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10 Days With a Numb Lip After a Visit to the Dentist

I entered my 2nd year of engineering. This transition year will take me from a broad general education course to a more focused mechanical engineering course with higher education in math, science and systems. By all measures, I rank well with my peers and my grades are above average. The first year is now over and I am literally running because of the difficulty of the project where I will finally see my skills applied. At this stage of my studies, I was like a sponge in an ocean that soaked up every lecture I attended. The waves around me are being pulled and pushed with every move. No clear route was calculated with the internal GPS; yet there was a wind blowing that seemed to push me in a definite direction. Or so it appeared to me.

It was difficult to hide who I was; I’m from a small Midwestern town and attended a private high school with my siblings where we enjoyed a comfortable life as the children of professional parents. My mother is a restorative hygienist and my father, Dr. Watson, had a well-established dental practice. I was now off campus and fortunate enough to share a modest third-story attic with Steven, a student who was also in engineering a year ahead of me. Our house is not more than 500 sq.ft. spacious yet comfortable and spotlessly clean, with a clear view across the city where one can see the classic Golden Arch and some university students who have scored, while enjoying their signature burger in the day. Steven was no exception. He loved eating at MacDonald’s; He enjoyed the Big Mac and ate there at least four or five times a week. Our house consisted of a living room, a kitchen, a bathroom and a bedroom with two single beds. I started to feel more in charge of my life and was able to come and go as I pleased. My roommate was friendly, but rather quiet and deep in thought, or so I could tell.

Our schedules changed a lot, and we didn’t have much time together except for the occasional small talk over coffee. We weren’t big on booze but enjoyed the odd beer. He had a part-time job at a small computer repair shop and would often come home at midnight. The pace and anonymity of the North East was amazing and every day I felt maturity seeping into everything I did. I was calm and happy, especially when my parents heard. Although it never motivated me, the atmosphere at home during high school was anticipation of going to high school in the East. I was the oldest of my siblings and now, when I can reflect, both my parents lovingly used me as their national flag. “If Jim sets the pace, others will follow”. Fortunately, I didn’t have to work during the semester away from home. My mother saw it. There should be no excuses for failing grades. I had nothing. But I was not being hypocritical. I am often seen but not heard. In my heart I knew I was popular even though I was shy. I wasn’t “Brad Pitt”, but I was confident, or so it appeared to me.

It was during the second semester of my sophomore year that I started having concerns about my roommate. He suffered from bruxism, also known as teeth grinding, often accompanied by clenching of his jaw. Oral para functional activity that is common in many people. Bruxism (Wiki) is caused by the activation of the reflex chewing action; it is not a learned habit. Through osmosis I have picked up many dental words over the years from my parents. This situation (grinding) I do not know; However, the situation gave me restless nights. I had a weekly “how are you” conversation with my dad and he suggested that Steven should see a local dentist because of possible tooth decay. It wasn’t difficult to share my concerns with Steven, because his girlfriend also thought he should see a dentist.

We became closer (Steven, Veronica and his girlfriend Veronica). Steven is more open and sometimes can be funny. I saw the other side. We started seeing each other more often. Steven appreciated my father’s professional advice and we actually went to a dentist who was associated with an engineering professor. The diagnosis was confirmed. There was some damage in the beginning which started to damage the surface of the mole. The dentist was able to put a guard in Steven’s mouth so he could sleep better at night. A follow-up appointment was held over the next few weeks to ensure that the safety device was in good working order. However, the dentist found that her bi-cuspid LR had an old amalgam filling that was hanging out and shredder floss. The dentist advised Steven that he should be replaced with a more modern white filling. Amalgams are in bulk these days. The trend is to complement the combination of natural colors. This is good news for Steven because silver amalgam is disturbing and inappropriate for young people. The date was set for filling replacement and everything would be fine, or so it seemed to me.

Steven showed up at 9:00 am for a dental appointment which gave him enough time to get back to class and by noon the anesthesia would wear off giving him enough time to enjoy the big Mac. But things did not go as planned. Steven was still depressed and although he tried to ignore this strange feeling, it was obvious that he had lost all taste for his favorite Big Mac and fries. On the third day, Steven called his dentist to jokingly explain that he had lost all taste for all foods and, most of all, his desire for a Big Mac fix. The dentist assured her that some people do this under local anesthesia, but the numbness and tingling will soon disappear as full sensation returns.

Steven suspected that he had taken her at his word, but after the fifth day, the condition did not improve and Steven panicked and wanted another opinion. Without knowing the whole situation, my father just had the privilege of “listening” and warned me that it might be a case of paresthesia, which could be a big pitfall that dentists hope to avoid in their lifetime. My father wanted no part of it for obvious reasons. I was now on the verge of a problem. After all, Steven was my roommate’s trusted friend.

Unexplained paresthesia:

Steven is now withdrawn and depressed. He lost weight and his writing suffered. Veronica followed him to a counselor and he decided to see a psychiatrist. In fact, the disease is paresthesia. The condition was explained to Steven and the prognosis was good as he had a simple and uncomplicated anesthetic infiltration and did not suffer a complete nerve block. There were still unanswered questions. Why does this happen?

At this time, a new anesthetic was approved by the FDA for dental use in the United States. In other words, theoretically and pharmacologically, everything is the same, or according to scientists, in vitro, we can use half the amount of solution 4 % to achieve what the 2% achieved. For unknown reasons, dentists usually indicate the volume (cartridges) instead of mg/ml. (actual mg given).

As it turns out, Steven awoke on the tenth day to find the paresthesia miraculously reversed and full sensation returned to his tongue and the soft tissue around his lips. Not to mention where he went when he found that there were no more pins and needles. All treatment combinations are accompanied by an index. The lesson to be learned is that product monographs included in all drugs emphasize the meaning of the most effective dose.

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