https://www.vetsurgeon.org/f/clinical-questions/29995/mandibular-symphysis-instability I have a case, a 7 year old female neutered shih tzu. The dog was seen for luxating patellas and booked for xrays, owner also noted had been struggling to eat dentasticks for the last couple of months. On exam it was noted there was some tartar anden-USTelligent Community 10https://www.vetsurgeon.org/thread/233053?ContentTypeID=1Thu, 16 Sep 2021 18:02:28 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:b0e6ff7a-15e1-4188-9025-014ae2de93aaClaire Godfrey<p>Thank you, dog had actually managed to remove the suture at home. Appears comfortable and soft tissue had healed well where incisors removed. Appears to be eating and drinking fine now. Owner happy to continue soft food and no toys for a while.&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/233045?ContentTypeID=1Wed, 15 Sep 2021 21:25:04 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:5eca545e-ffec-4071-af7a-f74b5a1be6b9Norman Johnston<p>Remember the symphysis is a joint and joints move as a definition. So expect some movement. When movement becomes instability is a moot point.&nbsp;<br />What can be done now the diseased teeth are gone and the underlying bone infection heals?&nbsp;<br />The answer is often nothing needs done. Instability improves over time if food given is soft and tough play and hard toys are denied.&nbsp;</p> <p>I have seen many cases where wire or suture have made matters much worse. Long term implants do not help at all.&nbsp;</p><div style="clear:both;"></div>