module 1 reinforcement Flashcards
which decade is craniofacial skeletal growth completed
upper jaw
-teens to twenties
vertical
- grown throughout our life (50s and later = answer)
growth
1) change
2) increase in size and number
development
1) increase in complexity
2) gaining cell specialization
growth pattern is the predicatable changes in body proportions over time
true
maxilla grows faster before mandible during adolescent growth (A)
because it is closer to the brain (B)
a) false, it is BEFORE adolescent growth that it is faster
b) this is true and related
cephalocaudal gradient
1) changes in body proportion over time
2) fetus head is 50%
3) at birth 25%
4 )adult 10-14%
—
1) maxilla grows faster than mandible before adolescence
maxilla
1) influenced more by growth at the cranial base of the brain
2) accelerates early on then plateaus
mandible
1) influenced more closely to the general body curve
2) accelerate, plateau, then growth at the pubertal spurt
monitoring
1) male and female
- pediatric growth charts
2) weight and standing height
3) predicts how a patient will grow
- and treat if they do not grow in a normal way
4) pubertal growth spurt is BEST time for mandible ortho treatment
craniometry
1) human growth measurements
anthropometry
1) living individual measurements
cephalometric radiology
1) used in ortho to check CVM
6 stages of cervical vertebral maturation
1) working out the timing of ortho treatment
- where are they in skeletal maturation phases
2) C2, C3, C4
- those have specific shapes in growth
- width, height, concavity
3) stage 3 is the best time
synchondroses
1) filled with cartilage
2) active, independent growth
3) capable of independent growth
4) not direct ossification
- deposition of bone on bone (aka intramembranous)
how does a long bone grow
1) growth plate present
2) grows in a layer of periosteum adjacent to bone surface
osteoclasts
1) just does bone resorption
endochondral ossification
1) invasion of blood vessels
2) etc
intramembranous
1) bony deposition
endochondral ossification
1) modelled in cartilage and replaced by bone
mandible grows by
1) apposition and remodeling resorption at the ramus
- ramus goes back and pushes lower jaw forward
2) endochondral replacement at condyles
- some growth because of this
3) pulled away from the skull by the growth of the soft tissue
mandibular condyle
1) growth cartilage involved in growth
2) site of growth
growth centers
1) base of skull (sychondroses)
2) and nasal septum
- pulls maxilla down and forwards
which of the synchondroses fuses at birth
1) endochondral ossification that doesn’t fuse immediately
2) at birth
- intra-sphenoidal
3) spheno-occifpital 17-25
3) sphenoethmoidal 6 yr
base of brain
1) ethmoid, sphenoid, occipital
- endochondral ossification
melvin moss
1) the functional matrix hypothesis
secretion of ECM is the most important activity for growth of the craniofacial skeleton
1) true
- gives size and growth
bone is
1) grows under tension
2) is tension adapted
3) grows in length at the epiphyseal plate
4) increases in diameter by appositional growth