Evaluation of Titanium Mini Plates for Repair of Mandibular Fractures in Clinical Cases of Dogs
Asian Journal of Research in Animal and Veterinary Sciences,
Page 68-81
Abstract
The efficacy of straight, 4 holed titanium miniplates for repair of mandibular fractures in six dogs was evaluated. Mandibular fractures accounted for about 4.8% in the present study, commonly occurred in shih tzu and non-descript, male dogs of less than one year of age. The common site of fracture was the premolar region and unilateral fractures were more compared to bilateral fractures. The physiological and hematological parameters were within normal physiological range and statistically non-significant, except the leucocyte count, which showed significant variations and higher values at the beginning of the study due to presence of infection, which reduced with administration of antibiotics. Biochemical parameters namely serum calcium, phosphorous, creatinine and ALT showed non-significant variations. However, alkaline phosphatase showed significant variations. Immediate post-operative radiographs showed good alignment of the fractured mandible with adequate reduction. At the end of the study the mandible healed with minimum or no callus formation. This technique provided excellent stability, early return to normal function and normal occlusive alignment was maintained throughout the study.
Keywords:
- Dog
- mandibular fracture
- mandibular plating
- titanium miniplates
- monocortical screws
How to Cite
Murthy, K. M. S., Rashmitha, H., Nagaraja, B. N., Mahesh, V., & Halemani, G. M. (2023). Evaluation of Titanium Mini Plates for Repair of Mandibular Fractures in Clinical Cases of Dogs. Asian Journal of Research in Animal and Veterinary Sciences, 6(1), 68-81. Retrieved from https://journalajravs.com/index.php/AJRAVS/article/view/233
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Glyde M, Lidbetter D. Management of fractures of the mandible in small animals. Pract. 2003;25(10):570-585.
Available:https://doi.org/10.1136/inpract.25.10.570
Aswathy P, Narayanan MK, Devanand CB, Sudheesh SN, Ambily R Oral and maxillofacial disorders in canines–an incidence study. J Vet Anim Sci. 2019; 50(2): 85-88.
Sangamitra RKR, Vijay A. Case study on surgical management of mandibular fracture in a dog. J Phram Innov 2021;10 (5):198-199.
Guzu M, Hennet PR. Mandibular body fracture repair with wire‐reinforced interdental composite splint in small dogs. Vet Surg. 2017;46(8):1068-1077. Available:https://doi.org/10.1111/vsu.12691
Gioso MA, Shofer F, Barros PSM, Harvey CE. Mandible and mandibular first molar tooth measurements in dogs: relationship of radiographic height to body weight. J Vet Den. 2001;18(2): 65-68. Available:https://doi.org/10.1177/089875640101800202
Umphlet RC, Johnson AL. Mandibular fractures in the dog a retrospective study of 157 cases. Vet Surg. 1990;19(4): 272-275. Available:https://doi.org/10.1111/j.1532-950X.1990.tb01184.x
Goswami S. Mandibulo-Maxillary Fracture in Small Pets and their Treatment Modalities by Different Fixation Devices, Doctoral dissertation, West Bengal University Of Animal And Fishery Sciences, Kolkata, India. 2015.
Scherer E, Hetzel S, Snyder CJ. Assessment of the role of the mandibular first molar tooth in mandibular fracture patterns of 29 dogs. J Vet Dent. 2019;36 (1):32-39. Available:https://doi.org/10.1177/0898756419846183
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Minar M, Hwang Y, Park M, Kim S, Oh C, Choi S, KimG. Retrospective study on fractures in dogs. J Biomed Res. 2013;14 (3):140-144. Available:http://dx.doi.org/10.12729/jbr.2013.14.3.140
Mahesh SA. Surgical Repair of Mandibular Fracture by Wiring, PMMA plate and Titanium mini plate in dogs. M.V.Sc. Thesis. Karnataka Veterinary Animal and Fisheries Sciences University, Bidar, India; 2005.
De Paolo MH, Arzi B, Pollard RE, Kass PH, Verstraete, FJ. Craniomaxillofacial trauma in dogs— Part I: Fracture location, morphology and etiology. Front Vet Sci. 2020;7:241. Available:https://doi.org/10.3389/fvets.2020.00241
Kaur J. Clinical studies on the management of dental and mandibular affections in dogs, Doctoral dissertation, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, India; 2016.
Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21. Available:https://doi.org/10.1016/S0301-0503(78)80062-9
Bilgili H, Kurum B. Treatment of fractures of the mandible and maxilla by mini titanium plate fixation systems in dogs and cats. Aust Vet J. 2003. 81:671-673. Available:https://doi.org/10.1111/j.1751-0813.2003.tb12533.x
Boudrieau RJ. Miniplate reconstruction of severely comminuted maxillary fractures in two dogs. Vet Surg. 2004;33(2):154-163.
Gahlod TR, Dhakate MS, Upadhye SAS, Bawaskar SS. Management of femoral fracture with the use of horn peg in canine. Vet World. 2010;3(1):37.
Srinivasa Murthy KM. Studies on total hip replacement and excision arthroplasty for hip disorders in dogs. Ph. D. thesis, Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, India; 2015.
Patil M, Dilipkumar D, Shivaprakash BV, Kasaralikar VR, Tikare VP, Ramesh BK. Physiological and haemato-biochemical changes during repair of femur fracture in dogs. J Pharm Innov. 2017;6(8):381.
Reddy GAK, Kumar VG, Raghavender KBP, Kumar DP. Evaluation of haemato-biochemical parameters for assessment of fracture healing in dogs. J Pharm Innov 2020;9(9):123-125.
Freitag V, Landau H. Healing of dentate or edentulous mandibular fractures treated with rigid or semirigid plate fixation—an experimental study in dogs. J Cranio-Maxillofac Surg. 1996;24(2):83-87.
Spiessl B. Principles of the ASIF technique. Internal Fixation of the Mandible, Springer, Berlin, Heidelberg; 1989.
Weigel JP. Trauma to Oral Structures. Veterinary Dentistry, Philadelphia, WB Saunders Co; 1985.
Boudrieau RJ, Kudisch M. Miniplate fixation for repair of mandibular and maxillary fractures in 15 dogs and 3 cats. Vet Surg. 1996;25(4):277-291. Available:https://doi.org/10.1111/j.1532- 950X.1996.tb01414.x
Boudrieau RJ. Maxillofacial fracture repair using miniplates and screws. In Oral and Maxillofacial Surgery in Dogs and Cats, 2nd ed ., W.B. Saunders; 2012.
Davidson JR, Bauer MS. Fractures of the mandible and maxilla. Vet Clin North Am Small Anim Pract. 1992;22(1):109-119. Available:https://doi.org/10.1016/S0195-5616(92)50007-9
Kenneth A. Johnson. Piermattei's atlas of surgical approaches to the bones and joints of the dog and cat, 5th ed. Missouri: W.B. Saunders; 2014.
Glyde M, Lidbetter D. Management of fractures of the mandible in small animals. Pract. 2003;25(10):570-585.
Available:https://doi.org/10.1136/inpract.25.10.570
Aswathy P, Narayanan MK, Devanand CB, Sudheesh SN, Ambily R Oral and maxillofacial disorders in canines–an incidence study. J Vet Anim Sci. 2019; 50(2): 85-88.
Sangamitra RKR, Vijay A. Case study on surgical management of mandibular fracture in a dog. J Phram Innov 2021;10 (5):198-199.
Guzu M, Hennet PR. Mandibular body fracture repair with wire‐reinforced interdental composite splint in small dogs. Vet Surg. 2017;46(8):1068-1077. Available:https://doi.org/10.1111/vsu.12691
Gioso MA, Shofer F, Barros PSM, Harvey CE. Mandible and mandibular first molar tooth measurements in dogs: relationship of radiographic height to body weight. J Vet Den. 2001;18(2): 65-68. Available:https://doi.org/10.1177/089875640101800202
Umphlet RC, Johnson AL. Mandibular fractures in the dog a retrospective study of 157 cases. Vet Surg. 1990;19(4): 272-275. Available:https://doi.org/10.1111/j.1532-950X.1990.tb01184.x
Goswami S. Mandibulo-Maxillary Fracture in Small Pets and their Treatment Modalities by Different Fixation Devices, Doctoral dissertation, West Bengal University Of Animal And Fishery Sciences, Kolkata, India. 2015.
