<s>[INST] I am a 59 year old female with diabetes and several health issues. About 2 months ago I had a bottom tooth on the right to abcess. In a day my lower right lip and chin became numb. I was put on Kflex and the tooth was pulled about a month ago. The lower right lip is still very painful tingly and itchy as well as the chin. Often I have severe shooting pain this that area. What could be the problem? [/INST] healing in diabetes is usually very slow, and you need to first get your blood sugar level checked and then get it under control. shooting pain could be due to two reasons- 1 ,. the blood clot in the extraction socket has disintegrated and in this case the condition known as dry socket and it causes pain on even air inspiration. go to a dentist and get a sedative dressing of zinc oxide eugenol . 2 . there could be some nerve involvement while extraction, which is troubling you since . </s>