Development and Validation of an Examination Protocol for Arthroscopic Evaluation of the Temporomandibular Joint in Dogs

Due to the previously limited intra-articular diagnostic possibilities of the canine temporomandibular joint, an examination protocol for the canine temporomandibular joint (TMJ) was developed and tested in this study using a needle arthroscope. In total, the discotemporal (DTJ) and discomandibular (DMJ) joint compartments of 32 animals (64 TMJs) were examined arthroscopically. During the examinations, 15 anatomical landmarks per joint side were evaluated in regard to their visibility and accessibility. All arthroscopies were performed by the same examiner and the same assistant to ensure standard methods were applied. The examination procedure which was developed here proved to be a reliable tool for examining this joint. The 15 anatomical landmarks that were to be examined could be reliably visualised and assessed in all TMJs with a certainty of 86% to 100% by both observers. This tool provides clinicians with a reliable examination aid for everyday practice and ensures the comparability of results. In the future, this could provide an opportunity to better diagnose and treat TMJ pathologies.

A review of frailty instruments in human medicine and proposal of a frailty instrument for dogs

Over the last few decades, frailty has become a pillar of research and clinical assessment in human gerontology. This complex syndrome, characterized by loss of physiologic reserves leading to decreased resilience to stressors, is of critical importance because it predicts higher risks of poor health outcomes, including mortality. Thus, identifying frailty among the elderly human population has become a key focus of gerontology. This narrative review presents current scientific literature on frailty in both humans and animals. The authors discuss the need for an accessible frailty instrument for companion dogs suitable for general use in veterinary medicine and the advances that would be facilitated by this instrument. A phenotypic frailty instrument for companion dogs, utilizing components that are easily collected by owners, or in the general practice setting, is proposed. The authors elaborate on the domains (physical condition, physical activity, mobility, strength, cognitive task performance, and social behavior), factors that will be included, and the data from the Dog Aging Project that inform each domain.

Quantifying canine interactions with smart toys assesses suitability for service dog work

There are approximately a half million active service dogs in the United States, providing life-changing assistance and independence to people with a wide range of disabilities. The tremendous value of service dogs creates significant demand, which service dog providers struggle to meet. Breeding, raising, and training service dogs is an expensive, time-consuming endeavor which is exacerbated by expending resources on dogs who ultimately will prove to be unsuitable for service dog work because of temperament issues. Quantifying behavior and temperament through sensor-instrumented dog toys can provide a way to predict which dogs will be suitable for service dog work, allowing resources to be focused on the dogs likely to succeed. In a 2-year study, we tested dogs in advanced training at Canine Companions for Independence with instrumented toys, and we discovered that a measure of average bite duration is significantly correlated with a dog's placement success as a service dog [Adjusted OR = 0.12, Pr(>|z|) = 0.00666]. Applying instrumented toy interactions to current behavioral assessments could yield more accurate measures for predicting successful placement of service dogs while reducing the workload of the trainers.

Sensory attributes, dog preference ranking, and oxidation rate evaluation of sorghum-based baked treats supplemented with soluble animal proteins

