Anatomy & Histology · single question

Some mandibular molars receive accessory innervation that can cause incomplete anesthesia after an IAN block. This accessory nerve is the:

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  1. Mylohyoid nerve
  2. Long buccal nerve
  3. Lingual nerve
  4. Auriculotemporal nerve
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Correct answer: A. Mylohyoid nerve

  • A. Correct. The MYLOHYOID nerve (a branch of V3 given off before the IAN enters the mandibular foramen) can supply accessory innervation to mandibular molars, explaining occasional block failures.
  • B. The long buccal nerve supplies the buccal soft tissue/gingiva of the molars, not the pulps as accessory supply.
  • C. The lingual nerve supplies the tongue and lingual gingiva.
  • D. The auriculotemporal nerve supplies the TMJ and temple region, not the molar pulps.

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