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Cummings Chap 23

Maxillofacial Trauma
10/31/12

Anatomy/Physiology
Upper 1/3
Frontal bones- relates to FS, brain,
orbits, cribiform,
supratrochlear/supraorbital n
Middle 1/3
Zygoma- facial projection, masseter
insertion, inferolateral orbital rims/walls
Orbits- 7 bones (frontal, zygomatic,
max, lacrimal, ethmoid, sphenoid,
palatine).
maxilla- V2, infraorbital rims/floors,
NLD, teeth, MCL
nose- breathing/olfaction, cosmesis
Most freq fx bone in human body

Anatomy/Physiology
Lower 1/3
Mandible
Dentition/occlusion
Horseshoe shape + TMJ absorbs force from
transmitting to MCF
32 teeth, 8/quadrant
Angel Classification of occlusion
Class I mesiobuccal cusp of max 1st molar sits in
buccal groove of the mandib 1st molar.
Class II max molar more anterior/chin retrudedoverbite
Class III max molar more posterior/chin prognathicunderbite

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