Craniofacial Bone Complex & Joints Flashcards

1
Q
Human Skeleton
-About \_\_\_\_ bones at birth, reduced to \_\_\_\_ by adulthood
Axial Bones:
-\_\_\_\_: 22 bones plus 9 associated, 1 being the \_\_\_\_\_.  Skull bones represent \_\_\_\_% of the whole skeleton, but are far more \_\_\_\_ than the other bones in the body
-Torso: \_\_\_\_ bones
Appendicular Bones:
-\_\_\_\_\_\_ Extremities: 64 bones
-\_\_\_\_\_\_ Extremities: 62 bones
A
  • 270; 206
  • Skull; Hyoid; 10%; complex
  • 52
  • Upper
  • Lower
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2
Q

-______: Region of the skull that encases the brain, covers and supports it from the bottom like a shelf
-____ _____: The portion of the skull that overlies the brain and forms via ______ Ossification
-____ _____: The portion which underlies the brain and forms via _______ Ossification
Bones (__ total):
-Single bones: _______, ______, ______, and ______ bones
-Bone pairs: _______ and _____

A
  • Neurocranium
  • Cranial Vault; Intramembranous
  • Cranial Base; Endochondral
  • 8
  • Frontal; Occipital; Ethmoid; Sphenoid
  • Parietal; Temporal
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3
Q

-______: The region of the skull that makes up the bones of the face and protects the ____ organs
Bones (__ total):
-Single bones: ______ and _____-
-Bone pairs: _____, _____, ____, _____ ____ _____, ______, and _____ bones

A
  • Viscerocranium; visceral
  • 14
  • Mandible; Vomer
  • Maxilla; Lacrimal; Zygomatic; Inferior Nasal Conchae; Nasal; Palatine
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4
Q

Embryonic Origins of the Skull

  • Bones formed in the anterior half of the skull are from ____ ____ ____ in origin
  • Bones formed in the posterior half of the skull are of _____ _____ origin. Includes the ______ bones, ______ _____, and the _____ bone
  • The ______ is derived from multiple cell types
A
  • Neural Crest Cells
  • Mesoderm Sclerotome; Parietal; Petrous Temporal; Occipital
  • Sphenoid
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5
Q
Membranous Bones of the Skull
-Bony \_\_\_\_\_ form in multiple sites and begin to grow outwards between weeks \_\_\_\_ in development
-\_\_\_\_\_\_ \_\_\_\_\_\_: Make up the calvarium of the skull and are each derived from the Primary Ossification Center
Bones:
-\_\_\_\_\_\_ Bones
-\_\_\_\_\_\_ Bone
-\_\_\_\_\_\_ Bone
-Nasal \_\_\_\_
-\_\_\_\_\_\_
-\_\_\_\_\_\_
-Cervical \_\_\_\_\_\_\_
A
  • Spicules; 6-7
  • Membranous Bones
  • Occipital
  • Parietal
  • Frontal
  • Bones
  • Mandible
  • Maxilla
  • Vertebrae
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6
Q

Development of the Chondrocranium

  • Cartilaginous condensation in the Cranial Base at week ____
  • Fully fuses and differentiates at the end of the _____ month of pregnancy or ____ weeks since the initial cartilage formation
A
  • 7

- 2nd; 2

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7
Q

Maxilla
-____ ____: Located in the middle of the bone
Prenatal Growth and Development:
- Maxilla forms within the ____ ______ extending ventrally from the ______/_____ arch
- Formed from _______ ossification in week 7 of development
Postnatal Growth and Development:
1) ________: Deposition and resorption of bone helps to shape the bone. By ____ ____: Bone will be added to the Periosteum (outside) while being removed from the Endosteum (inside) or vice versa, or by ______: Bone is added to one side and gets resorbed on the opposite side, making it appear to move towards the growing side.
2) ______: Growth movements which cause separation of the different bones

A
  • Intermaxillary Suture
  • Maxillary Prominences; Branchial/Mandibular
  • Intramembranous
    1) Remodeling; Cortical Drift; Relocation
    2) Displacement
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8
Q

Mandible Prenatal Growth and Development

  • Major components of the Mandible are the ____ and ____
  • Condylar _____ often get fractured due to trauma
  • Develops from ________ and ________ ossification
  • The Body is derived from _____ ____: Serves as a positional structure for where the mandible will form, and will regress. This is via _______ ossification
  • The Ramus develops from ____ ____: Carrot-shaped cartilage that arises during the 10th week in the region of the _____ on top of bone and gets converted via ______ ossification. Considered to be ______ cartilage
A
  • Body; Ramus
  • Necks
  • Endochondral; Intramembranous
  • Meckel’s Cartilage; Intramembranous
  • Condylar Cartilage; Condyles; Endochondral; Secondary
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9
Q

