Centers for Oral Care
Veterinary Dentistry
2nd Opinion
Animal Dentistry
Solutions
No. 3 September 2016
A BLOG by DH DeForge,
VMD
Volume I Number 3 Sept
2016
Fellow of the Academy
of Veterinary Dentistry
1-800-838-3368
Call for Oral Care
Satellite nearest your practice
Eight satellites in
Connecticut
Oral Fracture Repair
Oral Orthopedics in
Animal Dentistry and Oral Surgery
Your worst nightmare
now becomes Dr. DeForge’s privilege to treat and return to a quality-pain free
life.
For years the fracture
of the mandible was treated with internal fixation plates and lag screws. The problems with these techniques centers on
damage to the dentition or potential nerve damage upon application Many animal orthopedists still utilize these
techniques when animal dentists are not available for consultation.
Fixation failure can
lead to infection; malunion; or non-union.
Fixation instability results in inaccurate reduction.
The
above x-ray shows a patient that did not have complete reduction and a
malocclusion occurred after the surgical fixation attempt. The general practice veterinarian used the
wrong size wire with a wiring technique that did not produce the correct
reduction and stabilization of the fracture.
This patient needed additional surgery by an animal dentist and must be
followed radiographically every 3 months until complete healing has
occurred. Dental X-rays are the best way
to evaluate jaw fractures.
With any jaw fracture a dental radiograph is an
essential first step to evaluate the bone and confirm that all the tooth roots
are intact. Treatment x-rays are essential as well as follow up healing post-treatment
radiography at 3/6/12 and 18 months. There are many non-invasive options for
dealing with a fractured jaw utilized by animal dentists. Ignoring the problem
is not a
good choice.
Animal dentists use wiring techniques and
extraoral acrylic splints to stabilize jaw fractures. Radiographic evaluations of patients following the treatment
of jaw fracture trauma can help minimize serious postoperative complications
and permit early detection of problems. Diligent homecare of the repaired site
as outlined by the animal dentist will help minimize postoperative pain and
allow expedient healing.
Don DeForge, VMD
Fellow of the Academy of Veterinary Dentistry
After graduating from the University of Pennsylvania
School of Veterinary Medicine, Dr. DeForge developed a special interest in oral
care. In 1996, he was honored as North
East Practitioner of the Year by the American Animal Hospital Association. That same year he received the Peter Emily
Residents Award in Small Animal Dentistry.
Dr. DeForge lectures on small animal
dentistry and oral surgery emphasizing practical applications for the general
practitioner. His past columns in companion animal dentistry have appeared in DVM Newsmagazine and Veterinary
Practice News for over a decade.
Dr. DeForge is co-editor of An
Atlas of Veterinary Dental Radiology
along with Ben H Colmery III, DVM, DAVDC.
As a Fellow of the Academy of Veterinary
Dentistry, he has been honored by human dentistry. Dr. Jeffrey A. Sherman, DDS , Diplomate of the American Board of Oral
Electrosurgery and Executive Director of the World Academy of Radiosurgery
writes: “Your years of lecturing and writing on the subject of radiosurgery
have not gone unnoticed. I believe your
efforts in creating the
E-Journal of Radiowave Radiosurgery will help your colleagues and makes us all proud of your
efforts. Your discovery of Indirect Radiowave Radiosurgery Coagulation has brought new insight
into the use of radiosurgery in all fields of medicine and should be one of
your proudest accomplishments. It is
with honor that I call you colleague and friend. Please continue all of your fine efforts in
the field of radiosurgery and know that sharing your knowledge is the greatest
gift you have given to the profession.”
Thank you,
DH DeForge, VMD
Call Dr. DeForge at 1-800-838-3368
E-Mail Dr. DeForge at DoctorDeForge@yahoo.com
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