Treats are offered to dogs to reinforce the animal-owner bond and as rewards. Wheat, which contains gluten (gliadin and glutenin proteins), is often used in treats. The US is a leading producer of sorghum which might be an alternative; however, it does not have functional properties to form viscoelastic doughs, because is mainly composed of kafirin protein. Therefore, the objectives of this study were to determine the effects of supplementing soluble animal proteins in whole sorghum rotary molded baked dog treats on dog preference, sensory attributes, and oxidation rate. The treats were produced in triplicate in a 2x4 + 1 augmented factorial arrangement of treatments. Two whole sorghum flours (WWS and WRS), four protein sources [none (NC), spray-dried plasma (SDP), egg protein (EP), and gelatin (GL)], and a positive control with wheat (WWF-GTN) were evaluated. A preference ranking test with twelve dogs was performed. Additionally, five trained panelists scored the intensity of appearance, aroma, flavor, texture/mouthfeel, and aftertaste attributes. Finally, the treats were stored at 30°C and 60% RH, and hexanal concentrations were measured on days 0, 28, 56, and 112. The data was analyzed using the statistical software SAS for the animal and oxidation rate evaluations with significance considered at P<0.05. The descriptive sensory evaluation data was analyzed using multivariate analysis (XLSTAT). The dogs did not detect differences among WWF-GTN, WWS, or WRS treats when evaluated together. However, the WWF-GTN, WWS-SDP and WWS-EP treatments were preferred among the white sorghum treatments. The EP treatments led to some consumption difficulties by dogs because of their hard texture. The panelists reported a high degree of variation in the appearance and texture across treatments. The WRS and WWS treats with SDP or EP were darker, while NC treats had more surface cracks. Initial crispness, hardness, and fracturability were higher in EP treatments compared to all other sorghum treatments. The predominant flavor and aftertaste identified were "grainy." The hexanal values for all treats were <1.0 mg/kg except for the EP treatments that had higher values (2.0-19.3 mg/kg) across the shelf-life test. This work indicated that the replacement of WWF-GTN by WWS and WRS, along with soluble animal proteins like SDP or GL would produce comparable preference by dogs, oxidation rates, product aromatics, flavor, aftertaste attributes, and, at a lower degree, product texture.

Biting the hand that feeds you: Management of human and animal bites

Bites from animal and humans represent a very small proportion of all the patients presenting to emergency departments, However, they require prompt medical and surgical intervention in order to minimise the risk of infection, that may lead to limb and life-threatening complications. In this review article we synthesise the existing literature for treatment of human and animal bites and offer practical considerations when managing bite injuries.

Correlation of Fracture Resistance of Dental Implants and Bite Force in Dogs described in the literature: An In Vitro Study

Dental implants are not routinely used for rehabilitation in veterinary dentistry. For some veterinarians, further studies are necessary to be considered for clinical use in animals. The objective of the present in vitro study was to evaluate static fatigue of dental implants and to correlate that with the bite strength of dogs described in the literature. Sixty implants and abutments were used with the smallest diameter of each brand of implant utilized in the study. Three groups (n  =  20) were created on the basis of the implant diameter, all with external hex connector: 3.30 mm (group 1), 4.0 mm (group 2) and 5.0 mm (group 3). All groups were subjected to quasi-static loading at 30° to the implant's long axis in a universal machine (model AME-5 kN). The mean fracture strength for group 1 was 964 ± 187 N, for group 2 was 1618 ± 149 N and for group 3 was 2595 ± 161 N. Significant differences between the groups with respect to resistance after the load applications were observed (P < .05). The diameter of implants affects the resistance to external forces during the application of non-axial strength (off-axis loading) and must be considered during the planning of rehabilitation to avoid problems.

Quantifying bite force in coexisting tayassuids and feral suids: a comparison between morphometric functional proxies and in vivo measurements

Background

Measuring mammals’ bite force in laboratory conditions is not a simple task, let alone on wild medium-sized mammals in the field. Thus, morphometric-proxies are usually used to infer morphofunctional properties of musculoskeletal features. For instance, the study of bite force-indexes suggests that different capacities to crack food items reduce the competition between coexistent collared and white-lipped peccaries (Pecari tajacu and Tayassu pecari). The presence of exotic feral hogs (Sus scrofa) in peccaries’ endemic areas gives rise to new ecological interactions between them. An example is the Brazilian Pantanal wetland, where ecomorphological mechanisms may play a role in their ecological relations. Taking this scenario as a case of study, we aimed to verify if the morphometric-proxies are de facto reliable tools, by comparing bite forces-indexes with the in vivo bite forces of these species.

