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Osteology Of Maxilla
Submitted By
Dr. Jenin.N.T
MDS Ist year
Dept. of OMFS
Rajas Dental College
Osteology Of Maxilla
Introduction
•Maxilla is the
second largest bone of
the face, the first being
the mandible
•The two
Maxillae form the
whole of the upper
jaw.
Maxilla –central bone; prominent
position where trauma hits face
This structure is analogous to a
matchbox sitting below and anterior
to hard shell containing brain
Act as cushion for trauma directed
towards cranium from anterior or
antero-lateral direction
•Around the fourth week of intra-
uterine life, a prominent bulge
appears on the ventral aspect of
the embryo corresponding to the
developing brain.
•Below the bulge a shallow
depression which corresponds to
the primitive mouth appears
called “ STOMATODEUM”.
•The floor of the stomodeum is
formed by the buccopharyngeal
membrane which separates the
stomodeum from the foregut.
Development of Maxilla
By around the 4th week of intra-uterine life, five branchial
arches form in the region of the future head & neck.
Each of these arches gives rise to muscles, connective
tissue, vasculature, skeletal components & neural
components of the future face.
The first branchial arch plays an important role in the development
of the naso- maxillary region.
The mesoderm covering the developing forebrain proliferates &
forms a downward projection that overlaps the upper part of
stomodeum .This downward projection is called “FRONTO-
NASAL PROCESS”.
The stomatodeum is thus overlapped superiorly by the fronto-
nasal process. The mandibular arches of both
The sides form the lateral walls of the stomodeum.
The mandibular arch gives off a bud from its dorsal end called the
“MAXILLARY PROCESS”.
The maxillary process grows ventro-medio-cranial to the
main part of the mandibular arch which is now called the
“MANDIBULAR PROCESS”.
Thus at this stage the primitive mouth or stomatodeum is
overlapped from above by the frontal process,below by the
mandibular process & on either side by the maxillary process.
The ectoderm overlying the fronto-nasal process shows
bilateral localized thickenings above the stomodeum. These
are called the “NASAL PLACODES”.These placodes soon sink
and form the nasal pits.
The formation of these nasal pits divides the fronto-nasal
process into two parts:
a)The medial nasal process &
b)The lateral nasal process
1. The right and left mandibular processes meet
in the midline and fuse. They form the lower lip
and lower jaw
2. The upper lip is formed by fusion of the
maxillary and mandibular processes
3. The cheeks are formed by fusion of the
maxillary and mandibular processes.
4. The nose is derived from the frontonasal
process
5. The paranasal sinuses appear as outgrowths
from the nasal cavity.
6. The palate is formed by fusion of three
components. These are right and left palatal
processes arising from the maxillary process and
the primitive palate derived from the frontonasal
process
Parts of Maxilla
1. Body
a) 4 Surfaces
•Anterior or Facial
•Posterior or Infratemporal
•Superior or Orbital
•Medial or Nasal
b)Maxillary Sinus
2. 4 Processes
•Frontal
•Zygomatic
•Alveolar
•Palatine
Anterior Surface
•Directed forwards and
laterally
• Incisive fossa- origin to
Depressor septi
• Canaine Fossa- Origin
to Levetor anguli oris
• Infraorbital Foramen-
Infraorbital nerves and vessels
• Nasal notch
• Anterior nasal spine
• Levetor labii superioris arises
between the infraorbital margin
and infraorbital foramen.
Posterior Surface
•Convex and directed backwards
and laterally
•Anterior wall of the infratemporal
fossa
•Near the centre- Alveolar canals
•Posteroinferiorly-Maxillary
tuberosity-Origin to superficial
head of Medial pterygoid muscle.
Superior Surface
•Smooth , Triangular and
slightly concave.
Features
Anterior border-Forms a
part of infraorbital margin
Posterior border-smooth
and rounded- Anterior margin of
infraorbital fissure
Medial border- anteriorly
there is Lacrimal notch
Surface presents
Infraorbital groove leading forwards
to Infraorbital canal – Infraorbital
foramen
Near the midpoint of the
canal- Lateral branch-
canalis sinuosis- for Anterior
superior alveolar nerve and vessels
Medial Surface
•Medial surface- Part of the Lateral wall of nose
•Postero superiorly – Large irregular opening-
Maxillary Hiatus
Above the Hiatus- Parts of air sinuses
Below the Hiatus- Inferior meatus
Behind the Hiatus- surface articulates with
the perpendicular plate of palatine bone
Infront of the Hiatus- Nasolacrimal groove-
converts to Nasolacrimal canal- transmits
Nasolacrimal ducts to the inferior meatus of
nose
Maxillary Sinus
•Large cavity in the body of Maxilla
•Pyramidal shape- Base directed medially and apex
laterally
•Sinus opens into Middle meatus
•Height 3.5cm , width 2.5 cm, anteroposterior
depth 3.5cm
•Roof – floor of Orbit, Floor- Alveolar process of
Maxillae
•Reaches full size after the eruption of permanent
teeth
Arterial supply: Facial infraorbital and greater
palatine arteries
Venous drainage: Facial veins , pterygoid plexus of
veins
Lymphatic drainage: Submandibular nodes
Nerve supply: infraorbital, anterior , middle , and
posterior superior alveolar nerves.
