Surgical Management of Impacted Bilateral Mandibular Molars Adjacent to Inferior Alveolar Nerve to Avoid Paresthesia of Lower Lip

The extraction of impacted 3rd molar is most frequently performed surgery now-a-days as it can lead to infections, cysts, tumors, neuralgiform pain, and disturbances of occlusion, masticatory dysfunctions and myoarthropathies. Damage to inferior alveolar nerve leads to impairment of sensation in the lower lip, which is most unpleasant postoperative complication. For surgical removal of impacted mandibular molars, relative position of inferior alveolar nerve with mandibular 3rd molar is of utmost importance. There are number of positions in which inferior alveolar nerve is located in relation to impacted 3rd molar which, either in a direct contact with the 3rd molar or has no contact at all. While performing surgical procedures in the vicinity of 3rd molar, Inferior Alveolar Nerve can be damaged but with high expertise and precision the operator can spare the nerve without any injury. In this case report, we discuss about the surgical management of a case with bilateral impacted 38, 47, near the Inferior alveolar nerve to avoid paraesthesis of lip.