Development of.pptx Maxilla New (3)

8/19/2019 Development of.pptx Maxilla New (3)

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GOOD MORNING


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Dr Prathyusha

DEVELOPMENT OF

MAXILLA


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Contents•

INTRODUCTION• PRENATAL DEVELOPMENT OF MAXILLA

• PRENATAL DEVELOPMENT OF PALATE

• POST-NATAL DEVELOPMENT OF MAXILLA

•ANATOMAY OF MAXILLA

• BLOOD SUPPLY

• NERVE SUPPLY

• MUSCLE ATTACHMENTS

• DEVELOPMENTAL ANAMOLIES• CONCLUSION


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Maxilla•

Maxia is th! s!"#$% ar&!st '#$! #( th! (a"!• Maxia! ar! a )air #( )$!u*ati" '#$!s +hi"h ,#i$

t#&!th!r t# (#r* th! Maxia


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Development of Maxilla

r#+th a$% D!.!#)*!$t #( Maxia "a$ '! %i.i%!%i$t#

Pr! $ata

P#st $ata


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Pre-natal Growth And Development

It has thr!! Phas!s

Th! )!ri#% #( #.u*/(!rtii0ati#$ t# 1 +!!2s3

Duri$& this )!ri#% C!a.a&! #( th! O.u* a$% th!atta"h*!$t #( th! O.u* t# th! i$tra-ut!ri$! +a #""urs

Th! )!ri#% #( !*'ry#/1 +!!2s t# 4th +!!23

Duri$& this )!ri#% *a,#r )art #( th! %!.!#)*!$t #( th!(a"ia a$% "ra$ia r!&i#$ #""urs

Th! )!ri#% #( (!tus/4th +!!2 t# 5th *#$th3

A""!!rati#$ #( r#+th #( th! Cra$i#-(a"ia stru"tur!#""urs6


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Pre-natal Development of Maxilla

• Ar#u$% 7th 8!!2 #( I$tra 9ut!ri$! i(! a Pr#*i$!$t 'u&!a))!ars #$ th! .!$tra as)!"ts #( th! !*'ry#6

•

B!#+ th! 'u&! a sha#+ %!)r!ssi#$ +hi"h"#rr!s)#$%s t# th! )ri*iti.! *#uth a))!ars "a!%“STOMODEUM

• Th! F##r #( th! St#*#%!u* is (#r*!%

'y th! Bu""#-)hary$&!a *!*'ra$!

+hi"h s!)arat!s th! St#*#%!u* (r#*

th! (#r!&ut


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• Duri$& th! (#urth +!!2 as th!

Bu""#-)hary$&!a *!*'ra$! ru)tur!s:C#**u$i"ati#$ is !sta'ish!% '!t+!!$

th! st#*#%!u* a$% th! "ra$ia !$% #(

th! (#r!&ut: th! )hary$x6

• At a'#ut th! sa*! ti*! a str!a* #( *i&rati$& $!ura "r!st"!s is r!s)#$si'! (#r th! (#r*ati#$ #( th! (r#$t#$asa)r#"!ss: a s+!i$& #( tissu! i$ (r#$t #( th! (#r!'rai$6

• A$#th!r str!a* #( $!ura "r!st "!s *i&rat!s t#+ar%s th!at!ra as)!"t #( th! h!a% +h!r! th!y surr#u$% th!*!s#%!r*a "#r!s i$ th! arisi$& 'ra$"hia ar"h!s6

• B#th th! (r#$t#$asa )r#"!ss a$% th! 'ra$"hia ar"h!s )ay aar&! )art i$ th! (#r*ati#$ #( th! (a"! a$% th! #ra "a.ity6



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First ar"h #r *a$%i'uar ar"h &i.!s ris! t# t+# )r#"!ss!s-

Maxillar! pro"ess and Mandi#$lar pro"ess%

Ma$%i'uar ar"h i$$!r.at!% 'y ;(th "ra$ia $!r.! a$%su))i!% 'y *axiary art!ry6



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• Th! Ma$%i'uar Ar"h isi*)#rta$t i$ th!%!.!#)*!$t #( th!&aso-maxillar!re'ion%

