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Jaw Fracture in Children – What You Need to Know

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  2. Jaw Fracture in Children

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WHAT YOU NEED TO KNOW:

What is a jaw fracture?

A jaw fracture is a break in your child’s jawbone. It may take weeks or months for the jawbone to heal.

What are the signs and symptoms of a jaw fracture?

  • Bruising or swelling on the jaw, chin, lips, or gums
  • Misshapen or crooked jaw, or jaw that has moved out of its normal position
  • Missing or loose teeth
  • Nausea or vomiting
  • Pain or lump on the part of the jaw that is located below the ear
  • Tingling or numbness on the chin or lower lip
  • Trouble breathing, talking, eating, or opening his or her mouth

How is a jaw fracture diagnosed?

X-rays, a CT scan, or MRI of your child’s head or jaw may show a broken bone. Your child may be given contrast liquid to help the broken bone show up better in the pictures. Tell the healthcare provider if your child has ever had an allergic reaction to contrast liquid. Do not let your child enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if your child has any metal in or on his or her body.

How is a jaw fracture treated?

Your child’s treatment will depend on the damage and the type of fracture. Most mild jaw fractures in children heal on their own. Your child may need any of the following:

  • Pain medicine may be given or suggested by your child’s healthcare provider.
  • Antibiotics may be given to help treat or prevent a bacterial infection if the bone broke through your child’s skin.
  • Jaw wiring may be used to hold your child’s jaw in place and keep it from moving. This will help the bones heal the right way. You will be given a small pair of wire cutters to use in case of emergency. Your child’s healthcare provider will teach you how to use the cutters, and when to use them. Keep the cutters available at all times until the wires are removed by your child’s healthcare provider.
  • Surgery may be needed to return the jawbone to its normal position if the fracture is severe. Pins, plates, and screws may be used to hold the jawbone together. Surgery may also be needed to correct a deformity or fix damaged tissues, such as the mouth, tongue, nerves, or blood vessels.

What can I do to help manage my child’s jaw fracture?

  • Apply ice. Ice helps decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you place it on your child’s face. Apply ice for 15 to 20 minutes every hour or as directed.
  • Your child’s healthcare provider will tell you what to feed your child. If your child’s jaw is wired, he or she will need to eat foods that have been blended with liquids. Some examples of liquids you can use are milk, fruit juice, and vegetable juice. The liquids should not have chunks or pulp. Your child will have to eat these foods through a syringe or straw. If your child’s mouth is not wired, he or she may need to eat only soft foods. Some examples are applesauce, bananas, cooked cereal, cottage cheese, gelatin, pudding, and yogurt.
  • Help your child clean his or her mouth 4 to 6 times each day. Use a small, soft toothbrush. A water flosser can also help remove food and particles from between the teeth. Apply petroleum jelly to your child’s lips to keep them from becoming chapped. Ask your child’s healthcare provider for information about mouth care.
  • Your child may need more rest while he or she heals. Quiet play will keep your child busy and lower the risk for more injury. Have your child read or draw quietly. Ask your child’s healthcare provider how much rest your child needs and when he or she can return to regular activities.
  • Do not let your child play sports while the jaw heals. The fractured jaw may bleed, bruise easily, or break again. Ask your child’s healthcare provider when it is safe for your child to play sports again.
  • Tell your child not to put pressure on the healing jaw. He or she should not push on the jaw or let anything push on it. Have your child sleep on his or her back.

When should I seek immediate care?

  • Your child is vomiting and cannot keep any liquids down.
  • Your child has increased pain, even after he or she takes medicine.
  • Your child has problems breathing, talking, drinking, eating, or swallowing.
  • Your child’s splint breaks or gets damaged, or becomes soaked with blood.

When should I contact my child’s healthcare provider?

  • Your child has a fever.
  • The wires or splints in your child’s mouth are loose.
  • You have questions or concerns about your child’s condition or care.

Care Agreement

You have the right to help plan your child’s care. Learn about your child’s health condition and how it may be treated. Discuss treatment options with your child’s healthcare providers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Medical Disclaimer

Jaw Fractures in Dogs: Causes & Treatments

Monday, 17 August 2020

Written by Davin R. Ringen, MS, DVM

 

Jaw fractures occur in a split second and are always traumatic for both the pet and the pet owner. A broken jaw may involve both the maxilla (upper jaw) or mandible (lower jaws), however, they more frequently involve the mandible. For the sake of this discussion, I will focus on mandibular fractures.  

 

What Causes Broken Jaws in Dogs?

 

At Animal Dental Care and Oral Surgery, most mandibular fractures treated have occurred because of a trauma or as a result of periodontal disease. Common traumatic events include vehicular trauma or an altercation with another dog. 

Broken jaws resulting from periodontal disease are often seen near the mandibular 1st molar tooth due to severe bone loss around the tooth. The bone loss weakens the mandible, predisposing it to fracture when the patient does something as simple as jumping off a piece of furniture or biting down on a piece of hard kibble. 