Methods

We captured 21 collared and white-lipped peccaries and feral hogs in the Brazilian Pantanal to assess their bite force at first molar. The Bite Force Measuring Tube (BiTu) is a robust and simple mechanical device designed to be used in field conditions. Only 11 individuals successfully bit the BiTu before being released. Their body measurements were compared and correlated with their bite force. The in vivo bite forces were compared with bite force-indexes of two papers based on independent morphometric methods and datasets: Sicuro & Oliveira (2002) used classic morphometrics to infer the bite forces of these three species in the Brazilian Pantanal, and Hendges et al. (2019) used geometric morphometrics to compare bite forces-indexes and feeding habits of the extant peccary species. The results of all species were standardized (Z-curves) according to each method. Doing so, we obtained comparable dimensionless comparable values but maintaining the differences between them.

Results

The morphometric-proxies-based studies presented similar results: collared peccaries present weaker bites than white-lipped peccaries and feral hogs, while these two species presented no significant differences in their bite force-indexes. The in vivo bite force results suggest the same relations predicted by the morphometric models, including the high variation among the feral hogs. We found a significant correlation between the individuals’ weight (kg) and their actual bite force (N) but no significant correlations with the head length.

Conclusions

The BiTu proved to be a functional and low-cost tool to measure bite force in field conditions. The in vivo results presented a good correspondence with the predictions based on morphometric-proxies by Sicuro & Oliveira (2002) and Hendges et al. (2019). The results denote that these studies succeed in capturing the biomechanical signal of the three species’ skull-jaw systems. This empirical validation confirms that these morphometric-proxies analyses are reliable methods to ecomorphological and evolutionary inferences.

Nationwide Analysis of Dog Bite Injuries: Different Age Groups, Different Injury Patterns

BACKGROUND

As the number of households with dogs in the United States has increased, so has the incidence of dog bites. Contemporary analysis of nationwide epidemiological data regarding such injuries is scarce. The purpose of this study is to describe dog bite injury patterns and related surgical interventions with a focus on differences between pediatric and adult age groups.

STUDY DESIGN

This is a retrospective study (2015-2017) using the National Trauma Data Bank. 10 569 patients were included.

RESULTS

Of these, 4729 (44.7%) qualified as pediatric (age ≤ 12 years) and 5840 (55.3%) qualified as adults (age ≥ 13 years). Pediatric patients were more frequently admitted with facial injuries (78.1% vs. 29.3%, P < .01) and facial fractures (4.8% vs. 2.5%, P < .01), and had a higher incidence of facial bone surgical procedures (1.3% vs. .5%, P < .01). Adult patients were more frequently admitted with upper extremity injuries (65.8% vs. 21.2%, P < .01) and upper extremity vascular arterial injuries (2.3% vs. .2%, P < .01) with a higher incidence of upper extremity arterial procedures (1.3% vs. .2%, P < .01).

CONCLUSION

This study demonstrates the contrast in injury patterns from dog bite between adults and children. These findings can dictate injury prevention policies and prepare clinicians to treat dog bite victims.

Reliability of a New Bite Force Measure and Biomechanics of Modified Long Attack in Police Dogs

Simple Summary

Information on the biomechanics of police dogs’ tasks is important in preventing, diagnosing and treating their work-related injuries and dysfunctions. Despite the fact that dogs in several fields of service are performing protective tasks, there is lack of information regarding the occupational physical demands these dogs are subjected to. This study aimed to develop and test a measurement sleeve for measuring dogs’ functional bite force, and to report locomotion-related values during a modified long attack. The measurement sleeve was found to be reliable, although individual tooth force could not be reported, as the forces were above the scale of our sensors. The dogs’ jaws pressing force, on the other hand, was not high, whereas during acceleration and deceleration the dogs were subjected to relatively high gravitational force equivalents. There are differences between two breeds of police dogs’ locomotion during the modified long attack task. The results gained from this study provide information which can be used to benefit the working dogs’ welfare during their use and training, as more in-depth understanding of the strains to their neuromusculoskeletal system is available.

