DOCSLIB.ORG

Facial Skeleton. Orbit and Nasal Cavity

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Facial Skeleton. Orbit and Nasal Cavity Facial skeleton. Orbit and nasal cavity. Sándor Katz M.D.,Ph.D. Skull Cerebrocranium= Viscerocranium= Neurocranium Facial skeleton • Frontal bone • Nasal bone • Sphenoid bone • Lacrimal bone • Temporal bone • Ethmoid bone • Parietal bone • Maxilla • Occipital bone • Mandible • Zygomatic bone • Vomer • Palatine bone • Inferior nasal concha • Hyoid bone Viscerocranium= Facial skeleton • Nasal bone • Lacrimal bone • Ethmoid bone • Maxilla • Mandible • Zygomatic bone • Vomer • Palatine bone • Inferior nasal concha • Hyoid bone Nasal bone • internasal septum • piriform aperture Lacrimal bone • posterior lacrimal crest • lacrimal groove • nasolacrimal canal • lacrimal sac Ethmoid bone: perpendicularular plate • crista galli Ethmoid bone: cribriform plate • foramina cribrosa Ethmoid bone: cribriform plate • ethmoidal air cells • ethmoidal labyrinth • orbital (lateral) plate • superior and middle nasal conchae Ethmoid bone: cribriform plate • ethmoid bulla (8) • uncinate process • semilunar hiatus Maxilla: body • infraorbital groove • infraorbital canal • infraorbital foramen • infraorbital margin Maxilla: body • canine fossa Maxilla: body • tuber maxillae • pterygomaxillary fissure • maxillary sinus • maxillary hiatus Maxilla: frontal process • aterior lacrimal crest • piriform aperture zygomatic process Maxilla: alveolar process • alveolar arch • alveolar yokes • anterior nasal spine Maxilla: alveolar process • dental alveolae • interalveolar septa • interradicular septa Maxilla: palatine process • incisive canal • median palatine suture • transverse palatine suture Maxilla: palatine process • nasal crest 3 4 Mandible 5 • base (1) • ramus (2) • condylar process (3) 2 • coronoid process (4) 7 • mandibular notch (5) • angle (6) 8 • alveolar part (7) 1 • oblique line 6 9 • mental foramen • mental protuberance (8) • masseteric tuberosity (9) 1 Mandible • lingula (1) • mandibular foramen 3 • mylohyoid groove 2 4 • mylohyoid line • pterygoid tuberosity (2) • submandibular fossa (3) • sublingual fossa (4) • mental spine • alveolar arch • dental alveolae • interalveolar septa • interradicular septa Zygomatic bone: • zygomatic arch 1 • frontal process (1) 3 • temporal process (2) 2 • temporal fossa (3) • zygomaticofacial foramen • infraorbital margin Vomer Palatine bone: perpendicular plate • sphenopalatine foramen Palatine bone: perpendicular plate • orbital process • sphenoid process Palatine bone: horisontal plate • greater palatine foramen and canal • lesser palatine foramens and canals • posterior nasal spine Palatine bone: • pterygopalatine fossa Inferior nasal concha: • maxillary process • lacrimal process • ethmoid process Hyoid bone: • body • greater horns • lesser horns Orbit • pyramidal bony cavity • base is directed anterolaterally • apex is directed posteromedially Contents: eyeball, extraocular muscles, nerves, vessels and lacrimal apparatus. ORBIT: SUPERIOR WALL 1 2 • orbital part of the frontal bone (1) • lesser wing of the sphenoid (2) • superior orbital fissure • optic canal ORBIT: MEDIAL WALL • frontal process of maxilla (1) • anterior lacrimal crest (2) 5 • lacrimal bone 4 3 1 • posterior lacrimal crest (3) 2 • lacrimal sac • nasolacrimal canal • orbital plate of ethmoid bone (4) • anterior and posterior ethmoidal foramina • body of sphenoid (5) ORBIT: INFERIOR WALL • body of maxilla (1) • body of sphenoid (2) • perpendicular plate of palatine 2 3 bone (3) • inferior orbital fissure • infraorbital groove (4) 4 1 • infraorbital canal • inferior orbital fissure ORBIT: LATERAL WALL • greater wing of sphenoid • zygomatic bone Nasal cavity • divided by the nasal septum • openings: piriform aperture and choanae • lined by nasal mucosa • divisible into an olfactory and a respiratory area • connection with the paranasal sinuses NASAL CAVITY: MEDIAL WALL • bony nasal septum: perpendicular plate of 1 ethmoid, sphenoidal crest (1) and vomer NASAL CAVITY: MEDIAL WALL 1 • choanae: body of sphenoid 2 (1), medial lamina of pterygoid process 3 (2), horizontal plate of palatine bone (3) NASAL CAVITY: INFERIOR WALL • nasal crest (1) • anterior nasal spine (a) • posterior nasal spine (b) • palatine a 1 3 b process of 2 maxilla (2) • horizontal plate of palatine (3) 3 NASAL CAVITY: 2 SUPERIOR WALL 1 4 • nasal bone (1) • nasal part of frontal bone (2) • cribriform plate of ethmoid (3) • sphenoethmoid recess (4) NASAL CAVITY: LATERAL WALL 1 2 3 • frontal process of maxilla (1) • ethmoid bone (2) 5 • nasal conchae 4 • ethmoid bulla • uncinate process • semilunar hiatus (3) • sphenoid bone • body of maxilla • perpendicular plate of palatine (4) • medial lamina of pterygoid process (5) • sphenopalatine foramen • nasolacrimal duct Thank you for your attention. References: Drake: Gray’s Anatomy for Students, 2nd ed. Standring: Gray’s Anatomy, 39th ed. Radiopaedia.org Thieme Atlas of Anatomy, General Anatomy and Musculoskeletal System, Head and Neuroanatomy 2nd ed..
