Orofacial Trauma Flashcards
Although both can be affected, which lip is usually affected by labial avulsion?
Lower lip
Where does a labial avulsion occur and what problems does this cause?
Along mucogingival line leaving very little soft tissue for reattachement
What must you place on a mandibular labial avulsion prior to suture reconstruction and what does it do?
Interdental stent sutures support weight of lip
What can inadequate management of mandibular and maxillary fractures lead to?
Malalignment, malocclusion, or non-healing fractures
Where in the mandible are fractions most common in a dog?
Even distribution
Where in the mandible are fractions most common in a cat?
Symphysis and ramus
A repair will be stronger when it is on/near the _____ side of the fracture
Tension
How can you avoid having to extubate and re-intubate during a repair?
Intermandibular/pharyngotracheal intubation or temp. tracheostomy
Is a symphseal separation more common in cats or dogs?
Cats
Why should a circummandibular cerclage wire not be overtightened in order to correct a symphyseal separation?
Can result in lingual rotation of canines = malocclusion
How can you treat an open hard palate fracture?
Splint between canines, pin/fig8
How do you treat a closed hard palate fracture?
None indicated as long as malocclusion is ok
When do interfragmentary wires work best?
When combined w/interdental wire
Primary complications are premature loosening and soft tissue irritation
Intraoral splint
What is the preferred material of an intraoral splint?
Composite resin/acrylic