Professional Documents
Culture Documents
Guided by:
Dr. Basanta K. Shrestha,
Assoc. Prof and Head,
Presented by:Dr.
Rajesh Gyawali,
Resident
gyawalirajesh@gmail.com
Introduction
Theories with changing paradigm
Genetic Theory
Sutural Theory
Cartilageneous Theory
Servosystem Therory
Growth in orthodontics ?
How does growth occur ?
Many theories are proposed.
Paradigm 1
Paradigm 1
Paradigm 1
Paradigm 2
Paradigm 2
Paradigm 2
Brash in 1930.
Bone grows by deposition
at one surface and
resorption at another.
Exclusively by bone remodelling.
Sutures and cartilage no role.
Increase in volume
of skull
Condylar cartilage
Experiments
on animals
Arguments:-
Reduced
growth of
midface
Effects of surgery
Interference with blood supply
Genomic
paradigm
Growth is immutable
and predetermined
Orthodontic treatment
limited to tooth
movements only
Functional
paradigm
Growth can be
modified by function
Use of functional
orthopedic appliances
to modify growth
Microskeletal
unit
Functional Matrix
Capsular
Matrix
Periosteal
Matrix
By Alexandre Petrovic.
The hormonally regulated growth of the
midface and anterior cranial base, which
provides a constantly changing reference
input via the occlusion,
Hormonal
factor
Muscle
functions
CNS
Condylar
growth
Maxillary
growth
Occlusal
deviation
Propioceptors:
Periodontium-TMJ
Multifactorial theory
Combined Functional Matrix Theory
Sutural Theory
Genetic Theory
Neural crest
cells
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