So i have emergency extractions my dentist tells me i need a micro neuro surgeon / oral surgeon for my #17 & #32 , that the nerve is too close they need to cut it and re attatch it apparently to remove these teeth and i cannot find such a dentist who does this procedure, does my dentist know what he's talking about?
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Micro Neuro - Wisdom teeth extraction
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3 UpVoted this answer
I have been in dentistry for 4 decades, and I hold significant academic appointments. I have never head of micro neuro/ oral surgeon. If you truly got this advice, I suggest you find another dentist. A well qualified Oral and Maxillofacial Surgeon can remove these teeth and probably do it as a routine surgical procedure. That is what they are trained to do. If the nerve trunk is in the way (and I do not think it is) the oral surgeon will be able to identify the problem and resolve it.
1 UpVoted this answer
Your Dentist should first recommend you simply talk with an oral surgeon that has a CONE BEAM machine. a cone beam will give your team of doctors the three dimensional radiographic info they need to truly assess your risk of nerve involvement. From this "3d xray" or CBCT scan, your docs will easily see if nerve issues are a risk. if they are not, move forward with your oral surgeon and get this treatment well behind you. Shouldn't be too much of an issue with the right diagnostic information.
1 UpVoted this answer
I would seek another opinion or two from well respected board certified Oral and Maxillofacial surgeons. I know of some who can locate and re-position the mandibular nerve but never have I heard of intentionally cutting and then attempting to reattach the nerve ends just to remove an impacted tooth. From what I could see on the supplied radiographic image... get another opinion...and perhaps a 3D CBCT scan.
1 UpVoted this answer
Whoever the dentist is that gave you this advice, needs to have his/her head examined. I would run as fast I could away from this person. The panoramic x-ray does not accurately tell you how close the teeth are to the nerve. You would need a cone beam ct scan taken to give you this information. Even if the roots of the teeth were wrapped around the nerve, there is a procedure called a coronectomy that can be performed to avoid damage to the nerve. Google coronectomy to find out about this procedure.
1 UpVoted this answer
Bottom line is your dentist does not want to do the procedure himself. The procedure should be simple enough for an oral surgeon and a 3D cone beam x-ray will guide the surgeon away from the nerves. The nerve should not be cut and reattached if you are in the right hands.
1 UpVoted this answer
I would recommend a referral to an oral surgeon. Often when lower wisdom teeth are too close to the nerve it is better to leave them alone rather than extract them. I am not aware of any surgeons who would cut and re attach the nerve. I believe the success rate for re attaching the nerve is not good, hence we try not to injure the nerve when preforming dental procedures. I assume by the medications you are taking that you are having some pain or discomfort from these teeth. Go to an oral surgeon, he can do a 3 dimensional scan of the area to find out where the nerve is in relation to the tooth. That type of scan is more accurate than the panoramic x-ray which was included with your question. A qualified oral surgeon should be able to handle your problem. There is a good chance an oral surgeon can solve your problem without damaging the nerve. I would only do the re attachment procedure if the nerve is irreversible damaged.
You need to see a qualified oral surgeon not a general dentist for extraction of lower wisdom teeth that are close to the nerve trunk. Oral surgeons are well versed and have the proper tools and training to remove wisdom teeth in close proximity to the nerve. Also there is no such thing as a micro neuro oral surgeon.