RSS-Feed abonnieren
DOI: 10.1055/s-0038-1633078
Dental Trauma Caused by Screws in Internal Fixation of Mandibular Osteotomies in the Dog
Publikationsverlauf
Received for publication:
09. Oktober 1991
Publikationsdatum:
06. Februar 2018 (online)
Summary
In a canine mandibular osteotomy model, the extent and nature of dental trauma resulting from internal fixation by means of a plate and screws was investigated. The plate was positioned relatively dorsally on the buccal aspect of the body of the mandible, for maximum biomechanical advantage. After a three-month period, dental trauma was evaluated clinically and histologically. Erosion of the oral mucosa overlying the plate occurred in 10 out of 15 dogs. Dental roots were damaged by 61% of the screws. A variety of lesions involving the periodontal ligament, dentine, cementum, pulp, and periapical tissue were noted. It is concluded that this method of fixation can not be recommended for mandibular fracture repair in the dog.
The effects of plating osteotomies of canine mandibles are described and evaluated following a three-month postoperative period.
-
REFERENCES
- 1 Kolata RJ, Johnston DE. Motorvehicle accidents in urban dogs: a study of 600 cases. J Am Vet Med Assoc 1975; 167: 938-41.
- 2 Weigel JR. Trauma to oral structures. In: Veterinary Dentistry. Harvey CE. (ed.) Philadelphia: WB Saunders; 1985: 140-55.
- 3 Verstraete FJM. Zur Therapie der Mandibulafraktur beim Hund. Prakt Tierarzt 1989; 70: 18-31.
- 4 Umphlet RC, Johnson AL. Mandibular fractures in the dog - a retrospective study of 157 cases. Vet Surg 1990; 19: 272-5.
- 5 Brinker WO, Piermattei DL, Flo GL. Handbook of Small Animal Orthopedics and Fracture Treatment. Philadelphia: WB Saunders; 1983: 186-94.
- 6 Chambers JN. Principles of management of mandibular fractures in the dog and cat. J Vet Orthop 1981; 2: 26-36.
- 7 Sumner-Smith G. Fractures of the mandible. In: Manual of Internal Fixation in Small Animals. Brinker WO, Hohn RB, Prieur WD. (eds). Berlin: Springer Verlag; 1984: 210-8.
- 8 Sumner-Smith G, Dingwall JG. The plating of mandibular fractures in the dog. Vet Rec 1971; 88: 595-8.
- 9 Spiessl B. Funktionsstabile Osteosynthese bei Unterkieferfrakturen - Problematik und Technik. Fortschr Kiefer Gesichtschir 1975; 19: 68-72.
- 10 Roush JK, Wilson JW. Healing of mandibular body osteotomies after plate and intramedullary pin fixation. Vet Surg 1989; 18: 190-6.
- 11 Ardary WC. Prospective clinical evaluation of the use of compression plates and screws in the management of mandible fractures. J Oral Maxillofac Surg 1989; 47: 1150-3.
- 12 Zisser G, Gattinger B. Histologic investigation of pulpal changes following maxillary and mandibular alveolar osteotomies in the dog. J Oral Maxillofac Surg 1982; 40: 332-9.
- 13 Counsell M, McKeown D, Pennock P. Mandibular osteotomy repair using high density polyethylene plates. J Am Anim Hosp Assoc 1985; 21: 685-90.
- 14 Eppley BL, Doucet MJ, Winkelmann T, Delfino JJ. Effect of different surgical repair modalities on regeneration of the rabbit mandibular nerve. J Oral Maxillofac Surg 1989; 47: 257-74.
- 15 Gerlach KL, Krause HR, Eitenmiiller J. Absorbierbare Osteosynthesematerialien zur Ruhigstellung von Unterkieferfrakturen - eine tierexperimentelle Studie. Dtsch Z Mund Kiefer Gesichtschir 1988; 12: 418-22.
- 16 Bos RRM, Rozema FR, Boering G. et al. Bio-absorbable plates and screws for internal fixation of mandibular fractures - a study in six dogs. Int J Oral Maxillofac Surg 1989; 18: 365-9.
- 17 Clarke PB. Plating of mandibular fractures -non-compression techniques. In: Maxillo-facial Injuries. Rowe NL, Williams JL. (eds). Edinburgh: Churchill Livingstone; 1985: 305-12.
- 18 Ikemura K, Kouno Y, Shibata H, Yamasaki K. Biomechanical study on monocortical osteosynthesis for the fracture of the mandible. Int J Oral Surg 1984; 13: 307-12.
- 19 Ikemura K, Hidaka H, Etoh T, Kabata K. Osteosynthesis in facial bone fractures using miniplates; clinical and experimental studies. J Oral Maxillofac Surg 1988; 46: 10-4.