Tag: dental
Jaw Fracture Repair in a Dog Utilizing Titanium Mesh
by Brett on Jan.30, 2010, under Veterinary Dental Cases
This dog had a right mandibular fracture secondary to chronic periodontal disease. The jaw fractured spontaneously. It was repaired utilizing a titanium mesh material and an osteoconductive bone putty. http://www.securos.com/downloads/SI%20VelosityPuttyBrochure5.pdf
The fracture line can be seen overshadowed by the first molar mesial root. The site of the mesial root of the 4th premolar was near fracture. The veterinarian did a great job avoiding fracture when extracting these teeth.
Post extraction the fracture line becomes visible. This was a chronic fracture that had the body had attempted to heal. Fibrous tissue was present around the site and provided minor stability.
View of the right mandible after fitting the titanium mesh. The ventral mandible had considerable fibrous tissue present. Disrupting this would have created more instability. The plate was placed over the fibrous tissue. This gives the appearance on the final radiography that the plate doesn't conform well to the mandible. On the contrary this material is very compliant and fits tightly to the bone with minimal anchorage.
The vestibular aspect of the right mandible, screw placement
You can appreciate the delicate structure in relation to my fingers. The plate placed was about 5 times the size of this peice that was clipped off of the portion utilized in this case.
The final repair preclosure
Postop radiograph showing screw placement. Accomodation of the mesh was excellent. Consequently a lingual screw was not needed
Fistula in a Dog Associated with the maxillary fourth premolar abscess
by Brett on Dec.10, 2009, under Veterinary Dental Cases
This dog has a fistula associated with the left maxillary fourth premolar tooth.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
The pulp is exposed and the tooth is non-viable in the middle aged dog
The fistula can be seen associated with the distal root
The bone loss is evident and the apical portion of the root is resorbing
The radigraph demonstrates the lucencies in the bone
Post-operative view with bone contouring
