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The mandibular nerve immediately passes between tensor veli palatini, which is medial, and lateral pterygoid, which is lateral, and gives off a meningeal branch (nervus spinosus) and the nerve to medial pterygoid from its medial side. The nerve then divides into a small anterior division and a large posterior division.
Thus the facial artery can be used as an important landmark in locating the marginal mandibular nerve during surgical procedures. [2] Damage can cause paralysis of the three muscles it supplies, which can cause an asymmetrical smile due to lack of contraction of the depressor labii inferioris muscle . [ 3 ]
The auriculotemporal nerve is a sensory branch of the mandibular nerve (CN V 3) that runs with the superficial temporal artery and vein, and provides sensory innervation to parts of the external ear, scalp, and temporomandibular joint. The nerve also conveys post-ganglionic parasympathetic fibres from the otic ganglion to the parotid gland. [1]
The mandibular nerve (V 3) carries sensory information from the lower lip, the lower teeth and gums, the chin and jaw (except the angle of the jaw, which is supplied by C2-C3), parts of the external ear and parts of the meninges. The mandibular nerve carries touch-position and pain-temperature sensations from the mouth.
The risk of nerve injury in relation to mandibular dental implants is not known but it is a recognised risk requiring the patient to be warned. [10] If an injury occurs urgent treatment is required. The risk nerve injury in relation deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent.
Unlike most of the other facial muscles, which are innervated by the facial nerve (or CN VII), the muscles of mastication are innervated by the trigeminal nerve (or CN V). More specifically, they are innervated by the mandibular branch, or V 3. The mandibular nerve is both sensory and motor.
The inferior alveolar nerve descends between the sphenomandibular ligament and the ramus of the mandible to gain access to the mandibular foramen. The sphenomandibular ligament, because of its attachment to the lingula, overlaps the opening of the foramen. It is a vestige of the embryonic lower jaw, Meckel cartilage.
The mental nerve is a branch of the posterior trunk of the inferior alveolar nerve. This is a branch of the mandibular nerve (CN V 3), itself a branch of the trigeminal nerve (CN V). [1] It emerges from the mental foramen in the mandible. [2] It divides into three branches beneath the depressor anguli oris muscle.