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DEVELOPMENT OF
MAXILLA AND
THE MAXILLARY
SINUS.
•INTRODUCTION
•DEFINITIONS
•FACTORS AFFECTING GROWTH
•GROWTH:CONCEPTS,METHODS OF GATHERING
DATA AND STUDYING GROWTH
•BONE DEVELOPMENT AND GROWTH
•THEORIES OF GROWTH
•PRENATAL GROWTH AND DEVELOPMENT OF MAXILLA
•POST NATAL GROWTH AND DEVELOPMENT OF MAXILLA
•DEVELOPMENT OF THE PALATE
DEFINITIONS OF GROWTH
• J.S.Huxely: The self multiplication of living
substance.
• Krogman:Increase in size, change in proportion
and progressive complexity.
• Todd:An increase in size.
• Meridith:Entire series of sequential anatomic and
phisiologic changes taking place from beginning
of prenatal life to senility.
• Moyers:Quantitative aspect of biologic
development per unit time.
• Moss: Change in any morphological parameter
which is measurable.
DEFINITIONS OF
DEVELOPEMENT
• Todd:Development is progress towards maturity.
• Moyers: Development refers to all the naturally
occuring unidirectional changes in the life of an
individual from its existence as a single cell to its
elobaration as a multifunctional unit terminating
in death. Thus it encompasses the normal
sequential events between fertilization and death.
FACTORS AFFECTING
• Heredity PHYSICAL GROWTH
• Nutrition
• Illness
• Race
• Race
• Socioeconomic factors
• Family size and birth order
• Secular trends
• Climatic and seasonal effects
• Psychological disturbances
• Exercise
SOME CONCEPTS OF
GROWTH
• Pattern
• Scammon’s Growth Curve
SCAMMON’S GROWTH
CURVE
METHODS OF GATHERING
GROWTH DATA
• Longitudinal studies
• Observations
2.The inner cell mass which will give rise to the embryo
proper “embryoblast”
IMPLANTATION TAKES
PLACE AT THE END OF 1ST
WEEK
--At the 8th day of development the trophoblast has differenti
ated into two layers:
In the region of the node and the streak, the epiblast cells
invaginate a new cell layer between the hypoblast [ now
called the ENDODERM ] and the epiblast [now called the
ECTODERM]
This third layer is called the MESODERM
Muscular Component
Arterial component
The mesenchyme of the maxillary process subsequently
gives rise to the following:
Premaxilla
Maxilla
Zygomatic bone
Temporal bone in part
BRANCHIAL SINUSES:
Open on the side of the neck and result from the failure of
the 2nd branchial groove to close. The blind pit or sinus
that remains opens along the anterior border of the
sternocleidomastoid.
FORMATION OF THE
PHARYNGEAL ARCHES
The most typical feature in the development of the head and
neck is formed by the BRANCHIAL or the PHARYNGEAL
ARCHES
They appear in the 4th and 5th week of development and
contribute greately to the characteristic appearance of the
embryo.
With this a number of outpocketings the PHARYNGEAL
POUCHES appear along the lateral walls of the pharyngeal
gut-the most cranial part of the foregut.
At the end of 4th week the centre of the face is formed
STOMODEUM ,surrounded by the first pair of pharyngeal
arches .
When the embryo is 4 ½ weeks old, five
mesenchymal swellings can be seen:
BRANCHIAL CYST:
Remnants of part of cervical sinus and/or the 2nd
branchial groove may persist and form this cyst …..it is
located along the anterior border of the
sternocleidomastoid.
LO CAL GENERAL
G e n e t i c con t r ol ori g i n at i n g G en et i c co n t r ol o ri g i n a t i n g f r om d i s t a n t st r u ct u re
f r om ad j a ce n t st r u ct u re an d p rovi d e l o cal a ct i o n s an d p rovi d e g en e ra l act i o n s
E xam p l e : E m b ryon i c i n d u ct i o n i n f l u e n ce s sk. g row t h B rai n , e ye E xa m p l e : H orm on es
E N V IR O N M E N T A L F A C T O R S
LO C AL GENERAL
N o n g e n e t ic in flu e n c e e v o k e d b y s t im u li T h e s e a r e G e n e r a l n o n g e n e t ic
o r ig in a t in g fr o m e x t e r n a l e n v ir o n m e n t in flu e n c e s
E x a m p le : h a b it s , fo r c e s o f m u s c . c o n t r a c t io n E x a m p le : N u t r it io n , fo o d , o x y g e n .
THE CONTROL PROCESSES
BIOCHEMICAL FORCES:
The play of physical forces acting on a bone to regulate its
development, morphologic configuration, histological
structure and physical properties.
WOLFF’S LAW: The architecture of bone is such that it can
best resist the forces that are brought to bear upon it with the
use of as little tissue as possible.
It has a flaw in that the law doesn’t distinguish between
physical forces acting on a bone and forces acting on the
osteogenic connective tissue that actually produce any
remodelling of the bone.
FORCE/PRESSURE/TENSION
THE AIRWAY:
The configuration and dimensions of the airway are a product
of the composite growth of many hard and soft tissues
along its pathway from nares to glottis.
These parts are again dependent upon the airway for
maintanance of their own functional and anatomic position.
It functions as a key stone for the face.
REMODELLING:
Refers to a process where bone deposition and resorption
occur so as to bring about change in size , shape and
relationship of the bone .
FUNCTIONS OF REMODELLING:
Progressively create the changing size of bone
Sequentially relocate each of the component regions of
the whole bone to allow for overall enlargement.
Shape the bone to accommodate its various functions
Provide fine tune fitting of all the separate bones to each
other and to their contiguous soft tissues.
DISPLACEMENT:
It is the physical movement of the whole bone and occurs
while the bone simultaneously remodels by resorption and
deposition.
Bone deposition doesn’t push the articular contact surface
of another bone and provide growth….rather bone is carried
by the expansive force of all growing soft tissues around it
and attached to it by anchoring fibres.
DISPLACEMENT : THE GREAT
CONTROVERSY
PRIMARY DISPLACEMENT:
Movement of a bone because of its own growth .
SECONDARY DISPLACEMENT:
Movement of a bone passively or secondary to growth of
contiguous bone/s.
DRIFT:
The combination of bone deposition and resorption
resulting in a growth movement towards the depositing
surface is called drift.
RELOCATION:
The progressive sequential movement of component
parts as a bone enlarges is relocation.
THE GROWTH AND DEVELOPMENT OF THE
NASOMAXILLARY COMPLEX
II Tonsil.
IV Sup.parathyroids.
UNILATERAL BILATERAL
One operation at 5-6 months. One operation at 5-6 months.
CLEFT PALATE ALONE
UNILATERAL BILATERAL
Two operations
Two operations
Cleft lip + soft palate – 5-6 months
Cleft lip + soft palate – 5-6months
Hard palate + gum pad +/- lip revision –
Hard palate + gum pad +/- lip revision –
12-15 months
12-15 months