Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar

Objectives: This study evaluated the relationship of the lingual nerve with the adjacent anatomical structures of the mandibular third molar region, influencing the dentist to be aware of the variability of these relationships. Material and Methods: Samples of 24 human corpse half-heads were sele...

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Main Authors: Marcelo Breno Meneses Mendes, Carla Maria de Carvalho Leite Leal Nunes, Maria Cândida de Almeida Lopes
Format: Article
Language:English
Published: Stilus Optimus 2014-01-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2013/4/e2/v4n4e2ht.htm
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author Marcelo Breno Meneses Mendes
Carla Maria de Carvalho Leite Leal Nunes
Maria Cândida de Almeida Lopes
author_facet Marcelo Breno Meneses Mendes
Carla Maria de Carvalho Leite Leal Nunes
Maria Cândida de Almeida Lopes
author_sort Marcelo Breno Meneses Mendes
collection DOAJ
description Objectives: This study evaluated the relationship of the lingual nerve with the adjacent anatomical structures of the mandibular third molar region, influencing the dentist to be aware of the variability of these relationships. Material and Methods: Samples of 24 human corpse half-heads were selected and divided according with the presence or absence of the mandibular third molars. The lingual nerve (LN) was explored, showing its run from the oblique line until its crossing with the submandibular gland duct. The measurements along the LN and the adjacent anatomical structures were taken at the retromolar, molar and sublingual region with the use of a digital caliper. Results: The distance from the LN and the third molar socket, which represents the horizontal distance of the lingual plate to the nerve, on average, was 4.4 mm (SD 2.4 mm). The distance from the LN and the lingual alveolar rim, which represents the vertical relationship between the nerve and the lingual alveolar rim of the third molar socket, on average, was 16.8 mm (SD 5.7 mm). The LN has a varied topography that leaves it very vulnerable during any procedure executed in this region. Conclusions: Unless adequate protection of the lingual nerve is acquired by following an adequate surgical technique, the lingual nerve will always be vulnerable to damage during surgical intervention or manipulation in this region.
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spelling doaj.art-e68f0a86f91e4034bcd4779af92515812022-12-22T00:54:28ZengStilus OptimuseJournal of Oral Maxillofacial Research2029-283X2014-01-0144e210.5037/jomr.2013.4402Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third MolarMarcelo Breno Meneses MendesCarla Maria de Carvalho Leite Leal NunesMaria Cândida de Almeida LopesObjectives: This study evaluated the relationship of the lingual nerve with the adjacent anatomical structures of the mandibular third molar region, influencing the dentist to be aware of the variability of these relationships. Material and Methods: Samples of 24 human corpse half-heads were selected and divided according with the presence or absence of the mandibular third molars. The lingual nerve (LN) was explored, showing its run from the oblique line until its crossing with the submandibular gland duct. The measurements along the LN and the adjacent anatomical structures were taken at the retromolar, molar and sublingual region with the use of a digital caliper. Results: The distance from the LN and the third molar socket, which represents the horizontal distance of the lingual plate to the nerve, on average, was 4.4 mm (SD 2.4 mm). The distance from the LN and the lingual alveolar rim, which represents the vertical relationship between the nerve and the lingual alveolar rim of the third molar socket, on average, was 16.8 mm (SD 5.7 mm). The LN has a varied topography that leaves it very vulnerable during any procedure executed in this region. Conclusions: Unless adequate protection of the lingual nerve is acquired by following an adequate surgical technique, the lingual nerve will always be vulnerable to damage during surgical intervention or manipulation in this region.http://www.ejomr.org/JOMR/archives/2013/4/e2/v4n4e2ht.htmlingual nervelingual nerve injurythird molarparesthesia
spellingShingle Marcelo Breno Meneses Mendes
Carla Maria de Carvalho Leite Leal Nunes
Maria Cândida de Almeida Lopes
Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
eJournal of Oral Maxillofacial Research
lingual nerve
lingual nerve injury
third molar
paresthesia
title Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
title_full Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
title_fullStr Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
title_full_unstemmed Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
title_short Anatomical Relationship of Lingual Nerve to the Region of Mandibular Third Molar
title_sort anatomical relationship of lingual nerve to the region of mandibular third molar
topic lingual nerve
lingual nerve injury
third molar
paresthesia
url http://www.ejomr.org/JOMR/archives/2013/4/e2/v4n4e2ht.htm
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