L3 Prenatal Jaw Development Flashcards

1
Q

Which tissue does the skull develop from?

A

From the mesenchyme surrounding the developing brain.

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2
Q

What can occur if the neurocranium does not form or mineralise correctly?

A

Craniosynotosis: early fusion causing abnormal skull shape

Apert syndrome: coronal sutures affected, cranium adopts, tower shaped skull

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3
Q

What does the viscerocranium refer to and when does it begin developing?

A

The bones of the face, including the jaws.

Begins to develop around week 4 i.u.

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4
Q

What is the viscerocranium divided into?

A
  • The membranous viscerocranium

- The chondral viscerocranium

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5
Q

What is the origin of the viscerocranium?

A

Develops from the 1st and 2nd pharyngeal arches, therefore of mesodermal origin.
It is formed by migrating neural crest cells.

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6
Q

The 1st pharyngeal arch is divided into 2 parts, what are these and what do they give rise to?

A
  • Maxillary process gives rise to the maxilla, zygomatic and temporal bones
  • Mandibular process gives rise to the mandible
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7
Q

What is contained within each pharyngeal arch?

A
  • A cartilaginous rod
  • Muscle
  • Nerve
  • Artery
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8
Q

Outline the main steps of mandible development.

A
  • Meckel’s cartilage acts as a template to support mineralisation
  • The mesenchymal tissue surrounding the cartilage undergoes ossification (begins laterally) to form the mandible
  • The cartilage is then lost
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9
Q

Describe mandible development at week 6.

A
  • Meckel’s cartilage runs from the otic capsule to the midline
  • Meckel’s cartilage takes the form of a hyaline cartilage rod surrounded by a fibro-ceullular capsule (periochondrium)
  • 2/3rds along the cartilage the mandibular nerve divides into the lingual and inferior alveolar nerve
  • The inferior alveolar nerve divides into the incisive and mental nerves - this point is where the underlying mesenchyme condenses and mineralisation begins
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10
Q

Describe mandible development at week 7.

A
  • Intramembranous ossification of the mesenchyme begins
  • There is an anterior spread of bone along the lateral aspect of Meckel’s cartilage which forms a trough of medial and lateral bony plates
  • These plates unite beneath the incisive nerve and later inclose the nerve creating the incisive canal
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11
Q

Describe mandible development at week 10.

A
  • Meckel’s cartilage forms the malleus and spheno-mandibular ligaments
  • Meckel’s cartilage begins to be resorbed
  • Some evidence suggests Meckel’s cartilage contributes to mandible formation via endochondral ossification as well- particularly in the condylar region
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12
Q

Describe mandible development at week 12.

A
  • Condylar cartilage appears (different to Meckel’s)
  • Forms a cone shaped mass occupying most of the developing ramus
  • Rapidly mineralised to bone via endochondral ossification
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13
Q

Describe mandible development at week 20.

A
  • A thin layer of cartilage remains at the condylar head, persists until 2nd decade of life
  • Secondary cartilage appears called coronoid cartilage (later fuses with ramus and disappears before birth)
  • Symphysial cartilages appear between the 2 ends of Meckel’s cartilage which fuse with the mandible and disappear in the 1st year of life
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14
Q

Which part of the 1st pharyngeal arch does the maxilla develop from?

A

The ventral region of the viscerocranial mesenchyme of the maxillary process of the 1st arch.

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15
Q

Describe maxilla development at week 8.

A
  • Centre of ossification appears close to the site of the developing deciduous canine, where the anterior superior alveolar nerve and infra orbital nerve divide
  • Bone spreads anteriorly towards incisor region and superiorly to the frontal processes and zygomatic processes
  • Bony trough forms from the infra-orbital nerve which extends downwards to form the lateral alveolar plate around the maxillary tooth germs
  • Ossification spreads towards palatine processes to form the hard palate
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16
Q

What secondary cartilage is present in maxilla development?

A
  • Zygomatic/malar cartilage appears in developing zygomatic process and helps development
17
Q

When does the maxillary sinus form?

A

At week 16, on the nasal aspect of the developing maxilla.

18
Q

Name 4 similarities in mandible and maxilla development.

A
  • Both develop from single centres of ossification in close relation to bifurcating nerves
  • Both develop an alveolar element related to the developing teeth
  • Both develop secondary cartilages to assist growth
  • Bulk of bone formed by intramembranous ossification
19
Q

Name 2 differences between mandible and maxilla development.

A
  • There is no primary cartilage in maxilla development

- The mandibular condyles are formed by endochondral ossification

20
Q

Which cell type do osteoblasts develop from?

A

Mesenchymal stem cells

21
Q

What type of bone is formed during development?

A

Woven bone: weak, not dense

Also first bone type formed in fracture repair

22
Q

What type of bone is found lining the tooth socket?

A
Bundle bone (histologically similair to woven bone)
Also called the lamina dura
23
Q

Explain intra-membranous ossification.

A
  • MSCs differentiate to osteoblasts
  • Osteoblasts secrete osteoid
  • Matrix-mediated mineralisation occurs
24
Q

Explain endochondral ossification.

A
  • Chondrocytes undergo proliferation and hypertrophy
  • Cartilage ECM forms trabeculae and mineralises
  • Chondrocytes die
  • Bone marrow cells and BVs evnter
  • Lining osteoblasts form lamellae and ECM, ultimately mineralises to become bone
  • Mineralised cartilage is degraded
25
Q

What are the components of the alveolar process?

A
  • The inner and outer alveolar plates
  • Lamina dura
  • Alveolar crest (where the plate meets the lamina dura)
  • Supporting cancellous bone
26
Q

What are the inner and outer alveolar plates made of?

A

Compact bone

27
Q

What is the lamina dura made of?

A

Bundle bone

28
Q

What is the lamina dura also known as?

A

The cribriform plate

  • Perforated by foramina called Volkman’s canals which carry nerves and blood vessels
  • It is embedded with extrinsic collagen fibres from the PDL (Sharpey’s)