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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Loss Of Sensation On The Lower Lip With Tingling And Stinging After A Broken Jaw Surgery. Are My Facial Nerves Affected?

Hello, I am a male and 20 years of age. A few days ago i broke my jaw in two places, close to the left joint of the jaw and my bottom right jaw. During the surgery the doctor placed a metal plate in my bottom right jaw, and said that the other break was impossible to operate and would have to be let as it is. Is this true? he siad that because it is close to nerves that control the facial nerves. furthermore i have lost the sensation on my bottom right lip, and i feel it tingles and stings at times. does this mean i have lost the sensation on my lip forever?
Fri, 31 Aug 2012
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Dentist 's  Response
hello and welcome to health care magic,
have visited an oral surgeon for the treatment?have your surgeon adviced you to get an x-ray of the jaw,ie,opg?
according to the description, i feel you did not get the accurate diagnosis and treatment.
loss of sensation on the lower lip is due to improper administration of local anasthetic solution during the procedure.
your dentist has given you inferior alveolar nerve block injection in a wrong space and direction.
this has caused damage to facial nerve resulting in facial nerve paralysis or bell's palsy.visit a good oral surgeon at the earliest to solve your problem.
take care.
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Dentist Dr. Rahul Banerjee's  Response
hi nparedes21,
1.if the fracture is Comminuted Fracture( A comminuted fracture is one in which the bone is splintered into three or more fragments or is crushed) its become difficult to repair .
2.as you got injury in the mandible and it got fractured it is quite possible you have damaged your facual nerve(Normally, the facial nerve transmits messages between your brain and facial muscles telling them when and how to move. If your facial nerve becomes damaged, the nerve is unable to facilitate communication between your brain and your facial muscles) as a result you experience a partial facial paralysis can cause you to lose sensation in a specific region of your face, which initially can lead to tingling or numbness at the affected site it will gradually go of as your nerve regeneration takes place.
get well soon
bye
Dr.Rahul Banerjee
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Loss Of Sensation On The Lower Lip With Tingling And Stinging After A Broken Jaw Surgery. Are My Facial Nerves Affected?

hello and welcome to health care magic, have visited an oral surgeon for the treatment?have your surgeon adviced you to get an x-ray of the jaw,ie,opg? according to the description, i feel you did not get the accurate diagnosis and treatment. loss of sensation on the lower lip is due to improper administration of local anasthetic solution during the procedure. your dentist has given you inferior alveolar nerve block injection in a wrong space and direction. this has caused damage to facial nerve resulting in facial nerve paralysis or bell s palsy.visit a good oral surgeon at the earliest to solve your problem. take care.