This case report presents an impacted third molar with associated dentigerous tubercle in which the IAN is externalized and runs along the side face of the beak. This case reiterates the limitations of standard radiographic ways similar as the orthopantomogram.

Third molar surgery remains one of the commonest procedures carried out by oral surgeons. One of the main enterprises whilst performing this procedure is inferior alveolar whim-whams (IAN) damage. We present a case of an unusual anatomical variation in which the inferior alveolar whimwhams was personified. This case reiterates the need for applicable preoperative radiological assessment to identify the anatomic relationship of IAN with third molar teeth. In this occasion, an altered approach was needed to save the IAN. This report is in line with the dread criteria.