Load more

Recommended publications
  • The Structure and Function of Breathing
    CHAPTERCONTENTS The structure-function continuum 1 Multiple Influences: biomechanical, biochemical and psychological 1 The structure and Homeostasis and heterostasis 2 OBJECTIVE AND METHODS 4 function of breathing NORMAL BREATHING 5 Respiratory benefits 5 Leon Chaitow The upper airway 5 Dinah Bradley Thenose 5 The oropharynx 13 The larynx 13 Pathological states affecting the airways 13 Normal posture and other structural THE STRUCTURE-FUNCTION considerations 14 Further structural considerations 15 CONTINUUM Kapandji's model 16 Nowhere in the body is the axiom of structure Structural features of breathing 16 governing function more apparent than in its Lung volumes and capacities 19 relation to respiration. This is also a region in Fascla and resplrstory function 20 which prolonged modifications of function - Thoracic spine and ribs 21 Discs 22 such as the inappropriate breathing pattern dis- Structural features of the ribs 22 played during hyperventilation - inevitably intercostal musculature 23 induce structural changes, for example involving Structural features of the sternum 23 Posterior thorax 23 accessory breathing muscles as well as the tho- Palpation landmarks 23 racic articulations. Ultimately, the self-perpetuat- NEURAL REGULATION OF BREATHING 24 ing cycle of functional change creating structural Chemical control of breathing 25 modification leading to reinforced dysfunctional Voluntary control of breathing 25 tendencies can become complete, from The autonomic nervous system 26 whichever direction dysfunction arrives, for Sympathetic division 27 Parasympathetic division 27 example: structural adaptations can prevent NANC system 28 normal breathing function, and abnormal breath- THE MUSCLES OF RESPIRATION 30 ing function ensures continued structural adap- Additional soft tissue influences and tational stresses leading to decompensation.
    [Show full text]
  • Palatal Injection Does Not Block the Superior Alveolar Nerve Trunks: Correcting an Error Regarding the Innervation of the Maxillary Teeth
    Open Access Review Article DOI: 10.7759/cureus.2120 Palatal Injection does not Block the Superior Alveolar Nerve Trunks: Correcting an Error Regarding the Innervation of the Maxillary Teeth Joe Iwanaga 1 , R. Shane Tubbs 2 1. Seattle Science Foundation 2. Neurosurgery, Seattle Science Foundation Corresponding author: Joe Iwanaga, [email protected] Abstract The superior alveolar nerves course lateral to the maxillary sinus and the greater palatine nerve travels through the hard palate. This difficult three-dimensional anatomy has led some dentists and oral surgeons to a critical misunderstanding in developing the anterior and middle superior alveolar (AMSA) nerve block and the palatal approach anterior superior alveolar (P-ASA) nerve block. In this review, the anatomy of the posterior, middle and anterior superior alveolar nerves, greater palatine nerve, and nasopalatine nerve are revisited in order to clarify the anatomy of these blocks so that the perpetuated anatomical misunderstanding is rectified. We conclude that the AMSA and P-ASA nerve blockades, as currently described, are not based on accurate anatomy. Categories: Anesthesiology, Medical Education, Other Keywords: anatomy, innervation, local anesthesia, maxillary nerve, nerve block, tooth Introduction And Background Anesthetic blockade of the posterior superior alveolar (PSA) branch of the maxillary nerve has played an important role in the endodontic treatment of irreversible acute pulpitis of the upper molar teeth except for the mesiobuccal root of the first molar tooth [1, 2]. This procedure requires precise anatomical knowledge of the pterygopalatine fossa and related structures in order to avoid unnecessary complications and to make the blockade most effective. The infraorbital nerve gives rise to middle superior alveolar (MSA) and anterior superior alveolar (ASA) branches.
