The Anatomy of the Mental Nerve

Responsible for the feeling in the chin and lower jaw

Table of Contents
View All
Table of Contents

The mental nerve is a sensory nerve that provides feeling to your lower lip, the front of your chin, and a portion of your gums. It’s one of the branches of the inferior alveolar nerve, which is a branch of the trigeminal nerve’s mandibular division. Your dentist or surgeon may numb the mental nerve when working on certain structures along your chin or jaw. Damage to this nerve may cause numb chin syndrome.

A doctor points to the mental foramen, a small opening in the jaw that the mental nerve passes through.

marvinh / Getty Images


In the human brain, 12 paired and roughly symmetrical cranial nerves emerge from the back of the brain and travel through the head and face, providing nerve function (nerve innervation) to muscles, bones, and other tissues. Nerve innervation in the face comes from the facial nerve (the seventh cranial nerve) and the trigeminal nerve (the fifth cranial nerve).

The facial nerve provides motor innervation to the muscles that help us make facial expressions, while the trigeminal nerve is responsible for sensory innervation to the face and motor innervation to the muscles used in chewing. The branches of the trigeminal nerve further branch into different nerves to provide information from one or more of your fives senses. The alveolar nerve, which the mental nerve branches into, is one of them.


The trigeminal nerve has three sensory branches:

The largest of these branches is the mandibular nerve, which is necessary for jaw movement as well as sensory innervation mainly to the jawline, lower lip, and chin.

It divides into four motor and sensory branches: the auriculotemporal nerve, buccal nerve, inferior alveolar nerve, and lingual nerve. The inferior alveolar nerve, which runs along the lower teeth, plays both sensory and motor roles.

The inferior alveolar nerve further divides into:

  • Mylohyoid nerve: Connects to muscles in the lower part of the face
  • Dental nerve: Innervates molars and premolars in the lower jaw
  • Incisive nerve: Innervates the canines and incisors in the lower jaw
  • Mental nerve: Plays a sensory role in the lower, forward part of the face


The mental nerve is purely sensory and has a rather short course. It divides from the inferior alveolar at a small opening in the jaw bone called the mental foramen, which is just beneath the premolars. It passes through the foramen, and beneath a muscle at the corner of your mouth called the depressor anguli oris or triangularis, the mental nerve divides into three parts:

  • The first branch runs down to the chin.
  • The second and third branches run upward to innervate the mucous membrane of your lower lip and gums.

All of these branches communicate with the facial nerve.

Anatomical Variations

The mental nerve has some slight variations to its course. While three branches are standard, some people have more while others have fewer.

Some people also have multiple mental foramina (plural of foramen), which cause the mental nerve to branch in different ways. These variations are believed to be influenced by age, race, and sex, and are more common in people with other structural abnormalities in their jaw or face.

Sometimes, before a procedure involving anesthesia of the mental nerve, doctors will use imaging, such as X-rays or computed tomography (CT) scan, to ensure they know where the mental nerve is. Other times, they’re able to find it simply by palpating (feeling) the area.


The mental nerve serves a purely sensory function:

  • The first branch of the mental nerve provides feeling to the skin on your chin.
  • The other two, as they run along the lower teeth, innervate the gums of your incisors and canines, as well as the mucous membrane and skin inside your lip (buccal mucosa).

As with all nerves, you have one on each side. In the case of the mental nerve, there can be some crossover function—meaning the nerve on the left may provide some sensation to the structures on the right, and vice versa.

The Mental Nerve's Role in Surgery

The mental nerve most often comes into play in plastic surgery and dentistry. In plastic surgery, anesthesia of the mental nerve is common during surgical reconstruction of the chin. During some chin surgeries, it’s common for the patient to be awake, and a nerve block of the mental nerve prevents them from feeling what’s going on.

Surgeons may also use mental nerve blocks when working on the jaw or lower lip.

