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Adolescence
This period of life is when sexual maturity is attained
-Mxied to permanent dentition
-Acceleration of overall rate of facial growth
-Differential growth of the jaws
3 Major events in dentofacila development occur during adolescence
Brain
In initiations of adolescence, first events of puberty occur where?
gonadotropin-releasing
hormone (GnRH)
In the hypothalamus what does it release?
Primary portal system
The substance secreted by the nerve cells pass into capillaries in this vascular region and are carried the short distance to the pituitary by blood flow. this special network of vessels, analogous to the venous supply
to the liver but on a much smaller scale, is called the
Pituitary gonadotropins
the hypothalamic releasing factors
stimulate pituitary cells to produce several related but different hormones called
Pituitary gonadotropins
This hormone is function is to
stimulate endocrine cells in both the adrenal glands and the
developing sex organs to produce sex hormones.
-Produced: adrenal cortex
-Stimulated: pituitary hormone
In Male sex hormones, it is produced by? and stimulated by?
age 6
Neural growth is unaffected by adolescence because it is completed by what age
Stage I
Which stage where occurs the beginning of physical growth spurt, is the appearnce of breast buds and early stages of developemnt of pubic hear
stage II
Which stage starts the peak of velocity for physical growth and development of sexual characteristics
Stage II
Which stage there is noticeable
breast development. Pubic hair is darker and more widespread, and hair appears in the armpits
1-1 1/2
In the the third stage, how many years does it occur after stage II
Stage III
THis stage marks the onset of menstruation
Stage III
What stage in girl developement is where arked by the onset of menstruation (menarche). By this time,
the growth spurt is all but complete. At this stage, there is noticeable
broadening of the hips with more adult fat distribution, and
development of the breasts is complete.
5 years
For stages of sexual developemnt in boys , it starts how many years before girls
Fat spurt
What is the inital sign of sexual maturation in boys
-estrogen production -> by leygins cells -> in testes
Reason for fast spurt in boys
Stage I
In this stage boys may appear obese and simewhat awkward physically, ear obese and somewhat awkward physically. At this time also,
the scrotum begins to increase in size and may show some increase
or change in pigmentation
STAGE II
this stage, there is a redistribution and relative decrease
in subcutaneous fat, pubic hair begins to appear, and growth of
the penis begins
8-12 months
How many months does Stage III (BOYS) occur after stage II
Stage III
peak velocity in gain in height. At this time, axillary hair
appears and facial hair appears on the upper lip only. What stage is this
15-24 months
In stage IV for boys, how many months does it occur after stage III
Stage IV
This stage in boys where the spurt of
growth in height ends. There is facial hair on the chin and the
upper lip, adult distribution and color of pubic and axillary hair,
and a further increase in muscular strength.
1. Passive displacement
2. Active growth of the maxillary structures and nose
2 basic mechanisms in groth of the nasomaxillary area
1-2MM
In the ramus height, it increase how much mm per year
2-3MM
In the body length of the ramus, how many mm does it increase per year
-Wideht
-Length
-Height
3 planes of space in both maxilla nad mandible
Age 12
For intercanine width, is more likely to decrease at what age
14-15 years ( more accurate 2-3 yeasr after menstruation)
For girls, the maxilla grows slowly downward and forward at the age?
INternal rotation
What is the rotation called that occurs in the core of each jaw
External rotation
THis rotation is when there is surface changes and alterations in the rate of tooth eruption
Forward rotation(clockwise )
THis rotation tend to tip the incisors forward increasing tyheir prominence
Backward rotation (counterclockwise)
THis rotation directs the anterior teeth more posteriorlym realtively up righting them
FOrward rotation (clockwise)
What rotation causes short face (short anterior lower face height)
BAckward rotation (counterclockwise)
WHat rotations causes long face(excessive lower anterior face height)
Downwards
IN changes of facial soft tissues, what direction of sagging would the lips and soft tissue of the face
-Upper incisors
-small amount of gingiva
What type of exposure in facil soft tissues is both youtful and esthetic
-Incisor crowding in early adolescence
-Arch length decreases with age
-3rd molars crowding
-Occlusal changes with growth
-Stability is not guarenteed
In changes in alignment & occlusion, what are those changes