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Had maxillo-mandibular advancement, pain in jaw. Is it due to titanium plate?

Not sure where to ask this but I had MMA (double jaw ) surgery two years ago and have had consistent pain in the lower left jaw from ear to chin . I have tried all sorts of natural and medical ways to take the pain away but it doesn t seem to work. Could the titanium plate be the source of this pain? My oral surgeon is willing to take it out but doesn t know if it has anything to do with the pain. It feels like the bone hurts.
Asked On : Sun, 13 May 2012
Answers:  3 Views:  564
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Dentist 's  Response
hello..ur pain as per description seems to be neural in origin especially related to mandibular nerve..
I can not say with surity that titanium plates are the cause of pain.. but after MMA few patients get the pain u had described.. first of all I would like to know whether the compression of nerve is there by titanium plate.. it is very difficult to find out even by best non-invasive investigations..
If plates are compressing the nerves ur pain will be relieved permanently..
I would like to know about any nerve injury during the MMA procedure.. The nerve injury is one complication which can occur even by best precautions.. please consult a good neurosurgeon ..
ur description of pain is very less.. its episodic , continuous, sharp,dull,location,radiating nature,etc .. will be deciding factor in your treatment plan..
muscular pain after 2 yrs of surgery is not common. so i had ruled it out.. and bone/ligament inflammation causing the pain in ur case is also not possible after 2yrs.. as their healing takes place by then..
take multivits like vit B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine .. These help in nerve cell growth..
Answered: Thu, 7 Jun 2012
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to HCM forum,
i would be happy to answer you query.
as you stated that the pain radiates from ear to chin,so i believe it is either due to the nerve that has been compressed by the titanium plate or it is due to a carious tooth.
According to your history. it is a neural pain and i would suggest you visit a specialist(neurologist) who can diagnose the problem.
do not forget to carry your OPG X-rays and other reports along .
i wish you good health.
Answered: Thu, 7 Jun 2012
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Dentist Dr. Vishal Jain's  Response

such kind of pain do occur after orthognathic surgeries but the time period after surgery is long.

i would like to know about the intensity of pain, duration, unilateral/ bilateral nature and aggravating factors.

it seems to be more of neural origin as pain radiates from jaw to chin.

Removal of titanium plate may give you relief only if the proximity of it is near to the nerve path.

Try with the palliative treatment like tab nerve up.

With Regards,

Dr. Vishal Jain.
Answered: Wed, 13 Jun 2012
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