Abstract: Introduction: Many complications are associated with surgical interventions in the anterior region of the mandible. Sensory disturbances of the mental nerve after dental implant placement have been reported. Loss of lip sensation may further be complicated by lip biting, impaired speech, and diminished salivary retention, which have a significant impact on patient’s lifestyle Aim of the work: The aim of this study was to evaluate the anatomical features of labial and mental foramina. Materials and Methods: Foramina on the outer surface of the anterior mandible were evaluated in coronal, sagittal, and axial planes of 104 CBCT scans. Results: Other than mental foramina, 184 foramina were observed in the labial surface of the mandible. The incidence of the labial foramina was 60.58%. Bilateral and unilateral accessory mental foramina were found in 28.85% of cases. Conclusion: Mandibular labial foramina are frequently seen in CBCT. Wide variations were seen in different neurovascular anatomical landmarks in the anterior mandible including accessory mental foramina. These findings should be considered when planning for anesthesia and surgery in this region.