Injury to the inferior alveolar or lingual nerves can occur following extractions, implant placement, or trauma.
Early specialist assessment improves chances of sensory recovery and guides medico-legal documentation.
Referral is appropriate when:
The patient reports numbness, tingling, or altered taste after a dental procedure.
There is no improvement after several days or symptoms worsen.
OPG or CBCT suggests proximity of surgical site to the nerve canal.
Oral and maxillofacial surgeons can assess nerve function using sensory testing and imaging, and discuss microsurgical repair or conservative management depending on injury type and timing.
When to refer to AWOMS Oral and Maxillofacial Surgery: Any persistent or worsening altered sensation following dental treatment - early referral within 3 months offers best outcomes for recovery.