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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Numbness In Tongue After Molar Extraction

Hi. Two months ago I underwent a dental filling of right 2 lower molars ( no extractions). After 24 hours my right cheek, lip, and tongue were still frozen. Within 48 hours only the right side ( to the tip ) of my tongue was still very numb, and was by now starting to burn. This burning and numbness of the same tongue area has continued to date, unabated. My dentist ( an oral surgeon ) claimed that I had bitten the right side of the tongue shortly after his dental filling. Odd, as I never noted any bleeding. But he could see the external injury, which he described as a compression injury. Herpes invaded the initial wound site, and I was given an anti viral drug. The herpes cleared up well. I was later given Oracort Paste. Presently the dentist can see a slight 'ripple' at the original injury site. The same symtoms continue without a reduction in discomfort level ( burning, numbness, altered taste ). Tongue feels swollen, but dentist says it appears normal in all aspects, aside from said ripple. He claims I have a compression injury to the Lingual Nerve. Is this so? I'm going mad with discomfort. He claims it should self resolve in 6 months. He tried me on Lyrica but I couldn't tolerate the sideaffects. He has now suggested Lyrica 12.5mg twice per day. I would appreciate your opinion please. I am a police officer and find this to worse than any other injury that has befallen me. I must be able function effectively. Thank you.
Fri, 7 Oct 2016
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Dentist 's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern. As per your query you have symptoms of numbness in tongue after molar extraction which seems to be due to injury to nerve which supplies tongue i.e lingual nerve and it could be due to effect of anesthesia. I would suggest you to

- Maintain complete oral hygiene by brushing and flossing.
- Drink plenty of fluids.
- Avoid sharp and spicy food.
- Do rinses with antiseptic mouthwash such as listerine.
- Avoid sleeping one side.
- Take diet rich in vitamin C and multivitamins.

If symptoms keeps on persisting visit oral physician once and get it examined and go for thorough examination and start treatment accordingly. Normally your symptoms will resolve in one month. Doctor may go for biopsy of lesion if it persists.


Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari
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Suggest Treatment For Numbness In Tongue After Molar Extraction

Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have symptoms of numbness in tongue after molar extraction which seems to be due to injury to nerve which supplies tongue i.e lingual nerve and it could be due to effect of anesthesia. I would suggest you to - Maintain complete oral hygiene by brushing and flossing. - Drink plenty of fluids. - Avoid sharp and spicy food. - Do rinses with antiseptic mouthwash such as listerine. - Avoid sleeping one side. - Take diet rich in vitamin C and multivitamins. If symptoms keeps on persisting visit oral physician once and get it examined and go for thorough examination and start treatment accordingly. Normally your symptoms will resolve in one month. Doctor may go for biopsy of lesion if it persists. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari