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Hypoglossal nerve injury is a known complication of oral intubation, otolaryngology procedures, and trauma. More rarely, hypoglossal nerve injury has been described as a complication of dental procedures. While iatrogenic damage to the inferior alveolar nerve has been extensively described in the oral and maxillofacial surgery literature, a paucity of literature can be found related to 12th cranial nerve complications. This case report aims to describe a case presenting to our office and the available treatment for patients suffering from this pathology.