In the case of vehicular trauma or altercation with another dog, it is important to have your pet fully evaluated for other injuries. When the fracture occurs or is noticed it is always best to have your pet seen by your regular veterinarian or emergency clinician. Once the patient is stabilized or treated for other life-threatening injuries, the jaw fracture can be addressed.

 

Figure 1. Radiograph of a dog’s mandible after it has been fractured during an altercation with another dog

 

Figure 2. Radiograph of the same dog’s mandible after fixation with transosseous wires.

 

Treating Jaw Fractures in Dogs

 

Obtaining a good history of the patient and performing a thorough physical exam are always the starting point. Once the patient has been examined, the initial diagnostics (blood work, radiographs, etc..) have been completed, and the patient is stable, we can start to fully assess the jaw fracture. 

Skull radiographs are often a part of the initial assessment of the fracture, and although these can provide valuable initial information, additional diagnostic imaging will be needed. Once the patient is stable an anesthetized or sedated an oral exam can be performed by your regular veterinarian, emergency clinician or veterinary dentist to fully assess the oral cavity and fracture.  

In addition, diagnostics including dental radiographs and/or a CT scan (cone beam CT scan or helical CT scan) are performed to assess the fracture site and teeth involved while under anesthesia. Animal Dental Care and Oral Surgery in Colorado Springs is proud to be the only veterinary practice in Colorado with cone beam computed tomography capability. 

 

 

Figure 3. Three-dimensional reconstruction from cone computed tomography scan of a cat with a fracture of its zygoma bone. The fracture was the result of being attacked by a dog. The CBCT scan was completed at Animal Dental Care and Oral Surgery in Colorado Springs.

 

The goal of fracture repair is to create a functional reduction and alignment of the fracture using a rigid fixation to obtain a bony union across the fracture. We want to restore a normal occlusion for the patient and maintain a healthy dentition, preventing damage to the remaining teeth during the fracture repair when possible. Information including the fracture location, number of fractures, direction of the fracture line, teeth involved, oral lacerations, bone exposure and condition of the surrounding oral tissues are all important for planning the fracture repair.  Our primary goal is always focused on the patient’s quality of life. 

Numerous techniques may be used to stabilize a jaw fracture. The technique is usually determined once the fracture has been characterized. Oversized muzzles are used to either hold the patient in occlusion until the fracture is further stabilized or is used as the primary form of fracture stabilization. Interdental splints using wire and composite material around the crowns of the teeth, encircling cerclage wires around the mandibles, and intraosseous wires across a fracture are all techniques used to stabilize a jaw fracture. 

Oral lacerations are commonly associated with jaw fractures.  Any lacerations or wounds will also need to be cleaned and sutured as part of the treatment. 

 

Figure 4. Acrylic composite material that has been used to stabilize a jaw fracture. The acrylic is left in place for 4-8 weeks

 

Taking Care of Your Dog after Jaw Surgery 

 

After repairing the fracture, detailed instructions will be discussed regarding home care for the patient. Patients need to be confined and kept on leash to minimize running, playing or jumping around while they heal. Regardless of the type of repair technique used, we often instruct pet owners to feed a soft diet or food made into a gruel-like consistency to minimize forces and motion around the fracture.   

Some patients will need a feeding tube initially while they adapt to their new situation. Feeding tubes can sound daunting to pet owners, however, most patients adjust quickly and tolerate the feeding tube very well. Detailed instructions for the feeding tube including how to use it, care for it, and specific feeding instructions are always fully discussed and written down for reference. 

Lastly, depending on the method used to repair the fracture, one last anesthetized procedure needs to be scheduled to remove the wire or splint in the mouth.

 

Are There Complications to Treating a Broken Jaw? 

 

Complications can be encountered when treating jaw fractures. Common complications include, infection, tearing of sutures, malalignment of the healing fracture, or instability of the fracture site leading to a malunion or nonunion of the fracture. Frequent checkup exams are scheduled to observe for complications and monitor the healing process.   

 

Veterinary Dentist in Colorado Springs

 

It is important to remember that there are always options when it comes to treating your pet.  At Animal Dental Care and Oral Surgery, we always strive for the best quality of life for your pet and want all of our patients to have a pain free and functional occlusion (bite). If you are in need of emergency dental care for your four-legged companion or simply need an annual dental cleaning, give us a call: 719-270-3075.

 

 

Broken or dislocated jaw: MedlinePlus Medical Encyclopedia

A person with a broken or dislocated jaw needs medical attention right away. This is because they may have breathing problems or bleeding. Call your local emergency number (such as 911) or a local hospital for further advice.

Hold the jaw gently in place with your hands on the way to the emergency room. You can also wrap a bandage under the jaw and over the top of the head. The bandage should be easy to remove in case you need to vomit.

At the hospital, if you have breathing problems, heavy bleeding occurs, or severe swelling of your face, a tube may be placed into your airways to help you breathe.

FRACTURED JAW

Treatment for a fractured jaw depends on how badly the bone is broken. If you have a minor fracture, it can heal on its own. You may only need pain medicines. You will probably have to eat soft foods or stay on a liquid diet for a while.

