PDF: Inferior Alveolar Nerve Anatomy: Clinical Relevance and Risk Management in Dental Procedures



The inferior alveolar nerve (IAN) is a critical sensory branch of the mandibular division of the trigeminal nerve, responsible for innervating the mandibular teeth, supporting bone structures, vestibular gingiva, and the soft tissues of the lower lip and chin.

Due to its anatomical course within the mandibular canal and its close relationship with dental and skeletal structures, the IAN is particularly vulnerable during a wide range of dental and maxillofacial procedures.


Reported prevalence rates of inferior alveolar nerve injury range from 0.53% to 8.4%, highlighting its significant clinical relevance in everyday practice.

A comprehensive understanding of the typical anatomy of the inferior alveolar nerve, as well as its anatomical variations, is essential for reducing iatrogenic complications associated with local anesthesia, dental implant placement, third molar surgery, endodontic procedures, orthognathic surgery, and mandibular trauma.


Variations in the morphology and course of the mandibular canal, including bifid or accessory nerve branches, can directly influence anesthetic success, surgical planning, and postoperative neurosensory outcomes.

This review analyzes the most relevant anatomical features of the inferior alveolar nerve and explores their direct clinical implications, emphasizing the importance of precise anatomical knowledge, radiographic interpretation, and risk assessment to enhance patient safety and optimize clinical outcomes in contemporary dental practice.

👉 To explore the complete anatomical analysis, clinical correlations, and evidence-based conclusions, we invite you to read the full article available in PDF format.

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