The nerve that may get injured during removal of third molar is : March 2009
## **Core Concept**
The question tests knowledge of the anatomical relationship between the nerves in the jaw and the third molar (wisdom tooth), specifically focusing on the risk of nerve injury during surgical removal of the third molar. The inferior alveolar nerve and the lingual nerve are at risk due to their proximity to the third molar.
## **Why the Correct Answer is Right**
The **inferior alveolar nerve (IAN)**, also known as the inferior dental nerve, runs within the mandibular canal of the lower jawbone. It provides sensation to the lower teeth and surrounding gum. The IAN is closely related to the roots of the third molar and can be at risk of injury during surgical extraction. The close anatomical relationship between the IAN and the third molar roots makes it susceptible to damage during procedures like wisdom tooth removal.
## **Why Each Wrong Option is Incorrect**
- **Option A:** The **oculomotor nerve** is not related to the dental or jaw anatomy in a way that would put it at risk during third molar removal. It controls eye movements and is not in the vicinity of the surgical site for wisdom tooth extraction.
- **Option B:** The **lingual nerve** does have a close relationship with the surgical site for third molar extraction and can be at risk, but it is generally not as directly involved or as commonly associated with the risk of injury as the inferior alveolar nerve. However, it can provide taste to the anterior two-thirds of the tongue and sensation to the tongue's surface.
- **Option D:** The **superior alveolar nerve** provides sensation to the upper teeth and is not related to the surgical site for lower third molar extraction.
## **Clinical Pearl / High-Yield Fact**
A key clinical consideration during third molar surgery is the risk of nerve injury, particularly to the **inferior alveolar nerve** and **lingual nerve**. Patients should be informed about this risk, and surgeons often use radiographic imaging to assess the anatomical relationship between the nerve and the third molar before surgery.
## **Correct Answer:** . Inferior alveolar nerve.