Surgery is often needed for moderate to severe fractures. The jaw may be wired to the teeth of the opposite jaw to keep the jaw stable while it heals. Jaw wires are usually left in place for 6 to 8 weeks. Small rubber bands (elastics) are used to hold the teeth together. After a few weeks, some of the elastics are removed to allow motion and reduce joint stiffness.

If the jaw is wired, you can only drink liquids or eat very soft foods. Have blunt scissors readily available to cut the elastics in the event of vomiting or choking. If the wires must be cut, call your health care provider right away so that the wires can be replaced.

DISLOCATED JAW

If your jaw is dislocated, a doctor may be able to place it back into the correct position using the thumbs. Numbing medicines (anesthetics) and muscle relaxants may be needed to relax the jaw muscles.

Afterward, your jaw may need to be stabilized. This usually involves bandaging the jaw to keep the mouth from opening widely. In some cases, surgery is needed to do this, particularly if repeated jaw dislocations occur.

After dislocating your jaw, you should not open your mouth widely for at least 6 weeks. Support your jaw with one or both hands when yawning and sneezing.

How to Fix a Dislocated Jaw: 12 Steps (with Pictures)

About This Article

Co-authored by:

Board Certified Dentist & Oral Surgeon

This article was co-authored by Pradeep Adatrow, DDS, MS. Dr. Pradeep Adatrow is the only board certified Dentist, Periodontist, and Prosthodontist in the southern United States. With over 15 years of experience, Dr. Adatrow specializes in dental implants, TMJ treatments, periodontal plastic surgery, surgical and non-surgical periodontics, bone regeneration, laser treatments, and soft tissue and gum graft procedures. He received a BS in Epidemiology and Biostatistics from the University of Alabama and earned his Doctor of Dental Surgery (DDS) degree from the University of Tennessee College of Dentistry. Dr. Adatrow then completed a three-year postgraduate program in periodontics and implantology at Indiana University and went on to complete another three-year postdoctoral program in advanced prosthodontics from the University of Tennessee. He also serves as a full-time professor and the Director of Surgical Prosthodontics at the University of Tennessee. Dr. Adatrow received the Dean’s Junior Faculty Award and the John Diggs Faculty Award, and he was inducted into the Deans Odontological Society. He is board certified by the American Board of Periodontology and is a Fellow of the prestigious International College of Dentistry – a feat that only 10,000 others worldwide can claim. This article has been viewed 57,841 times.

Co-authors: 5

Updated: December 15, 2020

Views: 57,841

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Article SummaryX

If you suspect someone might have a dislocated jaw, have them go to the emergency room or call an ambulance immediately. If you’re out in the wilderness with no other choice, as a very last resort, stand behind the person, and make sure they keep their head straight and still. Next, place your thumbs on their back molars, and wrap your hands around the sides of their chin. Press down gently with your arms, while tilting the front of the chin slightly upward with your fingers. Then, push the jaw back until you feel the ball pop back into the socket. For more help from our Medical reviewer, like how to provide aftercare, keep reading!

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Daunte Wright’s girlfriend suffered fractured jaw during stop: report

Daunte Wright’s girlfriend reportedly suffered a fractured jaw during the traffic stop in which he was shot dead by a Brooklyn Center, Minnesota, cop.

Danielle Albrecht said her daughter Alayna Albrecht-Payton required surgery following the April 11 incident, which she described as a “brutal attack,” CBS affiliate WCCO reported.

It was unclear how she was injured.

According to police, Wright jumped back in his car when officers tried to arrest him and drove several blocks before crashing.

“Alayna did nothing to deserve this!” Albrecht wrote on a GoFundMe page she created to raise funds for her daughter’s medical expenses.

“This kind of treatment is sick…inhumane! Protect and serve? Isn’t that what the police are supposed to do? Sadly they don’t and sadly more lives continue to be lost!” the mom added.

Alayna Albrecht-Payton required surgery on her jaw following the April 11 incident.Family handout

Albrecht-Payton’s lawyer, Robert Bennet, said his client’s jaw has been wired shut and that she suffered emotional trauma from seeing Wright being killed.

Police report that Daunte Wright got back in his car when officers tried to arrest him and drove several blocks before crashing.Facebook

He said he plans to take legal action and that he requested all police bodycam footage of Albrecht-Payton’s interactions with police.

Alayna Albrecht-Payton suffered a fractured jaw during the fatal traffic stop. Family handout

Alayna Albrecht-Payton’s lawyer says her jaw had to be wired shut. GoFundMe

It remains unclear exactly how Alayna Albrecht-Payton was injured. GoFundMe

On Wednesday, hundreds of mourners flocked to Shiloh Temple International Ministries in Minneapolis to view Wright’s body. The 20-year-old’s funeral is set for Thursday.

Kimberly Potter, the officer who shot him when she mistakenly grabbed her gun instead of her Taser, has resigned from the force and is charged with second-degree manslaughter. She has yet to enter a plea.

Cat broken jaw repair | Long Beach Animal Hospital

It is not uncommon for a cat to break its jaw due to a traumatic incident; usually falling from a height or being hit by a car. The lower jaw (the mandible) usually fractures right in the middle of the chin which is very painful and renders the pet unable to use its jaw to eat. Fortunately for most cats, they heal very well when the jaw is wired back together. Now if only they can remember not to run across the street again…. .

