Normal and Abnormal Facial Growth Flashcards

1
Q

how long does facial growth last?

A

until late teens to a small extent in adult hood

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2
Q

what 2 ways is bone laid down?

A

endochondral - within a cartilage
intramembranous - within a memebrane

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3
Q

how does bone remodel?

A

by laying down or resorption

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4
Q

how do bones connect to each other?

A

sutures (non movable)
except tmj (movable)

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5
Q

what structures make the face?

A

calvarium (skull)
cranial base
nasomaxillary complex
mandible

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6
Q

what type of ossification is calvarium?

A

intramembranous

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7
Q

how many fontanelles are there at birth?

A

6

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8
Q

when are all fontanelles closed by after birth?

A

18 months

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9
Q

why do fontanelles not close before birth?

A

allows compression of head at birth

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10
Q

where does bone formation and bone resorption take place?

A

bone formation - externally
bone resorption - internally

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11
Q

what type of ossification makes the cranial base?

A

endochondreal

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12
Q

what makes up the nasomaxillary complex?

A

maxilla, nasal septum and zygomatic bones

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13
Q

what type of ossification takes place to make the nasomaxillary complex?

A

intramembranous

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14
Q

what type of ossification takes place to form the mandible?

A

endochondreal

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15
Q

in females when is facial growth finished?

A

16 - 17 yrs

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16
Q

in males when is facial growth finished?

17
Q

what stage in life can the mandible have late growth?

18
Q

why do teeth lie in a position of equilibrium?

A

due to forces being applied from lips, tongue, cheeks

19
Q

when does the first tooth in the deciduous dentition erupt?

20
Q

when is the deciduous dentition usually complete?

21
Q

when is root formation in deciduous dentition complete?

A

18 mths post eruption

22
Q

when does calcification of the primary teeth happen?

23
Q

when do deciduous teeth start to exfoliate?

24
Q

when is root formation complete in the permanent dentition?

A

3 yrs after eruption

25
when is the permanent dentition usually complete?
13 yrs old apart from the 8s
26
why are anterior permanent teeth bigger?
they erupt into a bigger arch there was spacing in the deciduous dentition growth of the jaw
27
what is the leeway space?
difference between the sum of the mesiodistal crown widths of the primary canines and molars and that of their successors, the permanent canines and premolars
28
at what age is late crowding in the lower incisors found?
late teens/early 20s - due to late growth of the mandible and general mesial migration of teeth
29
what is craniosynotosis?
premature fusing of stures on calvarium - creates abnormal shaped head
30
what is an example of an abnormality in growth of nasomaxillary complex and oral musculature?
cleft lip and palate
31
what is the LAHSHAL system?
describes site, size, extent and type of cleft L - lip A - alveolus H - hard palate S - soft palate H A L
32
when is cleft palate/lip often diagnosed?
ultrasound around 20 wks of pregnancy
33
what are the dental problems with cleft?
hypodontia supernumerary teeth ectopic teeth hypoplastic teeth malformed teeth high caries rate natal teeth
34
what is the management and prevention for cleft
regular check ups OHI diet advice fluoride application - duraphat varnish, mouthwash, toothpaste (duraphat) alveolar bone grafting definitive orthodontics and alignment distraction osteogensis
35
what is the purpose of alveolar bone grafting?
facilitates eruption of the teeth and support teeth on either side of cleft site improves aesthetics