{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:32:51Z","timestamp":1790947971313,"version":"4.1.0"},"reference-count":47,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objectives: Implant placement in cases of severe bone atrophy or compromised alveolar bone requires careful planning, especially in the anterior maxilla. The nasopalatine canal (NPC) and its cortical walls offer potential anchorage sites. This study evaluates the NPC\u2019s anatomical characteristics using cone beam computed tomography (CBCT) to assess its suitability for implant anchorage. Methods: A retrospective analysis of 150 CBCT scans from three dental clinics in Poland was conducted. NPC measurements\u2014including length, width, number of canals, and distances to adjacent anatomical structures\u2014were taken in the sagittal, coronal, and axial planes. Statistical tests included Pearson correlation and Student\u2019s t-test to explore relationships between NPC dimensions and gender. Results: The mean NPC length was 10.27 mm and mean width 3.55 mm. Significant gender differences were observed in the canal length, width, and distances to the labial and palatal plates (p &lt; 0.05). Strong positive correlations were found between the canal width at the palate base and other parameters, such as the midpoint width (r = 0.58) and diameter (r = 0.44). The distance from the palatal opening to the labial plate showed the strongest correlation (r = 0.67), indicating enhanced cortical anchorage potential with increased canal dimensions. Discussion: NPC morphology varied (cylindrical, funnel-like, hourglass), aligning with prior studies. Larger diameters were linked to single-canal configurations. Implant placement strategies\u2014such as direct canal insertion or lateralization\u2014can be effective, especially with polished, single-piece implants that reduce soft tissue ingrowth and improve primary stability. Conclusions: Understanding NPC anatomy is crucial for implant planning in atrophic maxillae. With the proper technique, NPC use for cortical anchorage is a viable treatment option.<\/jats:p>","DOI":"10.3390\/dj13050211","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T08:44:58Z","timestamp":1747212298000},"page":"211","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["CBCT Evaluation of Maxillary Incisive Canal Characteristics Among Population in Regard to Possibility of Implant Cortical Anchorage\u2014A Multicenter Study"],"prefix":"10.3390","volume":"13","author":[{"given":"Fodor","family":"Calin","sequence":"first","affiliation":[{"name":"Dr. Fodor Romulus Calin\u2018s Clinic of Dentistry and Implantology, Romania str. Dragos Voda nr. 8, 405300 Gherla, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0652-664X","authenticated-orcid":false,"given":"Bartosz","family":"Dalewski","sequence":"additional","affiliation":[{"name":"Chair and Department of Dental Prosthetics, Pomeranian Medical University, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Ellmann","sequence":"additional","affiliation":[{"name":"ELLMED Centrum Stomatologii i Specjalistyki Og\u00f3lnomedycznej Plac Niepodleg\u0142o\u015bci 43, 62-035 K\u00f3rnik, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9060-0154","authenticated-orcid":false,"given":"Pawe\u0142","family":"Kiczmer","sequence":"additional","affiliation":[{"name":"Private Medical Practice Pawe\u0142 Kiczmer, Podg\u00f3rska Street 75, 41-705 Ruda \u015al\u0105ska, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Ihde","sequence":"additional","affiliation":[{"name":"Evidence & Research Department, International Implant Foundation, Leopoldstr. 116, 80802 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Bie\u0144kowska","sequence":"additional","affiliation":[{"name":"REG-MED, Rzeszowska 2, 68-200 \u017bary, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5781-6540","authenticated-orcid":false,"given":"Jacek","family":"Kotu\u0142a","sequence":"additional","affiliation":[{"name":"Department of Dentofacial Orthopedics and Orthodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9365-7882","authenticated-orcid":false,"given":"\u0141ukasz","family":"Pa\u0142ka","sequence":"additional","affiliation":[{"name":"Private Dental Practice, Rzeszowska 2, 68-200 \u017bary, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1038\/s41415-023-6440-2","article-title":"Restoratively driven planning for implants in the posterior maxilla\u2014Part 2: Implant planning, biomechanics and prosthodontic planning a proposed prosthodontic complexity index","volume":"235","author":"King","year":"2023","journal-title":"Br. 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