Lingual or Alveolar Paresthesia: Could It Be the Trigeminal Nerve? скачать в хорошем качестве

Lingual or Alveolar Paresthesia: Could It Be the Trigeminal Nerve?

Feeling tingling, numbness, or burning in the tongue, gums, teeth, or jaw can raise a common question: is it an injury to the lingual or alveolar nerve, or does it come from the trigeminal nerve? 💡 Difference between the nerves: Lingual and alveolar nerves: Branches of the mandibular nerve (V3, part of the trigeminal nerve) that can be injured during dental procedures, implants, tooth extractions, or anesthetic blocks. Trigeminal nerve: The main nerve that gives rise to these branches and can cause trigeminal neuralgia, a different condition marked by sudden, intense facial shocks. ⚠️ Symptoms that help differentiate: ✅ Continuous paresthesia (persistent numbness) → suggests lingual or alveolar injury ✅ Burning and localized neuropathic pain → common in peripheral nerve injury ✅ Intense, sudden electric shocks → typical of trigeminal neuralgia ✅ History of dental surgery or local anesthesia → more associated with lingual or alveolar injury 👉 How to investigate and treat? ✔️ Detailed clinical exam of tongue, gums, and teeth sensitivity ✔️ Electromyography to assess nerve conduction ✔️ Neuropathic pain medications (pregabalin, duloxetine, etc.) ✔️ Laser therapy, physiotherapy, and desensitization in selected cases ✔️ Microsurgical repair when confirmed persistent nerve injury 💡 Practical tip: If numbness or pain began after a dental procedure, it may be lingual or alveolar injury. But if sudden shocks occur without dental history, it could be trigeminal neuralgia. A peripheral nerve specialist is key to avoid misdiagnosis. Talk to me: @nervosperifericos 📧 Email: [email protected] 📲 WhatsApp: +55 (41) 9 9696-8526 👨‍⚕️ Dr. Thomas Marcolini – Neurosurgeon 📍 RQE 26510 CRM 33811 #LingualParesthesia #AlveolarParesthesia #TrigeminalNeuralgia #NeuropathicPain #PeripheralNerves #Neurosurgery #FacialPain #NerveSpecialist