ObjectivesThis study evaluated the relationship of the lingual
nerve with the adjacent anatomical structures of the mandibular third molar region,
influencing the dentist to be aware of the variability of these relationships.Material and MethodsSamples of 24 human corpse half-heads
were selected and divided according with the presence or absence of the mandibular
third molars. The lingual nerve (LN) was explored, showing its run from the oblique
line until its crossing with the submandibular gland duct. The measurements along
the LN and the adjacent anatomical structures were taken at the retromolar, molar
and sublingual region with the use of a digital caliper.ResultsThe distance from the LN and the third molar socket,
which represents the horizontal distance of the lingual plate to the nerve, on average,
was 4.4 mm (SD 2.4 mm). The distance from the LN and the lingual alveolar rim, which
represents the vertical relationship between the nerve and the lingual alveolar
rim of the third molar socket, on average, was 16.8 mm (SD 5.7 mm). The LN has a
varied topography that leaves it very vulnerable during any procedure executed in
this region.ConclusionsUnless adequate protection of the lingual nerve
is acquired by following an adequate surgical technique, the lingual nerve will
always be vulnerable to damage during surgical intervention or manipulation in this
region.