Scherer E, Hetzel S, Snyder CJ. Assessment of the role of the mandibular first molar tooth in mandibular fracture patterns of 29 dogs. J Vet Dent. 2019;36 (1):32-39. Available:https://doi.org/10.1177/0898756419846183
Kitshoff AM, De Rooster H, Ferreira SM, Steenkamp G. A retrospective study of 109 dogs with mandibular fractures. V. C. O. T. 2013;26(01):01-05. DOI: 10.3415/VCOT-12-01-0003
Lopes FM, Gioso MA, Ferro D G, Leon-Roman MA, Venturini MAFA, Correa HL. Oral fractures in dogs of Brazil- A retrospective study. J Vet Dent 2005;22: 86-90. Available:https://doi.org/10.1177/089875640502200202
Harasen G. Maxillary and mandibular fractures. Can Vet J 2008;49(8):819-820. PMID: 18978981
Minar M, Hwang Y, Park M, Kim S, Oh C, Choi S, KimG. Retrospective study on fractures in dogs. J Biomed Res. 2013;14 (3):140-144. Available:http://dx.doi.org/10.12729/jbr.2013.14.3.140
Mahesh SA. Surgical Repair of Mandibular Fracture by Wiring, PMMA plate and Titanium mini plate in dogs. M.V.Sc. Thesis. Karnataka Veterinary Animal and Fisheries Sciences University, Bidar, India; 2005.
De Paolo MH, Arzi B, Pollard RE, Kass PH, Verstraete, FJ. Craniomaxillofacial trauma in dogs— Part I: Fracture location, morphology and etiology. Front Vet Sci. 2020;7:241. Available:https://doi.org/10.3389/fvets.2020.00241
Kaur J. Clinical studies on the management of dental and mandibular affections in dogs, Doctoral dissertation, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, India; 2016.
Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21. Available:https://doi.org/10.1016/S0301-0503(78)80062-9
Bilgili H, Kurum B. Treatment of fractures of the mandible and maxilla by mini titanium plate fixation systems in dogs and cats. Aust Vet J. 2003. 81:671-673. Available:https://doi.org/10.1111/j.1751-0813.2003.tb12533.x
Boudrieau RJ. Miniplate reconstruction of severely comminuted maxillary fractures in two dogs. Vet Surg. 2004;33(2):154-163.
Gahlod TR, Dhakate MS, Upadhye SAS, Bawaskar SS. Management of femoral fracture with the use of horn peg in canine. Vet World. 2010;3(1):37.
Srinivasa Murthy KM. Studies on total hip replacement and excision arthroplasty for hip disorders in dogs. Ph. D. thesis, Karnataka Veterinary, Animal and Fisheries Sciences University, Bidar, India; 2015.
Patil M, Dilipkumar D, Shivaprakash BV, Kasaralikar VR, Tikare VP, Ramesh BK. Physiological and haemato-biochemical changes during repair of femur fracture in dogs. J Pharm Innov. 2017;6(8):381.
Reddy GAK, Kumar VG, Raghavender KBP, Kumar DP. Evaluation of haemato-biochemical parameters for assessment of fracture healing in dogs. J Pharm Innov 2020;9(9):123-125.
Freitag V, Landau H. Healing of dentate or edentulous mandibular fractures treated with rigid or semirigid plate fixation—an experimental study in dogs. J Cranio-Maxillofac Surg. 1996;24(2):83-87.
Spiessl B. Principles of the ASIF technique. Internal Fixation of the Mandible, Springer, Berlin, Heidelberg; 1989.
Weigel JP. Trauma to Oral Structures. Veterinary Dentistry, Philadelphia, WB Saunders Co; 1985.
Boudrieau RJ, Kudisch M. Miniplate fixation for repair of mandibular and maxillary fractures in 15 dogs and 3 cats. Vet Surg. 1996;25(4):277-291. Available:https://doi.org/10.1111/j.1532- 950X.1996.tb01414.x
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