Frontal Process
•Articulates with Frontal,Nasal and
Lacrimal bones
•Lateral surface- Anterior lacrimal crest-
gives attachment to lacrimal facia and
medial palpabral ligament
Anterior smooth surface-origin to orbital
part of orbicularis oculi and levetor labii
superioris alaeque nasi
•Medial surface-part of the lateral wall
of nose
Palatine Process
•Thick horizontal plate projecting medially
•Inferior surface is concave. Two palatine
processes form anterior three fourths of
bony palate
•Superior surface is concave side to side
•Medial border is thicker in front than
behind
•Posterior border articulates with horizontal
plate of palatine bone
•Lateral border is continuous with the
alveolar process.
Zygomatic Process
•Pyramidal lateral projection
on which the anterior ,
posterior and superior
surfaces of maxilla converge.
•Superiorly it is rough for the
articulation with the
zygomatic bone.
Alveolar Process
•It bears sockets for roots of
the upper teeth
•Buccinator arises from the
posterior part of its outer
surface up to the first molar
•A rough ridge –Maxillary
torus may be present
Muscle Attachments
•Depressor septi-Insisive fossa→Nasal
septum
•Levator anguli oris-Canine
fossa→Modiolus
•Compressor naris-Above and lateral to
incisive foss→Greater alar cartilage
•Dilator Naris-Nasal notch,greater and
lesser alar cartilage→skin near the
margin of the nostril
•Buccinator-Alveolar part of the maxilla
and mandible,tmj→Fibers of the
Orbicularis oris
•Orbicularis Oculi-Frontal bone
Lacrimal bone, Medial palpabral
ligament→Lateral palbabral raphe
Arterial Supply
Nerve Supply
Maxillary Nerve
Venous Drainage
•Facial Vein-Anterior
division of
Retromandibular vein-
Internal jugular vein
•Pterygoid plexus-
Maxillary vein- Joins
superficial temporal vein
and forms
Retromandibular vein
Facial Buttresses
Osteology of Maxilla

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Osteology of Maxilla

  • 1. Osteology Of Maxilla Submitted By Dr. Jenin.N.T MDS Ist year Dept. of OMFS Rajas Dental College
  • 2. Osteology Of Maxilla Introduction •Maxilla is the second largest bone of the face, the first being the mandible •The two Maxillae form the whole of the upper jaw.
  • 3. Maxilla –central bone; prominent position where trauma hits face This structure is analogous to a matchbox sitting below and anterior to hard shell containing brain Act as cushion for trauma directed towards cranium from anterior or antero-lateral direction
  • 4. •Around the fourth week of intra- uterine life, a prominent bulge appears on the ventral aspect of the embryo corresponding to the developing brain. •Below the bulge a shallow depression which corresponds to the primitive mouth appears called “ STOMATODEUM”. •The floor of the stomodeum is formed by the buccopharyngeal membrane which separates the stomodeum from the foregut. Development of Maxilla
  • 5. By around the 4th week of intra-uterine life, five branchial arches form in the region of the future head & neck. Each of these arches gives rise to muscles, connective tissue, vasculature, skeletal components & neural components of the future face.
  • 6. The first branchial arch plays an important role in the development of the naso- maxillary region. The mesoderm covering the developing forebrain proliferates & forms a downward projection that overlaps the upper part of stomodeum .This downward projection is called “FRONTO- NASAL PROCESS”.
  • 7. The stomatodeum is thus overlapped superiorly by the fronto- nasal process. The mandibular arches of both The sides form the lateral walls of the stomodeum. The mandibular arch gives off a bud from its dorsal end called the “MAXILLARY PROCESS”.
  • 8. The maxillary process grows ventro-medio-cranial to the main part of the mandibular arch which is now called the “MANDIBULAR PROCESS”. Thus at this stage the primitive mouth or stomatodeum is overlapped from above by the frontal process,below by the mandibular process & on either side by the maxillary process.
