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Growth and Development of Craniofacial Complex, Lecture notes of Orthodontics

Orthodontics I - Growth and Development of Craniofacial Complex

Typology: Lecture notes

2023/2024

Uploaded on 04/21/2025

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Transcribed by: Hannah Rose M. Fortuno
ORTHODONTICS I
GROWTH AND DEVELOPMENT OF THE CRANIOFACIAL COMPLEX
Transcribed by: Hannah Rose M. Fortuno
3 Primary Correlates of the Human Dental
Occlusion
Growth and development of the
craniofacial complex (bone)
Growth and development of occlusion
(teeth)
Growth and development of nerves and
muscles (neuromuscular system)
Why do we assess growth?
1. To determine optimum time for treatment
(growth modification and surgery)
2. To determine the amount of growth
3. To determine the type of growth
Growth vs. Development
Growth
normal changes in the amount of the living
substance
normal dimensional changes during
development
limited to the changes in magnitude of a body
and does not describe how it happens
change in quantity
Scammon’s Curve
General Growth
Lymphoid Curve
Neural Curve
Genital Curve
General Growth
- pertains to MOST body organs, the skin,
viscera, most organs and organ systems,
muscles, cartilage and bone.
- follows an S-shaped pattern
Lymphoid Curve
- represents tissues associated with
HUMORAL IMMUNTY such as the thymus,
tonsils and adenoids, and lymph nodes.
Neural Curse
- CNS (Central Nervous System) and its
surrounding calvaria.
Genital Curve
- the growth of PRIMARY SEX APPARATUS
and all SECONDARY SEX TRAITS.
Development
naturally occurring unidirectional changes in
the life an individual from its existence as a
single cell to its elaboration as a
multifunctional unit terminating in death.
Change in complexity
Ex: fertilized egg -> embryo -> neonate ->
child -> adult -> death
Development = growth + differentiation +
translocation
Basic Concepts of Growth and Change
Appositional Growth
Increase in size by SURFACE ADDITION
Ex: long bones
Interstitial Growth
Increase in size by EXPANSION
Ex: cartilage
Sutural Apposition
Increase in size of a bone by addition of bone
at the SUTURAL INTERCHANGE
Displacement
Movement of a whole bone away from other
bones
Primary or Secondary Displacement
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ORTHODONTICS I

GROWTH AND DEVELOPMENT OF THE CRANIOFACIAL COMPLEX

Transcribed by: Hannah Rose M. Fortuno 3 Primary Correlates of the Human Dental Occlusion

  • Growth and development of the craniofacial complex (bone)
  • Growth and development of occlusion (teeth)
  • Growth and development of nerves and muscles (neuromuscular system) Why do we assess growth?
  1. To determine optimum time for treatment (growth modification and surgery)
  2. To determine the amount of growth
  3. To determine the type of growth Growth vs. Development Growth
  • normal changes in the amount of the living substance
  • normal dimensional changes during development
  • limited to the changes in magnitude of a body and does not describe how it happens
  • change in quantity Scammon’s Curve
  • General Growth
  • Lymphoid Curve
  • Neural Curve
  • Genital Curve
  • General Growth
  • pertains to MOST body organs, the skin, viscera, most organs and organ systems, muscles, cartilage and bone.
  • follows an S-shaped pattern
  • Lymphoid Curve
  • represents tissues associated with HUMORAL IMMUNTY such as the thymus, tonsils and adenoids, and lymph nodes.
  • Neural Curse
  • CNS (Central Nervous System) and its surrounding calvaria.
  • Genital Curve
  • the growth of PRIMARY SEX APPARATUS and all SECONDARY SEX TRAITS. Development
  • naturally occurring unidirectional changes in the life an individual from its existence as a single cell to its elaboration as a multifunctional unit terminating in death.
  • Change in complexity
  • Ex: fertilized egg - > embryo - > neonate - > child - > adult - > death
  • Development = growth + differentiation + translocation Basic Concepts of Growth and Change Appositional Growth
  • Increase in size by SURFACE ADDITION
  • Ex: long bones Interstitial Growth
  • Increase in size by EXPANSION
  • Ex: cartilage Sutural Apposition
  • Increase in size of a bone by addition of bone at the SUTURAL INTERCHANGE Displacement
  • Movement of a whole bone away from other bones
  • Primary or Secondary Displacement

Primary Displacement (Translation) o Physical movement of a whole bone due to bone growth o Occurs while the bone grows and remodels by resorption and deposition o As the bone grows by surface deposition in a given direction, it is simultaneously displaced in the opposite direction. o Ex: the mandible continually grows upward and backward and is, therefore, displaced downward and forward. Secondary Displacement o Movement of a whole bone caused by the separate enlargement of other bones , which maybe nearby or quite distant. o Displacement of a bone due to another bone’s growth o Ex: the glenoid fossa and maxilla grow downward and forward displacing the mandible downward and forward as well. Remodeling and Relocation Remodeling

  • The process of reshaping and resizing as a consequence of progressive and continuous relocation Relocation
  • The progressive sequential movement of component parts as the bone enlarges. Drift
  • A direct growth movement of any given area of a bone produced by the deposition of new bone on the surface facing toward the direction of progressive growth and resorption on the surface facing away.
  • Apparent movement of the bone due to remodeling and not due to the bone moving.
  • Requires the combination of deposition ad resorption that results in the growth movement towards side of deposition. 2 Basic Modes of Osteogenesis Intramembranous Bone Formation
  • Formation of bone directly from osteogenic cells
  • Occurs in sites of tension (periosteum, endosteum, sutures, periodontal membrane)
  • Tooth movement occurs via resorption of bone and Intramembranous Ossification
  • Undifferentiated mesenchymal cells of the membranous connective tissue - > osteoblasts - > elaborate and calcify the osteoid matrix or interstitial substance - > bone Endochondral Bone Formation
  • Bone replaces cartilage (vice versa cannot happen)
  • Found in joints, condyles and the base of the cranium
  • Original mesenchymal tissue become cartilage first
  • Original mesenchymal tissue will undergo chondrogenesis - > cartilage - > cartilage will undergo hypertrophy - > matrix becomes calcified - > cells degenerate - > osteogenic tissues invade the dying and disintegrating cartilage - > bone replaces cartilage Bone vs. Cartilage Cartilage Bone Rigid and firm but not hard Hard Appositional and interstitial Appositional Perichondrium Periosteum Non-calcified matrix Calcified matrix Pressure-related Tension-adapted Chondrogenesis Osteogenesis **Growth of the Skull Controlling and Modifying Factors
  1. Intrinsic genetic factors**
  • Genetic factors inherent to the skull tissue
  • Ex: RNA, DNA