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Home › Body Atlas › Organs › Mandibular Third Molar
Organ Head & Skull

Mandibular Third Molar

dens molaris tertius inferior

The mandibular third molars, or lower wisdom teeth, are the last teeth at the back of the lower jaw (Universal 32 on the right and 17 on the left, FDI 48 and 38). Their crowns usually have four or five cusps of variable shape, and their two roots are often short, curved or fused. They erupt, if at all, at about 17-21 years and are frequently missing or impacted.

Anatomical Data

Structure & Supply

LocationBack of the lower dental arch, behind the second molar on each side, near the ramus of the mandible
Parts
  • Crown (variable, usually four or five cusps)
  • Occlusal fissures
  • Mesial and distal roots (often fused or curved)
  • Enamel
  • Dentin
  • Pulp chamber
  • Root canal
  • Cementum
  • Periodontal ligament
Nerve SupplyInferior alveolar nerve (mandibular division of the trigeminal nerve); Buccal nerve (buccal gingiva); Lingual nerve (lingual gingiva)
Blood SupplyInferior alveolar artery (from the maxillary artery)
Venous drainage
  • Inferior alveolar vein to the pterygoid venous plexus
Lymphatic drainage
  • Submandibular nodes
  • Jugulodigastric node of the deep cervical group
Biomechanics

Function & Actions

Adds grinding surface at the back of the mouth when fully erupted and opposed by an upper tooth.

Clinical Relevance

Clinical Notes

Lower wisdom teeth are the most commonly impacted teeth in the body, often tilted forward against the second molar. Their roots may lie on the inferior alveolar canal, and the lingual nerve runs just inside the bone beside them, so removal carries a risk of numbness of the lip, chin or tongue. Dry socket is more common after removing them than after any other extraction.

Pathology

Common Injuries & Conditions

Pericoronitis

Infection of the gum flap over a partly erupted wisdom tooth, causing pain, swelling, bad taste and difficulty opening the mouth.

Impacted Third Molar

The tooth is blocked from erupting by bone or the second molar, risking infection, cysts and damage to the neighbouring tooth.

Alveolar Osteitis (Dry Socket)

Loss of the blood clot from the socket after extraction, causing severe throbbing pain a few days later.

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