How to get rid of Numbness After Jaw Surgery?

Introduction

Numbness following jaw surgery, whether due to wisdom teeth removal, orthognathic surgery, or other procedures, is a common concern. This numbness typically results from nerve compression or damage during the surgery. While it can be distressing, understanding the causes, treatments, and recovery strategies can help manage and potentially alleviate this condition.

Understanding Numbness After Jaw Surgery

Numbness in the jaw area after surgery usually arises from the manipulation or injury to the trigeminal nerve or its branches, which are responsible for sensation in the face. This nerve can be affected during surgical procedures involving the jaw, such as:

1. Wisdom Teeth Extraction: Removal of impacted wisdom teeth, particularly lower ones, can affect the inferior alveolar nerve, leading to numbness in the lower lip and chin.

2. Orthognathic Surgery: This corrective jaw surgery, which realigns the jaws and teeth, can involve repositioning of the mandible and maxilla, potentially impacting the sensory nerves.

3. Jaw Reconstruction: Surgical procedures to rebuild or repair the jaw can affect nerve pathways, causing temporary or persistent numbness.

patient suffering from jaw surgery numbness
patient suffering from jaw surgery numbness

Causes of Jaw Surgery Numbness

1. Nerve Compression: During surgery, nerves can be compressed by swelling, surgical instruments, or pressure from the jaw being repositioned.

2. Nerve Damage: Direct trauma or surgical manipulation of the nerves can result in temporary or permanent sensory loss.

3. Swelling and Inflammation: Post-surgical swelling can put pressure on the nerves, leading to numbness.

4. Hematoma Formation: Blood clots or hematomas formed during or after surgery can also compress nerves, causing numbness.

Duration And Recovery of Jaw Surgery Numbness

Numbness following jaw surgery may be temporary or long-lasting. The duration depends on the extent of nerve involvement and the body’s healing process. Typically, numbness improves as the swelling subsides and nerves heal. 

a. Temporary Numbness: Most patients experience gradual improvement within weeks to months as nerves recover and inflammation decreases.

b. Persistent Numbness: In some cases, numbness may persist beyond the expected recovery period, which may require further evaluation and management.

Strategies for Managing and Reducing Jaw Surgery Numbness

1. Follow Post-Surgical Care Instructions

Adhering to the post-surgical care guidelines provided by your oral surgeon or orthodontist is crucial. This includes:

a. Medication: Take prescribed medications, such as pain relievers or anti-inflammatory drugs, as directed to manage pain and reduce swelling.

b. Ice Application: Applying ice packs to the affected area can help reduce swelling and inflammation, which may alleviate pressure on the nerves.

2. Physical Therapy and Exercises

a. Nerve Stimulation: Gentle facial exercises and nerve stimulation techniques can promote nerve recovery. Your healthcare provider may recommend specific exercises to improve sensation and reduce numbness.

b. Massage Therapy: Light massage of the affected areas can help increase blood flow and alleviate discomfort.

3. Diet and Nutrition

a. Soft Diet: Consuming a soft diet helps avoid additional trauma to the surgical site and minimizes discomfort.

b. Balanced Nutrition: Eating a balanced diet rich in vitamins and minerals supports overall healing and nerve repair. Nutrients such as vitamin B12, omega-3 fatty acids, and antioxidants play a role in nerve health.

4. Medical Follow-Up

a. Regular Check-Ups: Attend follow-up appointments with your oral surgeon to monitor recovery progress. Your surgeon can assess the extent of nerve involvement and adjust treatment as needed.

b. Neurological Evaluation: If numbness persists or worsens, a referral to a neurologist may be necessary for further evaluation and management.

5. Manage Swelling

a. Elevate Head: Keeping your head elevated, especially while sleeping, can help reduce swelling and alleviate pressure on the nerves.

b. Avoid Heat: Avoid applying heat to the affected area in the early stages of recovery, as it can increase swelling. Stick to ice or cold packs instead.

When Is Orthognathic Surgery Medically Necessary?

Orthognathic surgery, or jaw surgery, becomes medically necessary in several key situations. It is often required for correcting severe dental and skeletal malocclusions that cannot be resolved with orthodontics alone, leading to functional problems such as difficulty chewing, biting, and speaking. Additionally, the surgery is indicated for addressing significant jaw deformities and asymmetries that impact both function and appearance.

