Dentist № 4 (59) – 2025, pp. 42-45                                                                                                                        SCIENTIFIC PUBLICATION

Modern Concept of the Innervation of Maxillary Teeth

S.L. Kabaka, Yu.М. Melnichenkob, R.S. Мekhtievс

aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bMD, PhD, Associate Professor, Belarusian State Medical University, Minsk, Belarus

https://doi.org/10.32993/dentist.2025.4(59).5

ABSTRACT
The aim of the study. To systematize classical and modern data on the innervation of maxillary teeth.
Objects and methods. An analysis of modern scientific publications was conducted, which utilized methods of macroscopic dissection, dye injections, histological analysis, micro-CT, and CBCT imaging to study the neuroanatomy of the maxilla.
Results and discussion. A significant palatal source of maxillary tooth innervation has been revealed, involving alveolar branches of the greater palatine and nasopalatine nerves that traverse the palatal alveolar foramina to anastomose with the superior dental plexus. This forms a model of dual innervation, which provides an anatomical basis for the high efficacy of an innovative technique – the Palatal Alveolar Foramen Injection (PAFI).
Conclusion. Integrating the concept of dual innervation into educational programs and clinical practice is essential for optimizing anesthesia and surgical interventions in the maxilla.

Keywords: superior alveolar nerves, superior dental plexus, canalis sinuosus, palatal alveolar foramina, conduction anesthesia

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Correspondence to:  E-mail: mjm1980@yandex.ru mekhtiev.r.s@gmai.com