Monday, October 31, 2016

Oral Fracture Repair Oral Orthopedics in Animal Dentistry and Oral Surgery

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
Call for Oral Care Satellite nearest your practice
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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

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