Orthodontics · single question

During rapid maxillary expansion, new bone forms at the opened midpalatal suture by which process?

  1. Intramembranous ossification
  2. Endochondral ossification
  3. Appositional cartilage growth
  4. No new bone forms
Show answer and explanation

Correct answer: A. Intramembranous ossification

The midpalatal suture is a site of intramembranous bone formation. When the suture is separated by expansion, osteoblasts deposit new bone directly within the fibrous tissue (intramembranous ossification) as it reorganizes and fills in.Other options: Endochondral ossification (a cartilage model) occurs at growth plates, synchondroses, and the condyle, not the palatal suture; new bone definitely forms during retention.Key exam takeaway: Sutural and most craniofacial flat-bone growth is intramembranous; retain the expansion to allow bony fill-in.

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