Development of palate Flashcards

1
Q

What is the Role of the definitive (secondary) palate?

A

Role of the definitive (secondary) palate:

  • separates the nasal airway + oral cavity
  • Important for:
    • Mastication – bolus formation
    • sensation - taste and texture
    • speech
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2
Q

When does the Palatal shelve elevation take place?

A

Week 8

  • Initially palatal shelves develop
    • medially
    • downwards
  • Then palatal shelves:
    • rapidly elevate
    • grow towards each other
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3
Q

How is the Palatal shelve elevation?

A

Forces extrinsic to the palate - Involving the tongue

Intrinsic forces generated within the palate

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4
Q

What are the Palatal shelve elevation Extrinsic factors?

A
  • Tongue withdrawal due to:
    • Head lifting from cardiac plate
    • Meckel’s cartilage growth
    • ↑ height of nasal cavity
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5
Q

What are the Palatal shelve elevation Intrinsic factors?

A

Intrinsic shelf force :

  • Hydration of extracellular matrix
    • Hyaluronan (GAG)
    • bind 10x its weight in water – turgidity
    • Hyaluronan accumulates prior to elevation

Another theory:

  • Mesenchymal cells:*
  • Mesenchymal cells appear to shorten*
  • Contractile microfilaments*
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6
Q

What is Epithelial adhesion fusion?

A
  • Sticky surface glycoprotein
  • Specific - will not fuse with other epithelia e.g. tongue
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7
Q
A
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8
Q

What are the 3 theories about in fusion about how does mid-line disintegrate?

A
  1. Epithelial-Mesenchymal Transition
  2. Apoptosis of epithelial cells
  3. Migration to the nasal or oral edge
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9
Q

What are Fusion problems?

A

Failure to fuse - completely or incompletely - cleft palate

Epithelial remnants – Epithelial cell rests – Cystic potentia

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10
Q

What are the risk factors for palatal cleft fusion problems?

A
  • Smoking
  • alcohol abuse
  • drugs - both medical and recreational
  • viruses, rubella
  • To much Vitamin A (or other retinoids)
  • deficiencies in folic acid.
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11
Q

HA (hyaluronic acid) is made by 3 different enzymes what are they? What are the bigger and smaller ones?

A

Made by: HA synthase 1, HA synthase 2 and HA synthase 3.

Produce HA of different sizes. HA synthase 1 and 2 large molecular weight HA, HA synthase 3 smaller.

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