This area contains graphic pictures of an actual jaw repair performed at the hospital. It may not be suitable for some children (and some adults also!).

Symptoms and Diagnosis

In almost all cases of jaw fracture the diagnosis is obvious. The pet is drooling, the jaw hangs down, and it is unable to eat. There are frequently other signs of trauma present somewhere on the body.

Palpation of the jaw (under anesthesia) reveals the extent of the problem. The location of this fracture is called the symphysis of the mandible.

Treatment

The two halves of the lower jaw (the mandible) are wired back together with stainless steel wire. The wire is kept in place for approximately one month, then the cat is anesthetized again and the wire removed. Most cats begin eating within 1-2 days of the repair, and only rarely do we have to place a feeding tube in so they can ingest adequate calories. If there are no other problems almost all cats heal completely.

A special stainless steel wire is placed around the lower jaw. To be anchored properly, and to stay in place until healing is complete, the wire must pass through the underside of the jaw.

The surgeon then aligns the 2 fractured pieces and gently tightens the wire. When finished the wire passes under the tongue but over the lower jaw.

The ends of the wire pass out through the skin under the jaw. The wire is pushed up against the skin so it does not interfere or snag on things.

This radiograph gives an inside view of the wire.

The roof of the mouth (the hard palate) is bruised because this cat was hit by a car. Fortunately the hard palate was not fractured, so no further treatment was needed.

The tongue was severely bruised also. This is the type of lesion, that when added to the fractured jaw, can prevent a cat from eating. Luckily the bruised tongue healed within a few days and this cat started eating soon. If not, we would have put a feeding tube in.

Jaw fractures can be quite painful, so it is common for us to use pain medication.
90,000 Fracture of the jaw – features of the trauma for the upper and lower part of it

Fracture of the upper jaw, lower jaw – symptoms and treatment

Fracture of the jaw is a fairly common trauma to the face that occurs as a result of a direct impact or falling onto a hard surface. Treatment of a jaw fracture should be carried out under the supervision of doctors, since if it is carried out incorrectly, severe complications may develop.

Fracture of the lower jaw – features

Such an injury has some peculiarities:

  • a fracture with displacement of bone fragments or the entire jaw is called complete;
  • if the injury is open, then not only the mucous membrane of the oral cavity is ruptured, but also the soft tissues of the face;
  • is very rarely diagnosed with a comminuted fracture, because it requires the application of too much force.

Fracture of the lower jaw is characterized by the following features:

  • pronounced asymmetry of the face, which is formed due to swelling and hemorrhage in soft tissues at the site of injury;
  • acute pain when touching any part of the lower jaw, inability to talk, chew;
  • mobility of fragments, if any;
  • a radical change in the bite – the lower jaw may be too far forward or, conversely, “gone” in depth.

Everyone can provide first aid for this injury – you need to apply a bandage (put any straight object between the teeth, for example, a ruler) so that the damaged part of the jaw is motionless. If there is bleeding, then it must be stopped by applying something cold, treating with hydrogen peroxide and other classical methods. Then you just have to wait for the arrival of the ambulance team.

Signs, first aid for a fracture of the upper jaw

Fractures of the upper jaw are much less common – only 30% of all facial injuries. This is a dangerous injury, because in most cases it is accompanied by severe complications – meningitis, osteomyelitis. Moreover, the higher the crack (fracture line) is formed, the more severe the consequences will be.

Symptoms of a fracture of the jaw (upper) can vary and depend on which part of it is damaged:

  • injury over the palatine arch + fracture of the nose + fracture of the maxillary sinus bone accompanied by severe bleeding between the upper lip and upper teeth, extensive swelling of the upper part faces;
  • separation of the upper jaw from the cranial vault + a crack going through the orbit and the bridge of the nose, characterized by severe edema and rapid spread of hematoma under both eyes, numbness in this area, nosebleeds and uncontrollable salivation;
  • avulsion of the jaw + fracture of the base of the jaw can be diagnosed by drooping of the eyeballs, impaired vision.

First aid consists in completely immobilizing the upper part of the face, cleaning the oral cavity from fragments of teeth / bones. In each case, the victim will have nausea, vomiting may develop.

Treatment of a jaw fracture

Therapy for trauma should be carried out only by doctors and the sooner qualified medical care is provided, the lower the risk of complications. Treatment of a jaw fracture may include the following manipulations:

  • if there is a wound (rupture of soft tissues, mucous membranes), then first the bleeding stops, disinfection measures are taken;
  • manual matching of bone fragments, giving the correct shape of the damaged jaw;
  • , a splint must be applied – in case of a fracture of the jaw, it is necessary to achieve its complete immobilization for at least one month.

Pain relievers and anti-inflammatory therapy are additionally prescribed. If a fracture of the processes of the jaw is diagnosed, then, most likely, surgical intervention will be prescribed, which involves the implantation of specific metal plates. The doctor will tell you more about the operation during the consultation. Registration on our website Dobrobut.com.

