The buccal nerve (long buccal nerve) is a nerve in the face. It is a branch of the mandibular nerve (which is itself a branch of the trigeminal nerve) and transmits sensory information from skin over the buccal membrane (in general, the cheek) and from the second and third molar teeth. Not to be confused with the buccal branch of the facial nerve which transmits motor information to the buccinator muscle.
Sensory areas of the head, showing the general distribution of the three divisions of the trigeminal nerve (buccal nerve labeled at center left)
|Innervates||Lateral pterygoid muscle and cheek|
|Anatomical terms of neuroanatomy|
It courses between the two heads of the lateral pterygoid muscle, underneath the tendon of the temporalis muscle, and then under the masseter muscle to connect with the buccal branches of the facial nerve on the surface of the buccinator muscle.
The facial nerve (CN VII) also has buccal branches, which carry motor innervation to the buccinator muscle, a muscle of facial expression. This follows from the trigeminal (V3) supplying all muscles of mastication and the facial (VII) supplying all muscles of facial expression.
Buccal nerve block (long buccal nerve block) is indicated for procedures involving the mucosa adjacent to the posterior molar teeth, such as the placement of a rubber dam clamp. The injection site is distal and buccal to the third molar, with the needle penetrating 1-2mm as the nerve lies directly below the mucosa. A buccal nerve block is carried out after an inferior alveolar nerve block for specific procedures, such as extraction of mandibular molar teeth.
- "Nerve, buccal." Stedman's Medical Dictionary, 27th ed. (2000). ISBN 0-683-40007-X
- Gray's Anatomy: The Anatomical Basis of Clinical Practice. (2005). ISBN 0-443-07168-3
- Malamed, Stanley (2012). Handbook of Local Anesthesia. Elsevier. p. 234. ISBN 9780323074131.