Detailed Morphology of the Incisive or Nasopalatine Canal

Abstract

(1) Background: The nasopalatine canal (NPC), or the incisive canal (IC) of maxilla, unites the anterior nasal floor with the anterior palatine region. Different morphological variables of the NPC were investigated, indicating it is either anatomically variable or constant. It was therefore decided to perform an additional study of the NPC. (2) Methods: A retrospective cone beam computed tomography (CBCT) study was performed on 89 patient files: 38 males and 51 females. The study documented the presence or absence of a well-defined NPC, the number of openings, and the anatomic variables of the canal (number, course, and secondary canaliculi). (3) Results: the NPC/IC in the coronal plane was classified into five types: (I) NPC present with two superior, nasopalatine foramina (NPFs) (66.29%); (II) NPC absent with two NPFs (2.25%); (III) NPC present and single NPF (17.98%); (IV) NPC present with three NPFs (3.37%); (V) both absent NPC and NPF (10.11%). (4) Conclusions: The anatomical possibilities of the NPC are numerous and diverse; they include the absence of the canal. Therefore, a standardized description of this canal could not be assumed and a radiological assessment is recommended before surgical treatment in the premaxilla area.