superior alveolar nerve damage symptoms superior alveolar nerve damage symptoms

If your injury is caused by a medical condition, your doctor will treat the underlying condition. WebIn addition, the fiber composition of the alveolar nerves was analysed in order to estimate their contribution to teeth innervation. Mr. Fleming was able to help me. There is no single block location for the superior alveolar nerves (anterior, middle, posterior) as they leave from the infraorbital and maxillary tuberosity prior to forming a plexus in the maxillary gingiva. Oral Care Center articles are reviewed by an oral health medical professional. It helps relay sensation and pain messaging from the upper teeth, jaw, the mucosa (membranes) of the nasal cavity, as well as part of the tongue and face. WebThe inferior alveolar nerve (IAN) contains mainly sensory fibers. The results he produced exceeded my expectations. When you make your appointment, be sure to ask whether you need to prepare for these tests. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The maxillary branch is involved mostly in the sensory function. Peripheral neuropathy fact sheet. Acute respiratory distress syndrome. lidocaine+/-epinephrine, bupivicaine), Seat patient with head against stretcher back or wall to avoid head jerking. Medium-sized when compared to the other branches, this nerve runs forwards from each side of the head at the level of the brainstem (around the ears) through the walls of the sinus just beneath and to the side of the ophthalmic nerve. Accessed Feb. 28, 2022. Verywell Health's content is for informational and educational purposes only. This can have a significant negative effect on the patient's quality of life affecting their daily function and psychological health. These mild nerve injuries typically heal on their own with rest and time. By Adrienne Dellwo Signs and symptoms of peripheral neuropathy might include: Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and arms Sharp, jabbing, throbbing or burning pain Extreme sensitivity to touch In:StatPearls. Shy margins can cause tooth sensitivity and decay when the dentin surface is left exposed. In: Trescot A.M. (eds) Peripheral Nerve Entrapments. I was very satisfied and amazed with the results he produced for me. As noted above, the maxillary nerve is an afferent, meaning it serves a sensory function. In turn, it splits into two branches: Facial nerves: The final course of the maxillary nerve, after exiting the infraorbital foramen, sees the nerve divide into three sets of terminal branches: As with many parts of the nervous system, there are sometimes variations seen in the structure of the maxillary nerve, and this is of particular concern for surgeons and dentists. If you experience weakness, tingling, numbness or a total loss of feeling in a limb, see your health care provider to determine the cause. (2021). Theyre referred to as a single nerve in most cases unless its necessary to distinguish one from the other such as if its been injured on one side. Peripheral nerves can be damaged in several ways: Other causes include narrowing of the arteries, hormonal imbalances and tumors. His successful track record speaks for itself. Impacted wisdom teeth that develop cysts can also damage the surrounding nerves. Also, remember to schedule regular dental checkups so that your dentist can monitor your oral health. The specific effects depend on the underlying cause. Robert J. Fleming was able to accomplish a feat rarely seen--settling a case where both parties stay civil to each other. https://orthoinfo.aaos.org/topic.cfm?topic=A00016. WebStructure. Once I hired him as my lawyer, he worked very hard on my case and he kept me informed on what was happening every step of the way. Scientists have not yet found a cure for COPD, ARDS, asthma, or IPF. Anterior Superior Alveolar 1 descends from infraorbital nerve. 2 innervates ipsilateral incisors and canine; may provide some sensation to contralateral medial incisor. 3 can reliably be achieved with Nerve Block: Infraorbital. The mental nerve is vulnerable to damage due to: It can also be caused by some diseases of the central or peripheral nervous systems, including: Nerve injury can cause paresthesia (altered nerve sensation such as tingling or burning) or numbness. Recovery varies based on treatment: With careful monitoring and timely interventions, maxillary nerve issuesas well as the conditions that can lead to themcan certainly be taken on. WebGaristo and coworkers in reviewing 248 reports of par esthesia had data on from NUR FUNDAMENTA at St. Augustine's School - Iba, Zambales - J. Alpharetta, Georgia, "The lawyers at Fleming Law, P.C. Your doctor will review your medical history, ask