Knowledge (XXG)

Lingual nerve

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Warning patients of nerve injury prior to administration of deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent. Preoperative warning about these injuries is routinely undertaken in the US and Germany. This reflects good practice recommended by
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Any injury to sensory nerves can result in pain, altered sensation and/or numbness, but usually a combination of all three symptoms arises. This can have a significant negative effect on the patient's quality of life affecting their daily function and psychological health.
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Patients should be routinely warned about lingual nerve injuries prior to wisdom tooth and floor of mouth surgery. The risk associated with wisdom tooth surgery is commonly accepted to be 2% temporary and 0.2% permanent.
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J Oral Maxillofac Surg. 1995 Oct;53(10):1178-81. The relationship of the lingual nerve to the mandibular third molar region: an anatomic study. Pogrel MA1, Renaut A, Schmidt B, Ammar A.
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Eur J Dent Educ. 1999 May;3(2):52-5.The effect of surgical technique on lingual nerve damage during lower 3rd molar removal by dental students.Robinson PP, Loescher AR, Smith KG.
2044: 186:(CN VII). The fibres from the trigeminal nerve are for touch, pain and temperature (general sensation), and the ones from the facial nerve are for taste (special sensation). 503: 2039: 1968: 1823: 1803: 431: 1808: 1409: 142: 1986: 1813: 1760: 1755: 246:, eventually meeting the mandible at the junction of the ramus and body of mandible. Here, the lingual nerve is anterior and somewhat medial (deep) to the 720:
Br Dent J. 1996 Jun 22;180(12):456-61. Lingual nerve damage during lower third molar removal: a comparison of two surgical methods. Robinson PP1, Smith KG
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The mouth cavity. The apex of the tongue is turned upward, and on the right side a superficial dissection of its under surface has been made.
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the Royal College of Anaesthetists (prior warning of potential nerve injury in relation to spinal and epidural blocks 1 on 24–57,000 risk).
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of the anterior two-thirds of the tongue (i.e. body of tongue) (whereas the posterior one-third (i.e. root of tongue) is innervated via the
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J Am Dent Assoc. 2011 Sep;142 Suppl 3:19S-24S. The use of the mandibular infiltration anesthetic technique in adults. Meechan JG.
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Infiltration dentistry is a technique that may reduce the possibility of lingual nerve injuries by avoiding deep injections.
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Avoiding lingual access when undertaking wisdom tooth surgery will also avoid unnecessary lingual nerve injury
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carries sensory innervation from the anterior two-thirds of the tongue. It contains fibres from both the
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Infratemporal fossa. Lingual and inferior alveolar nerve. Deep dissection. Anterolateral view
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Knowledge (XXG) articles incorporating text from the 20th edition of Gray's Anatomy (1918)
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Plan of the facial and intermediate nerves and their communication with other nerves.
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Sympathetic connections of the submaxillary and superior cervical ganglia.
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Grays Clinical Neuroanatomy: The Anatomic Basis for Clinical Neuroscience