Mandible Postnatal Growth & Development

  • Main growth sites: _______ Cartilage, ______ ridge, the ______, and ______ tuberosity
  • ______ ______: Functions as ______ cartilage and growth site for future bone, and requires _______ stress for development. Increases the _____ of the Ramus, ______ of the Mandible, and _____ of the inter-Condylar distance
  • ______ _____: Bone deposition contributes to the growth of the Body of the Mandible in height, and grows rapidly during tooth ______.
  • _____: Periosteal bone apposition and resorption via bone remodeling aids in Mandible growth, with the anterior portion becoming the _______
A
  • Condylar; Alveolar; Ramus; Lingual
  • Condylar Cartilage; Secondary; Mechanical; Height; Length; Width
  • Alveolar Process; Eruption
  • Ramus; Corpus
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10
Q

Order of Growth in the Mandible

1) ______: Completed before adolescent growth spurt that occurs around 12
2) ______: Continues through puberty, girls _____, and ____ for boys
3) _____: Continues into adulthood after the growth spurt, making placing ______ difficult

A
  • Width
  • Length; 14-15; 18-19
  • Height; implants
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11
Q

Jaw Alignment

  • ______: Overgrown Mandible or underdeveloped Maxilla
  • ______: Balanced jaw relationship
  • ______: Underdeveloped Mandible
A
  • Class III
  • Class I
  • Class II
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12
Q
  • _______: A union between 2 bones by the formation of either______ Cartilage or Fibrocartilage, and is usually______ only existing during the _____ phase.
  • Has a _______ direction of growth making it unique
A

-Synchondrosis; Hyaline; temporary; growing; bi-polar

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13
Q

Midline Synchondroses of the Cranial Base

  • _______ _______: Between the Sphenoid and Ethmoid bones that closes at age 6
  • _______ _______: Between the Presphenoid and Basis Sphenoid and ____ at birth
  • _______ _______: Between the Basis Sphenoid and Basis Occipital, and will contribute the most to midline growth, closing between ages 13-15 when ____ growth is complete
A
  • Speno-ethmoid Synchondrosis
  • Intersphenoid Synchondrosis; ossifies
  • Spheno-occipital Synchondrosis; brain
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14
Q

-Premature growth arrest of the Cranial Base leads to ____ _____ and reduced mid-facial height

A

-Midface retrusion

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15
Q

Synovial Joint: TMJ

  • The only ____ Synovial Joint in the head that connects the Mandible to the rest of the skull
  • Fibrous cartilaginous _____ Disc is a unique feature
  • _____ ____ when the Articular Disc is initially in_____ of the Condyle and gets fixed when opening, but will _____ once the Articular Disc returns back in ____ after closing
  • The jaw gets _____ when the Articular Disc remains in front of the Condyle preventing it from opening further. Can lead to _____: Surface ______ of the Condyle along with perforation of the _____ ___ and possibly adhesion of the disc to the bone
A
  • Moveable
  • Articular
  • Clicking noise; front; click; front
  • locked; Osteoarthritis; erosion; Articular Disc
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16
Q

Joint Lubrications for the TMJ

  • ______: Has anti-adhesion and anti-cell growth properties, so knocking out the PRG4 gene negates these effects
  • _____(__): Without it will leave proliferating cells towards the surface of the TMJ leading to arthritis
  • Surface Active _______
A
  • Lubricans
  • Hyaluronate (HA)
  • Phospholipids
17
Q

TMJ and Facial Development
- Caused by ______ to the TMJ
- Developmental malformations of the ____
-_____ ___ _____ ____(__): Impacts 1 -1,000 between ages 0-15 years of age (high frequency) and TMJ erosion is often associated with no ____
Phenotypes:
-________ of the Mandible
-Limited jaw _____
- Jaw muscle ______
-Occlusal issues/______ asymmetry
-_____ _____ _____(__): Breathing problems making sleeping difficult

A
  • Trauma
  • Condyles
  • Juvenile Idiopathic Rheumatoid Arthritis (JIA)
  • pain
  • Micrognathia
  • Opening
  • Dysfunction
  • Facial
  • Obstructive Sleep Apnea (OSA)