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Oral Anatomy & Histology

Mandibular Nerve Branches: Lingual, IAN, Auriculotemporal - Clinical Blocks

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Mandibular Nerve Branches: Lingual, IAN, Auriculotemporal - Clinical Blocks covers everything examiners typically test under Oral Anatomy & Histology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

Branch (division)CourseSuppliesClinical Block
Lingual nerveRuns anteroinferior to IAN, crosses lateral to submandibular duct (below-then-above), enters tongue deep to mylohyoidGeneral sensation ant 2/3 tongue, lingual gingiva; chorda tympani (facial) joins for taste + submandibular/sublingual secretomotorInjury in 3rd molar surgery = taste + sensory loss ant 2/3 tongue
Inferior alveolar nerve (IAN)Enters mandibular foramen (lingula), runs in mandibular canal, exits as mental + incisive nerveMandibular teeth, mental/lower lip skin via mental nerveIAN block: needle 6-10mm above occlusal plane, deposit near lingula
Auriculotemporal nerveTwo roots encircle middle meningeal artery, passes behind TMJ, ascends with superficial temporal vesselsTMJ, external ear, parotid (secretomotor from otic ganglion, postsynaptic fibers of IX via lesser petrosal)Frey's syndrome = aberrant reinnervation of sweat glands after parotid injury (gustatory sweating)
Buccal nerve (long buccal)Passes between two heads of lateral pterygoidBuccal mucosa & skin of cheek (NOT buccinator muscle - that's facial nerve)Buccal infiltration for extraction of mandibular molars
Mylohyoid nerveBranch of IAN before it enters canal, runs in mylohyoid grooveMylohyoid + anterior belly digastric (motor - only motor branch of V3 besides muscles of mastication)Accessory innervation - explains LA failure in some IAN blocks
Mnemonic (V3 branches): "My Aunt Lingers, Inferior But Meaner" = Mylohyoid, Auriculotemporal, Lingual, IAN, Buccal, Masseteric/muscular, mental.
HY: Lingual nerve lies closest to lingual plate at 3rd molar region - most common nerve injured in impaction surgery. Chorda tympani carries taste + parasympathetic fibers, NOT part of true V3 anatomically but travels with lingual nerve distally.
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