Embryology/Facial Growth Flashcards

1
Q

Describe a newborn’s mouth features

A
  • gum pads
  • anterior open bite
  • ‘appear skel class 2’
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2
Q

Primary Dentition Order (months)

A
a-6-7m
b-7-8m
c-18-20m
d-12-15m
e-24-36m
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3
Q

Mixed/Perm dentition order (months)

A

Lower: 1/6=6y, 2=7y, 3=9y, 4/5=10y, 7=12y

Upper: 6=6y, 1=7y, 2=8y,4/5=10y, 3=11y, 7=12y

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4
Q

Pharyngeal/brachial arches - what are their general function?

A

form face, jaw, ear and neck

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5
Q

Pharyngeal/brachial arches - 1-6 nerve formations

what happens to 5

A
  1. trigeminal (V)
  2. facial (VII)
  3. glossopharyngeal (IX)
  4. superior laryngeal branch of vagus (X)
  5. fails to form
  6. inferior larnygeal branch of vagus (X)
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6
Q

What do the inside pharyngeal apparatus become:

  • what do they form
  • what body tissue
  • how many
  • function
A
  • Pouches
  • Endoderm
  • 4
    1. auditory tube/mid ear cavity
    2. lymphocytes/palatine tonsils
    3. sup: inferior parathyroid glands / inf: Thymus
    4. sup: superior parathyroid glands / inf: parafollicular cells of thyroid gland
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7
Q

What do the outside pharyngeal apparatus become

  • what do they form
  • what body tissue
  • how many
  • function
A

-Pharyngeal clefts
-Ectoderm
-4
1. external auditory meatus
2/3/4. obliterated by 2nd pharyngeal arch

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8
Q

Pharyngea/Branchial Arches

  • muscle tissues formed
  • skeletal tissues formed
A
  1. (V)
    - mus: muscles of mastication/anterior belly of digastric/tensor tympani/tensor veli palatini
    - skel: meckel’s cartilage
  2. (VII)
    mus: muscle of facial expression/posterior belly of digastric/stylohyoid
    - skel: stylohyoid process/hyoid
  3. (IX)
    - mus: stylopharyngeus
    - skel: lower part of hyoid
  4. (X sup)
    - mus: pharyngeal constictors/cricothyroid/levator veli palatini
    - skel: Thyroid cartilage
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9
Q

What are the two parts of the skull

-function

A
  • Neurocranium: protective case for brain

- Viscerocranium: form facial skeleton

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10
Q

How is the Neurocranium formed

-what does it form

A
  • INTRAMEMBRANOUS bone formation (ossification)
  • vault of skull/maxilla/most of mandible
  • fontanelles
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11
Q

How is the Viscerocranium formed

-what does it form

A
  • ENDOCHONDRAL bone formation (ossification)

- base of skull

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12
Q

What 4 units make up the mandible

  • what do they form in response to
  • what does the body of the mandible form in response to
A
  1. condylar
  2. angular: lateral pterygoid/masseter
  3. coronoid: temporalis
  4. alveolar: teeth
    - body: IAN
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13
Q

Facial syndromes with maxillary hypoplasia as a feature:

A
  • Apert’s Syndrome* (acrosyndactyly)
  • Crouzon’s Syndrome* (craniofacial dysostosis)
  • Oral-Facial Digital Syndrome*
  • Binder’s Syndrome
  • Achondroplasia
  • Down’s Syndrome
  • Cleidocranial dysostosis*
  • Foetal Alcohol Syndrome
  • Cleft lip/palate*
  • Treacher Collin’s Syndrome* (mandibulofacial dysostosis)
  • Pierre-Robin*
  • Stickler’s Syndrome*
  • Van der Woude Syndrome*
  • Turner’s Syndrome
  • Hemifacial Microsomia*
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14
Q

what facial syndromes commonly present with mandibular issues (hypoplasia etc)

A
  • Treacher Collin’s Syndrome* (mandibulofacial dysostosis)
  • Pierre-Robin*
  • Stickler’s Syndrome*
  • Van der Woude Syndrome*
  • Turner’s Syndrome
  • Hemifacial Microsomia*
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15
Q

Features of Fetal Alcohol Syndrome

A
  • microcephaly
  • low nasal ridge
  • minor ear anomalies
  • short nose
  • micrognathia
  • indisctinct philtrum
  • thin upper lip
  • flat midface
  • short palpebral fissures (under eye)
  • mild mental retardation
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16
Q

Features of Hemifacial microsomia

A

-1:3500 Live births
-Multifactorial
-Neural crest cell migration? (day 19-28)
-3D Progressive facial asymmetry
-Unilateral mandibular hypolasia, zygomatic arch
hypoplasia, high arched palate, malformed pinna
-But clinical spectrum (ear tags only, to complete
lack of condyle, coronoid and ramus)
-Normal intellect, deafness, cardiac and renal
problems

17
Q

Features of Treacher Collins syndrome

A

-AD, 1;10,000 Live births,
-Deformity of 1st and 2nd branchial arches,
(day 19-28)
-Anti-mongoloid slant palpebral fissures
-Colomboma of lower lid outer 1/3rd
-Hypoplastic or missing zygomatic arches
-Hypoplastic mandible with antigonial notch
-Deformed pinna, conductive deafness

18
Q

Features of Crouzon’s (cranialfacial dysostosis)

A

-AD, 1:25,000
-Premature closure of cranial sutures
(esp coronal and lamdoid)
-Proptosis (shallow orbits), orbital
dystopia, mild hypertelorism
-Retusion and vertical shortening of
midface
-Prominent nose
-Class III malocclusion
-Narrow spaced teeth

19
Q

Features of Apert’s (Acrosyndactyly)

A

-AD, 1:160,000
-Premature closure of almost all
cranial sutures
-Exopthalmos, hypertelorism,
-Maxillary hypoplasia
-Class III occlusion, AOB, narrow
spaced teeth
-Parrot’s beak nose
-Syndactyly of fingers and toes