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The mandibular nerve immediately passes between tensor veli palatini, which is medial, and lateral pterygoid, which is lateral, and gives off a meningeal branch (nervus spinosus) and the nerve to medial pterygoid from its medial side. The nerve then divides into a small anterior division and a large posterior division.
The lateral pterygoid muscle, auriculotemporal nerve, and the maxillary artery and maxillary vein are situated laterally to the SML (the vessels and nerve coursing betwixt the SML, and the neck of the mandibular condyle [1] [3]). [1] The chorda tympani nerve is situated medially to the SML [1] near its upper end. [citation needed]
The lingual nerve supplies general somatic afferent (i.e. general sensory) innervation to the mucous membrane of the anterior two-thirds of the tongue (i.e. body of tongue) (whereas the posterior one-third (i.e. root of tongue) is innervated via the glossopharyngeal nerve (CN IX) [citation needed]), the floor of the oral cavity, and the mandibular/inferior lingual gingiva.
The mandibular nerve gives off four nerves to the four muscles of mastication in the infratemporal fossa. These are the masseteric nerve to masseter muscle, the deep temporal nerve to temporalis muscle, the lateral pterygoid nerve to lateral pterygoid muscle, and the medial pterygoid nerve to medial pterygoid muscle.
The tensor veli palatini muscle receives motor innervation from the mandibular nerve (CN V 3) (a branch of the trigeminal nerve (CN V)) [2] via the nerve to medial pterygoid. [1] It is the only muscle of the palate not innervated by the pharyngeal plexus, which is formed by the vagal and glossopharyngeal nerves. [citation needed]
Inferior head: lateral pterygoid plate of sphenoid bone Mandible; temporo-mandibular joint Medial pterygoid: Elevates, protracts, laterally moves mandible (closes mouth; pushes lower jaw out/forward; moves lower jaw side-to-side) Deep head: medial surface of lateral pterygoid plate and palatine bone. Superficial head: tuberosity of maxilla
The pterygomandibular space lies between the lateral surface of medial pterygoid and the medial surface of the mandibular ramus. The four compartents of the right masticator space. A Temporalis muscle, B Masseter muscle, C Lateral pterygoid muscle, D Medial ptaerygoid muscle, E Superficial temporal space, F Deep temporal space, G Submasseteric ...
The risk of nerve injury in relation to mandibular dental implants is not known but it is a recognised risk requiring the patient to be warned. [10] If an injury occurs urgent treatment is required. The risk nerve injury in relation deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent.