This 6 month old Jack Russell Terrier presented for palatal trauma from the mandibular canines. What is the primary problem?
The mandibular canine teeth are linguoverted, resulting in the trauma seen here.
What treatment option would result in the quickest resolution?
Extraction of the second and third incisors bilaterally to allow the mandibular canines to rest adjacent to the extraction site. Due to the significant palatal orientation of the mandibular canines, alveoloplasty and excision of the palatal mucosal margin with a palatally positioned flap was needed to eliminate contact.
Bilateral vertical releasing incisions were made.
Mucoperiosteum dissected from the underlying musculature, excision of 2 mm of palatal mucosa and alveoplasty performed.
Immediate postoperative images of the palatally positioned flap.
One month postoperative view.