    [Show full text]
  • The Development of the Human Maxilla, Vomer, and Paraseptal Cartilages
    THE DEVELOPMENT OF THE HUMAN MAXILLA, VOMER, AND PARASEPTAL CARTILAGES. By Professor FAWCETT, M.D., University of Bristol. THE usually accepted descriptions of the development of the maxilla of man state that it arises by a number of separate centres-the number varying somewhat with the authority, likewise the situation of these centres. No description of the maxilla can be considered complete unless at the same time notice is taken of the manner of development of the premaxilla, which, of course, forms the anterior segment of the adult bone as usually interpreted. But the consideration of the development of the premaxilla may be left until that of the maxilla has been fully dealt with. Before breaking new ground, it may be well to state what are the usual statements with reference to the ossification of the maxilla. These statements are apparently for the most part based on work done by Callender, Toldt, Rambaud and Renault, and Bland Sutton, so far as concerns human anatomy. More recently Franklin Mall has given his views on the subject in the American Jouarnal of Anatomy, views based on observation of specimens treated by the "clearing" method of Schulze. So far as they go, these statements are in harmony with my own notions, which I have for several years now taught. A very precise account is given in Cunningham's Text-book of Anatomy. The maxilla is there stated to be developed in the connective tissue around the oral cavity of the embryo from centres which are not preceded by cartilage, of uncertain number, as early fusion takes place between them.
    [Show full text]
  • Anatomical Study of the Zygomaticotemporal Branch Inside the Orbit
    Open Access Original Article DOI: 10.7759/cureus.1727 Anatomical Study of the Zygomaticotemporal Branch Inside the Orbit Joe Iwanaga 1 , Charlotte Wilson 1 , Koichi Watanabe 2 , Rod J. Oskouian 3 , R. Shane Tubbs 4 1. Seattle Science Foundation 2. Department of Anatomy, Kurume University School of Medicine 3. Neurosurgery, Complex Spine, Swedish Neuroscience Institute 4. Neurosurgery, Seattle Science Foundation Corresponding author: Charlotte Wilson, [email protected] Abstract The location of the opening of the zygomaticotemporal branch (ZTb) of the zygomatic nerve inside the orbit (ZTFIN) has significant surgical implications. This study was conducted to locate the ZTFIN and investigate the variations of the ZTb inside the orbit. A total of 20 sides from 10 fresh frozen cadaveric Caucasian heads were used in this study. The vertical distance between the inferior margin of the orbit and ZTFIN (V-ZTFIN), the horizontal distance between the lateral margin of the orbit and ZTFIN (H-ZTFIN), and the diameter of the ZTFIN (D-ZTFIN) were measured. The patterns of the ZTb inside the orbit were classified into five different groups: both ZTb and LN innervating the lacrimal gland independently (Group A), both ZTb and LN innervating the lacrimal gland with a communicating branch (Group B), ZTb joining the LN without a branch to the lacrimal gland (Group C), the ZTb going outside the orbit through ZTFIN without a branch to the lacrimal gland nor LN (Group D), and absence of the ZTb (Group E). The D-ZTFIN V-ZTFIN H-ZTFIN ranged from 0.2 to 1.1 mm, 6.6 to 21.5 mm, 2.0 to 11.3 mm, respectively.