• Th! st#*#%!u* is thus#.!ra))!% su)!ri#ry'y (r#$ta )r#"!ss6Ma$%i'uar ar"h!s #(th! '#th !$%s (#r*sth! at!ra +as #( th!st#*#%!u*

•

Th! Ma$%i'uar ar"h&i.!s #( a 'u% (r#* its



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•

Th! !"t#%!r* #.!ryi$& th! (r#$t# $asa )r#"!ss sh#+s'iat!ra #"ai0!% thi"2!$i$&s a'#.! th! st#*#%!u*"a!%


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•

Th! T+# Ma$%i'uar )r#"!ss &r#+ *!%iay a$% (us! to(orm the lower lip and the lower )aw%

• As th! Maxiary Pr#"!ss u$%!r !s &r#+th th! Fr#$t#-$asa )r#"!ss '!"#*!s Narr#+ s# that th! two &asalPits "ome Closer

• A i$! #( Fusi#$ #( th! Maxiary )r#"!ss a$% th! *!%ia$asa )r#"!ss "#rr!s)#$%s t# &asola"rimal d$"t6



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•

I$ +!!2s >-4 th! *axiary )r#*i$!$"!s i$"r!as! i$ si0!:a$% th! *!%ia $asa )r#*i$!$"!s *#.! *!%iay a$%*!r&! t# (#r* th! inter maxillar! se'ment +hi"h(#r*s nasal sept$m6

• Duri$& ?th +!!2 th! $asa )its %!!)!$ '!"aus! #(&r#+th #( $asa )r#*i$!$"!s6 It r!suts i$ th! (#r*ati#$#( th! )ri*iti.! $asa sa"s6 I$itiay th!y ar! s!)arat!%(r#* th! #ra "a.ity 'y #r#-$asa *!*'ra$!6

• Duri$& @th +!!2 oro-nasal mem#rane r$pt$res 'ri$&i$& $asa a$% #ra "a.iti!s i$t# "#**u$i"ati#$6



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D!.!#)*!$t #( Paat!


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Prenatal Growth of Palate•

Paat! is th! Tissu! that i$t!r)#s!s '!t+!!$ th! Ora a$%Nasa "a.iti!s6

It D!.!#)s (r#* 66

• Primar! Palate

•

Se"ondar! Palate


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Primar! Palate•

Th! *!%ia $asa s+!i$&s !$ar&!: &r#+ *!%iaya$% *!r&! +ith !a"h #th!r i$ th! *i%i$! t# (#r* th!i$t!r*axiary s!&*!$t%

i.!s ris! t# th!

• Philtr$m of lip

• Pre-maxillar! part of the maxilla

• Primar! palate

T!$ Cat!s Ora Hist##&y: s!.!$th !%iti#$


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Primar! Palate•

Duri$& th! >th

8!!2 th! Maxiary )r#*i$!$"!: th!*!%ia Nasa )r#*i$!$"! a$% Lat!ra Nasa )r#*i$!$"!'!"#*! "#$u!$t6

• Th! Tissu! r!suti$& (r#* th! %!.!#)*!$t a$% (usi#$ #(th!s! )r#*i$!$"!s is th! )ri*ary )aat!6

• It (#r* th! r##( #( th! )ri*iti.! #ra "a.ity a$% (#r*i$itia s!)arati#$ '!t+!!$ th! #ra a$% $asa "a.iti!s6

• Lat!r it (#r*s )#rti#$s #( th! u))!r i): a$t!ri#r *axiaa$% U))!r i$"is#r t!!th


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Se"ondar! Palate•

Th! *!%ia !%&!s #( th! *axiary )r#*i$!$"!s (#r*sth! sh!.!s #( th! s!"#$%ary )aat!

• Th! t#$&u! is $arr#+ a$% hi&h: ;i$& th! #r#-$asa"a.ity6 S# th! )aati$! sh!.!s &r#+ *!%iay a$% %#+$+#r%s / V!rit"ay3 #$ !ith!r si%!s #( th! t#$&u!6


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Palate shelves elevation

• Th! Fusi#$ #( th! Paati$! sh!.!s #""urs ;rst ,ustP#st!ri#r t# th! Pri*ary Paat!

