Facial Growth Flashcards

(71 cards)

1
Q

what determines position of teeth and malocclusion

A

size shape and position of underlying jaws

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2
Q

why is it important to study facial growth

A

insight into growth of face
understand development of facial anomalies
measure changes in growth and treatment

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3
Q

when do the limbs, organs and face form in utero

A

within first two months

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4
Q

what can cause cranio-facial abnormalities early on in the pregnancy

A

external environmental influence

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5
Q

what is neural crest migration important in

A

development of face

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6
Q

when do the neural folds fuse and what do they form

A

neural tube
end of week 3

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7
Q

what will failure of neural folds to fuse cause

A

spina bifida

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8
Q

what does the neural tube develop into

A

brain and spinal cord

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9
Q

if the neural tube fails to develop what does it cause

A

anencephaly

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10
Q

what is absent with anencephaly

A

cerebral hemisphere and cranial vault

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11
Q

what cells are developed from ectoderm during folding of the neural plate

A

neural crest cells

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12
Q

what do neural crest cells undergo

A

migration and differentiate into other cell types

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13
Q

what contributes to the branchial arch cartilage, bone and connective tissue and dental tissues

A

ectomesenchyme

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14
Q

what does the ectomesenchyme come from

A

neural crest

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15
Q

when does formation of the face occur

A

during first eight weeks after fertilisation

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16
Q

what are defects of the face, particularly in the midline related to

A

defects of anterior parts of brain

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17
Q

what is the face formed from

A

migrating neural crest cells

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18
Q

what can failure of fusion between facial processes lead to

A

cleft formation

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19
Q

why can cleft lip occur independently of cleft palate

A

upper lip and anterior palate have different embryological origins from posterior palate and fuse at different times

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20
Q

what forms the branchial arches and when are they formed

A

migrating neural crest cells in week 4

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21
Q

when does the extension and fusion of facial processes occur

A

weeks 5-7

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22
Q

what is the skull divided into

A

neurocranium and viscerocranium

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23
Q

what does the neurocranium form

A

protective case around the brain

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24
Q

what does the viscerocranium form

A

skeleton of face

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25
what bones of the head are intramembranous
vault of skull, maxilla and mandible
26
what is intramembranous ossification
bone deposited directly into primitive mesenchymal tissue
27
describe intramembranous ossification process
needle like bony spicules form which radiate from ossification centres to the periphery progressive bone formation results in fusion of adjacent bony centres
28
what is endochondral ossification
bones are preceded by a hyaline cartilage model
29
what does endochondral ossification form
base of skull
30
when does the basi-occiput form
at 10-12 weeks
31
at birth where do cartilaginous growth centres remain
between sphenoid and occipital bones and in nasal septum
32
when does intramembranous ossification of the vault occur
in third month
33
when does the anterior fontanelle close
2 years of age
34
when does the posterior fontanelle close
1 year of age
35
why does growth occur at fibrous sutures
in response to intracranial pressure
36
how long does growth of the skull continue for
7 years
37
what do the maxilla and mandible develop adjacent to
Meckel's cartilage
37
what do the maxilla and mandible develop adjacent to
nasal capsule and Meckel's cartilage
38
what does the angular unit of the mandible form in response to
lateral pterygoid and masseter muscles
39
what does the coronoid unit of the mandible form in response to
temporalis muscle development
40
when would the alveolar unit of the mandible form in response to
only if teeth are developing
41
what does the body of the mandible form in response to
inferior dental nerve
42
what are the 3 main sites of secondary cartilage formation in the mandible
condylar cartilage coronoid cartilage symphyseal end of each half of mandible
43
how long does growth continue at the condylar cartilage
until about 20 years of age
44
what is a primary abnormality
defect in structure of an organ or part of an organ that can be traced back to an anomaly in its development
45
what is a secondary abnormality
interruption of the normal development of an organ that can be traced back to other influences
46
what is a deformation
anomalies that occur due to outer mechanical effects on existing structures
47
what is agenesia
absence of an organ due to failed development during embryonic period
48
what is sequence
single factor results in numerous secondary effects
49
what is a syndrome
group of anomalies that can be traced to a common origin
50
what 5 types of maxillary hypoplasia are associated with clefts
aperts syndrome crouzons syndrome oral facial digital syndrome cleidocranial dysostosis cleft lip and palate
51
what 5 mandibular problems can be associated with clefts
treacher collins syndrome pierre robin sticklers syndrome van der woude syndrome hemifacial microsomia
52
what is an environmental factor that can cause a facial syndrome in the first 1-8 weeks of development
foetal alcohol syndrome
53
what are the multifactorial factors that can cause problems with facial development
hemifacial microsomia treacher collins syndrome clefts of lip and palate
54
what is foetal alcohol syndrome caused by
high maternal intake of alcohol
55
what features do people with foetal alcohol syndrome present with
microcephaly short nose small midface small mandible long upper lip with deficient philtrum mild mental retardation
56
what does hemifacial microsomia present like
unilateral mandibular hypoplasia zygomatic arch hypoplasia high arched palate malformed pinna deafness cardiac and renal problems
57
why does treacher collins syndrome occur
deformity of 1st and 2nd branchial arches
58
what does treacher collins syndrome look like
anti-mongoloid slant palpebral fissures hypoplastic or missing zygomatic arches hypoplastic mandible with antigonal notch conductive deafness
59
what group of people have higher incidence of cleft lip and palate and also of cleft lip alone
males
60
what group of people have higher incidence of cleft palate
females
61
what are the genetic factors of cleft lip and palate
monozygotic twins syndromes familial pattern
62
what are the environmental factors of cleft lip and palate
social deprivation smoking alcohol anti-epileptics multivitamins (decrease chances by 25%)
63
what are the dental features of cleft lip and palate
impacted teeth crowding hypodontia supernumeraries hypoplastic teeth caries
64
why does achondroplasia occur
problem with endochondrial ossification
65
what does achondroplasia present like
defective long bones = short limbs retrusive middle third of face frontal bossing depressed nasal bridge
66
what is crouzons
premature closure of cranial sutures
67
what does crouzons look like
proptosis orbital dystopia retusion and vertical shortening of midface prominent nose class 3 malocclusion
68
what is early closure of sutures called
cranial synostosis
69
what is aperts
premature closure of almost all cranial sutures
70
what does aperts present like
maxillary hypoplasia class 3 occlusion AOB parrots beak nose syndactyly of fingers and toes