Anatomy & Histology · patient case question

What provides the innervation of the mandibular posterior teeth?

Patient case: Radiographic interpretation, discoloration and denture assessment

Scenario: Five items.

  1. The lingual nerve
  2. The buccal (long buccal) nerve
  3. The mylohyoid nerve
  4. The inferior alveolar nerve
Show answer and explanation

Correct answer: D. The inferior alveolar nerve

  • A. The lingual nerve carries general sensation from the anterior two-thirds of the tongue, the floor of the mouth and the lingual gingiva — not pulpal sensation.
  • B. The buccal nerve supplies the buccal soft tissue of the mandibular molars only, which is why a separate injection is needed for soft tissue there.
  • C. The mylohyoid nerve is chiefly motor to mylohyoid and the anterior belly of digastric, though accessory innervation from it is one explanation for failed inferior alveolar blocks.
  • D. Correct. The inferior alveolar nerve, a branch of V3, runs in the mandibular canal and supplies the pulps of all mandibular teeth through its dental branches.

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