•

Fr#* this )#i$t th! (usi#$ #( th! )aati$! sh!.!s +ith)r!-*axia )r#"!!%s a$t!ri#ry a$% (usi#$ '!t+!!$)aati$! sh!.!s )r#"!!%s )#st!ri#ry

• As# (usi#$ '!t+!!$ Paati$! sh!.!s a$% th! Nasa

s!)tu* #""urs6

• Ex"!)t )#st!ri#ry th! s#(t )aat! a$% th! u.ua r!*ai$su$ atta"h!%


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*ard and Soft Palate (ormation•

At at!r sta&!: th! *!s#%!r* i$ th! Paat! u$%!r!s intramem#rano$s ossi+"ation t# (#r* th! Har% Paat!

• Th! Ossi;"ati#$ %#!s $#t !xt!$% i$t# th! *#st )#st!ri#r)#rti#$: +hi"h r!*ai$s as a soft Palate%

• Th! i$"isi.! sutur! %!*ar"at! th! u$i#$#( Pri*ary a$% s!"#$%ary Paat!: +hi!)aati$! ra)h! %!*ar"at! U$i#$'!t+!!$ t+# Paati$! sh!.!s


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Development of Upper lip and lowerlip• Fusi#$ #""urri$& '!t+!!$ th! (#r+ar% !xt!$t #( th!

*axiary )r#"!ss a$% th! at!ra as)!"t #( th! *!%ia$asa )r#"!ss +i #'it!rat! th! 'u""#-$asa &r##.! a$%r!sut i$ th! (#r*ati#$ #( th! at!ra as)!"ts #( th! u))!ri)6

• L#+!r i) is (#r*!% 'y *!r&i$& #( th! t+# str!a*s #(!"t#*!s!$"hy*! #( th! *a$%i'uar )r#"!ss!s6


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Post &atal Development of Maxilla• Th! *axia %!.!#)s (r#* a "!$t!r #( #ssi;"ati#$ i$ th!

*!s!$"hy*! #( th! *axiary )r#"!ss #( th! ;rst ar"h6

• C!$t!r #( #ssi;"ati#$ is ass#"iat!% "#s!y +ith th! "artia&! #(th! $asa "a)su!6

• C!$t!r #( #ssi;"ati#$ a))!ars i$ th! a$&! '!t+!!$ th!%i.isi#$s #( a $!r.! /that is: +h!r! th! A$t!r#su)!ri#r %!$ta$!r.! is &i.!$ # (r#* th! I$(!ri#r #r'ita $!r.!3

• Fr#* this "!$t!r: '#$! (#r*ati#$ s)r!a%s

P#st!ri#ry '!#+ th! #r'it t#+ar% th! %!.!#)i$& 0y*a

A$t!ri#ry t#+ar% th! (utur! i$"is#r r!&i#$

Su)!ri#ry t# (#r* th! (r#$ta )r#"!ss


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Post &atal Development of Maxilla•

This )att!r$ #( '#$! %!)#siti#$: (#r*s a '#$y tr#u&h (#rth! i$(ra#r'ita $!r.!6

• Fr#* this tr#u&h a %#+$+ar% !xt!$si#$ #( '#$! (#r*sth! at!ra a.!#ar )at! (#r th! *axiary t##th &!r*s6

• Ossi;"ati#$ as# s)r!a%s i$t# th! )aati$!)r#"!ss t# (#r* th! har% )aat!6 Th! *!%iaa.!#ar )at! %!.!#)s (r#* th! ,u$"ti#$ #(

th! )aata )r#"!ss a$% th! *ai$ '#%y #( th!(#r*i$& *axia6


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Post &atal Development of Maxilla

Th! )#st $ata &r#+th #( *axia i$.#.!sr#+th #( Nas#-*axiary "#*)!x is )r#%u"!% 'y(##+i$& *!"ha$is*s

• Dis)a"!*!$t

• r#+th #( sutur!s

• Sur(a"! r!*#%!i$&


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Post &atal Development ofMaxilla

Th! Dis)a"!*!$t i$ th! )#siti#$ #( th! *axiary "#*)!x

Primar! Displa"ement O""urs i$ (#r+ar% Dir!"ti#$6 This#""urs 'y &r#+th #( th! *axiary tu'!r#sity i$ a )#st!ri#r%ir!"ti#$ This r!suts +h#! *axia '!i$& "arri!% a$t!ri#ry6

