Mental nerve | |
---|---|
Details | |
From | inferior alveolar nerve |
Innervates | chin, lower lip |
Identifiers | |
Latin | nervus mentalis |
TA98 | A14.2.01.094 |
TA2 | 6279 |
FMA | 53250 |
Anatomical terms of neuroanatomy |
The mental nerve is a sensory nerve of the face. It is a branch of the posterior trunk of the inferior alveolar nerve, itself a branch of the mandibular nerve (CN V3), itself a branch of the trigeminal nerve (CN V). It provides sensation to the front of the chin and the lower lip, as well as the gums of the anterior mandibular (lower) teeth. It can be blocked with local anaesthesia for procedures on the chin, lower lip, and mucous membrane of the inner cheek. Problems with the nerve cause chin numbness.
The mental nerve is a branch of the posterior trunk of the inferior alveolar nerve. This is a branch of the mandibular nerve (CN V3), itself a branch of the trigeminal nerve (CN V). [1] It emerges from the mental foramen in the mandible. [2] It divides into three branches beneath the depressor anguli oris muscle. One branch descends to the skin of the chin. Two branches ascend to the skin and mucous membrane of the lower lip. These branches communicate freely with the facial nerve.
The mental nerve provides sensation to the front of the chin and the lower lip. It also provides sensation to some of the gums of the anterior mandibular (lower) teeth.
The mental nerve can be blocked with local anesthesia. This can be used in surgery of the chin, the lower lip, and the buccal mucosa from midline to the second premolar. In animals, it can be used in surgery of the lower lip, [2] and lower teeth anterior to the site of administration. [3] Local anesthetic is injected into the soft tissue surrounding the mental foramen, or more rarely into the mental foramen itself (although this can cause damage). [3]
Problems with the mental nerve can cause numbness over the chin. [1] This can be caused by many different illnesses. [1]
When the mental nerve is stimulated with electricity, muscles that close the jaw (particularly temporalis muscle and masseter muscle) are inhibited. [4] This is a brainstem reflex. [4]
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.
In neuroanatomy, the trigeminal nerve (lit. triplet nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name ("trigeminal", from Latin tri- 'three', and -geminus 'twin') derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it.
The glossopharyngeal nerve, also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior to the vagus nerve. Being a mixed nerve (sensorimotor), it carries afferent sensory and efferent motor information. The motor division of the glossopharyngeal nerve is derived from the basal plate of the embryonic medulla oblongata, whereas the sensory division originates from the cranial neural crest.
In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.
The mandibular foramen is an opening on the internal surface of the ramus of the mandible. It allows for divisions of the mandibular nerve and blood vessels to pass through.
The inferior alveolar nerve(IAN) (also the inferior dental nerve) is a branch of the mandibular nerve, which is itself the third branch of the trigeminal nerve. The inferior alveolar nerves supply sensation to the lower teeth.
The depressor labii inferioris is a facial muscle. It helps to lower the bottom lip.
The ophthalmic nerve (V1) is a sensory nerve of the face. It is one of three divisions of the trigeminal nerve (CN V). It has three branches that provide sensory innervation to the eye, the skin of the upper face, and the skin of the anterior scalp.
The mental foramen is one of two foramina (openings) located on the anterior surface of the mandible. It is part of the mandibular canal. It transmits the terminal branches of the inferior alveolar nerve and the mental vessels.
The zygomatic nerve is a branch of the maxillary nerve, itself a branch of the trigeminal nerve. It travels through the orbit and divides into the zygomaticotemporal and the zygomaticofacial nerve. It provides sensory supply to skin over the zygomatic bone and the temporal bone. It also carries postganglionic parasympathetic axons to the lacrimal gland. It may be blocked by anaesthetising the maxillary nerve.
The anterior ethmoidal nerve is a nerve of the nose. It is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve (V1). It provides sensory innervation to some structures around the nasal cavity.
The mylohyoid nerve is a nerve of the head. It is a branch of the inferior alveolar nerve. It supplies the mylohyoid muscle, and the anterior belly of the digastric muscle. It may also supply mandibular (lower) molar teeth, requiring local anaesthesia for some oral procedures.
In the human mouth, the incisive foramen is the opening of the incisive canals on the hard palate immediately behind the incisor teeth. It gives passage to blood vessels and nerves. The incisive foramen is situated within the incisive fossa of the maxilla.
The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.
The posterior ethmoidal nerve is a nerve of the orbit around the eye. It is a branch of the nasociliary nerve from the ophthalmic nerve (CN V1). It supplies sensation to the sphenoid sinus, the ethmoid sinus, and part of the dura mater in the anterior cranial fossa.
The infraorbital nerve is a branch of the maxillary nerve, itself a branch of the trigeminal nerve. It travels through the orbit and enters the infraorbital canal to exit onto the face through the infraorbital foramen. It provides sensory innervation to the skin and mucous membranes around the middle of the face.
The marginal mandibular branch of the facial nerve passes forward beneath the platysma and depressor anguli oris, supplying the muscles of the lower lip and chin, and communicating with the mental branch of the inferior alveolar nerve.
The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve. It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle. Its occipital branch supplies the occipitalis muscle.
Inferior alveolar nerve block is a nerve block technique which induces anesthesia (numbness) in the areas of the mouth and face innervated by one of the inferior alveolar nerves which are paired on the left and right side. These areas are the skin and mucous membranes of the lower lip, the skin of the chin, the lower teeth and the labial gingiva of the anterior teeth, all unilaterally to the midline of the side on which the block is administered. However, depending on technique, the long buccal nerve may not be anesthetized by an IANB and therefore an area of buccal gingiva adjacent to the lower posterior teeth will retain normal sensation unless that nerve is anesthetized separately, via a (long) buccal nerve block. The inferior alveolar nerve is a branch of the mandibular nerve, the third division of the trigeminal nerve. This procedure attempts to anaesthetise the inferior alveolar nerve prior to it entering the mandibular foramen on the medial surface of the mandibular ramus.
In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone of the skull. It is connected to the temporal bones by the temporomandibular joints.
This article incorporates text in the public domain from page 897 of the 20th edition of Gray's Anatomy (1918)