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Tooth pulled, painful and tingling lower lip, itching chin. What could be the problem?

I am a 59 year old female with diabetes and several health issues. About 2 months ago I had a bottom tooth on the right to abcess. In a day my lower right lip and chin became numb. I was put on Kflex and the tooth was pulled about a month ago. The lower right lip is still very painful tingly and itchy as well as the chin. Often I have severe shooting pain this that area. What could be the problem?
Asked On : Fri, 26 Oct 2012
Answers:  4 Views:  231
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Dentist 's  Response
healing in diabetes is usually very slow, and you need to first get your blood sugar level checked and then get it under control. shooting pain could be due to two reasons-
1 ,. the blood clot in the extraction socket has disintegrated and in this case the condition known as dry socket and it causes pain on even air inspiration. go to a dentist and get a sedative dressing of zinc oxide eugenol .
2 . there could be some nerve involvement while extraction, which is troubling you since .
Answered: Wed, 31 Oct 2012
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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,

First i need to know that have you taken complete course of Antibiotics after extraction of your tooth last month ?

This is because, diabetics are somewhat more prone to any infection including the involvement of the nerve as compared to other patients.

Even you had abscess in your tooth which requires special care especially by the patient. Maintaining cleanliness to optimum is of utmost importance for you.

Get you blood sugar level checked.
Visit your dentist who extracted the tooth immediately to get clinically examined to know any other underlying causative factor.

Tingling or itch sensation might indicate the nerve involvement either by infection which has spreaded there or due to injury to nerve while extraction due to close proximity to tooth structure.

Take care.

Answered: Sat, 27 Oct 2012
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for posting your query.

In diabetes healing is delayed.
You might be having dry socket. clean the tooth socket, removing any debris from the hole, and then fill the socket with a medicated dressing or a special paste to promote healing.

Dry socket healing takes up to two weeks.

Answered: Thu, 1 Nov 2012
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Dentist Dr. Ahsan Furqan's  Response
Dear jaylensmawmaw!
the condition which you are describing indicates there is some problem in nerve,which might be near to the site of extraction and have got pressed or injured while extraction you can say,so you should ask your dentist to get an opinion from a neurologist if he feels so.
have a good health and healthy smile.cheers
Answered: Wed, 31 Oct 2012
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