    [Show full text]
  • An Endoscopic Study on the Prevalence of the Accessory Maxillary Ostium in Chronic Sinusitis Patients
    International Journal of Otorhinolaryngology and Head and Neck Surgery Varadharajan R et al. Int J Otorhinolaryngol Head Neck Surg. 2020 Jan;6(1):40-44 http://www.ijorl.com pISSN 2454-5929 | eISSN 2454-5937 DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195211 Original Research Article An endoscopic study on the prevalence of the accessory maxillary ostium in chronic sinusitis patients Ramesh Varadharajan*, Swara Sahithya, Ranjitha Venkatesan, Agaman Gunasekaran, Sneha Suresh Department of Otorhinolaryngology and Head and Neck Surgery , Aarupadai Veedu Medical College and Hospital, Kirumampakkam, Puducherry, India Received: 21 October 2019 Revised: 07 November 2019 Accepted: 08 November 2019 *Correspondence: Dr. Ramesh Varadharajan, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Chronic maxillary sinusitis is one of the common ENT problems. Accessory maxillary ostium (AMO) has been postulated in many publications to play a role in the development of chronic maxillary sinusitis. AMO is found in the medial wall of maxillary sinus and located in the lateral wall of the nose. It’s been frequently identified in the routine nasal endoscopy. The variations in the location of AMO have been evaluated by nasal endoscopy in live subjects or through cadaver dissections by many authors. This live study is conducted to identify the prevalence of AMO during nasal endoscopic evaluation of chronic sinusitis patients.
    [Show full text]
  • Download PDF File
    Folia Morphol. Vol. 78, No. 2, pp. 331–343 DOI: 10.5603/FM.a2018.0084 O R I G I N A L A R T I C L E Copyright © 2019 Via Medica ISSN 0015–5659 journals.viamedica.pl Morphometric evaluation and surgical implications of the infraorbital groove, canal and foramen on cone-beam computed tomography and a review of literature İ. Bahşi1, M. Orhan1, P. Kervancioğlu1, E.D. Yalçin2 1Department of Anatomy, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey 2Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey [Received: 25 June 2018; Accepted: 8 August 2018] Background: The purpose of this study is to evaluate the anatomy, morphometry, and variations of infraorbital groove (IOG), infraorbital canal (IOC) and infraorbital foramen (IOF) on the cone-beam computed tomography (CBCT) images and to investigate their relations with surrounding structures. Methods: IOG, IOC and IOF were evaluated retrospectively in CBCT images of 75 female (F) and 75 male (M) cases with a range of 18–65 years (F: 37.62 ± ± 13.55, M: 37.53 ± 15.87) by Planmeca Romexis programme. IOG, IOC and IOF were examined bilaterally (300 sides) in the cases. The 13 parameters were measured on these images in axial, sagittal and coronal planes. Results: There was a very weak positive correlation between the age and the angle between IOC and IOG (p = 0.015, r = 0.198), there was a weak positive correlation between the age and skin thickness (p = 0.001, r = 0.281), and there was no correlation between the age and other parameters.
    [Show full text]
  • Craniodental Anatomy of a New Late Cretaceous Multituberculate Mammal from Udan Sayr, Mongolia
    University of Louisville ThinkIR: The University of Louisville's Institutional Repository Electronic Theses and Dissertations 8-2014 Craniodental anatomy of a new late cretaceous multituberculate mammal from Udan Sayr, Mongolia. Amir Subhash Sheth University of Louisville Follow this and additional works at: https://ir.library.louisville.edu/etd Part of the Anatomy Commons, and the Medical Neurobiology Commons Recommended Citation Sheth, Amir Subhash, "Craniodental anatomy of a new late cretaceous multituberculate mammal from Udan Sayr, Mongolia." (2014). Electronic Theses and Dissertations. Paper 1317. https://doi.org/10.18297/etd/1317 This Master's Thesis is brought to you for free and open access by ThinkIR: The nivU ersity of Louisville's Institutional Repository. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of ThinkIR: The nivU ersity of Louisville's Institutional Repository. This title appears here courtesy of the author, who has retained all other copyrights. For more information, please contact [email protected]. CRANIODENTAL ANATOMY OF A NEW LATE CRETACEOUS MULTITUBERCULATE MAMMAL FROM UDAN SAYR, MONGOLIA By Amir Subhash Sheth B.A., Centre College, 2010 A Thesis Submitted to the Faculty of the School of Medicine of the University of Louisville in Partial Fulfillment of the Requirements for the Degree of Master of Science Department of Anatomical Sciences and Neurobiology University of Louisville Louisville, Kentucky August 2014 CRANIODENTAL ANATOMY OF A NEW LATE CRETACEOUS MULTITUBERCULATE MAMMAL FROM UDAN SAYR, MONGOLIA By Amir Subhash Sheth B.A., Centre College, 2010 A Thesis Approved on July 18th, 2014 By the Following Thesis Committee: ________________________________ (Guillermo W.
