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Article Type

Original Article

Section/Category

Oral and Maxillofacial Radiology

Abstract

Background: The greater palatine foramen (GPF) is an important anatomical landmark; precise knowledge of its location and variations is crucial in dental and maxillofacial practice.

Objectives: To assess the position, morphometric characteristics, and anatomical relationship of the greater palatine foramen in a sample of Egyptian population using cone-beam computed tomography (CBCT). The null hypothesis was that no significant side- or sex-related differences would be observed.

Materials and Methods: This retrospective cross-sectional study analyzed a convenience sample of 120 CBCT scans. GPF morphology, anteroposterior and mediolateral dimensions, location, and the distance to the intermaxillary suture were investigated. Statistical analysis was performed using independent-samples t-tests and chi-square tests.

Results: The GPF was predominantly situated at the level of upper third molars (57.5%).  Anteroposterior elongation was the predominant morphological pattern bilaterally. The mean anteroposterior diameter ranged from 5.59 to 5.61 mm (P = 0.856), while the mean mediolateral diameter ranged from 2.70 to 2.82 mm (P = 0.180) on the left and right sides, respectively. The distance to the intermaxillary suture ranged from 14.89 to 14.90 mm bilaterally (P = 0.923). No significant bilateral differences were observed in GPF location (P = 0.939), morphology (P = 0.361), or morphometric measurements (P > 0.05).

Conclusions:  The GPF demonstrated bilateral symmetry in location and morphometrics. These results provide population-specific reference data that could assist in preoperative evaluation and treatment planning in dental and maxillofacial practice. However, the findings should be interpreted in the context of a retrospective single-ethnic-group, single-center study design.

Keywords

Greater palatine foramen, Cone-beam computed tomography, Maxilla, Anatomical variations

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