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    EMBRYOLOGY

    Jeremy Graham

    26th March 2012

    Learning outcomes

    To describe the embryology of thehead region

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    Pre-embryonic period (0-2 weeks)Fertilization

    zygote, 0.1-0.2 mm

    Cleavage divisions

    Morula

    (12-16 cells, 0.1-0.2 mm)

    Blastocyst

    32-200 cells, 0.1-0.2 mm

    Inner cell massembryo proper

    Outer cell mass =attachment

    4

    Pre-embryonic period

    Implantation

    Endoderm

    Ectoderm

    Embryo is 2 layered disc0.1-0.2 mm

    5

    Embryonic period (2-8 weeks)

    Prochordal (cephalic) plate (PCP)

    buccopharyngeal membrane(BPM)

    future head end

    Mesoderm (17 days)

    ectodermal origin

    Primitive streak and node

    notochordal process

    up to the PCPMesoderm separates ectoderm andendoderm, except in regions of:

    PCP (BPM)

    notochord

    cloacal membrane

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    Ten Cate

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    Neural crest

    Ectomesenchyme tissue

    Dermis of head region

    DENTINE

    Branchial arches skeleton part of musculature

    Pigment cells melanocytes

    So far embryo is 1.5 - 3 mm

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    Folding

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    Development of the head and neck

    BPM ruptures @ 21 days

    stom(at)odeum (primitive mouth)

    Branchial (or pharyngeal) arches

    pharyngeal pouches

    pharyngeal clefts

    branchial from bragchia (Gk) gill whereas brachial means of the arm

    Branchial arches

    Each arch has cartilaginous rod, aortic arch artery, cranialnerve and branchiomere (muscle)

    Nerves

    1st arch: V

    - 2nd arch: VII

    - 3rd arch: IX

    - 4th arch: X

    Branchiomere

    - 1st arch: muscles of mastication, tensors, MH

    - 2nd arch: muscles of facial expression, SH

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    Branchial arches

    First or Mandibular ArchMeckels Cartilage

    malleus and incus anterior ligament of the malleus sphenomandibular and other ligaments

    Second or Hyoid ArchReicherts Cartilage

    stapes

    styloid process and stylohyoid ligament hyoid bone except greater horn

    Third Arch- greater horn of hyoid

    Tongue formation

    From 1st, 2nd, 3rd (and 4th )branchial arches

    appears @ 32 days

    lateral lingual swellings (R and L)

    tuberculum impar

    copula

    Innervation of tongueSensory

    Anterior two-thirds of the tongue from 1st branchial arch, supplied by lingual n(V3)

    Posterior third of the tongue from 3rd branchial arch, by glossopharyngeal n (IX)Tongue base from 4th branchial arch, by vagus n (X)

    Taste

    Anterior two-thirds of the tongue from 2nd branchial arch, by chorda tympani(VII)

    Posterior third of the tongue from 3rd branchial arch, by glossopharyngeal (IX)- from 4th branchial arch, by vagus n (X)

    Motor

    Entire musculature hypoglossal (XII)

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    Development of the face

    Growth of

    Mandibular processes(MDP)

    Maxillary processes

    Fronto-nasal process(FNP)

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    Palate

    1o palate and 1o septum

    (FNP)- formed by 6th wk

    2o palate and 2o

    septum (Mx process)

    @ 6 wks, 2 palatalshelves rise

    by 12th wk, palatalfusion complete

    Ectomesenchymal cells

    inducing proliferation of

    epithelial cellsTongue

    Palatal Shelf

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    Development of the jawsMaxilla

    Intra-membranous ossification

    2 ossification centresMaxilla proper

    Premaxilla

    ProcessesFrontal

    Zygomatic

    Palatine

    Medial and lateral alveolar plates

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    MandibleBody Meckels cartilage forms template

    Mandibular nerve

    Intra-membranous ossification starts@ 7 weeks

    Medial and lateral alveolar plates

    Ramus Secondary cartilages

    Condylar cartilage appears @ 11 weeks

    Coronoid cartilage

    M.CTongue

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    TIMELINE21 days: oropharyngeal membrane ruptures,

    3mm long

    23 days: branchial arches start to form

    28 days: limb buds

    32 days: tongue formation starts

    5 weeks: nasal/optic placodes pits

    6 weeks: mandibular processes fused in midline

    primary palate and primary septumstart to bud (FNP)

    6th week: secondary palatal shelves downwards(from maxillary process)

    epithelial band develops

    7th week: mandibular ossification commences

    near mental foraminatongue fills oronasal cavityepithelial band into dental and

    vestibular laminae

    8 weeks: upper lip fused

    8th week: palatal shelves horizontal sec.palate, by glycosaminoglycans (GAGs), tonguedropping, stomodeum

    series of tooth buds off dental laminamaxillary ossification commencesabove #53-63 buds, near I/O foramen

    11 weeks: condylar, coronoid and midlinecartilage (mnd)

    11th week: cap stage

    12 weeks: all palatal processes fused

    12th week: late cap stage

    14th week: early bell stage

    15th week: dental lamina breaks down with

    epithelium and b/n tooth germs

    16 weeks: bones of palate start to fuse

    permanent molar buds appear

    18th week: late bell stage

    20 weeks: mineralization starts in lwr deciduous

    ants and lingual laminae of permanent incisors