A member asked:

Can periapical xrays show location of the lingual nerve in relation to the lower wisdom teeth? are they ever used in planning wisdom tooth extraction?

8 doctors weighed in across 3 answers
Dr. Charles Lockhart answered

Specializes in Dentistry

Sometimes: A panoramic full face Xray would be preferable with a full cadcam evaluation as the penultimate diagnostic aid

Answered 11/4/2014

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Dr. Paul Grin answered

Specializes in Pain Management

Lingual nerves: cannot be seen on a regular X-ray. They can be seen on CAT scan or MRI. But you can see the wisdom tooth position in relation to the mandibular canal assessing the risk of injury of the inferior alveolar nerve.

Answered 11/4/2014

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Dr. Theodore Davantzis answered

Specializes in Dentistry

No and no: The lingual nerve runs in the soft tissue and would not show up on a periapical or a panorex. A panorex is usually used to visualize the jaw, sinuses, and wisdom teeth, and their relationship to the inferior alveolar nerve.

Answered 11/6/2014

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