The development of the intermaxilla from two centres on each side may
be accepted as a proven fact. It was first maintained by the late Mr.
Callender,[48] who stated that these bones have a lateral wedge-shaped
sutural surface, fitting into a groove in either superior maxilla, and
that the alveolar processes of the latter extend forwards, forming the
anterior walls of the sockets of the central incisors, and so fix the
bones in position. A confirmation of the idea that the anterior alveolar
walls of the incisor teeth are formed in this way was sought in the
well-established fact that these particular parts are very imperfectly
developed in those cases of alveolar harelip in which the os incisivum
is isolated from the superior maxillæ; but such is probably due to the
abnormal condition and position in which the bone is developed, rather
than to the loss of the maxillary “clip.” And certainly the most recent
researches tend to prove that the maxillæ have no share in the formation
of the alveoli of the incisor teeth.
Sir William Turner and other anatomists have fully confirmed this method
of development from four ossific centres, and important additions to
our knowledge of the subject have been made recently. Thus M. Gilis[49]
describes and figures the condition of the palate as seen in a six-months
fœtus, where it was clearly demonstrated that the intermaxillary portion
formed a sort of lozenge-shaped prism fitting in between the two maxillæ,
and consisting of four portions of bone, the sutures between these being
perfectly clear and distinct (Fig. 35). The posterior extremity of the
short axis of the intermaxillary segment corresponds to the anterior
palatine canal, and the anterior surface forms the median anterior
alveolar border, no process of the superior maxilla closing in the
alveoli in front. The upper border of the bone forms the floor of the
nasal apertures.
[Illustration: FIG. 35.—Bony palate of a fœtus of six months, showing the
development of the intermaxilla in four portions.
_a._ Endognathion. _b._ Mesognathion. _c._ Exognathion. _d._ Anterior
palatine canal. _e._ Endo-mesognathic suture.[50] _f._ Exo-mesognathic
suture. (After _Gilis_.)]
Biondi, of Breslau,[51] has completed the observations necessary for
the establishment of this fact by demonstrating the four actual points
of ossification in many fœtal skulls of different dates, which had been
specially prepared for the purpose. Moreover, as mentioned before (p.
27), traces of the five intermaxillary sutures, when looked for, may be
found in many adult and in the majority of young skulls.
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