Abstract
Objective:
 To determine the Frequency of inferior alveolar nerve injury and to assess the relationship of the nerve deficit with contributory risk factors like causes of removal, patient’s age, and anesthetic modality.
 Materials and Methods:
 All the procedures were carried out in Maroof International Hospital from January 2016 to August 2020. About 1185 consecutive patients were included in the study who were treated over a period of 5 years. A total of 1487 surgical extractions were performed. Surgery was done either under local anesthesia (72.1%) or IV sedation with local anesthesia (27.9%). All the procedures were performed by the same single senior consultant with the same two nurses. Follow up was done at one, three, and six weeks and six months.
 Results:
 Eight cases (0.53%) had temporary inferior alveolar nerve deficit which settled within six weeks. No permanent neurological damage was observed. Cases with pericoronitis were significantly associated with postoperative temporary nerve damage (p<0.001). Age, gender, and anesthetic modality were not significantly related to nerve injury.
 Conclusion:
 Patients with preoperative pathology like pericoronitis have more chances of temporary nerve injury after removal. Preoperative counseling about possible nerve damage shall be done.
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