This is a high-risk but manageable case . Permanent nerve damage is rare (usually <1–2%), but temporary numbness/tingling can occur more commonly in such close-contact cases. If the tooth is causing pain, infection, decay, or damage to adjacent tooth, removal is necessary & if its completely asymptomatic (no pain or infection or swelling) then wait and watch, no need for extraction

Hello The wisdom tooth extraction is advised only when there is some infection, pain or swelling near the tooth especially when it is close to the nerve In case where it is close to the nerve coronectomy is advised where only crown portion is removed

Based on what you’ve shared, your concern is completely understandable. Lower wisdom teeth that are close to the nerve (inferior alveolar nerve) do require careful evaluation, and that is exactly why X-rays and CBCT scans are advised. A CBCT helps us assess how close the tooth roots are to the nerve and decide the safest approach. In many such cases, removal is not always mandatory—especially if there is no pain, infection, swelling, or damage to the adjacent tooth. That is why some doctors may advise monitoring instead of immediate surgery. When removal is required, it should be done only by an experienced oral & maxillofacial surgeon, and even then, techniques like partial removal (coronectomy) may be considered to significantly reduce nerve injury risk. Permanent nerve damage is rare, but temporary numbness can occur in high-risk cases. This risk is evaluated before surgery using CBCT, not guessed. So to summarise: • You may not need removal if there are no active symptoms • CBCT is the right investigation to assess nerve safety • If surgery is needed, risk can be minimized with expert planning • Avoiding unnecessary surgery is also a valid and safe option

Hello….as i can see in your cbct tooth is close to nerve but don’t worry if done carefully and slowly you will not have any nerve problem or if any numbness is there it will be temporary,will not effect your facial features and there are medicines that will help to regain your nerve sensitivity soon back…

Your CBCT shows the wisdom tooth is very close to the nerve, so removal has a small risk of numbness (lip/chin). Most nerve problems are temporary and improve with time. Permanent damage is rare. Removal is advised when there is pain, swelling, infection, or damage to nearby tooth. A safer option is coronectomy, where only the crown is removed to reduce nerve risk.

It is very close to the nerve that’s true, if it’s troubling you a lot You can ask your surgeon for a coronectomy in which the crown portion of the tooth will be removed and the roots associated with the nerve will be left inside for further observation.