The bony palate forms the vaulted roof of the mouth, the central and
posterior parts of which are nearly horizontal; and on all sides, except
at the back, it is bounded by the alveolar ridge. Into its formation
several bones enter; in the adult skull one usually sees posteriorly a
cruciform suture indicating the limits of the superior maxillæ and palate
bones; but even in the adult, evidence is forthcoming in the existence
of traces of sutures to indicate that the anterior part of the palate is
formed independently of the part immediately behind it. Thus Mr. Carless
tells me that a cursory examination by him of a few dozen adult skulls
picked up at random in the Museum of the College of Surgeons revealed
the fact that in quite one half of them traces of sutures could be seen
extending outwards from the posterior part of the anterior palatine
canal; and a similar examination by him of 40 skulls from the Museum of
King’s College of many nations and various ages showed a similar result.
In almost all there was distinct evidence of the suture in the median
line; in 21, the maxillo-intermaxillary suture was indicated; whilst in
10 skulls, representing the period from infancy to young adult life,
both the above were seen in all, and 7 showed traces in addition of a
suture placed between them on either side, and which we shall describe
hereafter as the endo-mesognathic. Kölliker[34] similarly records that
out of 325 adult skulls examined, 96 of them showed definite traces
of the maxillo-intermaxillary suture. Albrecht[35] declares that nine
tenths of the skulls in the Königsberg and Kiel Museums from children
under five years of age reveal the existence of _five_ intermaxillary
sutures, proving that there are four separate portions to the so-called
intermaxilla. Each portion carries an incisor tooth, and the canine is
developed immediately at the junction between the outer portion and the
maxilla. Occasionally there are three incisors on each side, the jaw
being then called hexaprodontous; the extra tooth is developed from the
inner segment of the intermaxilla (or endognathion), the outer segment
(or mesognathion) carrying as usual only the lateral incisor. The
accompanying illustrations well indicate this arrangement of sutures and
teeth (Figs. 26 and 27); the importance of these facts will be emphasized
later. All traces of the facial aspect of these sutures disappear quite
early in life.
[Illustration: FIGS. 26 AND 27.—Diagrams to represent the normal human
upper jaw of a child, with four and six incisors respectively, and also
indicating the five intermaxillary sutures. (After _Albrecht_.)
EG, MG, XG. Endo-, meso-, and exo-gnathion. _e._ Inter-endognathic
suture. _f._ Endo-mesognathic suture. _g._ Exo-mesognathic suture. _i₁._
Central incisor. _i₂._ Lateral incisor. _iₐ._ Accessory incisor. _c._
Canine. _m₁._ First temporary molar. _m₂._ Second temporary molar.]
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