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Anatomy · Head and neck: nasopalatine nerve
Sample itemA dentist plans extraction of the upper central incisors. To anaesthetise the palatal mucosa behind them, the needle is placed in the incisive papilla. Which nerve is blocked?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Nasopalatine nerve
The nasopalatine nerve, a branch of the maxillary nerve, runs down the nasal septum and passes through the incisive canal and supplies the anterior part of the hard palate behind the incisor teeth. The greater palatine nerve supplies the rest of the hard palate.
Option by option
A. Nasopalatine nerve (correct)
Correct. The nasopalatine nerve emerges at the incisive foramen to supply the anterior palate.
B. Anterior superior alveolar nerve
The anterior superior alveolar nerve supplies the incisors and canine teeth themselves and not the palate mucosa.
C. Greater palatine nerve
The greater palatine nerve supplies the posterior hard palate and its palatal gingiva.
D. Lesser palatine nerve
The lesser palatine nerve supplies the soft palate and tonsil.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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