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Mandibular Osteodistraction for Correction of Deep Bite Class II Malocclusion in a Horse
Authors:DENIS VERWILGHEN  DVM  MSc    GABY VAN GALEN  DVM  MSc    LAURENT VANDERHEYDEN  DVM  MSc    VALERIA BUSONI  DVM  PhD  Diplomate ECVDI    ALEXANDRA SALCICCIA  DVM  MSc    MARC BALLIGAND  DVM  PhD  Diplomate ECVS    DIDIER SERTEYN  DVM  PhD  Diplomate ECVA    SIGRID GRULKE  DVM  PhD  Diplomate ECVS
Institution:Equine and Small Animal Clinic, Department of Clinical Sciences and the Department of Medical Imaging, Faculty of Veterinary Medicine of Liege, Liege, Belgium.
Abstract:Objective— To describe a technique for, and outcome after, mandibular osteodistraction in the horse.
Study Design— Clinical report.
Animals— Warmblood horse.
Methods— A half ring external fixator was applied on both sides of an osteotomy site performed on the mandible of a colt. A bite plate was placed on the upper incisors creating occlusion between lower and upper jaw. After a 5-day latency period, distraction was applied (1 mm/day) until the overjet was judged normal.
Results— Mandibular elongation and correction of brachygnathia was obtained without major complications. Six months after the procedure the overjet reduction was considered stable.
Conclusions— Mandibular osteodistraction can be considered for treatment of severe brachygnathia in yearlings.
Clinical Relevance— Distraction osteogenesis has the advantage of progressive elongation of the mandible, allowing concurrent bone remodeling and soft tissue adaptation. Severe mandibular incisor malocclusion in horses outside the maximal growth phase can be corrected using this technique.
Keywords:
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