Se"ondar! displa"ement,9 O""urs i$ a %#+$+ar% (#r+ar%%ir!"ti#$ as th! "ra$ia 'as! &r#+s6


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Post &atal Development ofMaxilla

• Si$"! th! Maxiary "#*)!x is atta"h!% t# th! Cra$ia'as!: th!r! is a str#$& i$u!$"! #( th! at!r #$ th!(#r*!r

• Th! )#siti#$ #( Maxia is %!)!$%!$t u)#$ th! Growth

of spheno-o""ipital and spheno-ethmoids!n"hondroses /i$"r!as! i$ a$t!r# 9)#st!r# %i*!$si#$#( s2u3

• U)t# G y!ars #( a&!


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Post &atal Development ofMaxillaS$t$ral Growth,

• Th! '#$y sutur!s #( th! h!a%ar! "a)a'! #( i$"r!asi$& th!si0! #( h!a% i$ a %i*!$si#$

as th!y *#.! i$ a (#r+ar%a$% %#+$+ar% %ir!"ti#$ i$r!ati#$ t# th! "ra$iu*6

• A"ti.! u)t# ? #r @ y!ars #(

a&! : a$ !xa*)! sy*)hysisar!a / !$% at y!ars #(i(! 3 a$% i$t!r 9 *axiarysutur! 6


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S$t$ral 'rowth of Maxilla

Trasversal 'rowth

• A))#siti#$ #( '#$! at th! !xt!r$a as)!"t #( th! *axia #$'#th si%!s at th! )r!*#ar r!&i#$s 'y sur(a"! r!*#%!i$&6

• A%%iti.! &r#+th #$ th! (r!! !$%s i$"r!as! th! %ista$"!'!t+!!$ th!* :

Th! 'u""a s!&*!$t *#.! %#+$+ar% a$% #ut+ar% : as th!*axia its!( is

*#.i$& %#+$+ar% a$% (#r+ar% : #+i$& th! )ri$"i)! #(!x)a$%i$& 6 < V < 6


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V!rti"a a$% a$t!r# - )#st!ri#r &r#+th • A))#sti#$ #( '#$! at th! sutur!s that "#$$!"t th! *axia t#

th! "ra$iu* a$% "ra$ia 'as! su"h as

T!*)!r# 9 y*ati" sutur! : Pt!ry 9 Paati$! sutur!

Maxi# 9 y*ati" sutur!:(r#$t# 9 Maxiary sutur!

• Th!s! ar! )ara! t# !a"h #th!r a$% th!y #ri!$t th! %ir!"ti#$#( th! (a"ia &r#+th %#+$+ar% a$% (#r+ar% 6

S$t$ral 'rowth of Maxilla


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S$rfa"e e modelin'

Th! a))#siti#$ #( '#$! #$ th! )!ri#st!a sur(a"!s +ii$"r!as! th! thi"2$!ss #( '#$! th!r!(#r! "#$"#*ita$tr!s#r)ti#$ #( '#$! is $!"!ssary t# #'tai$ th! a))r#)riat!thi"2$!ss a$% str!$&th6

• Periosteal is Ext!$si.! r!*#%!i$& #( '#$!s: +hi"hi$.#.! r!s#r)ti#$ #( '#$! (r#* th! #ut!r sur(a"! a$%a))#siti#$ #( '#$! #$ th! i$$!r sur(a"! 6

• Endosteal, is r!s#r)ti#$ a$% a%%iti#$ #( '#$! (r#*

+ithi$ th! "a$"!#us s)a"!s is as# $!"!ssary t#*ai$tai$ th! a))r#)riat! : thi"2$!ss #( th! "#rti"a ay!r#( '#$!6

6This is most a"tive t!pe of 'rowth in the s.$ll and )aw and it

"ontin$e thro$'h the life


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S$rfa"e remodelin' in Maxilla

V!rti"a &r#+th

A.!#ar )r#"!ss th! (#r*ati#$ #( a.!#ar )r#"!ss 'ya))#siti#$ #( '#$! #$ thr!! as)!"ts / i$(!ri#r: i$t!r$a:!xt!r$a 3 i$ )#st!ri#r r!&i#$ a$% #$ t+# as)!"t / i$t!r$a:

i$(!ri#r 3 i$ th! a$t!ri#r r!&i#$6

A$t!r# 9 )#st!ri#r &r#+th

• A$t!ri#r a.!#ar &r#+th: r!s#r)ti#$ i$ th! .!sti'uar

)art a$% a))#siti#$ #$ th! i$(!ri#r a$% )aata )art 6• A$ a))#siti#$ #$ th! )#st!ri#r as)!"t #( th! h#ri0#$ta

)art #( th! )aat!6

• D!.!#)*!$t #( th! tu'!r#sity6


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Anatom! of Maxilla

Thr!! si%!% Pyra*i% +ith th! 'as!