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Mandibular division of trifacial nerve, seen from the middle line.
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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Mancall, Elliott L.; Brock, David G.; Gray, Henry, eds. (2011).
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The most common cause of lingual nerve injuries is third molar (
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Br Dent J. 2013 Oct;215(8):393-9. doi: 10.1038/sj.bdj.2013.993.
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is suspended by two nerve filaments from the lingual nerve.
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It crosses obliquely to the side of the tongue beneath the
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Mandibular nerve and bone. Deep dissection. Anterior view.
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Mandible of human embryo 24 mm. long. Outer aspect.
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Hypoglossal nerve, cervical plexus, and their branches.
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The nerve then comes to pass inferoanteriorly upon the
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at Human Anatomy Online, SUNY Downstate Medical Center
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The lingual nerve also comes to convey fibres of the
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The lingual nerve arises from the posterior trunk of
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Elsevier. Archived from 2201:Innervation of the tongue 1969:Superior cervical cardiac 1662:Superior salivary nucleus 1415:spinal trigeminal nucleus 1065:to muscles of mastication 652:Royal College of Surgeons 148: 46: 26: 2102:spinal accessory nucleus 1542:pterygopalatine ganglion 1333:Edinger–Westphal nucleus 1008:middle superior alveolar 743:Anatomy figure: 27:03-05 295:general somatic afferent 221:lateral pterygoid muscle 1484:no significant branches 1386:no significant branches 1226:no significant branches 1075:to tensor veli palatini 261:, and then between the 248:inferior alveolar nerve 240:medial pterygoid muscle 233:inferior alveolar nerve 1804:Stylopharyngeal branch 1564:submandibular ganglion 1549:Nerve to the stapedius 1130:submandibular ganglion 346:Lingual nerve injuries 278:submandibular ganglion 201:mandibular nerve (CN V 176:trigeminal nerve (CN V 973:pterygopalatine fossa 341:Clinical significance 327:facial nerve (CN VII) 265:and deep part of the 1652:Facial motor nucleus 1348:parasympathetic root 1040:middle cranial fossa 954:middle cranial fossa 305:), the floor of the 223:and superior to the 33:Distribution of the 1964:Recurrent laryngeal 1809:Pharyngeal branches 1587:Posterior auricular 1435:trigeminal ganglion 890:posterior ethmoidal 610:on 15 February 2022 267:submandibular gland 209:infratemporal fossa 172:mandibular division 1947:Superior laryngeal 1814:Tonsillar branches 1512:Intermediate nerve 1328:oculomotor nucleus 1106:posterior division 986:zygomaticotemporal 895:anterior ethmoidal 2151: 2150: 2079: 2078: 2045:Posterior gastric 1940:pharyngeal plexus 1935:Pharyngeal branch 1858: 1857: 1722:Scarpa's ganglion 1710:lateral lemniscus 1705:striae medullares 1688:vestibular nuclei 1676:Vestibulocochlear 1670: 1669: 1161: 1160: 1157: 1156: 1137:inferior alveolar 1080:lateral pterygoid 1057:anterior division 1023: 1022: 937: 936: 570:978-1-4160-4705-6 388:Additional images 244:ramus of mandible 164: 163: 159: 39:mandibular nerves 2208: 2196:Gustatory system 2191:Mandibular nerve 2168: 2167: 2159: 2097:nucleus ambiguus 2071:Solitary nucleus 2061:Nucleus ambiguus 2040:Anterior gastric 1987:Inferior cardiac 1917:Auricular branch 1912:Meningeal branch 1870: 1850:Solitary nucleus 1840:Nucleus ambiguus 1819:Lingual branches 1740: 1734:Glossopharyngeal 1657:Solitary nucleus 1537:Greater petrosal 1502: 1352:ciliary ganglion 1188: 1181: 1174: 1165: 1113:auriculotemporal 1071:medial pterygoid 1035: 991:zygomaticofacial 962:middle meningeal 949: 912:ciliary ganglion 845: 831:trigeminal nerve 823: 816: 809: 800: 795: 730: 727: 721: 718: 712: 709: 703: 700: 694: 693: 691: 690: 684: 678:. 