Which nerve is near to mandibular third molar (medial aspect) and is likely to be damaged while removing 3rd molar?
**Core Concept**
The lingual nerve is a branch of the mandibular division of the trigeminal nerve that provides sensory innervation to the anterior two-thirds of the tongue. It is located near the medial aspect of the mandibular third molar, making it susceptible to injury during surgical procedures in this area.
**Why the Correct Answer is Right**
The lingual nerve is closely related to the medial aspect of the mandibular third molar, particularly its anterior surface. During surgical removal of the third molar, the lingual nerve can be inadvertently damaged due to its proximity to the surgical site. The lingual nerve runs between the medial pterygoid muscle and the lateral surface of the mandible, making it vulnerable to injury during surgical procedures in this area.
**Why Each Wrong Option is Incorrect**
**Option A:** The inferior alveolar nerve is a branch of the mandibular division of the trigeminal nerve that provides sensory innervation to the mandibular teeth and surrounding tissues. While it is located near the third molar, it is not as closely related to the medial aspect as the lingual nerve.
**Option B:** The buccal nerve is a branch of the mandibular division of the trigeminal nerve that provides sensory innervation to the buccal mucosa. It is not directly related to the medial aspect of the third molar.
**Option C:** The masseteric nerve is a branch of the mandibular division of the trigeminal nerve that provides motor innervation to the masseter muscle. It is not closely related to the medial aspect of the third molar.
**Clinical Pearl / High-Yield Fact**
The lingual nerve is more susceptible to injury during surgical procedures in the mandibular third molar area due to its proximity to the surgical site and its thin, delicate nature. To minimize the risk of lingual nerve injury, surgeons should use a nerve locator or perform a preoperative nerve block to identify the nerve's location before proceeding with surgery.
✓ Correct Answer: D. Lingual nerve