Abstract Prolonged and possibly permanent change in sensation due to nerve damage can occur after dental injections. Although the condition is rare, many practitioners will see this form of nerve injury during their careers. The exact mechanism of the injury has yet to be determined, and little can be done to prevent its occurrence.
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It can usually takes upwards of 2-3 months for it to come back. Permanent nerve damage after a dentist injection of local anaesthetic near to nerves that are close to the affected area during your dental procedure is rare, but not unheard of. Sometimes, the dentist needle can come into contact or “hit a nerve”, causing a sensation of an “electric shock.” The needle that the dentist uses to make the injection can cause a nerve injury by traumatizing the nerve. This happens most often with the lingual nerve, which is located very close to the mucosa (oral surface) and next to the site where the local anesthetic is injected. One of the rare complications of dental treatment is nerve damage. Clinically this is known as a paresthesia or dysesthesia.
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Nerve damage can occur when the dental pulp inside your tooth is infected or exposed. Your teeth are made of dentin, which is covered by the enamel you can see. Under the dentin is the dental pulp, which is a soft tissue containing nerves and blood vessels.
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Sometimes, the dentist needle can come into contact or “hit a nerve”, causing a sensation of an “electric shock.” One of the rare complications of dental treatment is nerve damage.
It will take a few weeks for the sensation to regenerate. It can usually takes upwards of 2-3 months for it to come back. Damage to the inferior alveolar nerve may also be caused by wisdom teeth extraction, or could be the result of poorly placed dental implants or the overfilling or overworking of a tooth during a root canal surgery. Inferior alveolar nerve damage could cause numbness or pain in the chin, lips, and gums, as well as a tingling sensation or a
Dental procedures like tooth extractions, implants, root canals, and orthodontic work require care and close attention to detail. Countless nerve endings reside in the human mouth and jaws, and damage to these nerves may lead to diminished sensory function, reduced physical sensation, and impaired motor function. One of the rare complications of dental treatment is nerve damage. Clinically this is known as a paresthesia or dysesthesia.
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The potential danger of damage by the needle could be increased by the bevel being bent as it contacts the bone. This needle damage has been shown to occur in up to 80% of injections, with up to two‐thirds of the bevels being hooked outwards.
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Dental anesthetics now contain sodium bisulfite as a preservative for the epinephrine whereas in multiple dose bottles the preservative is still methylparaben. Methylparaben was at one time the preservative found in dental anesthetic carpules as well. Figure 1. Illustration of inferior alveolar nerve and lingual nerve (from Gray’s Anatomy). 1
Methylparaben was at one time the preservative found in dental anesthetic carpules as well. Figure 1. Illustration of inferior alveolar nerve and lingual nerve (from Gray’s Anatomy).