Where is the Trigeminal Nerve in This Panorama X-ray?

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Dec 26, 2023
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This panorama was taken by an oral surgeon prior to an extraction to image the trigeminal nerve. But which line is it? the lower white one?

Kraus_Jurgen_20231218_082519.jpg
 
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He referred to the inferior alveolar nerve. On the x-ray it appears like a road running on both the left and right sides in the bottom jaw.
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Dec 26, 2023
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The oral surgeon claimed he had to take the panoramic X-ray before the extraction of tooth 46 in order to make sure he won't damage the trigeminal nerve...or did I get this wrong and it was another nerve?

Kraus_Jurgen_20231218_093622.jpg
 

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Dr M

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He referred to the inferior alveolar nerve. On the x-ray it appears like a road running on both the left and right sides in the bottom jaw.
 

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Solution
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In a panorama X-ray, the trigeminal nerve, responsible for facial sensation and motor control, isn't directly visible due to its deep location within the skull. While X-rays offer insights into bone structures, soft tissues like nerves are typically better visualized through MRI or CT scans, aiding in diagnosis and treatment planning.
 

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