Incisive papilla

The incisive papilla is an oval[1][2] midline mucosal[2] prominence of the anterior hard palate[1] overlying the incisive fossa.[1][3][2] It is situated posteriorly to the central incisors,[2] and represents the anterior extremity of the palatine raphe.[1]

Incisive papilla
Details
Identifiers
Latinpapilla incisiva
TA98A05.1.01.107
TA22784
FMA77185
Anatomical terminology

The incisive papilla marks the position of the foetal nasopalatine canal.[1]

Anatomy

Variation

Though generally referred to as round or oval in shape, the shape of the incisive papilla has been noted to vary in shape, its other potential shapes have been described as including: pear, spindle, flame, cylindrical, tapering, or dumb bell shaped.[2]

Microanatomy

The incisive papilla consist of dense connective tissue. It is lined with simple or pseudostratified columnar epithelium, and is often keratinized.[2]

Clinical significance

Pressure exerted upon the incisive papilla by maxillary dentures may cause pain or discomfort.[2]

The incisive papilla is utilized as an anatomical landmark when administering a nasopalatine nerve block; the needle is inserted at a 45° angle just lateral to the incisive papilla.[3]

See also
  • Papilla (disambiguation)

References
  1. Standring S, ed. (2016). Gray's Anatomy: The Anatomical Basis of Clinical Practice (41st ed.). Philadelphia. p. 510. ISBN 978-0-7020-5230-9. OCLC 920806541.
  2. Solomon EG, Arunachalam KS (December 2012). "The incisive papilla: a significant landmark in prosthodontics". Journal of Indian Prosthodontic Society. 12 (4): 236–247. doi:10.1007/s13191-012-0169-y. PMC 3508097. PMID 24293921.
  3. Lake S, Iwanaga J, Kikuta S, Oskouian RJ, Loukas M, Tubbs RS (July 2018). "The Incisive Canal: A Comprehensive Review". Cureus. 10 (7): e3069. doi:10.7759/cureus.3069. PMC 6166911. PMID 30280065.
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