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Medical Forum / General / Dentistry / May 2007

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Transected lingual nerve during wisdom tooth extraction: question for practising dentists.

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Keith - 03 May 2007 20:13 GMT
Hi

I had a wisdom tooth extracted in January.

As soon as the local anaesthetic wore off, I became aware that my
tongue and gums on the right side were completely numb.

Cutting a long story short, it turned out the lingual nerve had been
transected during the wisdom tooth removal: I know this, as I have
this week had a micro-surgical repair performed under general
anaesthetic, after wish the surgeon told me the nerve had been
transected.

So the question: I realise that bruising and stretching of the nerve
is a relatively common compication; the nerves run under the tooth, so
they may be damaged.

However, is it ever an acceptable complication for the nerve to be
transected?

Regards,
Keith.
John & Ninetta - 04 May 2007 01:33 GMT
Lingual nerve transection can occur under the most careful surgical
technique by the best surgeon in the world.  This is because everyone's
anatomy is slightly different.  We know where the nerve travels in the vast
majority of people.  But in some, anatomical variance could mean that it
travels right in the area we are cutting, so damage to the nerve could
occur.

So, in answer to your question, nerve transection is a potential
complication.  Your word "acceptable" is not appropriate.  It implies that
it would be OK if it happened.  None of us want to see this happen to a
patient.  However, it sure can occur despite our best efforts.

John

> Hi
>
[quoted text clipped - 18 lines]
> Regards,
> Keith.
 
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