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GROWTH OF MANDIBLE

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INDIAN DENTAL ACADEMY
Leader in continuing dental education
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GROWTH OF MANDIBLE

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PRE NATAL GROWTH OF
MANDIBLE
 EMBRYONAL

 FETAL

PERIOD

PERIOD

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FETAL PERIOD
The alveolar plate lengthens more rapidly than does the
ramus
 The ratio of the alveolar plate length to total mandibular
length is reasonably constant
 The width of the alveolar plate shows a more rapid
increase than does total width
 The ratio of the width between the mandibular angle to
total width is relatively constant during fetal life


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STRUCTURES RELATED TO
DEVELOPING MANDIBLE
 INFERIOR

DENTAL NERVE

 MECKEL’S
 TOOTH

CARTILAGE

GERMS

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DEVELOPMENTAL ELEMENTS
RELATED TO THE MANDIBLE
 NEURAL
 ALVEOLAR
 RAMAL
 MUSCULAR
 CARTILAGENOUS

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DEVELOPMENT OF THE
MANDIBLE

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ANATOMY OF THE MANDIBLE

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MEDIAL ASPECT

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LINGUAL VIEW

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SKELETAL UNITS

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TEMPORALIS MUSCLE

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MUSCLES OF THE TMJ

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PRIMARY &SECONDARY
CARTILAGE

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Variation in tissue arrangement
adjacent to endochondral bone
formation

a.bone
b.prechondroblasts
c.chondroblasts
d.resting cartilage
e.mature cartilage
f.transitional zone
g.dense fibrous connective
tissue
h.bone & marrow of
epiphysis
i. Articular cartilage
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CONDYLAR CARTILAGE
a.
b.

c.
d.

Capsular layer(densely
fibrous)
Layer of
prechondroblastic cellscellular proliferation
New developing cartilage
Continually forming
endochondral bone

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CONDYLAR REMODELLING







PERIOSTEAL
RESORPION
ENDOSTEAL
DEPOSITION
CONDYLE MOVES IN A
SUPEROPOSTERIOR
COURSE
NECK IS NARROWED
DOWN
NECK IS LOCATED IN
POSITION OF CONDYLE

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ENLOW’S “V” PRINCIPLE

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CONDYLAR RESECTION IN RHESUS
MONKEY










Facial height is less in A than
in B
Accentuation of anti gonial
notch
Shorter,wide anteriorly
positioned ramus
Larger and heavier coronoid
process
Reduced facial height on
operated side

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OSTEOCHONDRAL RIB
TRANSPLANT




Each precursor chondroblast
divides 35-50 times
Each progenitor chondroblast
divides 8-11 times

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

The chondroblasts issuing
from a progenitor
chondroblast produce a
pyramid-like structure that
is a component of the
primary growth cartilage
of the rib

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RIB TRANSPLANT EXPERIMENT
OBSERVATIONS

Intracellular concentrations of Na+ tended to decrease
 Intracellular concentrations of Ca++ & H+ ions tended to
increase
 Intracellular pH was lowered
 Na+ & K+ -ATPase activity was intensified
 Ca++, Mg++ - ATPase ,and H+ - ATPase activities were
diminished
 The numbers of cell divisions declined slightly and
demonstrated a significant slowing of growth rate
 Similar variations were observed in condylar cartilage of
rats and humans www.indiandentalacademy.com

Differentiation rate of the precursor chondroblast
into progenitor chondroblast is submitted not only
to the command represented by genetic,hormonal,
humoral factors but also to epigenetic biomechanic
factors
Also autologous osteochondral rib transplant is
preferable in treatment of TMJ ankylosis than
metatarsal cartilage transplant
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Sectioning of mandible into parts for study

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TRANSVERSE SECTION OF CONDYLAR
NECK
Lingual surface A has received
periosteal deposits
 B is composed of endosteal
compacted cancellous bone
produced during condylar neck
reduction
 C has received periosteal
depositsas post.border of neck
grows in post.direction
 D buccal area growing in
endosteal direction lller to B
 E is undergoing resorption as
ant.part of neck grows in a
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cephalic direction towards side
A

Remodelling Process

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Coronoid Process & Ramus

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Remodelling at the lingual tuberosity

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The posterior growth of the
tuberosity is accomplised
by continued new deposits
of bone on its posteriorfacing exposure.
Part of the ramus just behind
the tuberosity remodels
medially
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LOGARITHMIC CURVE FOR
MANDIBULAR GROWTH

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CONCLUSION
The spatial movements of the mandible, and of the mental
foramen, related to the “rotation” of this logarithmic spiral
are clear indications of the passive translation of the
macro-skeletal unit within the expanding oro-facial
capsule,which is a response to the primary morphogenetic
enlargement of the oro-nasal functioning spaces. The
posterior and upward movements of the mandibular
foramen ,on the other hand, accurately reflect the active
transformative growth changes of the several mandibular
microskeletal units due to deposition and resorption of
bone brought about www.indiandentalacademy.com periosteal matrices
by the action of
RAT INCISORS

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Logarithmic spiral applied to rat
incisors

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OSTEOCLAST

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

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AGE CHANGES IN THE MANDIBLE

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Thank you
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Leader in continuing dental education

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