Trigeminal Nerve
Contents 
 Introduction 
 Nuclear column 
 Trigeminal ganglion 
 Divisions of the nerve 
 Clinical considerations 
 References
Introduction
Nuclear columns 
General somatic 
afferent column 
• Spinal nucleus of V 
nerve 
• Superior sensory nucleus 
of V nerve 
• Mesencephalic nucleus 
Branchial 
efferent column 
• Motor nuclei
Trigeminal ganglion
Divisions of Trigeminal Nerve 
 Ophthalmic nerve 
 Maxillary nerve 
 Mandibular nerve
Ophthalmic nerve
Divisions of ophthalmic nerve 
Lacrimal 
nerve 
Nasociliary 
nerve 
Frontal 
nerve
Lacrimal nerve
Frontal nerve 
supraorbital 
nerve 
Supratrochlear 
nerve
Nasociliary nerve 
Branches in the orbit 
1) Long root of 
ciliary gang. 
2) Long ciliary n. 
3) Post Ethmoid 
n. 
4) Ant. Ethmoid 
n. 
Branches in the nasal cavity 
Terminal branches 
on the face
Autonomic ganglion associated 
The ciliary ganglion
Maxillary nerve
Divisions of maxillary nerve 
In middle 
cranial 
fossa 
Maxillary 
nerve 
Terminal 
branches 
In infrorbital 
groove and 
canal 
In 
pterygop-alatine 
fossa
Branches In middle cranial fossa
Branches in pterygopalatine fossa 
Zygomatic 
nerve 
Pterygopalatine 
nerve 
Posterior 
superior alveolar 
nerve
Autonomic ganglion associated 
The sphenopalatine ganglion
Branches in infraorbital groove and 
canal 
Middle 
superior 
alveolar 
nerve 
Anterior 
superior 
alveolar 
nerve
Terminal branches on face 
Inferior palpebral 
branches 
Lateral nasal 
branches 
Superior labial 
branches
Mandibular nerve
Branches from undivided nerve 
Nervus 
spinosus 
Nerve to 
internal 
ptrygoid 
muscle
Branches from divided nerve 
Anterior division 
• Branch to external 
pterygoid muscle 
• Branch to masseter 
muscle 
• Branch to temporal 
muscle 
• Buccal nerve 
Posterior division 
• Auriculotemporal 
nerve 
• Lingual nerve 
• Inferior alveolar 
nerve
Anterior division
Posterior division 
The auriculotemporal 
nerve
Lingual nerve
Inferior alveolar nerve
Autonomic ganglion associated 
 Submandibular ganglion 
 Otic ganglion
Clinical considerations
Clinical examination 
Sensory nerve examination
Motor nerve examination
Trigeminal reflexes
Applied anatomy 
Trigeminal 
neuralgia 
Management 
Differential 
diagnosis 
Clinical 
features 
Etiology 
Diagnosis
Postherpetic 
neuralgia
Trigeminal 
nerve 
injuries
Sturge -weber 
syndrome
References 
 B D chaurasia’s human anatomy, volume III, 6th edition. 
 Monheims local anaesthesia and pain control in dental practice, 7th 
edition. 
 Shafer’s textbook of oral pathology,6th edition. 
 Burket’s oral medicine,11th edition. 
 Harrisons’s principles of internal medicine,17th edition.
Thank you

Trigeminal nerve