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189: 187: 185: 182:and from the 181: 173: 169: 168:lingual nerve 157: 151: 147: 144: 141: 139: 135: 132: 129: 127: 123: 120: 117: 115: 111: 108: 105: 103: 99: 96: 93: 91: 87: 82: 79: 76: 72: 69: 66: 62: 57: 50: 45: 40: 36: 30: 25: 22:Lingual nerve 20: 1577:stylomastoid 1558: 1529:facial canal 1483: 1385: 1299:optic chiasm 1225: 1124: 1063: 998:infraorbital 880:long ciliary 862:supraorbital 792:the original 787: 774: 762: 751: 725: 716: 707: 698: 687:. Retrieved 680:the original 667: 655:. Retrieved 651: 638: 612:. Retrieved 605:the original 600: 588: 579: 560: 538: 524: 518: 371: 368: 364: 360: 356: 352:wisdom tooth 349: 320: 292: 284:Distribution 275: 259:styloglossus 252: 237: 218: 198: 184:facial nerve 167: 165: 119:A14.2.01.081 94: 2124:Hypoglossal 1505:Near origin 1304:optic tract 872:nasociliary 335:sympathetic 307:oral cavity 207:within the 84:Identifiers 2180:Categories 1717:Vestibular 1629:mandibular 1602:stylohyoid 1592:Suprahyoid 1517:Geniculate 1455:mandibular 1445:ophthalmic 1398:Trigeminal 1316:Oculomotor 1085:masseteric 1029:mandibular 839:ophthalmic 689:2014-04-15 515:References 263:hyoglossus 74:Innervates 2137:Branches 2085:Accessory 2005:posterior 1992:Pulmonary 1678:(CN VIII) 1619:zygomatic 1597:digastric 1480:Branches 1450:maxillary 1441:Branches 1382:Branches 1369:Trochlear 1339:Branches 1238:Olfactory 1142:mylohyoid 1048:meningeal 981:zygomatic 943:maxillary 643:sitecore\ 190:Structure 35:maxillary 2126:(CN XII) 2000:anterior 1957:internal 1952:external 1891:inferior 1886:superior 1882:Ganglia 1782:Tympanic 1761:inferior 1756:superior 1752:Ganglia 1634:cervical 1614:temporal 1498:(CN VII) 1467:Abducens 1357:inferior 1343:superior 1318:(CN III) 1204:Terminal 924:lacrimal 657:20 April 624:cite web 531:page 895 376:See also 2170:Anatomy 2141:lingual 2133:Nucleus 2109:Cranial 2093:Nuclei 2087:(CN XI) 2035:Hepatic 2017:Abdomen 1873:Before 1743:Before 1736:(CN IX) 1684:Nuclei 1579:foramen 1476:Nucleus 1469:(CN VI) 1431:Course 1406:Nuclei 1378:Nucleus 1371:(CN IV) 1324:Nuclei 1295:Course 1285:Nuclei 1279:(CN II) 1256:Course 1246:Nuclei 1222:Course 1212:Nuclei 1125:lingual 849:frontal 759:lesson4 614:30 June 311:gingiva 174:of the 107:D008036 59:Details 2156:Portal 2114:Spinal 2054:Nuclei 2025:Celiac 1979:Thorax 1902:After 1866:(CN X) 1833:Nuclei 1772:After 1645:Nuclei 1624:buccal 1526:Inside 1496:Facial 1400:(CN V) 1240:(CN I) 1206:(CN 0) 1147:mental 1097:buccal 567:  539:(1918) 215:Course 195:Origin 78:Tongue 2030:Renal 1864:Vagus 1277:Optic 683:(PDF) 676:(PDF) 608:(PDF) 597:(PDF) 529:from 154:[ 143:53218 90:Latin 1927:Neck 1194:The 1031:(V3) 945:(V2) 841:(V1) 829:The 659:2018 630:link 616:2022 565:ISBN 333:and 276:The 257:and 166:The 131:6267 114:TA98 102:MeSH 64:From 37:and 1575:At 1425:TMN 1410:PSN 1350:of 1038:in 971:in 952:in 138:FMA 126:TA2 2182:: 1420:MN 786:. 650:. 646:. 626:}} 622:{{ 599:. 547:^ 313:. 273:. 250:. 235:. 211:. 2158:: 1187:e 1180:t 1173:v 1073:/ 822:e 815:t 808:v 779:) 776:V 767:) 692:. 661:. 632:) 618:. 573:. 205:) 203:3 180:) 178:3 158:]

Index


maxillary
mandibular nerves

Mandibular nerve
Tongue
Latin
MeSH
D008036
TA98
A14.2.01.081
TA2
6267
FMA
53218
Anatomical terms of neuroanatomy
edit on Wikidata
mandibular division
trigeminal nerve (CN V3)
facial nerve
mandibular nerve (CN V3)
infratemporal fossa
lateral pterygoid muscle
tensor veli palatini muscle
chorda tympani
inferior alveolar nerve
medial pterygoid muscle
ramus of mandible
inferior alveolar nerve
constrictor pharyngis superior

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