The maxilla grows in two ways: 1) growth at sutures which shifts the maxilla forward and downward until age 10, and 2) bone remodeling including downward displacement of the palate, expansion of the maxillary sinus, and alveolar process development which adds to the height and length of the maxilla. The maxilla is attached to other cranial bones at four main sutures that allow adjustments through apposition and modeling as the sutures turn into fibrous unions in the skull.