post natal growth and development

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D r N I D E S H M D S P E D O D O N T I C S

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Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Post Natal Growth And Development

Dr NIDESH MDS PEDODONTICS

Contents:

Introduction

Factors affecting growth

Mechanism

Theories

Post natal growth

Dr NIDESH MDS PEDODONTICS

Growth:

Change in any morphological parameter which is measurable.(Moss)

Development:

Progress towards maturity(todd)

All the naturally occuring unidirectional changes in the life of an individual from its existence as a single cell to its eloboration as a multifunctional unit terminating in death.(Moyers)

Dr NIDESH MDS PEDODONTICS

Theories Of Growth:

Genetic TheorySutural Theory Cartilagenous TheoryFunctional Matrix TheoryVan Limborgh’s TheoryEnlows Expanding ‘V’principalEnlow’s Couterpart PrincipalNeurotropic Process In Orofacial Growth

Dr NIDESH MDS PEDODONTICS

Genetic Theory

Van Limborgh’s Theory

Intrinsic genetic factorsLocal,general epigenetic factorsLocal,general environmental factors

Dr NIDESH MDS PEDODONTICSSutural Theory

Dr NIDESH MDS PEDODONTICS

Cartilaginous Theory(Scott)

Dr NIDESH MDS PEDODONTICS

Functional matrix theory(Melvin Moss)

Relation between form and fuction

skeletal unit-microskeletal unit -macroskeletal unit(endocranial surface of calvarium)

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Enlows Expanding ‘V’principal

Dr NIDESH MDS PEDODONTICS

Enlow’s Couterpart Principal

Neurotropic Process In Orofacial Growth

Dr NIDESH MDS PEDODONTICS

Factors affectig physical growth:

GeneticNutritionSocio economis factorsFamily size and birth orderPsychological disturbances

Dr NIDESH MDS PEDODONTICS

Concepts of growth:

Concept of normality

Rhythm of growth(Hooton)

Growth spurts

Dr NIDESH MDS PEDODONTICS

a) Just before birthb) One year after birthc) mixed dentition growth spurt Boys: 8 to 11 years Girls: 7 to 9 yearsd) Adolescent growth spurt Boys: 14 to 16 years Girls: 11 to 13 years

Growth Spurts

Dr NIDESH MDS PEDODONTICS

Differential Growth:

Scammon’s Curve Of Growth

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Methods Of Studying Growth:

Bimetric TestsVital Staining(Belchier)Radio IsotopesImplantsRadiographic TechniquesNatural Markers

Dr NIDESH MDS PEDODONTICS

Vital staining:

Madder plants stain red-alizarin

Alizarin redAcid alizarin blueTrypton blueTetracyclineLead acetate

Dr NIDESH MDS PEDODONTICS

Radioisotopes:

Technetium-33Calcium-45Potassium-32

Implants:(Bjork):

1.5mm in Length ,0.5mm in diameter-Tantalum metal

Dr NIDESH MDS PEDODONTICS

Natural markers:

Nutrient canals

Lines of arrested growth

Prominent trabeculae

Dr NIDESH MDS PEDODONTICS

Mechanisms of bone growth:

Bone deposition and resorption

Cortical drift

Displacement-primary displacement -Secondary displacement

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Osteogenesis:

Endochondral Bone Formation

Intra Membranous Bone Formation

Dr NIDESH MDS PEDODONTICS

Post natal growth of cranial vault

Post natal growth of cranial base

Post natal growth of nasomaxillary complex

Post natal growth of mandible

Dr NIDESH MDS PEDODONTICS

Post Natal Growth Of Cranial Vault

Dr NIDESH MDS PEDODONTICS

Increases in size at sutures:

Coronal LamboidalInterparietalparietosphenoidaaalParietotemporal

Height of bone-

Activity of –OccipitalTemporalsphenoidal

Dr NIDESH MDS PEDODONTICS

Percentage of growth:

Birth-63%6 months-76%1 year-82%2 years-87%3 years-89%5 years-91%10 years-95%15 years-98%

Dr NIDESH MDS PEDODONTICS

Post Natal Growth Of Cranial Base

Cortical Drift And Remodeling

Elongation At Synchondroses

Sutural Growth

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Sutural Growth:

Spheno-frontalFronto-temporalSpheno-ethmoidalFronto-ethomoidalFronto-zygomatic

Timing of cranial base growth:

Birth-55to60%4-7years:94%8-13years-98%

Dr NIDESH MDS PEDODONTICS

Post Natal Growth Of Nasomaxillary Complex

Displacement

Growth At Sutures

Surface Remodeling

Dr NIDESH MDS PEDODONTICS

Bone Remodelling At Midfacial Region

Dr NIDESH MDS PEDODONTICS

Bone Remodeling Of Palate

Dr NIDESH MDS PEDODONTICS

Bone Remodeling Of Zygomatic Process

Dr NIDESH MDS PEDODONTICS

Dr NIDESH MDS PEDODONTICS

Changes with compensations for passive motions by primary expansion of orofacial capsule

Changes in bone morphology-alterations in volume size shape or spatial position

Bone changes associated-form of bone itself

Dr NIDESH MDS PEDODONTICS

Post natal growth of mandible:

RamusCorpus or the body of the mandileAngle of the mandibleThe lingual tuberosityThe alveolar processThe chinThe condyleThe coronoid process

Dr NIDESH MDS PEDODONTICS

POST NATAL DEVELOPMENT OF MANDIBLE

Dr NIDESH MDS PEDODONTICS

Growth of ramus

Dr NIDESH MDS PEDODONTICS

Growth of corpus or body of the mandible

Dr NIDESH MDS PEDODONTICS

Linear tuberosity: Deposition-posteriorly and medially

Resorption –below lingual fossa

Dr NIDESH MDS PEDODONTICS

Chin :

Dr NIDESH MDS PEDODONTICS

Coronoid process:

Dr NIDESH MDS PEDODONTICS

Referrences:

Text book of orthodontics-Bishara.P,samir.E

Craniofacial embryogenetics and development-Sperber

Orthodontics current principles and techniques-graber

Dr NIDESH MDS PEDODONTICS