{"id":9230,"date":"2026-02-25T00:03:04","date_gmt":"2026-02-25T08:03:04","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=9230"},"modified":"2026-06-30T14:19:02","modified_gmt":"2026-06-30T22:19:02","slug":"usmle-step-1-question-of-the-day-lower-teeth-sensation","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation","title":{"rendered":"USMLE\u00ae Step 1 Question of the Day:\u00a0Lower teeth sensation"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\" >The correct answer to today\u2019s USMLE\u00ae Step 1 Question is\u2026<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#Main_Explanation\" >Main Explanation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#Major_Takeaway\" >Major Takeaway&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today\u2019s USMLE\u00ae Step 1 question of the day features a 21-year-old woman who reports limited sensation in her lower teeth and chin after having oral surgery. What&#8217;s the most likely diagnosis? Let&#8217;s find out!<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>21-year-old woman<\/strong> presents to her <strong>maxillofacial surgeon<\/strong> for <strong>follow-up<\/strong> after having her <strong>lower third molars removed<\/strong> one week ago. The patient states since the surgery, she has had <strong>limited sensation over her lower teeth<\/strong> and accidentally <strong>bit the inside of her cheek<\/strong>. <strong>Vital signs are within normal limits<\/strong>. <strong>Physical examination<\/strong> demonstrates <strong>diminished sensation over the lower teeth and chin<\/strong>. <strong>Oral examination<\/strong> demonstrates <strong>normal healing of the extraction sites<\/strong>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Which of the following nerves is most likely injured given this patient\u2019s presentation?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Superior alveolar nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Inferior alveolar nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Infraorbital nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Mental nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Zygomatic nerve<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\"><\/span>The correct answer to today\u2019s USMLE\u00ae Step 1 Question is\u2026<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Inferior alveolar nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Correct:<\/strong> See Main Explanation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Superior alveolar nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong> The <strong>superior alveolar nerve<\/strong>, a branch of the <strong>maxillary nerve<\/strong>, provides <strong>sensory information<\/strong> to the <strong>maxillary teeth<\/strong>, <strong>gums<\/strong>, and <strong>sinus<\/strong>. This patient has a <strong>sensory deficit along the mandible<\/strong>, not the <strong>maxilla<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Infraorbital nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong> Damage to the <strong>infraorbital nerve<\/strong> manifests with <strong>sensory deficits<\/strong> over the <strong>lower eyelid<\/strong>, <strong>side of the nose<\/strong>, <strong>moveable part of the nasal septum<\/strong>, <strong>anterior cheek<\/strong>, or <strong>upper lip<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Mental nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong> The <strong>mental nerve<\/strong> is the <strong>terminal branch of the inferior alveolar nerve<\/strong> and provides <strong>sensory information<\/strong> to the <strong>chin<\/strong> and <strong>lower lip<\/strong>. This patient\u2019s presentation is consistent with <strong>entire inferior alveolar nerve damage<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Zygomatic nerve<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong> The <strong>zygomatic nerve<\/strong>, a branch of the <strong>maxillary branch of the trigeminal nerve<\/strong>, supplies <strong>sensory information<\/strong> over the <strong>cheek<\/strong> and <strong>temple<\/strong>. This nerve is <strong>unlikely to be damaged<\/strong> based on this patient\u2019s <strong>recent surgery<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Explanation\"><\/span>Main Explanation<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"500\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/02\/image_cf3c13.png\" alt=\"Labeled anatomical diagram of the mandibular nerve (V3), focusing on the inferior alveolar nerve. The illustration shows its course through the lower jaw with branches labeled, including the nerve to mylohyoid, sensory branches to the lower teeth, and the mental nerve providing sensation to the chin and lower lip.