https://www.vetsurgeon.org/f/clinical-questions/24589/maxillary-defect---advice-please Hi, I had a 6month old shih tzu-cross in for castrate and one exam it had a defect in its maxilla. There was a larger-than normal (and compared to the contralateral side) interdental space between the 2nd and 3rd incisor, and the 3rd incisor was eruptingen-USTelligent Community 10https://www.vetsurgeon.org/thread/162565?ContentTypeID=1Tue, 19 Jul 2016 12:33:16 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:33eae46c-5e5b-46bf-ab98-8d49d47d2712Evelyn Barbour-Hill<p>Yeah.... I just feel that if you attempt to repair a cleft like this you may be getting in deeper than you expected....</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162543?ContentTypeID=1Tue, 19 Jul 2016 09:53:14 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:86e0d121-8f4b-43d9-ad94-1e776485d91dRob Davis<p>[quote user=&quot;Gerry Henry&quot;]close with 2m prolene or equivalent (will need to remove later, prob under sedation). [/quote]</p> <p>Why would you choose a non-absorbable suture material?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162539?ContentTypeID=1Tue, 19 Jul 2016 08:35:02 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:3f90f0f7-ff31-47ab-bcf9-259c51e32d20Gerry Henry<p>That&#39;s exactly what I meant Evelyn, sorry for the shorthand, I doubt if its as deep as an inch though. I don&#39;t like the flushing option, had one come from another practice with water running down its nose once, better to repair at the start when the tissue is reasonably plastic.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162527?ContentTypeID=1Mon, 18 Jul 2016 22:44:21 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0921406a-71bb-4903-b13b-99ac6e1bbda2Evelyn Barbour-Hill<p>[quote user=&quot;Gerry Henry&quot;]extract the two teeth most prominently in the way, resect your margins and close with 2m prolene or equivalent[/quote]</p> <p>Sorry if i&#39;ve misunderstood, but there&#39;s a big hole there about an inch deep, lined with more or less normal mucosa. You can&#39;t just slice off the margins and join them together. If you wanted to close the hole you would have to denude meticulously the whole (<img src="/emoticons/v2/Happy_smiley.png" alt="Happy" />) of its depth then probably raise and mobilise &nbsp;a bit of a flap on the margin in order to close it without tension.</p> <p>I&#39;d just give the owner a syringe and show them how to flush the cleft with water if need be.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162518?ContentTypeID=1Mon, 18 Jul 2016 19:11:55 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:2b509465-13a9-4df1-88e1-61a55cf3b0f6Gerry Henry<p>Providing those teeth are permanent and not deciduous Sarah I&#39;d explore under GA (for tiny puppies a Methadone/Ketamine/Domitor combination - its in the Dom data sheet - gives a lovely, predictable anaesthetic, maintain on 1% iso), extract the two teeth most prominently in the way, resect your margins and close with 2m prolene or equivalent (will need to remove later, prob under sedation). Not expensive and no more worrying.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162504?ContentTypeID=1Mon, 18 Jul 2016 16:17:38 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:55b86587-8636-4483-8900-cd283616d48bSarah Bolt<p>Fab thanks :-) that&#39;s great</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162501?ContentTypeID=1Mon, 18 Jul 2016 15:25:29 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c4bda2ff-a83d-4517-925a-5f38f95018bcRob Davis<p>Cleft primary palate - see <a href="/uk/small_animal/f/104/p/10177/106887.aspx#106887">a previous thread </a></p> <p>The one I posted about has done fine with no intervention, although she does tend to get food/hair etc caught in the defect.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162492?ContentTypeID=1Mon, 18 Jul 2016 10:58:40 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:df70a5b0-26fe-4333-853e-ed10b060a67aSarah Bolt<p>last one!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162491?ContentTypeID=1Mon, 18 Jul 2016 10:58:10 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:d1515835-10f3-406f-ac57-dc1668ccc580Sarah Bolt<p>nearly there...</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162490?ContentTypeID=1Mon, 18 Jul 2016 10:57:37 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c9db3406-01a5-4502-93de-2432968ff8eeSarah Bolt<p>another pic...</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/162489?ContentTypeID=1Mon, 18 Jul 2016 10:57:10 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f50a5bb2-c35d-40dd-b2e0-e803e75c0fcfSarah Bolt<p>Sorry I don&#39;t know how to attach more than one image...</p><div style="clear:both;"></div>