Rehabilitation after a jaw fracture includes physiotherapy, massage and facial exercises.Patients often have to learn to chew and talk again without distorting sounds.

comics, GIF animation, video, the best intellectual humor.

Dedicated to the imbecile Imebal, for whom scary tales are much more important than boring reality …

Of course, I’m cunning. This is dedicated to all lovers and lovers of the scoop / bloody regime, Stalinists / anti-Stalinists, lovers of mixing stories and the truth.

It will be about the great Soviet scientist, the father of Soviet cosmonautics Sergei Pavlovich Korolev.

More precisely, about one part of his body.

Everyone has long known an incredibly terrible and bloody story about an illegally repressed genius, that within the walls of the NKVD he was interrogated, tortured, humiliated and even shot (but this is not certain).

Each story has its beginning and has its own storytellers. The most obvious storyteller is Korolev himself, but bad luck, there are no books with his memories.

Then follow those who have them. Immediately I remember the daughter of the great scientist – Natalya, she has family memories and books available and, as it were, the closest person… or not?

Few people know, but Natalya Sergeevna communicated with her father very little, since in 1949 Korolev left the family, and Natalya’s mother did not want her daughter to see her with her new wife. My daughter supported the decision, because “she could not forgive her mother’s betrayal” and … stanta barbara is still the same. As a result, Natalia became an expert on the biography of her father only after the death of the latter. The books were published in 2007 and are now being replicated all over the world … But what about the jaws? They are in the books! There is, until now Koroleva is not the first who wrote this, or rather, almost word for word repeats the story of one remarkable person. ..

Meet – GOLOVANOV YAROSLAV KIRILLOVICH

Golovanov Y.K. Publicist, journalist, changing shoes

He has a book – “Korolev. Facts and myths”, written in 94th year.

It is there that the terrible picture of torture and mockery of a Soviet scientist is described.This book is the source and starting point for the books of Natalia Koroleva. It was in this book that the cause of death was first described:

Immediately the first questions: Why the man, the second wife of Korolev, who lived with him for 20 years, never knew about such a terrible trauma, which should have caused serious inconvenience at such an advanced age.
No matter how much I admire the medicine of the USSR, technological progress has stepped far forward, but even with such progress, how many of you are not worried before going to the dentist?

And how not to worry Korolev, according to the same recollections of his daughter, all his teeth fell out due to scurvy. And for those who do not know, I will tell you that with the loss of teeth, an irregular bite and a bunch of other complications begin to form, which affect speech, the shape and mobility of the jaws.

Fractures of the jaws, especially the upper one, are a terrible and incredibly complex injury that does not pass without leaving a trace and leaves the most obvious marks on the face.

But still, why am I sure that what Golovanov described is a bike?
Maybe because he writes so himself?

Gentlemen are lovers of Solzhenitsyn, Shalamov and others like them. I remind you that all these names refer to people who write fictional prose or their personal memories with a very subjective assessment of what is happening.

Otherwise, I ask you to acknowledge that the Bible, Quran and Scientology books are reliable sources.

Summing up, I want to say that I am not an adherent of the opinion that Korolev had no injury at all.She was, moreover, extremely serious and almost cost him his life.

in 1937, at the RNII, during the tests of a cruise missile, an accident occurred, one of the elements of the rocket flew off and almost pierced Korolev’s head, hitting the temple.

P.S. I was in a hurry fo yu, Joy, ready for criticism and dialogue, but please stop believing in stupid stories like a bath with acid and people rolling on broken glass.

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Oral and Maxillofacial Surgery | The network of dental clinics “Dental-Service”

About the new clinic of ChLH Dental-Service

“Clinic for Facial Surgery and Dentistry” was opened in November 2017 on the territory of the largest conglomerate of advanced medical institutions in Novosibirsk – Medpark, st.Sacco and Vanzetti, 77. The main activity of the new clinic is maxillofacial surgery. In the list of services: orthognathic surgery to correct the occlusion, surgery on the sinuses and salivary glands, temporomandibular joint, restoration of the maxillofacial area after injuries. A powerful advantage to maxillofacial surgery are the traditional dental areas for the network: therapeutic dentistry, surgery, periodontology, orthodontics.

More details

The format of the new clinic was originally designed for a complex solution of the patient’s problems, which means that it implies teamwork: maxillofacial surgeons, orthodontists, orthopedists, implant surgeons, dentists-therapists, ENTs, neurosurgeons work together. Such an interdisciplinary approach is very convenient, since the patient receives the most qualified solution within the walls of one clinic. The conditions of the clinic – tomography, microscopes, three operating classes A and B, full-scale anesthesia, post-anesthesia wards, a comfortable hospital – allow performing both maxillary surgery and dental operations at the most modern level. Large-scale bone reconstructions (including the use of bone from extraoral sources – this is a rare, complex operation), implantations, apical surgeries, extensive periodontal reconstructions and aesthetic dentistry – in the new clinic, all these areas are presented “to the maximum.”The team of the new clinic consists of surgeons with many years of experience in maxillofacial surgery, trained in clinics in Europe, China, USA, and experienced dentists of the Dental-Service network. Chief physician – surgeon Oleg Valentinovich Pakhomov.

image / svg + xml This is a completely new format for our region. Dental-Service, as always, is the first to meet the new challenges of modern dentistry. Within the walls of one clinic, we will correct the congenital pathology of the jaws and, if necessary, carry out bone and periodontal reconstruction, implantation, and autotransplantation.An interdisciplinary approach is the only correct way of modern medicine.

