Therefore, it was decided to repair the fracture with wiring. ... especially in mandible symphysis breaks. In general the signs are: swelling in the area, a loss of symmetry of the lower jaw and potentially the loss of teeth in the affected region. Another condition that can increase risk of IFM in the rostral mandible is ankylosis of the canine tooth to the surrounding bone, as evidenced by loss of visible periodontal ligament space on dental radiographs. Extraction of the mandibular canine tooth in both the dog and cat, and the mandibular first molar tooth in the small-breed dog are the ones with which we need to be most careful. Daily rinsing of the mouth may also be needed to ensure the mouth is kept clean. A variety of techniques may be utilized for the treatment of mandibular fractures. However, a deeper discussion of the “whys” seems worthwhile, given what seems to be an uptick in occurrence of this complication of extractions.1. Veterinary chiropractic: A friend or foe to your patients? Pandemic relief program gets funding boost, Seven pet care tips for owners returning to work, The “good death” revolution—Companion animal euthanasia in the modern age, One Health approach drives COVID-19 testing partnership, Support shelters get $400k shot in the arm.  Can be used for revision surgeries. Education is a big part of the solution. Soft tissue injury of the maxillofacial region is common in dogs and cats and typically a result of trauma. Playing and rough-housing should be avoided, even if he appears to be feeling well. Some fractures, especially those in a younger animal with a long nose that have not caused misalignment of the bone fragments or teeth may be managed with a "tape muzzle." It is esp… Five cats with mandibular fracture and detachment of the symphysis were evaluated. The clinical specialist plays many roles, including support of the general practitioner (GP). Automobile trauma resulted in maxillary, palatal, mandibular condylar, temporal and a symphyseal fracture for this cat. Mandibular symphysis fractures. Oral Maxillofac Surg. symphysis. The former can be a valuable resource for the latter, offering advice when preoperative, intraoperative, and postoperative questions arise. 1 The healing of the mandible is similar to long bones. However, I recall a case that occurred one week postoperatively through the alveolus of an extraction site after a dog got into a scuffle with another dog. Hands-on training allows for complete understanding of the risks, the tools available to decrease the risk, and the realization that after radiographic assessment of risk, referral of certain cases is a win-win-win situation for the patient, client, and doctor. The teeth on the lower jaw all insert into the mandible. Intra-oral splints provide an excellent option for repair of many mandibular fractures, are relatively inexpensive, provides immediate post-operative function, and minimizes the risk of iatrogenic damage associated with other methods of stabilization. Small dogs had proportionally larger mandibular first molar teeth relative to mandibular height compared with larger dogs.3 As a result, small-breed dogs are often the ones that present with IFM in the first molar region (Figure 1). fully resorbed by the body), but this was not known by the operator due to lack of dental radiography in the practice. J Vet Dent. Mandibular fractures are typically the result of trauma. Seventy-five percent of IFM cases occur postoperatively, rather than intraoperatively, usually within four weeks of extraction.2. The lower jaw (the mandible) usually fractures right in the middle of the chin which is very painful and renders the pet unable to use its jaw to eat. 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