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Iatrogenic displacement of teeth during extraction is a rare but significant complication. [1][2][3][4][5][6][7][8][9][10] When it does occur, it is more often associated with the displacement of third permanent molars into fascial spaces. 11 We present a rare case of a 30-year-old female patient who presented to our department with significant intraosseous displacement of a mandibular premolar root during attempted extraction, resulting in paraesthesia. We believe this to be the first such case described in the literature.

HighlightsIncidence of permanent IAN damage ranges from 0.35% to 8.4%.Timely, accurate pre-operative visualisation of nerve is paramount in a safe clinical practice and reduces the risk of unnecessary litigations.CT imaging has better sensitivity and specificity in demonstrating nerve and tooth relationships compared to plain film radiographs.