about any accidents or previous surgeries, and discuss your symptoms with you. Some people may drool or have trouble opening their mouths. Primarily, then, it delivers information back from the following:. We hired Robert J. Fleming to handle a case involving a used truck we purchased in Georgia that had many hidden (and soon to be discovered) mechanical problems. Doctors may also prescribe anti-inflammatories, such as inhaled steroids. Panlobular emphysema affects the entire lung and causes coughing, wheezing, and breathing difficulties. Make a donation. https://www.uptodate.com/contents/search. Have questions about your smile? Start Here. Learn more here. Some signs of nerve damage include: Burning Tingling Pins-and-needles sensation Numbness Sensitivity to touch Weakness Severe injuries can also cause total loss of sensation or movement of the affected body part. In dental terminology, the process of injecting an anesthetic into these areas is called a nerve block. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Panama City Beach, FL, "I spent four days in the hospital after two pit bulls attacked me while I was gardening in my yard. It divides from the inferior alveolar at a small opening in the jaw bone called the mental foramen, which is just beneath the premolars. 2014. It arises between the trigeminal's ophthalmic and mandibular divisions in a region called the trigeminal ganglion, a cluster of nerves involved in relaying sensory information to the brain as well as chewing motor function. National Institute of Neurological Disorders and Stroke. Pract Pain Manag. Can poor sleep impact your weight loss goals? *Free initial consultation and contingency fee arrangement only applies to personal injury cases. There is a range of common inferior alveolar nerve damage symptoms, regardless of how the IAN is damaged. Supplies sensation to the middle of the face, nose, and lips. Mr. Fleming tried the case before a jury in downtown Atlanta in the Fulton County Courthouse. National Institute of Neurological Disorders and Stroke. Most cases of cervical radiculopathy go away with nonsurgical treatment. Peripheral nerve injuries - Symptoms and causes - Mayo Clinic 866.588.2264 Appointments & Locations Request an Appointment Symptoms and Causes If your injury does not seem to be healing properly, your surgeon can use EMG testing in the operating room to assess whether scarred nerves are recovering. - Y. Pilgrim Smyrna, Georgia, "Robert J. Fleming represented me in an auto accident case. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. [NUEM Blog. This site complies with the HONcode standard for trustworthy health information: verify here. Your doctor may recommend physical therapy to prevent stiffness and restore function. Can diet help improve depression symptoms? Hypoxia refers to tissues or cells having too little oxygen to function correctly. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Treatment of inferior alveolar nerve damage often depends on the cause. Assessment of morphological and anatomical characteristics of mental foramen using cone beam computed tomography. Also, the rate of repair needs to exceed the rate of destruction for the area to recover. Its sometimes called the inferior dental nerve. Thank you, {{form.email}}, for signing up. For example, someone with COPD may experience: ARDS can cause these symptoms and low blood pressure, also known as hypotension. Sensory information from these areas passes via axons to the trigeminal ganglion, located within an area called Meckels cave, a special pouch within the middle cranial fossa. These branches converge to form the sensory root of the trigeminal nerve and convey the sensory information to the brains at the level of the pons, a section associated with a range of bodily functions, such as sleep, breathing, swallowing, hearing, balance, among many others. At present, no single drug-based treatment can prevent or manage ARDS. Brachial plexus injuries information page. As the trigeminal nerve wraps around your head on its way to your face, it splits into three branches, the: The mandibular nerve sends out both motor and sensory nerves that deal with chewing and sensation in parts of your head, face, and mouth. Since the superior alveolar nerves are branches of the maxillary nerve, and the inferior alveolar nerve is a branch of the mandibular nerve. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Nerve Damage From Plastic Surgery It can also be caused by some diseases of the central or peripheral nervous systems, including: 10 Multiple sclerosis Diabetic Accessed Feb. 28, 2022. This content does not have an English version. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. All of the nerves in your body exist as symmetrical pairs, one on the left side and one on the right. Fleming." In the human brain, 12 paired and roughly symmetrical cranial nerves emerge from the back of the brain and travel through the head and face, providing nerve function (nerve innervation) to muscles, bones, and other tissues. The Anatomy of the Inferior Alveolar Nerve. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. https://www.ninds.nih.gov/Disorders/All-Disorders/Pinched-Nerve-Information-Page#disorders-r1. Verywell Health's content is for informational and educational purposes only. He always took good care of me. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Toxic substances that may be ingested accidentally, including lead, arsenic, and mercury, may also cause Overview of upper extremity peripheral nerve syndromes. doi:10.7759/cureus.3109, Kim YT, Pang KM, Jung HJ, Kim SM, Kim MJ, Lee JH. are experienced, hard-working and effective. Elsevier; 2018. https://www.clinicalkey.com. There are a number of nerves that can be damaged during dental procedures, but the inferior alveolar nerve (IAN) and the lingual nerve (LN) are the two nerves most frequently injured. You can learn more about how we ensure our content is accurate and current by reading our. This nerve really does play a role in the whole ecosystem of your oral health! Dental nerve, which It also looks into treatment options. Last medically reviewed on March 30, 2022, Centrilobular emphysema is a form of emphysema where the damage begins in the central lobes of the lungs and spreads outward. Damage to the peripheral nerves is called peripheral neuropathy. Numbness or pain in the chin, lips, and gums; A tingling or electrical shock sensation in the chin, lips, and gums; A burning pain in the chin, lips, and gums; Overfilling or over-instrumentation of a tooth during Root Canal Treatment. Elsevier; 2021. https://www.clinicalkey.com. But what about the key parts of our mouth that dont get discussed? Non-personal injury cases are usually handled on an hourly fee arrangement and are not eligible for free case evaluation. Over time, the symptoms may affect breathing, and the treatment may include oxygen therapy. While it's often minor and doesn't have a large impact on daily activities, numb chin syndrome can be a serious problem for some people, interfering with their ability to: The treatment for mental nerve damage depends on the cause and severity of the symptoms. Also, it may be transient, manageable, or, in certain cases, permanent. Iwanaga J, Choi PJ, Vetter M, et al. Peripheral nerve injuries. It was a jury trial and it lasted almost two weeks. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Position yourself on the ipsilateral side: the nerves run lateral to the alveolar ridge. doi:10.2344/0003-3006-63.2.84, Renton T. Oral surgery: part 4. I liked the way he used technology to keep me informed (scanning documents for me to see, e-mail updates, etc.). Peripheral nerve injuries. Rea P. Head: Clinical applications. Through its mylohyoid branch, the inferior alveolar nerve is essential for movement in your mouth and jaw. - J&P Dube Greenville, SC, "We have been working long distance on a case with Rob Fleming . But various health conditions can cause sustained damage, such as COPD, ARDS, asthma, and IPF. Damage to this nerve may cause numb chin syndrome. Pulmonary rehabilitation can help address any muscle weakness. We report resection of the anterior superior alveolar nerve (ASAN), middle superior alveolar nerve (MSAN), and posterior superior alveolar nerve (PSAN) in I would recommend the Robert Fleming law firm to anyone that has been wronged by an employer. A damaged IAN will reveal itself through pain or abnormal sensations in the chin, lower teeth, lower jaw, and lower lips. WebSymptoms commonly experienced after the inferior alveolar nerve has been injured include: Numbness or pain in the chin, lips, and gums; A tingling or electrical shock sensation in the Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. If your neurological examination shows signs of a nerve injury, your doctor may recommend diagnostic tests, which may include: Our caring team of Mayo Clinic experts can help you with your peripheral nerve injuries-related health concerns Ask the Colgate Chatbot! Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Treatments for these conditions aim to slow their progression and relieve the symptoms. WebTrigeminal injury can cause intractable facial pain. Peripheral nerve injuries care at Mayo Clinic. Atlanta, Georgia, "We are long haul truckers with 35 years of over-the-road experience. Fig. Folia Morphol (Warsz). https://www.uptodate.com/contents/search. Accessed Feb. 28, 2022. https://www.ninds.nih.gov/Disorders/All-Disorders/Pinched-Nerve-Information-Page#disorders-r1. may branch from infraorbital nerve or maxillary nerve: may run parallel to posterior or anterior superior alveolar nerves, innervates ipsilateral premolars, first molar. Accessed Jan. 6, 2020. In a known but rare variation of the inferior alveolar nerve, the nerve splits in two, with the second nerve running alongside the first. Its branches supply the canine and upper incisor teeth, and then give rise to a nasal branch, which also accesses the mucous membrane of the sidewall as well as the nasal cavity. doi:10.14219/jada.archive.2011.0343, Rose SE, Gulati A. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. WebArticles. He had a complete understanding of my injuries, how they occurred, the medical issues and the law. IPF can cause similar symptoms, such as shortness of breath and a cough, as well as fatigue. Accessed Feb. 28, 2022. Trigeminal neuralgia is among the most painful conditions. Sometimes the surgeon can borrow another working nerve to make an injured nerve work (nerve transfer). All rights reserved. The alveolar nerve, which the mental nerve branches into, is one of them. The outlook for people with ARDS has improved over the last few years, due to advancements in mechanical ventilation and earlier antibiotic administration. Notably, there have also been cases where people have multiple infraorbital foramina as opposed to just one. Department of Neurological Surgery. He worked long and hard to handle my case and I am truly grateful and completely pleased with his service. Using an inhaler is key, as is recognizing triggers, such as: Doctors also recommend maintaining moderate body weight, to help make asthma easier to manage. Accessed Feb. 28, 2022. Alveolar damage can affect lung function. Nasal nerves: From the pterygopalatine ganglion, these branchesmost notably the medial and lateral posterior superior nasal nerves as well as the nasopalatine nerveaccess the nasal cavity via the sphenopalatine foramen. It can create difficulty getting oxygen into the blood and carbon dioxide out of it. Although Rob had to take a crash course in diesel mechanics, we obtained a fair settlement from the truck dealer and actually we are now on good terms with the dealer; even after the case was settled. More often than not, these injuries are debilitating and permanent. Similar advice applies to people with IPF. Surgeries repairing this nerve following trigeminal neuralgia are largely successful, with all three major approachesmicrovascular decompression, radiosurgery, and radiofrequency lesioninghaving success rates at or above 80%. Azar FM, et al. When they exhale, their alveoli decompress, releasing carbon dioxide. The mental nerve has some slight variations to its course. 8th ed. If youre getting a filling on a tooth on your upper jaw, your oral professional will inject an anesthetic into your superior alveolar nerve. This content does not have an English version. These variations are believed to be influenced by age, race, and sex, and are more common in people with other structural abnormalities in their jaw or face. Global strategy for asthma management and prevention. Histologic features and fascicular arrangement of the inferior alveolar nerve. Anterior superior alveolar neuropathy: an occupational neuropathy Draw back to ensure you have not accessed the vascular space. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions. 2017;76(4):709-714. doi:10.5603/FM.a2017.0042. When you get a filling or have other dental procedures performed, its common for the doctor to give you a nerve block via injection. I highly recommend Robert J. Fleming to anyone in need of a top notch lawyer." These branches are grouped based on their location along the course: Cranial nerves: Close to the origin of the maxillary nerve in the middle cranial fossa, its smallest branch arisesthe middle meningeal nerve. https://www.uptodate.com/contents/search. According to StatPearls, the inferior alveolar nerve is responsible for sensory innervation to the cheek, lips, chin, teeth, and gingivae. Visually, its a nerve that runs along your bottom jaw, and its the nerve that your oral professional typically injects with local anesthetic when preparing your tooth for receiving a filling on a tooth on your lower jaw. If you have not signed a written retainer agreement or attorney fee contract which is also signed or accepted by this firm, this firm does not represent you. There is a range of common inferior alveolar nerve damage symptoms, regardless of how the IAN is damaged. WebThe maxillary nerve also passes through the cavernous sinus. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. As such, articles are written and edited by countless contributing members over a period of time. His clients and expert witnesses are always surprised at his extensive knowledge related directly to the matter, or case at hand. All rights reserved. Your surgeon can bypass a damaged section of nerve by connecting a healthy nerve to restore function. [2] WebGaristo and coworkers in reviewing 248 reports of par esthesia had data on from NUR FUNDAMENTA at St. Augustine's School - Iba, Zambales Your symptoms often depend on which nerve fibers are damaged: You may experience a range of symptoms because many peripheral nerve injuries affect more than one type of nerve fiber. Without the proper functioning of your inferior alveolar nerve, you wouldnt be able to perform a lot of basic oral functions like chewing and swallowing. The inferior alveolar nerve gives rise to: While nerves and other parts of our anatomy have a typical shape, location, and structure, theyre not identical in all of us. Furthermore, healthcare providers have observed variations in the mapping of associated nerves, such as cases where the superior alveolar nerve supplies regions usually serviced by the buccal nerve, and areas usually supplied by the zygomatic branch are enervated by the infraorbital nerve instead. Through its mental branch, it provides sensation to your chin and your bottom lip. It provides both sensory and motor functions. After the attack, I was hurting and scared. Mental nerve paraesthesia: A review of causes and two endodontically related cases. National Institute of Neurological Disorders and Stroke. Autonomic nerve damage may produce the following symptoms: Inability to sense chest pain, such as angina or heart attack. Too much sweating (known as hyperhidrosis) or too little sweating (known as anhidrosis) Lightheadedness. Symptoms of peripheral nerve damage depend on the severity of the injury and the type and location of the nerve injured. The anterior superior alveolar nerve (or anterior superior dental nerve ), is a branch of the infraorbital nerve, itself a branch of the maxillary nerve (V 2 ). It branches from the infraorbital nerve within the infraorbital canal before the infraorbital nerve exits through the infraorbital foramen. National Institute of Neurological Disorders and Stroke. Make a donation. Injury is often caused when a dentist fails to correctly treat the patients gums over an extended period of time. By Adrienne Dellwo Kenhub. It results from nerve injury following dental procedures and other facial injuries. London: Elsevier Academic Press; 2016:21-130. Zygomatic branch: This branch is another one that arises directly from the maxillary nerve, exiting the pterygopalatine fossa through the inferior orbital fissure. https://www.uptodate.com/contents/search. We live in Arizona and the case is in Georgia. During the entire two week trial, Rob was prepared for every single question. Other conditions can also impact the maxillary nerve, including lesions of the zygomatic nerve, which helps produce the liquid layer of film that goes around the eye. This condition can affect the trigeminal nerve and all of its pathways, leading to uncomfortable sensations and sensitivity to heat and cold in the teeth due to inflammation in the nerve. Trigeminal neuralgia is a disorder of the trigeminal nerve that causes extreme pain in the eyes, forehead, jaws, lips, nose, and/or scalp. After my case settled, I was able to buy my own salon and that has changed my life. Daroff RB, et al. 14th ed. An inferior alveolar nerve block is one of the most commonly performed dental procedures.. Local Reg Anesth. During this time, healthcare providers may prescribe anti-inflammatory or other drugs to aid with symptoms. Here well look at what it is and the symptoms of potential damage. If you are in need of an experienced dedicated professional I wholeheartedly recommend Attorney Robert Fleming!" One of these is the inferior alveolar nerve, which runs along the lower teeth. Most damage caused during orthodontic treatment can be avoided. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Scientists remain uncertain about the exact causes of asthma, although genetics and environmental factors may contribute to it. WebIndications dental pain (e.g. This is an example of neuropathic pain, whereby there is damage to the nerves causing: Hyperalgesia increased sensitivity to pain Allodynia pain from a usually non-painful stimulus As such, light touch can often trigger episodes of excruciating pain. Wearing protective equipment during contact sports and physical activities like cycling can help reduce your risk of neuropraxia. This site complies with the HONcode standard for trustworthy health information: verify here. Peripheral neuropathy fact sheet. Advertising revenue supports our not-for-profit mission. https://www.ninds.nih.gov/Disorders/All-Disorders/Brachial-Plexus-Injuries-Information-Page. WebAny injury to sensory nerves can result in pain, altered sensation and/or numbness, but usually a combination of all three symptoms arises. