800B Fifth Avenue, Suite 1
New York, NY, 10065
DAVID KOSLOVSKY, D.D.S., F.A.C.S.
Trigeminal Nerve Repair
Inferior alveolar and lingual nerve injuries are relatively uncommon, but they can occur. They are usually the result of common procedures performed by dentists and dental specialists. The most common procedure to cause injury to these nerves is the removal of wisdom teeth, especially impacted wisdom teeth. The risk of injury to the trigeminal nerve (inferior alveolar and lingual nerves) following wisdom tooth removal is very low but increases with the difficulty of the procedure, age of the patient, presence of infection, and other pathology located around the tooth.
Other procedures performed in the dental office also have a small risk of injury to these nerves. These include placement of dental implants, root canal procedures, Lower Jaw Orthognathic Surgery, injection of local anesthetics, and drainage of infections. Sometimes the removal or biopsy of phathologic entities or growths of the lower jaw can also lead to trauma to these nerves, which is sometimes unavoidable.
The good news is that the vast majority of these injuries resolve on their own and do not require surgical intervention. This spontaneous healing of the affected nerve can take a while, sometimes lasting over 3 months and, in some cases, over 1 year. The risk of a permanent nerve injury after one of the above mentioned procedure is very low.
The treatment of such injuries involves close monitoring of the progression of symptoms and hopefully improvement. This monitoring should start when the treating doctor is made aware of the nerve problem. If the doctor is not familiar in how to monitor these conditions, a referral to a Trigeminal Nerve Microsurgeon is recommended. Ideally such a referral should be made by the 3 month point after the injury occurred, if there is no progression of the symptoms to improved sensation. If the altered sensation is present over 1 year, without any intervention or improvement, the likelihood of surgical intervention benefiting the patient is significantly decreased. A series of neurologic examinations are necessary to decide which patient will benefit from surgery and who will not.
The main goal of Microsurgical intervention is to repair the nerve at the site of injury. This procedure is done with the use of high powered microscopes and special instruments specifically designed for these procedures.
How do I get started with trigeminal nerve repair?
Dr. Stein, Dr. Koslovsky, and our staff would be happy to discuss trigeminal nerve reapir with you. Please call 212-888-4760 or schedule an appointment online to arrange for a private consultation at our office.
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DR. STEIN'S PATIENTS SPEAK OUT
Dear Dr. Stein,
Dr. Stein, we wanted to extend a heartfelt thank you for the excellent care you provided for our daughter Ana. From the moment we met you during our first consultation, we knew Ana could not be in better hands. We truly appreciate your kindness and professionalism. She still talks about your letting her listen to music! See you during the summer for the next exposure! :)
Jenny & Geoff
You did an amazing job on my teeth. I could not have imagined that one day my teeth/smile would look this great. Thanks again for all your hard work. :)
My dentist, whom I regard highly, recommended Dr. Mark Stein for a complicated extraction that she would not perform. I was scared of this procedure, but Dr. Mark Stein made it easy—a walk in the park. The staff was extremely friendly and the entire experience was beyond my expectations. I give Dr. Stein an A+.
Best place ever to go get your wisdom teeth pulled. They were so pleasant as soon as you met them and made sure you were comfortable and even followed up after hours at home to make sure I was ok and had no more concerns. I didn't feel a thing. Dr. Stein and his staff are great!
Dr. Stein is a wonderful surgeon. I had a true fear of having teeth pulled, to the extent that I have had fillings and then root canals done on my wisdom teeth. Please let me advise don't do that. Instead, visit Dr. Stein. All of his work for me has been painless, fast, friendly, and professional. I recommend Dr. Stein without reservation.
I was referred to Dr. Stein for extraction and a dental implant. He was extremely kind, listened to my concerns and explained everything thoroughly. The procedure was totally painless and I had no problems afterwards unlike my other dental experiences. I would highly recommend Dr. Stein to anyone needing an oral surgeon. A+++
Dr. Stein is an outstanding oral surgeon. He is extremely friendly and gentle, called me the evening after my surgery to make sure I was doing OK, and took plenty of time to explain what he was doing and what to expect. I recommend him highly.
Dearest Dr. Stein & Wonderful Staff Members,
I would just like to take this opportunity to thank you all for getting me in so promptly for my consult, then for the fast appointment, and finally for the professional courtesy. You truly made me feel very comfortable and I did not want it to go unnoticed.
Thank you…from the bottom of my heart. You have changed my life, making each and every day a reason to show off my beautiful smile. I appreciate all that you have done. I am reminded of your hard work, patience, compassion and confidence every time I look in the mirror.
Thank you so very much. Because of you, I can put my past to rest and smile bright into my future...
Dr. Stein is a brilliant doctor and surgeon, who is highly professional and caring. He is hard working, and is truly committed to his patients. He practices cutting edge medicine, and is highly respected by his peers.
Dr. Larisa Kayserman MD
DR. KOSLOVSKY'S PATIENTS SPEAK OUT
I know the thought of having a tooth extracted doesn't exactly bring calm and serenity to mind; however, my experience with Dr. Koslovsky was just that! I felt so comfortable with Dr. Koslovsky, he is a master of his work. Dr. Koslovsky does an amazing job of preparing you for what is to come during the appointment! I cannot recommend Dr. Koslovsky enough, such a pleasant experience.
Great surgeon and extremely dedicated to his patients!
I cannot say enough incredible things about Dr. Koslovsky. It has been a little over 2 years since my surgery and to say I am happy with the results would be an understatement. I am a better version of myself, I no longer am self-conscious to speak without thinking people are staring at my under bite. Dr. Koslovsky is professional, personable, thorough, extremely knowledgeable about what he does, and trustworthy.
Dr. Koslovsky might be the best oral surgeon I've ever had. Did a sensitive bilateral surgery and followed up. Constantly answered all my questions. Amazing doctor.
Dr. Koslovsky provides excellent care and is very pleasant to interact with.