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Slight numbness in lower lip after implant placement. what is to be done ?

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Greetings to all ye implant gurus.

I placed 4.5 x 10mm SS III ostem implant in 4-6 (LR first molar) & 5 x 10 SS III

osstem  implant in 3-6 (LL first molar) for this patient on 9th July 2014.

Patient is 26 year old female.

No relevant medical history.

The bone in 4-6 area was deficient bucco lingually & so I took an ostem spreader & widened it. I also took on ostem osteotome & hammered it gently with a mallet & expanded it bucco lingually & placed a 4.5 x 10mm SS III implant.

It seems unlikely that I touched the inferior alveolar news during bone expansion.

My staff makes a routine courtesy call every night before we close the clinic to all our patients who have undergone surgery . Patient said that she was fine & the effect of L.A went away within two &half hours. She was not feeling any residual numbness.

She took the antibiotics & NSAID’ as prescribed .

Pt. was called on 16th evening for follow up.

Pt. reported on 18th evening & said that her lower lip on left side was feeling slightly numb.

Note that she is feeling numb only from the angle the lip to the midline on left side i e areas innervated by mental nerve. I prescribed  B complex capsules & asked for on OPG which is in the end  of this post.

The OPG does not show the implant close to the inferior alveolar nerve.

So now I want to know what could be the cause & what should be the future course of action.

Thanks in advance for all responses.

Dr. Veerendra Darakh

 

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Dr.Harshad Adhiya's picture
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Slight numbness in lower lip after implant placement. what is to be done ?

Dear Dr. Dharakh,

The commonest thing is "POST INJECTION RESIDUAL PARASTHESIA AFTER MANDIBULAR BLOCK / IF YOU USED INFILTRATION, INJECTION NEEDLE TRAUMA TO MENTAL NERVE LOOP".

Insted of B - complex, Neurobion forte will be a bettter idea.

Regards,

Harshad Adhiya.

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From June ‘11, when I had to stop active clinical work, do not visit the clinic regularly – only on demand. Do freelancing @ different clinics for difficult / complicated cases.

KEEP BUSY WITH CAREER COUNSELING / MOTIVATION and advice Dentists to guide them for Improving practice / Selling & partnership etc. Also continue sharing by way of presentations on Practice Management, Planning associate/ partner in practice & Oral Hygiene. THIS IS IN VIEW OF KEEPING SOME INCOME GOING & STAYING ABREAST WITH DENTISTRY – PASSIONATE ABOUT.

From June ‘11, when I had to stop active clinical work, do not visit the clinic regularly – only on demand. Do freelancing @ different clinics for difficult / complicated cases.

KEEP BUSY WITH CAREER COUNSELING / MOTIVATION and advice Dentists to guide them for Improving practice / Selling & partnership etc. Also continue sharing by way of presentations on Practice Management, Planning associate/ partner in practice & Oral Hygiene. THIS IS IN VIEW OF KEEPING SOME INCOME GOING & STAYING ABREAST WITH DENTISTRY – PASSIONATE ABOUT.

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Slight numbness in lower lip after implant placement. what is to be done ?

Thank you Dr. Adhiya for the inputs.

Regards,

Veeren

 

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Dr.Harshad Adhiya's picture
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Slight numbness in lower lip after implant placement. what is to be done ?

Dear Dr. Darakh,

In continuation, one more probability can not be ruled out -- that of a crack fracture line extending / blood accumulated because of the splitting of the ridge, Mandible being a more dense bone.

But treatment remains same, observation & Tab, beurobion Forte 1 tds for a 3 months.

regards,

Harshad Ashiya.

up
0 users have Like. User Likes

From June ‘11, when I had to stop active clinical work, do not visit the clinic regularly – only on demand. Do freelancing @ different clinics for difficult / complicated cases.

KEEP BUSY WITH CAREER COUNSELING / MOTIVATION and advice Dentists to guide them for Improving practice / Selling & partnership etc. Also continue sharing by way of presentations on Practice Management, Planning associate/ partner in practice & Oral Hygiene. THIS IS IN VIEW OF KEEPING SOME INCOME GOING & STAYING ABREAST WITH DENTISTRY – PASSIONATE ABOUT.

From June ‘11, when I had to stop active clinical work, do not visit the clinic regularly – only on demand. Do freelancing @ different clinics for difficult / complicated cases.

KEEP BUSY WITH CAREER COUNSELING / MOTIVATION and advice Dentists to guide them for Improving practice / Selling & partnership etc. Also continue sharing by way of presentations on Practice Management, Planning associate/ partner in practice & Oral Hygiene. THIS IS IN VIEW OF KEEPING SOME INCOME GOING & STAYING ABREAST WITH DENTISTRY – PASSIONATE ABOUT.