Growth and Devolpment of Maxilla & Mandible
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Questions and Answers

Which suture is NOT parallel to the others?

  • Zygomatico-maxillary suture
  • Frontozygomatic suture (correct)
  • Pterygopalatine suture
  • Zygomaticotemporal suture
  • What is the direction of growth at the zygomatico-maxillary suture?

  • Horizontally from side to side
  • Vertically from top to bottom
  • From upward anteriorly to downward posteriorly (correct)
  • From downward posteriorly to upward anteriorly
  • Which of the following contributes to the height of the maxilla?

  • Eruption of the upper permanent molars
  • Alveolar process development (correct)
  • Subperiosteal bone formation
  • Enlargement of the maxillary sinus
  • What is the process called when the maxillary sinus expands?

    <p>Pneumatization</p> Signup and view all the answers

    What occurs at the floor of the nasal cavity during maxillary growth?

    <p>Bone resorption</p> Signup and view all the answers

    What is the result of bone deposition on the oral surface of the palate?

    <p>Increase in the height of the maxilla</p> Signup and view all the answers

    What is the main function of the mandible?

    <p>Reception of the lower teeth</p> Signup and view all the answers

    What is the shape of the body of the mandible?

    <p>Curved and horizontal</p> Signup and view all the answers

    When does the palato-facial center of ossification for the premaxilla appear?

    <p>At the end of 6 week intrauterine</p> Signup and view all the answers

    What is the name of the second center of ossification for the premaxilla?

    <p>Prevomerine center</p> Signup and view all the answers

    At what stage of development does the maxilla articulate with the other bones of the skull by 4 main sutures?

    <p>At birth</p> Signup and view all the answers

    What is the main location of the prevomerine center of ossification?

    <p>Along the outer alveolar wall</p> Signup and view all the answers

    When does the union between the maxilla and premaxilla occur?

    <p>At 8 weeks of intrauterine life</p> Signup and view all the answers

    What is the name of the suture that the maxilla articulates with?

    <p>Franto-maxillary suture</p> Signup and view all the answers

    What is the type of growth that continues till 10 years of age?

    <p>Sutural growth</p> Signup and view all the answers

    Where do small areas of secondary cartilaginous centers appear?

    <p>Along the growing margin of the alveolar plate</p> Signup and view all the answers

    What is the pathway through which the ossification spreads in the backward direction?

    <p>Through the mesenchyme of the first branchial arch</p> Signup and view all the answers

    What marks the point of divergence of the ramus of the mandible from Meckel's cartilage?

    <p>The mandibular foramen</p> Signup and view all the answers

    What is the shape of the cartilage that appears in the region of the condyle?

    <p>Carrot-shaped</p> Signup and view all the answers

    What forms the posterior half of the ramus to the level of the inferior dental foramen?

    <p>The condylar cartilage</p> Signup and view all the answers

    When does the alveolar process start forming?

    <p>When the deciduous tooth germs reach the early bell stage</p> Signup and view all the answers

    What is the result of the growth of the bone of the mandible on each side of the tooth germ?

    <p>The tooth germs come to be in a groove of bone</p> Signup and view all the answers

    What is the transient growth cartilage center that gives rise to the coronoid process?

    <p>The coronoid cartilage</p> Signup and view all the answers

    What is the pathway through which the inferior dental nerve lies?

    <p>Through the trough of bone</p> Signup and view all the answers

    What separates the mandibular canal from the bony crypts?

    <p>A horizontal plate of bone</p> Signup and view all the answers

    How does the growth of the mandible occur?

    <p>Mainly by secondary cartilages</p> Signup and view all the answers

    What is the result of the growth of the mandible by secondary cartilages?

    <p>Increase in the overall length of the mandible</p> Signup and view all the answers

    At birth, what is the shape of the angle of the mandible?

    <p>Obtuse</p> Signup and view all the answers

    What is the size of the mental foramen at birth relative to the socket of the first deciduous molar tooth?

    <p>Beneath the socket</p> Signup and view all the answers

    What is the characteristic of the coronoid process at birth?

    <p>Large size</p> Signup and view all the answers

    What is the direction of the condyloid portion at birth relative to the body of the mandible?

    <p>Nearly in line with the body</p> Signup and view all the answers

    What is the stage of growth during which the alveolar processes grow rapidly?

    <p>Tooth eruption</p> Signup and view all the answers

    At what age does the two segments of the mandible become joined at the symphysis?

    <p>During childhood</p> Signup and view all the answers

    What is the approximate angle of the mandible at birth?

    <p>175 degrees</p> Signup and view all the answers

    What happens to the alveolar process in old age?

    <p>It is absorbed</p> Signup and view all the answers

    What is the position of the mental foramen in adulthood?

    <p>Midway between the upper and lower borders of the bone</p> Signup and view all the answers

    What is the direction of the ramus in adulthood?

    <p>Almost vertical</p> Signup and view all the answers

    What is the approximate angle of the mandible in adulthood?

    <p>110-120 degrees</p> Signup and view all the answers

    What happens to the mandibular canal in adulthood?

    <p>It runs nearly parallel with the mylohyoid line</p> Signup and view all the answers

    What is the main change that occurs in the body of the mandible during childhood?

    <p>It becomes elongated in its whole length</p> Signup and view all the answers

    What is the result of the growth of the alveolar part in childhood?

    <p>The depth of the body increases</p> Signup and view all the answers

    What is the approximate angle of the mandible in childhood?

    <p>140 degrees</p> Signup and view all the answers

    What happens to the sub-dental portion of the mandible in childhood?

    <p>It becomes thicker</p> Signup and view all the answers

    Study Notes

    Development of the Premaxilla

    • Premaxilla ossification occurs through two centers: the palato-facial center and the prevomerine (paraseptal) center.
    • Palato-facial center appears by the end of 6 weeks, located above the lateral deciduous incisor germ, contributing to the inner wall of alveoli and the palatal part of the premaxilla.
    • Prevomerine center begins at 8-9 weeks, forming beneath the anterior vomer and contributing to the nasal paraseptal cartilage.
    • Union of maxilla and premaxilla occurs at 8 weeks of intrauterine life.

    Accessory Cartilages

    • Accessory cartilaginous centers develop in the future zygomatic process and undergo rapid ossification.
    • Additional secondary cartilaginous centers form along the alveolar plate and midline of the hard palate.

    Growth of the Maxilla

    • Growth continues until approximately 10 years of age, primarily through sutural growth, alveolar development, and subperiosteal bone formation.
    • Maxilla articulates with skull bones via four main sutures: fronto-maxillary, zygomatico-maxillary, zygomaticotemporal, and pterygopalatine.
    • Eruption of permanent teeth, especially upper molars, enhances maxillary arch length.
    • The maxillary sinus expands through bone resorption on the sinus side and deposition on the facial surface, a process known as pneumatization.

    Development of the Mandible

    • The mandible is the strongest facial bone, composed of a horizontal body and two ramus portions meeting at nearly right angles.
    • Ossification spreads backward, forming a trough for the inferior dental nerve and eventually the mandibular canal.
    • The ramus develops from mesenchyme of the first branchial arch, diverging from Meckel’s cartilage.

    Mandibular Cartilages

    • Condylar cartilage forms in the 12th week, shaping the condyle and posterior ramus half to the inferior dental foramen.
    • Coronoid cartilage appears transiently, contributing to the coronoid process and the anterior ramus half.

    Alveolar Process Formation

    • The alveolar process initiates growth when deciduous tooth germs reach the early bell stage, forming a bony trough around tooth germs.
    • Septa of bone develop between adjacent tooth germs, allowing the formation of the mandibular canal and supporting nerves and blood vessels.

    Mandibular Growth Patterns

    • Mandibular growth includes secondary cartilage contribution, especially from condylar cartilage, influencing height and overall length.
    • Age-related changes occur in the mandible:
      • At birth, the body is a simple shell accommodating various teeth; mental foramen opens below the first deciduous molar.
      • In childhood, body elongation occurs, increasing depth for additional teeth and aligning the mental foramen and mandibular canal with growth.
      • In adulthood, alveolar and sub-dental body depths are equal, with a nearly vertical ramus and narrower angle (110° to 120°).
      • In old age, the mandible reduces in size, involving alveolar process absorption and repositioning of the canal and foramen.

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    Description

    Test your knowledge of the premaxilla bone formation, including the palato-facial center and prevomerine center. Learn about the process of ossification and its significance in embryonic development.

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