(a"i$& th! $asa "a.ity6

• Su)!ri#r #r Or'ita

• A$t!r#- at!ra #r Maar

• P#st!r#-at!ra #r I$(ra t!*)#ra

• It C#$sist #( a C!$tra B#%y:

H##+!% #ut 'y th! Maxiary si$us

a$% (#ur )r#"!ss!s

• F#$ta )r#"!ss

• y*ati" Pr#"!ss

• Paati$! )r#"!ss

• A.!#ar Pr#"!ss


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Anatom! of Maxilla/!'omati" pro"ess

• It is r#u&h a$% )yra*i%a

• Fr#$t It is "#$ti$u#us +ith th! a$t!ri#r sur(a"! #( '#%y

• B!hi$%/"#$"a.!3i$ "#$ti$uity #( th! )#st!ri#r sur(a"!

• A'#.! arti"uat!s +ith 0y*ati" '#$!

• B!#+/ar"h!% '#r%!r3 a$t!ri#r a$% )#st!ri#r (rontal Pro"ess

• Lat!ra Sur(a"! V!rti"a ri%&! /La"ri*a "r!st3:

• r##.! (#r th! a"ri*a sa"

M!%ia sur(a"! arti"uat!s +ith th! !th*#i%• U))!r !$% Arti"uat!s +ith th! (r#$ta '#$!

• A$t!ri#r '#r%!r +ith th! $asa '#$!

• P#st!ri#r '#r%!r +ith th! a"ri*a '#$!


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• Alveolar pro"esses,

• It has thi"2 ar"h!% '#r%!r '!hi$% a$% "#$tai$s s#"2!ts

t# r!"!i.! r##ts #( t!!th +hi"h .ary i$ si0! a$% %!)th

• Palatine Pro"ess,

• Thi"2 str#$& h#ri0#$ta

• I$(!ri#r sur(a"! is "#$"a.!

• r##.! (#r &rat!r )aati$! V!ss!s a$% $!r.!s

• I$"isi.! (#ssa !a%s i$t# th! i$"isi.! "a$a

• U))!r sur(a"! (#r*s th! ##r #( th! $asa "a.ity• Lat!ra B#r%!r (us!s +ith r!st #( th! '#$!

• P#st!ri#r '#r%!r (us!s +ith th! h#ri0#$ta )at! #( th! )aati$!

Anatom! of Maxilla


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Anterior S$rfa"e

I$"isi.! F#ssa• D!)r!ss#r s!)ti $asi

• Or'i"uaris #ris

Ca$i$! (#ssa

• L!.at#r a$&ui #ris

• I$(ra#r'ita (#ra*!$ /a'#.! "a$i$! (#ssa3

• I$(ra#r'ita $!r.!s a$% .!ss!

• A'#.! shar) '#r%!r '!t+!!$ a$t!ri#r a$% #r'ita sur(a"!

• L!.at#r a'i su)!ri#ris

• Nasa $#t"h Diat#r Nari

• A$t Nasa S)i$!


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Posterior S$rfa"e

• It is %ir!"t!% 'a"2+ar%s a$% at!ray

• It (#r*s a$t!ri#r +a #( th! i$(ra-t!*)#ra (#ssa

At th! "!$tr! #( )#st!ri#r sur(a"! 1 t# #)!$i$&s #(%!$ta "a$a (#r )#st!ri#r su)!ri#r a.!#ar .!ss!s

a$% $!r.!s

Maxiary tu'!r#sity has th! atta"h*!$t #(su)!r;"ia ;'r!s #( th! *!%ia )t!ryi% *us"!s

• Ptr!y)aati$! (#ssa is &r##.!% (#r th! *axiary

$!r.!: this &r##.! is "#$ti$#us +ith th! i$(ra #r'ita&r##.!