Bite anomalies: when orthodontists fail

Braces

for an adult

Find out more about our
orthodontics.

The bite is called incorrect if the upper and lower jaw do not match, the dentition does not close properly and, as a result, the food is not frayed sufficiently. A smile with a malocclusion does not necessarily look bad.The bite is more associated with health and often makes itself felt after 30 years, when pain in the temporomandibular joints may appear, the roots of the teeth are exposed, breathing is disturbed, worries about increased abrasion of teeth, etc. The aesthetic task (to make a beautiful smile) and the functional task (to make the bite correct) are always solved together.

Orthodontists usually deal with occlusion correction. But in about 25% of patients with a diagnosis of “malocclusion”, the discrepancy between the sizes of the upper and lower jaw is so great that it is impossible to compensate for it and achieve a correct occlusion using the standard orthodontic method (braces).

Such a skeletal anomaly causes disturbances in the process of chewing, speech, posture, and psychological disorders. And, as a rule, it seriously affects a person’s appearance, distorts his natural beauty.

image / svg + xml The correct bite is determined by the relative position of the teeth on the upper and lower jaw

What do orthodontists usually do when there is a serious jaw inconsistency? Carry out treatment with braces, somewhat compensating for the skeletal anomaly, postponing for a while the adverse consequences of malocclusion.It is extremely rare that they recommend jaw surgery to the patient. This is largely due to the imperfection of the organization and conduct of such operations. There is simply nowhere to send such a patient for surgical treatment in our region! The emergence of the “Clinic of Maxillofacial Surgery Dental-Service”, we are sure, will radically change this situation in the Siberian Federal District.

World practice in such cases is the teamwork of an orthodontist and maxillofacial surgeon. At the first stage, orthodontic correction is performed, at the second stage – orthognathic surgery performed by a maxillofacial surgeon.The third stage is the final resurfacing of the result using orthodontic methods. The result of such cooperation of specialists is a beautiful, even face and a correct bite.

We always meet you halfway: we treat

in installments

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Doing orthognathic surgery in D-S

Orthognathic surgery is close to plastic surgery, as it not only corrects skeletal anomalies (makes the bite correct), but also restores the natural balance of the face. Orthognathic operations is the general name for a whole class of operations. The highly specialized names of which – osteotomy, genioplasty – will not tell a layman anything. But they all imply a change in the shape of the bone tissue of the upper and lower jaws – reduction, growth, movement. Although such operations cannot be called simple (they require serious preparation and technological support), the protocol for such operations has been worked out. The number of orthognathic surgeries performed annually in countries with a developed dental culture is in the thousands.

Orthognathic surgery in the new clinic of ChLH Dental-Service is a one-day operation. Minimally invasive intervention is provided by high-tech equipment: modern methods of anesthesiology, the use of the latest equipment, as well as the highest qualifications of a surgeon. Orthodontic correction using braces is a mandatory step in any orthognathic surgery. The orthodontist works closely with the surgeon, prepares the patient’s jaw for surgery and performs postoperative correction.

Osteotomy (orthognathic operation) of one jaw

If one of the jaws is underdeveloped or, conversely, overdeveloped, the bite and balance of the face are disturbed. It is possible to correct such an anomaly only by surgery. Osteotomy is necessarily accompanied by orthodontic correction: orthodontic treatment is carried out in the pre- and postoperative period.

image / svg + xml Single jaw osteotomyThen titanium plates are fixed.

Double jaw osteotomy

Surgery for the correction of severe malocclusion and correction of aesthetic anomalies of the face, which is performed simultaneously on both jaws. Osteotomy is also performed in conjunction with an orthodontist: orthodontic treatment is carried out in the pre- and postoperative period.

image / svg + xml Double-jaw osteotomy The bone tissue of the lower and upper jaws is dissected, set in the desired position and fixed with titanium plates.

Genioplasty

The operation is performed to change the contours of the chin, it is performed mainly for aesthetic purposes. It can be performed as an independent operation, or it can complement the osteotomy of the lower jaw.

image / svg + xml Genioplasty, dissection, movement, fixation of the chin bone tissue.

Simulation of LH operation

One of the main advantages of the new ChLH Dental-Service clinic is the precise planning of the future operation. The modern technique based on computer 3D modeling makes it possible to calculate the course of the operation and see the final result even before the start of any treatment, before the start of the primary orthodontic correction.

image / svg + xml Alexander Mikhailovich GORYACHKINA Leading Maxillofacial Surgeon Proper preparation is the most crucial stage, half of the success. Thanks to computer modeling, the use of operating templates, we carry out operations very accurately. A high-quality orthognathic surgery is basically impossible without a template!

