How a face is built, weeks 4 to 12
If we could film Mateo's development, what would we see happening to his face between weeks 4 and 12?
The face is built when five prominences grow toward the and fuse on a tight schedule.

Prerequisite check
- A lip is a gap in the upper lip; a cleft is an opening in the roof of the mouth; a person can have one or both.
- Mateo is a composite patient, built from published science, so no real person's private information is used.
What to learn
Goal: Sequence the major events of facial development from weeks 4 to 12 and identify the steps that build the lip and .
- Five prominences (one frontonasal, two maxillary, two mandibular) grow and fuse to form the face.
- The five prominences are a simplified map. The upper lip and primary depend especially on among the maxillary and the medial nasal prominences; the mandibular prominences mainly form the lower jaw.
- The upper lip and primary form around weeks 6 to 7; the secondary palate fuses around weeks 8 to 12.
- means two growing edges meet at the and join into one continuous structure.
- Each step has a critical window: it must happen correctly within a limited time.
Guided notes
The five prominences
- Label a simple face diagram with the frontonasal, maxillary (x2), and mandibular (x2) prominences.
- Draw arrows showing the direction each grows.
A timeline of fusion
- Make a timeline from week 4 to week 12 and mark when the lip forms and when the fuses.
- Circle the window when a problem would lead to a lip, and the window for a cleft .
What has to go right
- In your own words, define and why timing matters.
- Predict: what happens to the lip if two prominences grow but do not meet?
Reading the Research
- Skim the title and abstract first to get the gist.
- Circle the one sentence that states the main claim.
- Box the evidence the authors give for that claim.
- Mark one sentence that confuses you, and move on.
Using the database (what to capture)
Plain-language explanations of a gene or condition, written for patients and families.
- 1Open medlineplus.gov/genetics and search the gene or condition (IRF6).
- 2Read the summary written in everyday words.
- 3Note the conditions the gene is linked to at the bottom of the page.
- Topic: IRF6 gene
- Plain-language summary: IRF6 helps the tissues of the face join correctly before birth.
- Linked conditions: Van der Woude syndrome; nonsyndromic cleft
Vetted links for this session
Pick your level
Use the sentence starters, a word bank from the vocabulary, a labeled diagram, and the exact source link.
Complete a partly blank model or table and explain it.
Make a claim from a new example or an unfamiliar entry in the same database.
Work as a research team
- Manager: keeps the group moving
- Recorder: writes the shared model or table
- Evidence checker: verifies each claim against the source
- Reporter: explains the group's reasoning
- What evidence changed your thinking today?
- What did your group disagree about, and how did you resolve it?
- What question is still unresolved?
Demonstration of learning
By the end of this session, submit ONE of: a labeled diagram with a 2-sentence explanation; a claim, evidence, reasoning paragraph; a completed data table from a real database; or a one-question exit ticket using today's vocabulary.
| Criterion | Proficient | Developing | Beginning |
|---|---|---|---|
| Complete | Every required part of the artifact is present and filled in. | Most parts are present, but one is missing or left blank. | Several parts are missing. |
| Accurate | The science and data are correct and match the evidence. | Mostly correct, with a small factual slip. | Key science or data is wrong. |
| Scientific reasoning (CER) | States a claim, backs it with specific evidence, and explains the reasoning. | Has a claim and evidence, but the reasoning is thin or missing. | Gives an answer with no evidence or reasoning. |
| Professional communication | Clear, organized, and labeled the way a clinician or scientist would write it. | Readable but disorganized or missing labels. | Hard to follow. |
| Submitted | Turned in the right way (Schoology for routine work) and confirmed. | Turned in, but in the wrong place or unconfirmed. | Not turned in. |
- CompleteProficient: Nothing is left blank: the model fills every part of "Sequence the major events of facial development from weeks 4 to 12 and identify the fusion steps that build the lip and palate.".
- AccurateProficient: Every number and claim matches the case evidence.
- Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
- Professional communicationProficient: It is organized and labeled like a real chart note.
- SubmittedProficient: It would be turned in on Schoology and confirmed.