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Or#ital s$rfa"e

S*##th a$% tria$&uar• M!%ia '#r%!r

• N#t"h a"ri*a $#t"h

• B!hi$% this it arti"uat!s +ith th!

• La"ri*a• Or'ita )at! #( !th*#i%

• Or'ita )r#"!ss #( )aati$!

• P#st!ri#r '#r%!r &r!at!r )art #( i$(ra#r'ita ;ssur!:

i$ *i%%! i$(ra#r'ita &r##.!• A$t!ri#r '#r%!r (#r*s #r'ita *ar&i$ :i$(ra#r'ita&r##.! a$% "a$a


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&asal S$rfa"e

• I$ its u))!r )#st!ri#r )art th!r! is a ar&! *axiaryhiatus +hi"h !a%s i$t# th! *axiary si$us

• It is "#*)!t!% 'y !th*#i% a$% a"ri*a '#$!s

• I$(r#$t #( *axiary hiatus th!r! is a a"ri*a &r##.!

• M#r! a$t!ri#ry "#$"ha "r!st (#r arti"uati#$ +ithi$(!ri#r $asa "#$"ha!


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MAXILLARY SINUS


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Maxillar! Sin$s• Th! MA0122A3 S1&USES ar! th! ar&!st #( th!)ara$asa air ;!% s)a"!

• 1t is a 4-sided p!ramid

• Th! #ase (a"i$& th! si%! #( th! $asa "a.ity

• The apex )#i$ti$& at!ray t#+ar%s th! '#%y

#( th! 0y*a

• T# th! MAXILLA

• Anterior facial surface of the body.

• Inferior (oor) alveolar process.

• uperior (roof) the orbital surface.

• !osterior the infra te"poral surface

Or'a$s Ora Hist##&y


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Development and 'rowth• A(t!r th! S!)arati#$ #( Ora Ca.ity (r#* t+# s!"#$%ary$asa "ha*'!rs 'y th! H#ri0#$ta shi(t #( Paata sh!.!s:it i$u!$"!s (urth!r !x)a$si#$ #( at!ra $asa +a thus:(r#* Thr!! $asa "#$"ha! thr!! su',a"!$t *!atus!saris!s6

• Su)!ri#r *!atus / SM3

• Mi%%! *!atus / MM3

• I$(!ri#r *!atus / IM3

Th! SM a$% IM r!*ai$ as sha#+ %!)r!ssi#$s : Th! MM !x)a$%s

i**!%iat!y i$ t# Lat!ra $asa +a6 It Pr#&r!ss!s i$ a$ i$(!ri#r%ir!"ti#$ a$% #""u)i!s (utur! *axiary '#%y6


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Developmental Anamalies


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5lood S$ppl! 6 &erve S$ppl!

Fa"ia Art!ry

r!at!r Paati$! Art!ry

I$(ra#r'ita Art!ry

&erve S$ppl!

I$(ra Or'ita

Su)!ri#r A.!#ar N!r.!s

5lood S$ppl!


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($n"tions

Li&ht!$sth! +!i&ht#( th! s2u

)r#t!"ti#$

M#ist!$sa$% +ar*si$ha!% air

V#"ai0ati#$s

May

"#$tri'ut!i$O(a"ti#$


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Clini"al "onsideration• 7h! are the Maxillar! Sin$s and the str$"t$res inthe Oral Cavit! asso"iated8


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• I$ Pituitary &i&a$tis* a si$us assu*! a *u"h ar&!r.#u*! tha$ h!athy i$%i.i%uas6

OOA&TA2 (1STU2A

CAUSES,

• 6R!*#.i$& ##r #( si$us %uri$& !xtra"ti#$

• 16D!stru"ti#$ %u! t# )!ria)i"a )ath##&y

• 6Br#2!$ r##t (#r"!% i$t# th! si$us

Clini"al "onsideration


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6MA21G&A&C3

• Mai&$a$"y #( th! Maxiary Si$us *ay )r#%u"! th! ;rstsy*)t#*s i$ th! #ra "a.ity .ia ##s! t!!th: '!!%i$&&u*s: a$% s#*!ti*!s )ai$6

