Patient: Description of the disease (onset time, main symptoms, hospital, etc.): Patient, female, after the extraction of a blocked tooth on the lower right on August 17, 11, my lower row of teeth (from the front incisors to all the teeth between the blocked tooth extracted) + lips + jaw is still paralyzed, the teeth are sometimes a little swollen, not only can’t eat, and even speech is not good anymore 1, hung up on four days of saline, anti-inflammatory drugs furabenacillin sodium + The doctor said that the numbness is because of nerve injury, and then I have been taking cephalosporin, mikacol, furazithiamide tablets, and metronidazole. The lower row of teeth (all the teeth between the front incisors and the extracted blocked teeth) + lips + chin are still paralyzed, may I ask: 1, is the nerve injury a normal behavior of tooth extraction or an accident? 2, how to treat the current state of the fastest recovery? 3, how long will it take to recover? Can I recover completely? I am a language teacher, the beginning of the school year is approaching, anxious it, look forward to replying oh, thank you! Kang Feiguo: Hi, nerve damage is a complication of tooth extraction. The biggest risk of an extraction is nerve damage. Some of them are due to swelling that leads to nerve edema, and after the swelling is eliminated, the numbness can be eliminated; some of them are due to injury, and generally the nerve recovers in more than half a year. It is recommended to take oral medication such as Microphenoxal and other nutritive nerve medication. Patient：Thank you very much, Prof. Kang, for your prompt reply. The cause is mainly because the doctor mistakenly hit the anesthetic on the nerve, or surgical trauma? The former is more likely to cause numbness than the latter, right? 2.You said that it takes more than half a year for the nerve to recover, is there any treatment program that can recover faster? 3.Is it much better to inject the acupuncture points on the lips with Microphenoxal injection than to take Microphenoxal medicine orally? Kang Feiguo: Hello, generally speaking, the main cause of nerve damage or teeth and nerve relationship is relatively close, nerve recovery should take a longer time, generally speaking, need to be 3-6 months of time, Microprobe can be injected intravenously can also be taken orally, but the effect of intravenous drip should be better. Patient: What a good doctor, thank you for your timely and patient answer, or would like to ask you: Microprobe injection is not injected in the lips of the acupoints ah? Intravenous means added in saline or glucose or directly injected into the vein with Microphenoxal? Konfiguo: Hi, IV is commonly referred to as an infusion. Local injection is not allowed. In the clinic, numbness of the lower lip caused by tooth extraction is occasionally encountered, the patient may still need to wait patiently for his gradual recovery (with nutritive drugs), of course, some patients can not be recovered or recovery is incomplete. I wish him a speedy recovery! Patient：Thank you, Prof. Kang, for your tireless guidance, I’m grateful. I’ll let the doctor give me an infusion of Microprofen, how long will the infusion take? Can you tell me the exact dosage? Can you tell me the exact dosage? In dextrose or sodium chloride? Recently, I have been experiencing numbness in about 10 teeth, accompanied by soreness, pain and swelling, and my lips and jaw are still numb, with no sign of improvement. Today I just went to the hospital, the doctor asked me to take a film, I do not know what for; I have to actively treat, do not want to be in such a state ah, I’m still young, please Professor Kang continue to help me ah, thank you ah! 康非吾：你好，一般弥可保为口服片剂0.5g的规格；一天三次口服；甲钴胺为针剂，规格为2mg,静脉点滴；两者成分相似；葡萄糖或氯化钠均可；神经损伤恢复时间较长，一般3-6个月，甚至1年以上，部分恢复不全；建议放松心情，积极配合治疗。 It will gradually get better. Patient: Prof. Kang, thank you very, very much for your concern and guidance, I can only wait patiently for recovery, thank you, I hope it will get better! Kang Feiguo: You’re welcome, I wish you a speedy recovery! Patient: Hello, Prof. Kang! It has been a month since I had my wisdom teeth extracted, and I have been suffering every moment during this period. The initial inflammation should have subsided, but half of the row of teeth near the wisdom teeth are still swollen and painful all the time, and it seems that the teeth are as wooden and hard as if they were in a plaster cast when I touch them with my fingers, and my lower lip and chin are still numb, and I feel that this half of my face is obviously sagging with muscles, which makes me feel very depressed, and I don’t have any interest in working. Am I going to have to come to your clinic to recover faster? Prof. Kang, how can I recover faster? I look forward to your reply! Prof. Kang Feiguo: Hello, it is mainly the abnormal sensation caused by the nerve damage, and the wound should not be too big a problem. The bone tissue needs 3 months to heal. The medication can continue to be taken. Of course, there is also a possibility that the bone trauma after tooth extraction is compressing the nerve, which will require CT localization. Surgical exploration is needed, and of course the risk exists. It is recommended to continue to take oral medication, usually distraction, relaxation, will gradually improve. The general recovery period for nerve injury is more than 3 months or even 1 year. There is no need to worry too much. If you are very worried, you can come over for a face-to-face consultation. 23-26 will be out of town on business. We recommend you to visit us after the National Day. Patient: Thank you very much, Prof. Kang, for your careful and selfless help! About the wound the local doctor said the wound is no longer a problem, but the teeth and the bones underneath have been swollen and painful, coupled with the numbness of the lips and jaw, I remember when the extraction of teeth the doctor with a hammer knocked dozens of times, at that time, it felt like the head were knocked concussion, the entire extraction process lasted more than an hour, I do not know whether the bones knocked injured, and still so uncomfortable, I follow your advice. I wish you good luck in your work and happiness in your life! 康非吾：恩，周末愉快~~~~