Development and Growth Flashcards

1
Q

growth vs development

A

Growth- most relevant to the increased size of anatomy of increase in number of anatomic parts (quantity)

Development- refers more to the greater complexity or specialization of functions (qualitative)

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2
Q

a pattern where early on in life, growth tends to occur faster in parts that are closer to the cranium while parts further away from the cranium experience growth later in life

A

cephalocaudal growth gradient

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3
Q

Which matures earlier? maxilla or mandible

A

maxilla (remember cephalocaudal growth gradient)

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4
Q

The human growth curve: distance vs velocity

A

Distance- person’s height
Velocity- person’s rate of change in height

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5
Q

male vs female peak growth

A

Male = 14 yo
Female = 12 yo

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6
Q

growth curve that describes the growth of variable body regions in terms of years and percentage of total adult body size

A

Scammon’s growth curve
- brain and neural tissue grow rapidly after birth and reach near adult size by 6-7 years
- lymphoid tissues grows rapidly to twice its adult size by 10 years and then decreases until adulthood
- maxilla more similar to neural growth curve
- mandible more similar to general growth curve

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7
Q

not a good indicator of maturity due to variability

A

chronological age

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8
Q

age based on markers of maturation, BEST indicators of growth and maturity (menstruation, secondary sex characteristics)

A

biologic age

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9
Q

age based on maturity of cervical vertebrae or maturity of hand and wrist bones, better indicator of maturity

A

skeletal age

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10
Q

age based on teeth that have exfoliated/erupted, generally NOT a good indicator of maturity

A

dental age

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11
Q

sites vs centers

A

Sites- parts of the body where the growth is actually occurring

Centers- sites of the body that are able to control its own growth

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12
Q

the main growth centers for craniofacial structures

A

synchondroses

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13
Q

intramembranous vs endochondral growth

A

Intramembranous growth
- growth from the outside of bone from fibrous CT (increased DIAMETER of bone)
- controlled more by environmental factors
- found in sutures and cranial vault surface

Endochondral growth
- growth that occurs within cartilage that is eventually replaced by bone, 5 zones
- results in increased bone LENGTH
- controlled more by genetics
- found in the following sites: epiphyseal plates (long bones), synchondrosis of cranial base, condylar cartilage of the mandible

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14
Q

5 zones of endochondral ossification

A

1) Zone of resting cartilage
2) Zone of proliferation
3) Zone of hypertrophy
4) Zone of calcification
5) Zone of ossification

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15
Q

3 theories of growth

A

Cartilage theory- epigenetic control of growth where cartilage is the growth center, holds some validity

Suture theory- now known to be mostly false, genetics determine bone growth, sutures act as growth centers (but now we know they are growth sites)

Functional matrix theory- environment (speaking, chewing, function) control growth, causes nasal and oral cavities to grow bigger, primary determinant of growth in maxilla and mandible

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16
Q

3 planes of growth

A

Transverse- width, 10-12 yo
Anterioposterior/sagittal- length, 14-16
Vertical- height, 18-20+

17
Q

are cartilage at birth and go through endochondral ossification later on at synchondroses

A

cranial base (ethmoid, sphenoid, and occipital bones)

18
Q

part of the skull that holds the brain

A

cranial vault

19
Q

intramembranous ossification occurs here at fontanelles and sutures, as the brain goes and pushes cranial bones apart

A

cranial vault

20
Q

maxilla vs mandible growth

A

Maxilla
- intramembranous ossification posterior and superior to the nasomaxillary complex at the sutures and for remodeling
- apposition at the palate, tuberosity, and alveolar ridge
- resorption in the anterior maxilla
- results in net forward and downward movement of maxilla from cranial base

Mandible
- embryonic: condylar cartilage from intramembranous ossification, embryonic corpus/ramus from endochondral ossification
- adulthood: intramembranous ossification –> surface remodeling, endochondral ossification –> proliferation and bone formation at condylar cartilage
- results in net towards and downwards movement from cranial base