1MP2A&TS

• 8h!$ th!r! is$t suJ"i!$t '#$! t# )a"! a$ i*)a$t: asi$us i(t is %#$!6

Clini"al "onsideration


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Temporomandi#$lar )oint9TM):

• Th! TMK is (#r*!% 'y th! arti"uati#$ '!t+!!$ th! arti"uar!*i$!$"! a$% th! a$t!ri#r )art #( th! &!$#i% (#ssa #( th!sua*#us )art #( t!*)#ra '#$! a'#.! a$% "#$%yar h!a% #(th! *a$%i'! '!#+

• Th! TMK "#$tai$s a ;'r#us i$tra arti"uar %is" that is i$t!r)#s!'!t+!!$ th! arti"uar sur(a"! a$% (u$"ti#$s as a sh#"2a's#r'!r


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Development of the ;oint• At a))r#xi*at!y G +!!2s: Th! (!tus (utur! ,#i$t'!"#*! !.i%!$t i$ th! *!s!$"hy*! '!t+!!$ th!"#$%yar "artia&! #( th! *a$%i'! a$% %!.!#)i$&t!*)#ra '#$!

• T+# sit i2! ,#i$t "a.iti!s a$% a$ i$t!r.!$i$& %is" isa))!ar!% 'y 1th +!!26 Th! *!s!$"hy*! ar#u$% th!

,#i$t '!&i$s t# (#r* th! ;'r#us ,#i$t "a)su!6

•

Th! %!.!#)i$& su)!ri#r h!a% #( at!ra )t!ryi%*us"! atta"h!s t# a$t!ri#r )#rti#$ #( %is"6 Th! %is""#$ti$u!s )#st!ri#ry thr#u&h th! )!tr#ty*)a$i" ;ssur!a$% atta"h!s t# th! *a!us #( *i%%! !ar


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M$s"les atta"hed to maxilla


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52OOD SUPP23


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&E


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DEVELOPMENT ANAMOLIES


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Development Anamolies

A's!$"! #( th! ,a+

A$a*#y i$ *a$%i'uar )r#"!ss

S*a ,a+ )r!s!$t Pr! *axia (#r*ati#$ a!"t!%

M#uth 'r!athi$&

Pr!s!$"! #( Lar&! ,a+6A"r#*!&ay

Pa&!ts %is!as!

A'nathia

Mi"ro'nathia

Ma"ro'nathia


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ST1C=2E S3&DOME

Fatt!$!% (a"!Mus"#s2!!ta a'$#r*aiti!sC!(t )aat!

P1EE O551&S3&DOME

C!(t )aat!R!tr#-&$athiaMa"r# &#ssiaA$2y#sis *ay '! s!!$


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Cleft 2ip and Cleft Palate

• 8hat is C!(t Li) a$% Paat!

• C#$&!$ita a'$#r*a s)a"! #r &a) i$ th! u))!r i):a.!#us a$% )aat!


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Em#r!olo'i"al 5a".'ro$nd

Cleft lip Th! %!(!"t i$ th! (usi#$ '!t+!!$ th! (r#$t#$asa a$%*axiary +i !a% t# "!(t i)

Cleft palate Du! t# th! (aiur! #( *!s#%!r* t# )!$!trat! i$ t#&r##.!s '!t+!!$ *!%ia$ $asa )r#"!ss a$% *axiary)r#"!ss

•

At!rati#$ i$ i$tri$si" )aata sh!( (#r"!• Faiur! #( t#$&u! t# %r#) %#+$

• Faiur! (usi#$ #( )aata sh!.!s


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Classi+"ation

•

Ora "!(ts "#**#$y a!"t Li): A.!#ar '#$!: Har% a$%S#(t )aat!

"#*'i$!% /CLCP3 #r is#at!% "!(t/CL #r CP3

u$iat!ra #r 'iat!ra

"#*)!t! /i( it "r#ss th! $asa )hitru*3 #r

i$"#*)!t! / i( it %#!s$t "r#ss th! $asa )hitru*6

Pri*ary/stru"tur!s a$t!ri#r t# i$"isi.! (#ra*!$: i) a$%a.!#us3 #r

S!"#$%ary /stru"tur!s )#st!ri#r t# i$"isi.! (#ra*!$:har%

a$% s#(t )aat!3


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Etiolo'!

