Chin Sling

Re: Chin Sling

Glenn Hodgson — Tue, 19 Feb 2013 21:56:46 GMT

Gillian, yeah, he had large intestinal dx prior to supportive care.

I think I'll give this guy another dose of patience. Chin slings do look a faff.

Re: Chin Sling

Gillian Mostyn — Tue, 19 Feb 2013 21:17:35 GMT

[quote user="Mark Rowland"]Often following reduction of the molars it can take upto 3 weeks for the muscles to regain their strength by which time the molars have elongated again. Therefore I advise clients that the procedure may need repeating.[/quote]

Yeah - that is my experience too. But oddly this particular GP gained weight and did well on syringe feeding, soft food and analgesia, and had its teeth done every 4 weeks or so, but even after a couple of months had a floppy jaw. The owner went to see a MaxFax specialist to see if anything else could be done (he really loved his GP) but they couldn't find any other reason for the lack of jaw tone either. Last I heard they had continued with the supportive care etc. into the long term.

Re: Chin Sling

Mark Rowland — Tue, 19 Feb 2013 19:23:42 GMT

This is quite a common presentation. The reason is usually muscle atrophy due to inability to close the jaw as a result of molar root elongation. Often following reduction of the molars it can take upto 3 weeks for the muscles to regain their strength by which time the molars have elongated again. Therefore I advise clients that the procedure may need repeating.

Supportive care with analgesia and syringe feeding is required in the meantime. I have not used slings myself.

Some (like me) prefer cisapride to ranitidine or metoclopramide. In any event the best prokinetic of all is food so I generally continue with analgesia, syringe feed with some recovery formula plus antioxidants and give fluids as necessary. Remain aware though that gps are capable of sudden rapid deterioration.

goodluck

Re: Chin Sling

Gillian Mostyn — Tue, 19 Feb 2013 19:07:46 GMT

I am afraid I cannot help much apart from to say I had a very similar case. Radiographs showed massive molar and incisor overgrowth with no other problem but even after dental work the GP couldn't use its jaw properly. It had a good apetite and was maintained on syringe feeding and moistened pellets but never did manage to eat hard foods.

Re:the cisapride. Does there appear to be a GIT motility issue?