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Contents
Introduction Embryology & Prenatal growth Post natal growth Anomalies Conclusion
Visual and inner ear apparatus Upper 1/3 of face Caudal Rhombencephalic centre Induces middle and lower 1/3 of face and middle and ext ears.
Ectoderm forms mucosa of mouth. Endoderm forms mucosa of pharynx. Mesoderm does not intervene.
All prominences and arches arise from neural crest cells-caudal stream
Frontonasal prominence
4th week iu
Develops from Cranial
The frontal portion of the prominence b/w the eyes forms the Forehead.
These placodes induced by the underlying olfactory nerves Invaginate Demarcate the medial and lateral nasal prominences. Nasal pits Precursors to Anterior nares
Midline merging of the paired mandibular prominences Lower jaw + Lower lip -- First to get definitely established.
All the regions of the face grow in proportion each other and equally.
to
i.e. any malproportioning at this time may a basis for craniofacial defects.
form
Maxilla
Acc to Jacobson it develops from a condensation of embryonic
functional matrices that act on different areas and thus allowing for its subdivision into skeletal units.
a) Basal body b) Orbital unit c) Nasal unit d) Alveolar unit e) Pneumatic unit
synchondrosis.
F-M, F-Z, F-N, E-M,F-E suture - vertical growth - eyeball
Eyes
Its growth provides an expanding force separating
neural and facial skeletons at FM and FZ sutures therefore increasing the height.
Eye balls
Grow rapidly following neural pattern of growth and
and inserts into Anterior nasal spine. It transmits septal growth pull on the maxilla.
Facial growth is directed downwards and forwards by
8th week iu transformation from vertical to horizontal considerable sex difference in timing. Earlier in male than female embryos.
Variation in vasculature and blood flow Sudden increase in tissue turnover. Rapid mitotic activity Intrinsic shelf force Muscular movements Withdrawl of face from heart prominence
combination of degenerating epithelial cells, and a surface coat accumulation of glycoproteins and desmosomes facilitates epithelial adherence
bones.
Mid palatal suture 10 1/2 weeks-fibrous layer in the midline. infancy Y shape in coronal section childhood - T shape adolescence - Interdigitated
Tongue : Ant 2/3rd : -- Median triangular elevation in the floor of the primitive pharynx ant. to foramen caecum termed as Median tongue bed. ( Tuberculum Impar) -- Mesenchyme of the 1st arch give rise to 2 distal tongue beds on either side of median tongue bed.
Median and distal tongue beds rapidly increase in size and fuse together to form ant.2/3rd of the tongue. 2 elevations copula and the hypobranchial eminence form the posterior 1/3rd of the tongue.
the
External ear :
Auricle derived from the auricular hillocks i.e. the mesoderm of the 1st and 2nd Branchial arches.
germ layers (endoderm, ectoderm & mesoderm) give rise to a number of specific tissues & organs.
Meckels cartilage
Inferior Alveolar Nerve Center of ossification
FURTHER DEVELOPMENT
Secondary cartilages (Three)
Condylar cartilage Coronoid cartilage
Symphysial cartilage
DEVELOPMENT OF TMJ
Formation of Articular disc and Joint cavity
Formation of Condyle Growth of the Condyle
POSTNATAL GROWTH
General Methods of Growth :
Remodelling. Displacement
Relocation
maintains the form of the whole bone and causes its enlargement.
Displacement the whole bone is carried by a mechanical force Site -Articular contacts 1 displacement the physical carry takes place in conjunction with the bones own enlargement vectors orientedposteriorly
forwards
researchers to be the primary change with rate and direction of bone growth representing a secondary (transformative) response common signals that separately but simultaneously activate both to operate in unison
either a clock or counter clock wise direction depending on growth activities of basicranium and sutural system.
Palate- remodeling rotation occurs in a counter
direction.
THE SYMPHYSIS
By the 1st year the
THE RAMUS
The principle growth
increasing mass of masticatory muscles. To accommodate the enlarged breadth of the pharyngeal space. To accommodate the vertical lengthening of the nasomaxillary part of the growing face. To facilitate the lengthening of the corpus which in turn accommodate the erupting molars.
RAMUS UPRIGHTING
Greater amounts of bone
deposition takes inferiorly than superiorly on the posterior border of ramus. Correspondingly greater amounts of resorption on ant. Border takes places inferiorly than superiorly resulting in a REMODELLING ROTATION
CORONOID PROCESS
MANDIBULAR CONDYLE
CHIN
In infancy chin is under developed.
As age advances the growth of chin becomes significant
When corpus growth is over, vertical alveolar growth persists as the occlusal surfaces wear & the occlusal height is maintained
Adaptive remodelling of alveolar process makes orthodontc tooth movement possible.
ANOMALIES OF FACE
Congenital defects: Teratogens Infection German Measles Cleft Palate X-Irradiation Cleft Palate Drugs Tetracycline Discoloration of teeth Nutrition Vitamin deficiency- Tested Hormones Cortisone- Cleft Palate in Mice
CLEFT PALATE
More in females than males
Tongue obstruction Small palatal shelves
Cleft palate-
BIFID UVULA
Mildest form of cleft palate
Malocclusion
Cleft palate
DOWNS SYNDROME
Trisomic chromosome
Typical mongoloid
appearance Mid face is hypoplastic Cleft lip and cleft palate are seen
ASCHERS SYNDROME
Sagging eyelids
Nontoxic thyroid enlargement
PATAUS SYNDROME
Cleft lip
Cleft palate Micrognathia
GORLINS SYNDROME
Odontogenic keratocyst in mandible Multiple basal cell neavi
Cleft lip and/or cleft
TONGUE TIE
Ankyloglossia
Interferes with speech
centrals
present
glossoptosis
CONCLUSION
Facial growth is a process requiring intimate morphogenic interrelationships among all of its component growing, changing and functioning soft and hard tissue parts. No part is developmentally independent and self contained.