Th! "ausati.! (a"t#r *ay '! Is#at!% "!(ts #r r!at!%t# Birth Sy$%r#*!s #r %is#r%!rs6

Muti)! (a"t#rs *ay '! i$.#.!% -

• !$!ti"s /i$h!rit!% "hara"t!risti"3 (r#* #$! #r '#th

)ar!$ts 6• E$.ir#$*!$ta (a"t#rs

• Dru&s "#rti"#st!r#i%s /a$ti-i$a**at#ry3: )h!$yt#i$/a$ti"#$.usa$t3: r!ti$#i%6

•

I$(!"ti#$s i2! ru'!a %uri$& )r!&$a$"y6• A"#h# "#$su*)ti#$: s*#2i$&: hy)#xia %uri$&)r!&$a$"y: S#*! #( %i!tary a$% .ita*i$s %!;"i!$"i!s/i2! (#i" a"i% a$% .ita*i$ A %!;"i!$"y3

• Mat!r$a A&!

Pro#lems Asso"iated 7ith Cleft


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Pro#lems Asso"iated 7ith Cleft2ip and Palate

F!!%i$&

D!$ta )r#'!*s

Nasa D!(#r*ity a$% Esth!ti" Pr#'!*sEar Pr#'!*s

S)!!"h DiJ"uti!s

Ass#"iat!% A$#*ai!s

M$ltidis"iplinar! Cleft 2ip And


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M$ltidis"iplinar! Cleft 2ip AndPalate Team

• !$!ti" S"i!$tist

• P!%iatri"ia$

• P!%#%#$tist

•

Orth#%#$tist• Ora a$% Maxi#(a"ia Sur&!#$

• Pr#sth#%#$tist

• ENT Sur&!#$

• Pasti" Sur&!#$

• Psy"hiatrist

• S)!!"h Th!ra)ist

• S#"ia 8#r2!r


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$le of Ten

•Pri*ary r!)air- r!)air!% at a))r#xi*at!y G +!!2s

• Th! sur&!#$ usuay us!s th!


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Treatment

5irth, I$itia Ass!ss*!$t

Pr!-sur&i"a ass!ss*!$t

> Month,Pri*ary Li) r!)air

?-@ month,Paat! R!)air

B 3ear,S)!!"h ass!ss*!$t

>- 3ear,Li) R!.isi#$ Sur&!ry

-? 3ear, I$itia i$t!r.!$ti#$a Orth#%#$ti"s

Pr!)arati#$ (#r a.!#ar '#$!&ra(ti$&

@ 3ear,A.!#ar B#$! ra(ts

@B-@4 3ear,D!;$it! Orth#%#$ti"s

@ 3ear,Nasa R!.isi#$ Sur&!ry

@F-B 3ear,Orth#&$athi" Sur&!ry


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Con"l$sion Th! )r! a$% )#st $ata &r#+th #( *axia is a "#*)!x)r#"!ss that !a%s t# th! %!.!#)*!$t #( a$at#*i"stru"tur!s #( th! (a"!6 It is !ss!$tia (#r a "i$i"ia$ t#2$#+ a'#ut th!s! a$at#*i"a a$%*ar2s a$% th!ir r!ati#$t# #th!r stru"tur!s t# )r#)!ry %ia&$#s! a$% )r#.i%! a$

a))r#)riat! tr!at*!$t


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E(EE&CES• T!$ Cat!s Ora Hist##&y: s!.!$th !%iti#$6

• Si"h!r a$% DuBrus Ora A$at#*y : Ei&hth E%iti#$

• T!xt'##2 #( Hu*a$ E*'ry##&y Ei&hth E%iti#$ - I$%!r'!rSi$&h

• Or'a$s-#ra hist##&y a$% !*'ry##&y-t+!(th !%iti#$6

• B6D CHAURASIA Hu*a$ a$at#*y-sixth !%iti#$

• Sha(!rs t!xt'##2 #( Ora )ath##&y6 Fi(th !%iti#$

• T!xt'##2 #( Ora a$% Maxi#(a"ia Sur&!ry: N!!i*a A$iMai2- S!"#$% E%iti#$

• P!t!rs#$ T!xt '##2 #( Ora a$% Maxi#(a"ia Sur&!ry-(#urth !%iti#$


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