JVD 2009 1 Interarcade Bonding for Non-Invasive Mandibular Fracture Repair STEP-BY-STEP Brett Beckman, DVM; Mark M. Smith, VMD Flashcards
What percentage of all fractures are comprised of mandibular fractures?
3-6%
What is the most common location of mandibular fractures in cats?
The mandibular symphysis.
What are the potential adverse consequences of mandibular fracture fixation?
Disruption to the neurovascular structures in the mandibular canal and damage to tooth roots.
Describe the technique being used in this picture and the type of fracture it might be used to stabilise and why?
Interarcade bonding using acid etch technique is being used to facilitate non invasive mandibular fracture repair.
It is used when a complex mandibular body fracture is present and more common methods of fracture repair risk damage to the neurovascular structures contained within the mandibular canal, tooth roots or developing dentition .
What operative management procedures should be included when using interarcade bonding for mandibular fracture repair?
Airway bypass to enable occlusion to be achieved during bonding.
Placement of an oesophagostomy tube in order to manage post oeprative alimentation.
Describe the fracture present in this radiograph.
A mandibular body fracture through the crown and into the furcation of the deciduous left mandibular fourth premolar tooth 708.
When should the interarcade bonding be removed ?
It should be removed after radiographic documentation of early bony union.
Expeditious removal is a priority in immature patients with deciduous or immature teetth to allow unimpeded exfoliation/eruption.
