If you are suffering from numbness, persistent pain, or loss of taste following a dental procedure (such as wisdom tooth extraction or implant surgery), you are not alone. Our specialized clinic offers world-class microsurgical solutions for patients seeking recovery of sensation and quality of life.

Our department, led by Professor Fujita, is one of the world’s leading centers specializing in the microsurgical repair of the Lingual Nerve and Inferior Alveolar Nerve. We have provided surgical treatment to patients from across the globe.

About Professor Fujita

1. Proven Clinical Excellence (160+ Cases)

With over 25 years of experience as a Professor at Wakayama Medical University Department of Oral and maxillofacial Surgery, and North Osaka Housenka Hospital he has performed more than 160 successful microsurgical nerve repairs. This is one of the largest single-surgeon clinical databases globally.

2. Evidence-Based Success

Our surgical outcomes have been objectively analyzed and recognized in international medical literature. Notably, a meta-analysis by researchers at major U.S. universities has highlighted the high efficacy and successful recovery rates of Professor Fujita’s surgical techniques.

Reference: Meta-Analysis by researchers at major U.S. universities

3. Global Trust

We understand the anxiety involved in traveling abroad for medical care. Professor Fujita’s expertise is sought after by patients worldwide, and we have successfully treated patients from the UK, Canada, Mexico, Brazil, and Indonesia.

Important Notice for Consultation

Self-Assessment: Is Your Injury “Severe”?

• Duration: Has it been more than 6 months since your injury with no sign of improvement? Medical data suggests spontaneous healing is highly unlikely if no recovery is felt by this point.
• Failed Conservative Treatment: Have you been taking medications (Vitamin B12 or ATP) for months without change?
• Loss of Localization: When you touch the numb area, are you unable to identify the exact spot? (A clinical sign of severe nerve disruption).
• Persistent Allodynia: Do you suffer from agonizing electric-shock-like sensations or painful tingling that interferes with daily life?

Surgical Candidacy Self-Check

Step 1: Decision Flowchart

1. Has it been more than 3 months since your dental procedure?
   • NO → [Wait and See] Observation and Vitamin B12 therapy recommended.
   • YES → Proceed to next question.
2. Are your symptoms gradually improving?
   • YES → [Not a Candidate] Objective improvement or mild tingling suggests surgery is not needed.
   • NO → Proceed to next question.
3. Can you identify the exact spot being touched in the numb area?
   • YES → [Careful Evaluation Needed] Some functional continuity may exist.
   • NO → [Surgical Evaluation Recommended] Loss of Localization indicates severe disruption.

Step 2: Evaluating Your Recovery Window

Step 3: Pre-Inquiry Checklist

Before submitting your inquiry, ensure you have:

• [ ] Procedure Details: Date and type of surgery (e.g., Wisdom tooth extraction Jan 2025).
• [ ] Sensory Progress: Confirmation of no objective improvement.
• [ ] Clinical Records: Availability of X-rays, CT, MRI, or neurosensory test records (e.g., Semmes-Weinstein Test).
• [ ] Purpose: Seeking surgical evaluation for physical damage rather than psychological counseling.

Assessment Result & Next Steps

• If you meet the criteria: We recommend professional screening. Please email your objective clinical data to: fujitashigeyuki6@gmail.com
• If you do not meet the criteria: Risks may outweigh benefits. Continued monitoring by your local specialist is recommended.

Importance of Early Diagnosis

Research by Dr. Fujita indicates that earlier intervention significantly increases the odds of functional recovery. While we have successfully treated cases over 10 years old, early evaluation is strongly recommended.

While we also treat many long-term cases (even those abandoned for over 10 years), early evaluation is strongly recommended to achieve the best possible outcome.

Symptoms We Treat

Many patients are told to “wait and see,” but severe injuries often require surgery. Contact us if you experience:

• Numbness or Hypesthesia: Loss of sensation in the tongue or chin.
• Allodynia: Persistent, painful tingling or electric-shock sensations.
• Loss of Taste: Impaired ability to enjoy food (lingual neuropathy).
• Functional Issues: Frequently biting your tongue or difficulty speaking.

Treatment Process for International Patients

1. Initial Consultation: We will confirm your medical history and current symptoms via email. We will ask about your age, medical history, and current symptoms. We will ask about the time of your injury and your current symptoms.
2. Comprehensive Neurosensory Testing: Patients diagnosed with severe injuries are asked to visit our hospital, where we use the American Clinical Neurosensory Test and, in the case of lingual nerve injury, the Tinel’s sign test to accurately diagnose the severity of the injury and ultimately determine whether surgery is appropriate.
3. Surgical Plan: If surgery is required, we use microsurgical nerve repair (e.g., direct suture or nerve conduit) under general anesthesia.
4. Short Hospital Stay:Typically, patients only need to stay for about 10 days, from the first day before surgery until the stitches are removed.
5. Recovery Support:Long-term follow-up and guidance on sensory rehabilitation is usually provided for at least three years.

Accommodation Guide & Clinical Access

Hospital Location: Ibaraki City, Osaka.

Access:

• By Train: From Kansai International Airport (KIX), take the Airport Express “Haruka” to JR Shin-Osaka Station (50 mins). Transfer to JR Kyoto Line to JR Ibaraki Station (10 mins) → Taxi.
• By Bus: Direct limousine bus from KIX to JR Ibaraki Station (80 mins).

Stay: The area around JR Ibaraki Station is most convenient, with several hotels, supermarkets, and pharmacies within walking distance.

Frequently Asked Questions (FAQ)