Chapter 1: Growth & Development (w1) Flashcards
Orthodontics deal with
- Esthetics
- Function
- Stability of treatment
- Results
Classes of malocclusion
- Spacing
- Crowding
- Open bite
- Deep bite
- Class I
- Class II
What are the phases of treatment?
- Interception
- Prevention
- Corrective
Define growth
It’s the proof that change occurs as a function of time (could be +ve or -ve, increasing or decreasing)
Define growth changes
Change in size, shape, position of structure
Define growth increment
Amount of growth per unit time
Define growth spurt
- sudden period of accelerated growth
- seen at puberty
- greater amount of growth per unit time than before or after spurt
Define differential growth
Different growth rate or time of various parts of an organ
Define development
Increase in complexity of a function
Growth and development can grow…
A. Simultaneously and dependently
B. Simultaneously and independently
C. Singly and dependently
D. Singly and independently
B. Simultaneously and independently
Why do we assess growth?
- Determine optimum time for treatment (growth modification and surgery)
- Determine amount of growth left
- Determine type of growth
What is growth modification?
- Attempt to change skeletal relationships
- by using the remaining growth
- to alter the size or position of jaws
A 6 years old brain is …. of an adult brain and that is …. (Growth/ development)
A. 90%
B. Growth
What are the features of facial growth?
- Timing of growth changes
- Growth rate throughout the body
- Growth patterns
- Growth variability
Cephaloclaudal gradient of growth shows…
Normal growth pattern
Complete: Head takes up to ….% in: A. Fetal life …. B. At birth …. C. Adult ….
A. 50%
B. 30%
C. 12%
The closer the structure from the brain the… it grows
- Faster
- Slower
- Steady
- None of the above
- Faster
Patterns can be ….
- Predictable
- Repeatable
- Unpredictable
- Predictable and repeatable
- Predictable and repeatable
What did scammon do?
Illustrated 4 types of growth changes in organs in relation to adult weight as 100%
- Somatic (general) type of growth
- Neural growth
- Lymphatic growth
- Genital growth
What is the shape of the somatic (general) curve
S shaped
How many grow spurts does a human being have?
2 growth spurts
When do the growth spurts occur in general growth?
0-4 years
At puberty:
Girls -> 11-13
Boys -> 13-15
When does growth stop?
Decelerates and stop at 19-20 years
Which structures does the neural growth include?
Brain and its parts:
Dura
Spinal chord
Optic apparatus
Describe the growth and development of neural structures
Growth: rapidly in prenatal and early postnatal periods and reach 90% at the age of 6.
Development: takes long time to develop
When do the growth spurts occur in neural growth?
There is no evidence of growth spurts in neural growth
What makes the lymphatic growth special?
It has positive and negative growth
What are the lymphatic structures?
Thymus and lymph nodes
Describe the lymphatic growth curve
Grows rapidly
Enlarge at 11-12 years
Then declines
Describe the curve of genital growth
Primary and secondary sex organs remain small until puberty
Then grow rapidly to their final adult size
What is the growth variability curve?
Absolute curve for plotting growth
What are the variability charts used for?
To determine whether the child’s growth is NORMAL or abnormal
To follow a child over a period of time to evaluate whether there is UNEXPECTED change in growth or not.
Where does variability arise from?
- Normal variation
- Environmental variation (ex: severe illness)
- Time effects
Major concept in growth and development is….
Time
Why is knowledge of facial growth, velocity & percentage remaining is important?
For effective growth modification interventions
Why is understanding % of growth remaining after completion of ortho treatment is important?
To predict post treatment rebound
According to scammon, maxilla and mandible follow the…. Type of growth curve
- Somatic (general)
- Genital
- Neural
- Lymphatic
- Somatic (general)
In a growing skull ….. & …… growths are seen
Somatic and neural
A child who falls out of ….% of population should receive a special study
97%