\" class=\"wp-image-9233\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/02\/image_cf3c13.png 975w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/02\/image_cf3c13.png?resize=300,154 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/02\/image_cf3c13.png?resize=768,394 768w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>inferior alveolar nerve<\/strong>, a branch of the <strong>mandibular nerve<\/strong>, provides <strong>sensation to the lower teeth<\/strong> and <strong>terminates as the mental nerve<\/strong>. This nerve is at <strong>high risk of injury during molar extractions<\/strong> (particularly <strong>third molars<\/strong> or <strong>\u201cwisdom teeth\u201d<\/strong>) as it travels through the <strong>mandible<\/strong>. Damage to this nerve results in <strong>sensory deficits<\/strong> in the <strong>mental nerve distribution<\/strong>.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>inferior alveolar nerve<\/strong> is at <strong>high risk of injury<\/strong> during <strong>third molar extraction<\/strong>. Damage to this nerve manifests with <strong>sensory deficits<\/strong> over the <strong>lower teeth<\/strong>, <strong>chin<\/strong>, and <strong>lip<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch this Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Blood_and_nerve_supply_of_the_oral_cavity\">Blood and nerve supply of the oral cavity<\/a><\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kaleem A, Amailuk P, Hatoum H, Tursun R. <strong>The Trigeminal Nerve Injury.<\/strong> Oral Maxillofac Surg Clin North Am. 2020 Nov;32(4):675-687. doi: 10.1016\/j.coms.2020.07.005. Epub 2020 Sep 7. PMID: 32912777.<\/li>\n\n\n\n<li>Sarikov R, Juodzbalys G. <strong>Inferior alveolar nerve injury after mandibular third molar extraction: a literature review.<\/strong> J Oral Maxillofac Res. 2014 Dec 29;5(4):e1. doi: 10.5037\/jomr.2014.5401. PMID: 25635208; PMCID: PMC4306319.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2021\/01\/Blog_Display_Ads_GENERAL2_2023.png?w=700\" alt=\"\" class=\"wp-image-4405\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2021\/01\/Blog_Display_Ads_GENERAL2_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2021\/01\/Blog_Display_Ads_GENERAL2_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Want more <strong>USMLE\u00ae Step 1<\/strong> practice questions? Try <strong>Osmosis from Elsevier<\/strong> today! Access your&nbsp;<em><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>free trial<\/strong><\/a><\/em>&nbsp;and discover why millions of current and future <strong>clinicians <\/strong>and <strong>caregivers <\/strong>love <strong>learning by Osmosis<\/strong>.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A woman post-wisdom tooth extraction has numbness in lower teeth and chin. Learn more about nerve anatomy and surgical risks.<\/p>\n","protected":false},"author":204,"featured_media":9234,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[27,20,16,1366,1369,44],"tags":[2655,2654,2649,2646,2647,2656,2648,1225,602,2653,2651,724,2657,2650,2652],"class_list":["post-9230","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-exam-prep","category-do","category-questions","category-step-1-questions","category-step-1","tag-dental-anatomy","tag-dental-complications","tag-dental-surgery","tag-inferior-alveolar-nerve","tag-mandibular-nerve","tag-maxillofacial-surgery","tag-mental-nerve","tag-nerve-damage","tag-nerve-injury","tag-numbness-after-extraction","tag-oral-surgery","tag-postoperative-care","tag-sensory-loss","tag-trigeminal-nerve","tag-wisdom-tooth-extraction"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>USMLE\u00ae Step 1 Question of the Day:\u00a0Lower teeth sensation - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-lower-teeth-sensation\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"USMLE\u00ae Step 1 Question of the Day:\u00a0Lower teeth sensation - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A woman post-wisdom tooth extraction has numbness in lower teeth and chin. 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Explore the intricate innervation of upper extremity, chest, and back muscles as a nerve root is stimulated, revealing specific\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE\u00ae Step 1 Question of the Day: Nerve roots","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T213629.453.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T213629.453.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T213629.453.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T213629.453.webp 2x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T213629.453.webp 3x"},"classes":[]},{"id":2011,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-2-question-of-the-day-endoscopic-repair","url_meta":{"origin":9230,"position":5},"title":"USMLE\u00ae Step 2 Question of the Day: Endoscopic repair","author":"Marina Horiates Kerekes, MD &amp; Team","date":"January 10, 2024","format":false,"excerpt":"We're back with a USMLE\u00ae Step 2 CK Question of the Day!\u00a0Today's case involves a 72-year-old man presenting with groin pain and bulging, exacerbated by standing. With a diagnosis of femoral hernia, the patient is set for endoscopic repair under spinal anesthesia. 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