It can also be crucial for managing sleep apnea or other breathing issues related to jaw misalignment, as well as for reconstructive purposes following trauma or tumor removal. The decision to proceed with this surgery is based on a thorough evaluation by healthcare professionals, considering the severity of the condition, its impact on quality of life, and the patient’s overall health and preferences.

What Is Orthognathic Surgery Recovery Time?

Orthognathic surgery recovery involves several stages. In the immediate post-operative period (first week), patients may experience swelling, bruising, and discomfort, managed through medication, ice packs, and a soft diet. Short-term recovery (weeks 2 to 6) sees significant improvement in swelling and pain, with a gradual return to normal activities and diet. Intermediate recovery (1 to 3 months) includes further improvement in jaw function and the reintroduction of normal foods, with regular follow-up appointments to monitor progress.

Long-term recovery (3 to 12 months) involves complete bone and tissue healing, continued orthodontic adjustments if needed, and ongoing care to ensure optimal results. Recovery time can vary based on surgical complexity, patient health, and adherence to post-operative care.

Cosmognathic Jaw Surgery
Royal Dental Clinics India

When To Seek Medical Attention?

  1. Persistent Numbness: If numbness persists beyond the expected recovery period or worsens, consult your nearby dental clinic in Mumbai for further evaluation.
  2. Other Symptoms: Seek medical attention if you experience severe pain, worsening swelling, or signs of infection such as fever or discharge.

Preventive Measures for Jaw Surgery Numbness

  1. Choose an Experienced Surgeon: Ensure that your surgery is performed by a skilled and experienced oral surgeon to minimize the risk of nerve damage.
  2. Discuss Risks: Discuss potential risks and complications, including nerve involvement, with your surgeon before the procedure.

Conclusion

Numbness after jaw surgery is a common issue that can be managed effectively with appropriate care and intervention. By following post-surgical instructions, engaging in physical therapy, and maintaining good nutrition, you can support nerve recovery and minimize discomfort. Regular follow-ups with your dentalcare provider are essential for monitoring progress and addressing any persistent issues. Understanding the causes and employing effective management strategies will aid in a smoother recovery and improved outcomes.

FAQs

1. What causes numbness after jaw surgery?

Numbness after jaw surgery is often caused by nerve compression or damage during the procedure, swelling, or inflammation affecting the nerves in the jaw area.

2. How long does numbness last after jaw surgery?

Numbness typically improves gradually within weeks to months as swelling decreases and nerves heal. However, the duration can vary based on the extent of nerve involvement and individual healing rates.

3. What can I do to speed up the recovery from numbness?

Follow your surgeon’s post-operative care instructions, use prescribed medications, apply ice packs to reduce swelling, perform any recommended facial exercises, and maintain good oral hygiene.

4. Are there any specific exercises to help with numbness?

Gentle facial exercises and nerve stimulation techniques may help improve sensation. Your healthcare provider can recommend specific exercises or yoga poses tailored to your condition.

5. When should I be concerned about persistent numbness?

Persistent numbness beyond the expected recovery period or worsening symptoms should be evaluated by your healthcare provider. They can assess whether further intervention or evaluation is needed.

6. How can swelling be managed to reduce numbness?

Swelling can be managed by keeping your head elevated, applying ice packs, and taking prescribed anti-inflammatory medications as directed.

7. Is it normal to experience numbness in different areas of the face?

Yes, numbness can occur in various areas of the face depending on the nerves affected during surgery. This is typically temporary but should be monitored by your healthcare provider.

8. What role does diet play in recovering from numbness after jaw surgery?

A soft diet after dental surgery helps avoid additional trauma to the surgical site and supports overall healing. Proper nutrition also plays a role in nerve recovery and overall health.

9. Can numbness after jaw surgery be permanent?

While most numbness improves over time, in some cases, it may be persistent or permanent. Your surgeon can provide information on the likelihood of long-term numbness based on your specific situation.

10. Should I seek a second opinion if numbness does not improve?

If numbness does not improve as expected or if you have concerns about your recovery, seeking a second opinion from another qualified healthcare professional can provide additional insights and potential treatment options.

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