Changes in Mandible

Embed Size (px)

Citation preview

  • 8/10/2019 Changes in Mandible

    1/5

    Mandible At Birth

    Anatomical Features of Mandible

    Angle170 degree

    Sigmoid Notch, Condyle and Coronoid Process

    o Sigmoid Notch is shallow

    o Condyle is present at one line with the lower border of the mandible

    o Coronoid process is higher than the condyle

    Position of Mental Foramen

    o

    Below the crypt of lower D and lower border of the mandible

    Position of Mandibular Canal

    o Near the lower border of the mandible

    Condition of Teeth

    o No teeth erupted but do contain deciduous and permanent(6s)tooth germs

    o Will see crypts or bony compartments where the teeth grows(A,-E +6)

    Mental Protuberance(Chin)

    o

    No Mental protuberance as the mandible consists of two separate halves at

    birth and they are united in the midline by fibrous tissue. This area of union is

    called symphysis menti

    http://education.yahoo.com/reference/gray/illustrations/figure?id=182
  • 8/10/2019 Changes in Mandible

    2/5

    Mandible at 3 Years

    Anatomical Features of Mandible

    Angle140 degree

    Sigmoid Notch, Condyle and coronoid process

    o Sigmoid Notch becomes deeper than at birth

    o Condyle is at a lower level than the coronoid process

    Position of Mental Foramen

    o Below the socket of the deciduous lower first molar(D)

    Position of Mandibular Canal

    o

    Midway due to increase in height of the alveolar bony socket

    Condition of Teeth

    o Eruption of all deciduous teeth

    Mental Protuberance(Chin)

    o Fibrosis tissue of the symphysis menti has been replaced by bony structure so

    symphysis menti is no longer there(usually happens around 12 -18 months)

    http://education.yahoo.com/reference/gray/illustrations/figure?id=183
  • 8/10/2019 Changes in Mandible

    3/5

    Mandible at 6 years

    Anatomical Features of Mandible

    Anglesomewhere between 110-140 degreebut it is actually closer to 110

    Sigmoid Notch, Condyle and coronoid process

    o Condyle is lower than the coronoid process

    o Sigmoid notch is deeper than at 3 years

    Position of Mental Foramen

    o

    Opens nearly midway between upper and lower border of the mandibular

    body

    Position of Mandibular Canal

    o Mandibular Canal is situated little above the mylohyoid(midway) line

    o Mylohyoidlocated lingually, midway between upper and lower border

    Condition of Teeth

    o Mixed dentition periodstarts when the permanent first molar erupts

    Mental Protuberance(Chin)present

  • 8/10/2019 Changes in Mandible

    4/5

    Mandible at Adult Age

    Anatomical Features of Mandible

    Angle110-120 degree

    Sigmoid Notch, Condyle and coronoid process

    o Sigmoid notch becomes deeper

    o

    Condyle present at a higher level than coronoid process

    Position of Mental Foramen

    o Mental foramen is present midway and below the socket of L4 and L5

    premolars are not as wide as molars.

    o Also present half way between upper and lower borders

    Position of Mandibular Canal

    o Runs parallel to the mylohyoid line

    o Present at the midway between upper and lower borders

    Condition of Teeth

    o Permanent dentition

    Mental Protuberance(Chin)present which gives the characteristic chin appearance of

    the adult. This area has selective deposition(more in male than female)

    http://education.yahoo.com/reference/gray/illustrations/figure?id=184
  • 8/10/2019 Changes in Mandible

    5/5

    Mandible at Old Age

    Anatomical Features of Mandible

    Angle140 degree (oblique angle)

    Sigmoid Notch, Condyle and coronoid process

    o Sigmoid notch is shallower than in adult

    o

    Condylar head is more or less bent backward until it is in a lower level than

    coronoid process

    Position of Mental Foramen

    o Closer to the upper border of the body of mandible due to resorption of the

    alveolar bone

    Position of Mandibular Canal

    o Closer to the upper border of the body of mandible due to resorption of the

    alveolar bone

    Condition of Teeth may loose teeth

    Mental Protuberance(Chin) prominent

    o Mental protuberance can be very prominent esp when the patient has lost all their teeth and

    have not replaced it. Maxilla is fixed while mandible is notso for the patient to speak or

    eat properly, the mandible must be moved forward to touch the maxilla. This cause the

    muscle under the chin to stretch. The tension of this muscle cause bone deposition on the

    mental protuberance areavery prominent

    Dental age is not a persons actual age, it is depended on whether a person still have his/her teeth.

    http://education.yahoo.com/reference/gray/subjects/subject?id=44