > Deeply impacted wisdom teeth sometimes are either touching the nerve or so > > close to the nerve that contact occurs during removal of the impacted [quoted text clipped - 8 lines] > > i am going back tomorrow so I will ask him for more info Been there, done that. Standard warning about the nerves. I left my wizzy's in too long and ended up with a bone cyst. They had to do a lot more digging to get rid of the cyst plus some bone grafting to fill in the hole. It took 6 months to a year to mostly go away. Still comes back when I get real tired or cold. SignatureRoy rem NADA to reply | Just been to the dentist about getting my wisdom tooth out - he offered to | take it out for ?150 - not bad [quoted text clipped - 10 lines] | | cheers > Been there, done that. Standard warning about the nerves. > [quoted text clipped - 5 lines] > I get > real tired or cold. Whats the actual feeling like? I have ehard it being described as the same feeling as having one of those injections before the filling - no way could i handle that for over a few weeks (read: days!) can they tell you how bad the damage is after the op?
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