Rida Youness

and 3 more

Effect of Acupuncture Treatment on a Patient With Lower Lip NumbnessDr. Rida YounessDepartment of oral medicine at the faculty of Dentistry, Damascus University, Damascus, [email protected]. Dr. Abeer AljoujouDepartment of oral medicine at the faculty of Dentistry, Damascus University, Damascus, [email protected]. Dr. med. Lei LiHead of Maxillofacial Surgery/plastic operations department in klinikum Oldenburg, [email protected]. Haya Al Jabban (corresponding author)DDS, Damascus university, Damascus, [email protected]:Background: acupuncture is a form of alternative medicine involving the insertion of fine needles into the skin in order to stimulate certain energy lines associated with different areas of the body. It has been used for many conditions, but it is best known for relieving pain, loosening muscles and reducing nausea.Case presentation: the patient presented with a complaint that she can’t feel her lower lip anymore after extracting a lower third molar 8 years ago. Acupuncture treatment was applied alongside with manual stimulation.Conclusion: acupuncture treatment was done properly along with the patient’s cooperation which led to a full return of the sensation.Keywords: acupuncture , numbness , acupoints.Introduction:Acupuncture is a form of alternative medicine involving the insertion of fine needles into the skin in order to stimulate certain energy lines associated with different areas of the body. It has been used for many conditions, but it is best known for relieving pain, loosening muscles and reducing nausea [1].Acupuncture may aid in the management of musculoskeletal problems, headaches and migraines, gagging, sinusitis, dry mouth, dental anxiety and pain management.[2]Generally speaking, there are two kinds of acupuncture — manual acupuncture (MA) and electroacupuncture (EA). When we talk about acupuncture analgesia,both methods are involved. In MA, the acupuncture needles are inserted through the skin at the acupoint and then moved up and down in different directions to induce strong mechanical stimulation of the acupoint. Sensations of soreness, numbness, fullness, or heaviness called De qi or Te qi can be felt by clinicians and patients, and this phenomenon is considered the hallmark of activatedacupoints [3]. It has been shown that local anesthesia at acupoints can block these sensations and prevent acupuncture-induced analgesia [4].Mandibular third molars (MM3s) are responsible for pericoronitis, primary and/or secondary crowding of the dentition, odontogenic tumors and cysts, periodontal defects associated with the posterior part of mandibular second molars.The surgical extraction of these molars may damage the nerve and cause hypoesthesia of the lower lip which is one of the most unpleasant post – operative complication. [5,6]Altered sensation in the lower lip associated with third molar removal occurs in approximately 4 per 1000 patients (3.9%) in the early postoperative period. [7,8]Case Presentation:A female patient (43 years old) presented at the oral medicine department in Damascus university faculty of dentistry with a complaint that her lower lip has been numb for the past 8 years ago after extracting a lower third molar. The patient was treated medically with vitamin B complex pills without any progress regarding her numbness.The patient had a full neurological examination, in addition to an oral examination.Acupuncture treatment was discussed with the patient and chosen with a total of six sessions and a duration of 30 minutes for each session and a session each 5 days. A written consent form was signed by the patient before starting the treatment.Acupuncture treatment was administrated using a sterile stainless-steel needle (0.30 x 40 mm) (HUANQIU) figure [1a,1b], in 12 local points. The points chosen were considered the most effective points that can stimulate the trigeminal and facial nerve.[9]