Pet Perspective /Mal-Occlusion/Fx-Re-alignment
Referred with incomplete history and L proximal mandibular fracture with a large bone fragment missing (resorption?) Also noted was 2 maxillary lateral incisors misplaced and the L mandibular canine palatally verted leading to a uncomfortable bite.
Treatment plan was to align the proximal fragment to make a more comfortable bite. To this end selective pre molar extractions were accomplished (#s 305;306) Fx was aligned and stabilized with a 4hole mini plate. The proximal fragment was only to receive one cortical screw.
Distal 2 cortical interradicular mini screws. Defect was filled with Fusion Bone Putty (No Membrane)
Bite was normalized for comfort. On the 3 month re X-ray the lateral max incisors may be extracted.