  • 9. The ectoderm overlying the fronto-nasal process shows bilateral localized thickenings above the stomodeum. These are called the “NASAL PLACODES”.These placodes soon sink and form the nasal pits. The formation of these nasal pits divides the fronto-nasal process into two parts: a)The medial nasal process & b)The lateral nasal process
  • 10. 1. The right and left mandibular processes meet in the midline and fuse. They form the lower lip and lower jaw 2. The upper lip is formed by fusion of the maxillary and mandibular processes 3. The cheeks are formed by fusion of the maxillary and mandibular processes. 4. The nose is derived from the frontonasal process 5. The paranasal sinuses appear as outgrowths from the nasal cavity. 6. The palate is formed by fusion of three components. These are right and left palatal processes arising from the maxillary process and the primitive palate derived from the frontonasal process
  • 11. Parts of Maxilla 1. Body a) 4 Surfaces •Anterior or Facial •Posterior or Infratemporal •Superior or Orbital •Medial or Nasal b)Maxillary Sinus 2. 4 Processes •Frontal •Zygomatic •Alveolar •Palatine
  • 12.
  • 13. Anterior Surface •Directed forwards and laterally • Incisive fossa- origin to Depressor septi • Canaine Fossa- Origin to Levetor anguli oris • Infraorbital Foramen- Infraorbital nerves and vessels • Nasal notch • Anterior nasal spine • Levetor labii superioris arises between the infraorbital margin and infraorbital foramen.
  • 14. Posterior Surface •Convex and directed backwards and laterally •Anterior wall of the infratemporal fossa •Near the centre- Alveolar canals •Posteroinferiorly-Maxillary tuberosity-Origin to superficial head of Medial pterygoid muscle.
  • 15. Superior Surface •Smooth , Triangular and slightly concave. Features Anterior border-Forms a part of infraorbital margin Posterior border-smooth and rounded- Anterior margin of infraorbital fissure Medial border- anteriorly there is Lacrimal notch Surface presents Infraorbital groove leading forwards to Infraorbital canal – Infraorbital foramen Near the midpoint of the canal- Lateral branch- canalis sinuosis- for Anterior superior alveolar nerve and vessels
  • 16. Medial Surface •Medial surface- Part of the Lateral wall of nose •Postero superiorly – Large irregular opening- Maxillary Hiatus Above the Hiatus- Parts of air sinuses Below the Hiatus- Inferior meatus Behind the Hiatus- surface articulates with the perpendicular plate of palatine bone Infront of the Hiatus- Nasolacrimal groove- converts to Nasolacrimal canal- transmits Nasolacrimal ducts to the inferior meatus of nose
  • 17. Maxillary Sinus •Large cavity in the body of Maxilla •Pyramidal shape- Base directed medially and apex laterally •Sinus opens into Middle meatus •Height 3.5cm , width 2.5 cm, anteroposterior depth 3.5cm •Roof – floor of Orbit, Floor- Alveolar process of Maxillae •Reaches full size after the eruption of permanent teeth Arterial supply: Facial infraorbital and greater palatine arteries Venous drainage: Facial veins , pterygoid plexus of veins Lymphatic drainage: Submandibular nodes Nerve supply: infraorbital, anterior , middle , and posterior superior alveolar nerves.
  • 18. Frontal Process •Articulates with Frontal,Nasal and Lacrimal bones •Lateral surface- Anterior lacrimal crest- gives attachment to lacrimal facia and medial palpabral ligament Anterior smooth surface-origin to orbital part of orbicularis oculi and levetor labii superioris alaeque nasi •Medial surface-part of the lateral wall of nose
  • 19. Palatine Process •Thick horizontal plate projecting medially •Inferior surface is concave. Two palatine processes form anterior three fourths of bony palate •Superior surface is concave side to side •Medial border is thicker in front than behind •Posterior border articulates with horizontal plate of palatine bone •Lateral border is continuous with the alveolar process.
  • 20. Zygomatic Process •Pyramidal lateral projection on which the anterior , posterior and superior surfaces of maxilla converge. •Superiorly it is rough for the articulation with the zygomatic bone.
  • 21. Alveolar Process •It bears sockets for roots of the upper teeth •Buccinator arises from the posterior part of its outer surface up to the first molar •A rough ridge –Maxillary torus may be present
  • 22. Muscle Attachments •Depressor septi-Insisive fossa→Nasal septum •Levator anguli oris-Canine fossa→Modiolus •Compressor naris-Above and lateral to incisive foss→Greater alar cartilage •Dilator Naris-Nasal notch,greater and lesser alar cartilage→skin near the margin of the nostril •Buccinator-Alveolar part of the maxilla and mandible,tmj→Fibers of the Orbicularis oris •Orbicularis Oculi-Frontal bone Lacrimal bone, Medial palpabral ligament→Lateral palbabral raphe
  • 26. Venous Drainage •Facial Vein-Anterior division of Retromandibular vein- Internal jugular vein •Pterygoid plexus- Maxillary vein- Joins superficial temporal vein and forms Retromandibular vein