    [Show full text]
  • Original Article Anatomic Study of the Lacrimal Fossa and Lacrimal Pathway
    Original Article Anatomic study of the lacrimal fossa and lacrimal pathway for bypass surgery with autogenous tissue grafting Hai Tao, Zhi‑zhong Ma1, Hai‑Yang Wu, Peng Wang, Cui Han Purpose: To study the microsurgical anatomy of the lacrimal drainage system and to provide anatomical Access this article online evidence for transnasal endoscopic lacrimal drainage system bypass surgery by autogenous tissue grafting. Website: Materials and Methods: A total of 20 Chinese adult cadaveric heads in 10% formaldehyde, comprising www.ijo.in 40 lacrimal ducts were used. The middle third section of the specimens were examined for the following DOI: features: the thickness of the lacrimal fossa at the anterior lacrimal crest, vertical middle line, and posterior 10.4103/0301-4738.121137 lacrimal crest; the cross section of the upper opening, middle part, and lower opening of the nasolacrimal PMID: canal; the horizontal, 30° oblique, and 45° oblique distances from the lacrimal caruncle to the nasal cavity; ***** the distance from the lacrimal caruncle to the upper opening of the nasolacrimal duct; and the included Quick Response Code: angle between the lacrimal caruncle–nasolacrimal duct upper opening junction and Aeby’s plane. Results: The middle third of the anterior lacrimal crest was significantly thicker than the vertical middle line and the posterior lacrimal crest (P > 0.05). The horizontal distance, 30° oblique distance, and 45° oblique distance from the lacrimal caruncle to the nasal cavity exhibited no significant differences (P > 0.05). The included angle between the lacrimal caruncle and the lateral wall middle point of the superior opening line of the nasolacrimal duct and Aeby’s plane was average (49.9° ± 1.8°).
    [Show full text]
  • Surgical Anatamic of Paranasal Sinuses
    SURGICAL ANATAMIC OF PARANASAL SINUSES DR. SEEMA MONGA ASSOCIATE PROFESSOR DEPARTMENT OF ENT-HNS HIMSR MIDDLE TURBINATE 1. Anterior attachment : vertically oriented, sup to the lateral border of cribriform plate. 2. Second attachment :Obliquely oriented- basal lamella/ ground lamella, Attached to the lamina papyracea ( medial wall of orbit anterior, posterior air cells, sphenopala‐ tine foramen 3. Posterior attachment :medial wall of maxillary sinus, horizontally oriented. , supreme turbinate 3. Occasionally 4. fourth turbinate, 5. supreme meatus, if present 6. drains posterior ethmoid drains inferior, middle, superior turbinates and, occasionally, the supreme turbinate, the fourth turbinate. e. Lateral to these turbinates are the corresponding meatuses divided per their drainage systems ANATOMICAL VARIATIONS OF THE TURBINATES 1. Concha bullosa, 24–55%, often bilateral, 2. Interlamellar cell of grunwald: pneumatization is limited to the vertical part of middle turbinate, usually not causing narrowing of the ostiomeatal unit 3. Paradoxic middle turbinate: 26%,. Occasionally, it can affect the patency of the ostiomeatal unit 4. Pneumatized basal lamella, falsely considered, posterior ethmoid air cell Missed basal lamella – attaches to lateral maxillary sinus wall Ostiomeatal unit Anterior ostiomeatal unit, maxillary, anterior ethmoid, frontal sinuses, (1) ethmoid infundibulum, (2) middle meatus, (3) hiatus semilunaris, (4) maxillaryOstium, (5) ethmoid bulla, (6) frontal recess, (7) uncinate process. , sphenoethmoidal recess Other draining osteomeatal unit, posterior in the nasal cavity, posterior ethmoid sinus, lateral to the superior turbinate, . sphenoid Sinus medial to the superior turbinate Uncinate Process Crescent‐shaped, thin individual bone inferiorly- ethmoidal process of inferior turbinate, anterior, lacrimal bone, posteriorly- hiatus Semilunaris, medial -ethmoid infundibulum, laterally, middle meatus superior attachment- variability, direct effect on frontal sinus drainage pathway.