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Those who improved tended to be the ones who got early treatment. fracture, caries) periapical abscess dentoaveolar trauma Contraindications overlying infection allergy to local anesthetic Equipment Needed local If they are damaged, they may be able to self-repair, but medical attention is key to preventing complications. Being on the other side of the country, we were confident that Rob was representing us. Through its dental branch, the inferior alveolar nerve provides sensation to your lower three molars and two premolars per side. If it does, drugs that may be used include: Some studies suggest that vitamin B complex or vitamin B12 may be effective treatments as well. See something you could improve? Mayo Clinic is a not-for-profit organization. Within the mandibular canal, the IAN runs forward in company of the inferior alveolar artery, and together they are called the inferior alveolar neurovascular bundle. Doing an EMG test directly on the nerve is more accurate and reliable than doing the test over the skin. Heart failure: Could a low sodium diet sometimes do more harm than good? Sometimes a section of a nerve is cut completely or damaged beyond repair. Webganglia, central nervous dysfunctions causing abnormalities in the excitability of trigeminal neurons, and the possible use of trigeminal nerve reflexes in the study of facial pain Retract upper lip anteriorly and superiorly. This information is for educational purposes only. As a branch of the trigeminal nerve, the maxillary nerve is often implicated in trigeminal neuralgia, a rare condition characterized by severe pain in the face and jaw. Variant inferior alveolar nerves and implications for local anesthesia. It may not require any treatment. Tasked with carrying important information to the central nervous system (CNS), the maxillary nerve runs from upper gingiva (the upper set of teeth), along the surface of the middle of the face, through the palate and nasal cavity, before terminating in the upper lip and cheek. WebSee related article: Neurologic, digestive, cardiac, and bladder disorders: Some of the symptoms of Autonomic nervous system dysfunction and treatment options. WebHyperventilation syndrome caused by shallow breathing and a reduction of carbon dioxide level in the blood which leads to an increased pH in blood. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Peripheral-Neuropathy-Fact-Sheet. Br Dent J. Eventually, decay and/or gum disease is caused due to leaks and trapped plaque. This is caused when a crown or veneer does not fully conceal the prepared tooth surface. Robert J. Fleming did a fabulous job for me. He knew exactly what was going to happen and was prepared every step of the way. The latter accesses the skin of the cheek through multiple gaps in the zygomatic bone. The specific effects depend on the underlying cause. Due to its close associations with the trigeminal nerve, issues there will impact the maxillary nerve. Read our, anatoliy_gleb /iStock / Getty Images Plus, The Anatomy of the Auriculotemporal Nerve, The Anatomy of the Superior Laryngeal Nerve, non-steroidal anti-inflammatories (NSAIDs), Variant inferior alveolar nerves and implications for local anesthesia, Oral surgery: part 4. Your dentist should be consulted immediately if sharp pain and/or numbness continues 8 hours after implant placement surgery has been performed. When it comes to maintaining your IAN's health, it comes down to consistent oral care habits. Double mandibular canal and triple mental foramina: detection of multiple anatomical variations in a single patient. Accessed Feb. 28, 2022. Since then, we have asked for his advice and opinion on another matter for which we have not hired him yet. Its a branch of the mandibular nerve, which itself branches off from the trigeminal nerve. Symptoms of damaged alveoli Alveolar damage can affect lung function. 2010;55(2):112-119. doi:10.1111/j.1834-7819.2010.01216.x. WebThe inferior alveolar nerve provides sensation to the mandibular posterior teeth. The aforementioned treatments are also used to treat atypical trigeminal neuralgia, but with a lower success rate. When nerve blocks cause injury, it may affect both the inferior alveolar and the lingual, because of this close proximity., However, the lingual nerve has a fairly good record of healing, unlike the inferior alveolar..