When dentists work on the front portion of your lower jaw, they may use a mental nerve block alone or in combination with a block of the inferior alveolar nerve or the incisive nerve.

Mental Nerve Block During an Emergency

A mental nerve block can take away the pain of stitches for a laceration (cut) to the lower lip and chin in the emergency department. The area can also be numbed by an injection in the tissues being worked on, but that can sometimes cause swelling that distorts the area, complicates suturing, and leaves worse scarring, so a mental nerve block is often preferred.

Associated Conditions

The mental nerve is vulnerable to damage due to:

  • Accidents during some surgeries and dental procedures (though this is uncommon)
  • Injuries to the jaw
  • Dental problems
  • Less often, metastatic cancer

It can also be caused by some diseases of the central or peripheral nervous systems, including:

Nerve injury can cause paresthesia (altered nerve sensation such as tingling or burning) or numbness. Numbness or decreased sensation in the chin and lower lip is sometimes referred to as numb chin syndrome, or mental nerve neuropathy.

While it's often minor and doesn't have a large impact on daily activities, numb chin syndrome can be a serious problem for some people, interfering with their ability to:

  • Eat and drink
  • Speak
  • Kiss
  • Shave or apply makeup


The treatment for mental nerve damage depends on the cause and severity of the symptoms. It may not require any treatment. If it does, drugs that may be used include:

Some studies suggest that vitamin B complex or vitamin B12 may be effective treatments as well.

In some cases, surgery may be required.

11 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Lee MH, Kim HJ, Kim DK, Yu SK. Histologic features and fascicular arrangement of the inferior alveolar nerve. Arch Oral Biol. 2015 Dec;60(12):1736-41. doi: 10.1016/j.archoralbio.2015.09.007

  2. Charalampakis A, Kourkoumelis G, Psari C, et al. The position of the mental foramen in dentate and edentulous mandibles: clinical and surgical relevance. Folia Morphol (Warsz). 2017;76(4):709-714. doi:10.5603/FM.a2017.0042

  3. Costa ED, Peyneau PD, Visconti MA, Devito KL, Ambrosano GMB, Verner FS. Double mandibular canal and triple mental foramina: detection of multiple anatomical variations in a single patient. Gen Dent; 67(5):46-49.

  4. Betz D, Fane K. Mental nerve block. In: StatPearls. Treasure Island (FL): StatPearls Publishing

  5. Goyushov S, Tözüm MD, Tözüm TF. Assessment of morphological and anatomical characteristics of mental foramen using cone beam computed tomography. Surg Radiol Anat. 2018;40(10):1133-1139. doi:10.1007/s00276-018-2043-z

  6. Moskovitz JB, Sabatino F. Regional nerve blocks of the face. Emerg Med Clin North Am. 2013;31(2):517-527. doi:10.1016/j.emc.2013.01.003

  7. Tan FF, Schiere S, Reidinga AC, Wit F, Veldman PH. Blockade of the mental nerve for lower lip surgery as a safe alternative to general anesthesia in two very old patients. Local Reg Anesth. 2015;8:11-14. Published 2015 May 14. doi:10.2147/LRA.S63246

  8. Meechan JG. The use of the mandibular infiltration anesthetic technique in adults. J Am Dent Assoc. 2011;142 Suppl 3:19S-24S. doi:10.14219/jada.archive.2011.0343

  9. Rose SE, Gulati A. (2016) Mental nerve entrapment. In: Trescot A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham.

  10. Krishnan U, Moule AJ. Mental nerve paraesthesia: A review of causes and two endodontically related cases. Saudi Endod J 2015;5:138-45 doi:10.4103/1658-5984.155454

  11. Carter E, Yilmaz Z, Devine M, Renton T. An update on the causes, assessment and management of third division sensory trigeminal neuropathies. Br Dent J. 2016 Jun 24;220(12):627-35. doi: 10.1038/sj.bdj.2016.444

By Adrienne Dellwo
Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic.