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2- Intramembranous ossification:
- Bone is laid down & desorbed by the investing periosteum & by
endosteum within the bone. This could result in:
a) Sutural growth @ the junction between the adjacent bones; This type of
bone formation is active in filling the fontanelles & in the general growth of
calvarium.
b) Remodeling: as new bone is added to the surface, an equivalent endosteal
resoption takes place to preserve the internal architecture of the bone.
• Remodeling:
- Is the deposition of new bone in some areas together with resorption of
previously formed bone in other areas.
- Remodeling is required because, as a bone enlarges , any given part of that
bone becomes transformed into a new part , and this involves continuous
conversion of all parts.
• Cranium Growth:
a- Cranial vault:
- It surrounds & protects the brain except the lower part where it rests in the
cranial base.
- It is made up of:
a) The frontal bone.
b) Two parietal bones.
c) Squamous part of temporal bone.
d) Squamous part of occipital bone.
- These bones are separated from each other by sutures.
- Growth takes place through:
1- Sutural growth.
2- Apposition & remodeling resorption to adjust the shape of each bone.
3- Apposition of the bone on the external surface.
4- Apposition of the bone to the facial surface of the frontal bone during
development of frontal air sinuses.
b- Cranial base:
- It is made up of a midline base & 3 cranial fossae
a) The floor of anterior cranial fossa is formed of orbital plates of the frontal
bone, the cribriform plates of the ethmoidal & the lesser wing of sphenoid.
b) The floor of the middle cranial fossa is formed of the body & the greater
wing of sphenoid, the upper surface of the petrous temporal bone & the
petrous part of the occipital bone.
- Growth sites after birth in the cranial base:
The foramen magnum.
The sphenoid-occipital synchondrosis which remains active until 17-20
years of age.
The sphenoethmoidal synchondrosis which remains active until 10 years
of age.
The direction of growth in the suture of the cranial base is forwards &
upwards carrying the anterior cranial base & the upper face bodily
upwards & forwards.
• Mandibular growth:
1. It has major vectors that proceed posteriorly & superiorly.
2. It results in the displacement of the mandible in an anterior &
inferior manner.
3. The tuberosity receives new bone deposits to lengthen the arch.
4. The anterior surface of the coronoid process is resorptive & the
posterior surface is depository to provide the backward growth
required.
5. The coronoid process becomes displaced anteriorly as it grows
posteriorly due to the displacement of the mandible.
6. The labial surface of the anterior part is resorptive.
7. Elongation of the mandible corpus takes place in a posterior
direction (after 5 years of age), and involves remodeling
conversions of the ramus which grows posteriorly.
8. Because the ramus is situated more laterally than the corpus, a
lingual shift is required as the anterior part of the ramus becomes
remodeled into the lengthening corpus.
9. The superior growth of the coronoid process is produced by
bone deposition on the lingual side & resorption from the buccal
side.
10.The condylar cartilage grows secondarily in response to the
growth changes taking place around it. It grows in such extent &
direction to provide functional occlusal position for the dental arch.
11. Bone deposition on the mental protuberance & resorption on
the labial side of the alveolar bone above the protuberance result in
a prominent chin with the incisors undergoing a lingual tipping.