after inferior alveolar nerve paresthesia sensation returns in 4 weeks to one year. What should be line of patient councelling about recovery.
If injuri is not severe, it recover at 3 to 12 months. You could give some drugs as Neurobion, to improuve nerve function.
It depends on the severity of injury. Early signs of recovery indicate a better prognosis in terms of time and extent. Regular NSAIDS / steroids are helpful in reducing the local inflammatory response which sometime helps by reducing the neuropraxia, however in severe injuries e.g.a sectioned nerve, generally takes a long time to recover i.e. 6 - 12 months. Also,in such cases the extent of recovery may range from 0 to 100%. Multivitamines, Antioxidants etc have been used but no definite protocols have been proposed as yet.
All of the above is true. However, if the injury is severe and/or the lingual nerve has been severed, the paresthesia will be permanent. The estimates of permanent nerve injury ranges from a low of 0.5% to 2%. Symptoms vary from mild numbness and frequent tongue biting to mild to severe burning sensations and worse.
Mainly based on severity of the injury. If the injury is not severe it takes 3 months to 6 months to recover, meanwhile Neurobion can be prescribed to improuve nerve function. If the injury is severe there will be permanent damage to the nerve.
If direct injury is likely then we do a revision of the site and eventual micro re-anastomosis. If blunt injury during surgery is likely we wait and observe. If neuropathic pain becomes a problem we again tend to reopen the site and explore the nerve.
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