Monday, October 31, 2016

The Mandibular Iatrogenic Fracture

Centers for Oral Care

Animal Dentistry Solutions
No. 1 July2016
A BLOG by DH DeForge, VMD
Fellow of the Academy of Veterinary Dentistry

The Mandibular Iatrogenic Fracture
Why call upon Dr. DeForge to help with the Periodontal Care of Geriatric Dogs?

Iatrogenic fractures are common when attempting to remove the distal mandibular molars and the mandibular canine teeth.  With 20 years of experience as an animal dentist, Dr. DeForge utilizing human oral surgery techniques can easily remove these teeth without any trauma to the manidble.  Many of these patients present with pathoogical fractures that are not visible without pre-treatment oral radiology.  A pathologic fracture is a bone fracture caused by disease that led to weakness of the bone structure. This process is most commonly due to advanced periodontal disease but can also be related to bone cancer, infection, inherited bone disorders, or bone cysts.

Guided Bone Regeneration is the key to the repair of these sites after stabilitzaiton.  Radiowave Radiosurgery is the cutting modality of choice to allow exposure of the fracture and allow extraoral stabilization of the fracture.

Pain control and antibiotic therapy is essential.  The patients in most instances need Elizabethan collars to be worn post-surgically to prohibit damage to the surgical repair sites for 30-60 days.

Some patients will need an Esophagostomy tube placed  for medicine administration and for liquid food supplement alimentation during recovery.

With careful monitoring and with the following of all post-care instructions, a patient will make an expedient recovery in 90 days.  Bone healing can taken 12-18  months in the geriatric patient.

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.”

Dr. DeForge has performed CE on the local, regional, and national level and is well respected by the academic community.  All of his lectures are RACE approved for CE. 

DH DeForge, VMD
Call: 1-800-838-3368

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