Check-up “Face balance”

Harmonious development of the bone structures and soft tissues of the face and jaw is fundamentally important for the beauty of the face. This is the frame on which its proportions depend. For patients who want to check how fully the potential of their natural beauty is realized, the “Clinic for Facial Surgery and Dentistry” offers the “Face and Smile Balance” service.

Success story

The story is told by V-
, who is not by hearsay-
ke knows what a maxillary surgery is

Check-up “Face and Smile Balance” is a comprehensive medical examination and computer analysis of bone structures and soft tissues a person who reveals functional and aesthetic abnormalities in the structure of the maxillofacial region.Diagnostics is carried out using the latest methods of functional research, taking into account the anatomical and physiological characteristics of organs and tissues of the oral cavity and maxillofacial region, as well as the specifics of dental diseases. An integral stage of the study is the analysis of the shape and position of the teeth and gums. The technique also helps to diagnose some unnoticed diseases. If asymmetry is detected in the maxillofacial area, the program will simulate how the face will look if the imbalance is eliminated.We identify all types of asymmetries that affect the balance of the face:

  • gum asymmetry,
  • teeth,
  • jaws,
  • soft tissue,
  • articular asymmetries.

Diagnostics takes 1-2 hours, test results are ready in 7 days. Further treatment, if required, you can undergo in any clinic. Our specialists will conduct an expert consultation with the doctor you choose for further treatment.

Surgical expansion of the hard palate

The operation is performed to expand the narrow upper jaw in order to correct the malocclusion. After the operation, a distraction apparatus is used, which further expands the upper jaw. Once the distraction device is removed, the teeth are finally aligned using braces or orthodontic aligners.

Facial injuries

We work with the consequences of bone and soft tissue injuries in the maxillofacial region, including the old ones.

Wind Territory

  • L-2-hydroxyglutaric aciduria / L2HGA (up to 20 working days)

    2200

  • Collie Eye Anomaly (CEA from Collie Eye Anomaly) (up to 20 work.days)

    2200

  • Achromatopsia (day blindness, ACHM) of dogs (up to 20 work.days)

    2300

  • Von Willebrand disease (vWD) (up to 20 work.days)

    2300

  • Type 2 von Willebrand disease (vWD II) (up to 20 work.days)

    2300

  • Type 3 von Willebrand disease (vWD III) (up to 20 work.days)

    2300

  • Congenital hypothyroidism with Terier goiter (CHG) (up to 20 sl.days)

    2000

  • Gangliosidosis type 1 (GM1) dogs (up to 20 work.days)

    2200

  • Hemophilia B (factor IX deficiency, FIXD) dogs (up to 20 work.days)

    2200

  • Hyperuricosuria (HUU) (up to 20 work.days)

    1800

  • Hypocatalasia, akatalasia (CAT) of dogs (up to 20 work.days)

    2100

  • Type IIIa glycogenosis (Curly-haired retrievers) (up to 20 work.days)

    1800

  • Globoid cell leukodystrophy (Krabbe’s disease) (up to 20 work.days)

    2200

  • The nakedness of Chinese crested dogs (up to 20 slave.days)

    2000

  • Spongy cerebellar degeneration with cerebellar ataxia type 1 (SDCA1) in dogs (up to 20 work.days)

    2200

  • Dwarfism (pituitary insufficiency) (up to 20 work.days)

    2200

  • Degenerative myelopathy of Bernese Mountain Dogs (Exon 1, DM Ex1) (up to 20 work.days)

    2200

  • Degenerative myelopathy of Bernese Mountain Dogs (Exon 2, DM Ex2) (up to 20 work.days)

    2200

  • Degenerative myelopathy of Bernese Mountain Dogs two exons (DM Ex1 and Ex2) (up to 20 work.days)

    3200

  • Dermatomyositis (DMS) of dogs (up to 20 work.days)

    4100

  • Deficiency of pyruvate kinase (Pyruvate Dehydrogenase Phosphatase 1 Deficiency) (up to 20 work.days)

    2200

  • Dilated Cardiomyopathy (up to 20 work.days)

    2200

  • Dilated Cardiomyopathy (up to 20 work.days)

    2200

  • Dilated cardiomyopathy of the 2nd type (Dilated Cardiomyopathy 2) (up to 20 work.days)

    2200

  • Dilated Cardiomyopathy (up to 20 work.days)

    2200

  • Dilated Cardiomyopathy (up to 20 work.days)

    2200

  • Malignant hyperthermia (MH) all breeds (up to 20 sl.days)

    2100

  • Golden Retriever ichthyosis (ICT-A) (up to 20 work.days)

    2100

  • Collapse associated with physical activity (up to 20 work.days)

    2200

  • Craniomandibular osteopathy (CMO) (up to 20 work.days)

    2000

  • Night blindness briards (CSNB) (up to 20 work.days)

    2100

  • Lethal acrodermatitis of bull terriers (LAD) (up to 20 work.days)

    2200

  • Sharpei fever (SPAID) (up to 20 work.days)

