Microsurgical repair to restore sensation

The nerves that supply sensation to the lower lip, chin and tongue can occasionally be injured during dental procedures, facial trauma, or the removal of wisdom teeth. When this happens, it may cause numbness, tingling, altered sensation or discomfort. Nerve repair is a highly specialised area of oral and maxillofacial surgery focused on assessing these injuries and, where appropriate, surgically restoring nerve function.

Our surgeons approach nerve concerns with particular care, recognising how distressing altered sensation can be. The first and most important step is always a thorough, unhurried assessment to understand the nature and extent of the injury and to determine whether it is likely to recover on its own or may benefit from surgical repair.

Careful assessment comes first

Not every nerve injury requires surgery, and many improve with time. Through detailed clinical testing and advanced imaging, including 3D cone-beam scans where helpful, we map the affected area precisely. This careful evaluation guides whether monitoring, conservative management, or microsurgical repair offers the best prospect of recovery for your particular situation.

• Altered sensation in the lip, chin, gums or tongue
• Persistent numbness following wisdom tooth removal or dental surgery
• Nerve injury related to facial trauma or fractures
• Tingling, burning or uncomfortable sensations affecting daily life
• Cases referred for a specialist second opinion on nerve function

Microsurgical repair when needed

Where surgical repair is indicated, it is performed under high magnification using a surgical microscope, allowing the delicate nerve to be visualised and treated with exceptional precision. Depending on the injury, this may involve relieving pressure on the nerve, repairing it directly, or reconstructing it. These procedures are carried out under general or intravenous anaesthesia for your complete comfort.

Timing can be an important factor in nerve recovery, so we encourage anyone with ongoing altered sensation to seek assessment without unnecessary delay. While no surgeon can guarantee the degree of recovery, our aim is always to give your nerve the best possible opportunity to heal.

If you are living with numbness, tingling or discomfort following dental or facial surgery, we understand how unsettling this can be. We warmly invite you to arrange a consultation, where we will listen carefully, assess thoroughly, and explain your options with honesty and compassion.