    [Show full text]
  • Chapter 2 Implants and Oral Anatomy
    Chapter 2 Implants and oral anatomy Associate Professor of Maxillofacial Anatomy Section, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University Tatsuo Terashima In recent years, the development of new materials and improvements in the operative methods used for implants have led to remarkable progress in the field of dental surgery. These methods have been applied widely in clinical practice. The development of computerized medical imaging technologies such as X-ray computed tomography have allowed detailed 3D-analysis of medical conditions, resulting in a dramatic improvement in the success rates of operative intervention. For treatment with a dental implant to be successful, it is however critical to have full knowledge and understanding of the fundamental anatomical structures of the oral and maxillofacial regions. In addition, it is necessary to understand variations in the topographic and anatomical structures among individuals, with age, and with pathological conditions. This chapter will discuss the basic structure of the oral cavity in relation to implant treatment. I. Osteology of the oral area The oral cavity is composed of the maxilla that is in contact with the cranial bone, palatine bone, the mobile mandible, and the hyoid bone. The maxilla and the palatine bones articulate with the cranial bone. The mandible articulates with the temporal bone through the temporomandibular joint (TMJ). The hyoid bone is suspended from the cranium and the mandible by the suprahyoid and infrahyoid muscles. The formation of the basis of the oral cavity by these bones and the associated muscles makes it possible for the oral cavity to perform its various functions.
    [Show full text]
  • Morphometry of Bony Orbit Related to Gender in Dry Adult Skulls of South Indian Population
    International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Morphometry of Bony Orbit Related to Gender in Dry Adult Skulls of South Indian Population S. Senthil Kumar1, E. Gnanagurudasan2 1Professor, 2Ph.D Scholar, Department of Anatomy, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur, Chennai, Tamil Nadu. Corresponding Author: E. Gnanagurudasan Received: 16/07/2015 Revised: 11/08/2015 Accepted: 12/08/2015 ABSTRACT Introduction: Orbit lodges important structures for vision and allows passage of fine neurovascular structures in it. The knowledge of orbital morphometry helps to protect those structures during various surgical procedures. Aim: To determine the morphometry of bony orbit in dry South Indian skulls related to gender and to compare the results with previous authors. Material and Methods: The material of the present study consists of 100 orbits from 50 skulls (right & left) which are identifiable of their sex. Foetal skulls and skulls with damages in the area of measurement were excluded. All the parameters were examined by a single observer using a vernier calliper, divider and millimetre scale. In each wall of the orbit, a bony landmark is chosen from where the distance of other bony structures is measured. Result: The result of the present study showed significance with respect to gender and side. Conclusion: The data of the present study will be helpful for various surgical approaches around the orbit. Keywords: orbit, South Indian skulls, morphometry. INTRODUCTION pyramidal cavity formed by seven bones The bony orbits are skeletal cavities namely maxilla, palatine, frontal, zygomatic, located on either side of the root of the nose.
    [Show full text]
  • Ortho Part II
    Ortho Part II Paul K. Chu, DDS St. Barnabas Hospital November 21, 2010 REVIEW FROM LAST LECTURE 1 What kinds of steps are the following? Distal Mesial Distal Mesial Moyer’s Analysis Review 1) Take an impression of a child’s MANDIBULAR arch 2) Measure the mesial distal widths of ALL permanent incisors 3) Take the number you get and look at the black row 4) The corresponding number is the mesial distal width you need for the permanent canine- 1st premolar- 2nd premolar i .e . the 3 - 4 -5 ***(Black row) ----this is the distance you measure**** 2 Moyer’s Analysis Review #1) measure the mesial distal incisal edge width of EACH permanent incisor and add them up **Let’s say in this case we measured 21mm.** Step 1 Moyer’s Analysis Review Maxilla Look at the chart Mandibular Since The resulting number measured should give you needed 21mm we look widths of the maxilla or here. mandibular space needed for permanent canines and 1st and 2nd premolars. Step 2 3 Moyer’s Analysis Review Maxilla You also use the added Mandibular measurements of the mandibular incisors to get predicted MAXILLARY measurements as well! Step 2 The Dreaded Measurements Lecture 4 What Are We Trying to Accomplish? (In other words) Is the patient Class I, II, III skeletal? Does the patient have a skeletal open bite growth pattern, or a deep bite growth pattern, or a normal growth pattern? Are the maxillary/mandibular incisors proclined, retroclined or normal? Is the facial profile protrusive, retrusive, or straight? Why? Why? Why? Why does this patient have increased
    [Show full text]