    2200

  • Macrothrombocytopenia (MTC) of dogs (up to 20 work.days)

    2200

  • Myotubular myopathy (MTM1, XL-MTM) dogs (up to 20 work.days)

    2200

  • Cerebellar abiotrophy (NCCD) of dogs (up to 20 work.days)

    2200

  • Cerebellar ataxia type 4A (up to 20 work.days)

    2100

  • Mucopolysaccharidosis type III B (up to 20 work.days)

    2000

  • Multifocal retinopathy (CMR1) (up to 20 work.days)

    2100

  • Muscular dystrophy Cavalier King Charles Spaniels (DMD-CKCS) (up to 20 work.days)

    2100

  • Doberman narcolepsy (up to 20 work.days)

    2100

  • Narcolepsy for Labradors (up to 20 work.days)

    2200

  • Hereditary cataract (HSF4) (up to 20 work.days)

    2100

  • Hereditary myotonia (schnauzer) (up to 20 work.days)

    2100

  • Hereditary footpad hyperkeratosis (HFH) (up to 20 work.days)

    2100

  • Hereditary nephritis (HN) dogs (up to 20 work.days)

    2200

  • Hereditary nasal parakeratosis of retrievers (HNPK) (up to 20 work.days)

    2100

  • Pug hereditary encephalitis (NME) (up to 20 work.days)

    2100

  • Factor VII deficiency (FVIID) in dogs (up to 20 work.days)

    2200

  • Lack of phosphofructokinase (Phosphofructokinase deficiency) (up to 20 work.days)

    2200

  • Neuroaxonal dystrophy (NAD) (up to 20 work.days)

    2100

  • Osteogenesis imperfecta in dachshunds (OI) dogs (up to 20 work.days)

    2000

  • Protein-losing nephropathy (PLN) in dogs (up to 20 work.days)

    2600

  • The volume of muscle mass of whippets (up to 20 work.days)

    2100

  • Bull Terrier laryngeal paralysis (LP) (up to 20 work.days)

    2100

  • Primary ciliary dyskinesia (PCD) (up to 20 work.days)

    2100

  • Primary lens dislocation (PLL) (up to 20 work.days)

    2100

  • Late cerebellar ataxia (LOA) (up to 20 work.days)

    2100

  • Bull Terrier polycystic kidney disease (BTPKD) (up to 20 work.days)

    2200

  • Progressive retinal atrophy (PRA) of Golden Retrievers (GR-PRA1 + prcd-PRA) (up to 20 work.days)

    3900

  • Progressive retinal atrophy (PRA) in dogs (up to 20 work.days)

    2200

  • Progressive retinal atrophy CRD-SWD / PRA-cord2 (up to 20 work.days)

    2100

  • Progressive retinal atrophy PRA-CNGA1 (up to 20 work.days)

    2100

  • Progressive retinal atrophy PRA-crd1 (American Staffordshire Terrier) (up to 20 work.days)

    2100

  • Progressive retinal atrophy PRA-crd2 (American pit bull terrier) (up to 20 work.days)

    2100

  • Progressive retinal atrophy of Golden Retrievers GR-PRA2 (up to 20 work.days)

    2100

  • Progressive retinal atrophy of papillons and phalens pap-PRA (up to 20 work.days)

    2200

  • Early progressive malamute polyneuropathy (AMPN) (up to 20 work.days)

    2200

  • Familial nephropathy of English cocker spaniels (FN) (up to 20 work.days)

    2200

  • Acral matulation syndrome (AMS) of dogs (up to 20 work.days)

    2200

  • Captured neutrophil syndrome (TNS) (up to 20 work.days)

    2200

  • Leukocyte adhesion failure syndrome in dogs (CLAD) (up to 20 work.days)

    2200

  • Dry eye and curly hair syndrome (CKCSID) (up to 20 work.days)

    2200

  • Fanconi Basenji Syndrome (FBS) (up to 20 work.days)

    2200

  • Episodic Fall Syndrome (EFS) (up to 20 work.days)

    2200

  • Spinocerebellar ataxia with myokimia and / or seizures (SCA) (up to 20 work.days)

    2200

  • Drug sensitivity test (up to 20 work.days)

    2200

  • Severe combined immunodeficiency linked to the X chromosome (XSCID) (up to 20 work.days)

    2200

  • Chondrodysplasia (CDPA) of dogs (up to 20 work.days)

    1900

  • Centronuclear myopathy (up to 20 work.days)

    2100

  • Cyclic neutropenia (collie) (up to 20 work.days)

    1900

  • Cystinuria of the Newfoundlands (Cys) (up to 20 work.days)

    2000

  • Cystinuria of bulldogs (Cys BD) (up to 20 work.days)

    2600

  • Sensitivity to phenobarbital (MDR ph) of dogs (up to 20 work.days)

    2200

  • Juvenile idiopathic epilepsy (BFJE) (up to 20 work.days)

    2200

  • Juvenile myoclonic epilepsy of Rhodesian Ridgebacks (JME) (up to 20 work.days)

    2200

  • Juvenile laryngeal paralysis / Polyneuropathy (JLPP) (up to 20 work.