Abstract

Information on the biomechanics of police dogs’ tasks is important in understanding their work-related injuries and dysfunctions. This study aimed to develop and test a measurement tool for dogs’ functional bite force and to report modified long attack-related kinetic and kinematic values. Twenty Finnish male police dogs, 7 German Shepherd Dogs (GSDs) and 13 Belgian Shepherd Dogs, Malinois (BSDMs), were included. Dogs accelerated 25 m and bit the helper’s sleeve, fitted with three force sensors. Dogs were wearing a 3D accelerometer and were videotaped with a high-speed camera. The sleeve’s reliability for measuring the dog’s bite force was evaluated via intraclass correlation and Cronbach’s alpha. Otherwise, a Mann–Whitney U-test was used, with significance set at p = 0.05. The sleeve’s test-retest reliability was moderate to good (intraclass correlation of 0.75), and internal consistency was high (Cronbach’s alpha 0.75). The GSDs’ median bite force was 360.4 N (interquartile range (IQR) 628.6 N) and BSDMs’ 247.0 N (IQR 289.8 N). Median acceleration maximum was 7.1 gravitational force equivalent (g) and median deceleration maximum was 11.6 g, with highest recorded forces being 9.2 g and 13.1 g, respectively. The measurement sleeve was a reliable tool for measuring functional bite force in GSDs and BSDMs. Forces related to bite, approach and impact in the two breeds were reported.

Masticatory system integration in a commensal canid: interrelationships between bones, muscles and bite force in the red fox

The jaw system in canids is essential for defence and prey acquisition. However, how it varies in wild species in comparison with domestic species remains poorly understood, yet is of interest in terms of understanding the impact of artificial selection. Here, we explored the variability and interrelationships between the upper and lower jaws, muscle architecture and bite force in the red fox (Vulpes vulpes). We performed dissections and used 3D geometric morphometric approaches to quantify jaw shape in 68 foxes. We used a static lever model and bite force estimates were compared with in vivo measurements of 10 silver foxes. Our results show strong relationships exist between cranial and mandible shape, and between cranial or mandible shape on the one hand and muscles or estimated bite force on the other hand, confirming the strong integration of the bony and muscular components of the jaw system. These strong relationships are strongly driven by size. The functional links between shape and estimated bite force are stronger for the mandible, which probably reflects its greater specialisation towards biting. We then compared our results with data previously obtained for dogs (Canis lupus familiaris) to investigate the effect of domestication. Foxes and dogs differ in skull shape and muscle physiological cross-sectional area (PCSA). They show a similar amount of morphological variation in muscle PCSA, but foxes show lower variation in cranial and mandible shape. Interestingly, the patterns of covariation are not stronger in foxes than in dogs, suggesting that domestication did not lead to a disruption of the functional links of the jaw system.

Bite force and its relationship to jaw shape in domestic dogs

Previous studies based on two-dimensional methods have suggested that the great morphological variability of cranial shape in domestic dogs has impacted bite performance. Here, we used a three-dimensional biomechanical model based on dissection data to estimate the bite force of 47 dogs of various breeds at several bite points and gape angles. In vivo bite force for three Belgian shepherd dogs was used to validate our model. We then used three-dimensional geometric morphometrics to investigate the drivers of bite force variation and to describe the relationships between the overall shape of the jaws and bite force. The model output shows that bite force is rather variable in dogs and that dogs bite harder on the molar teeth and at lower gape angles. Half of the bite force is determined by the temporal muscle. Bite force also increased with size, and brachycephalic dogs showed higher bite forces for their size than mesocephalic dogs. We obtained significant covariation between the shape of the upper or lower jaw and absolute or residual bite force. Our results demonstrate that domestication has not resulted in a disruption of the functional links in the jaw system in dogs and that mandible shape is a good predictor of bite force.

Measurement of Biting-Pulling Strength Developed on Canine Teeth of Military Dogs

Using a load cell with an amplifier, oscilloscope and printer, maximal pulling strength developed by six military dogs was measured during biting-pulling exercises. When all four canine teeth were involved, the maximum pulling strength varied from 480–1120 N. The pulling strength intensity decreased with repetitive efforts. Understanding the forces that the crowns of the canine teeth are exposed to may lead to development of more effective prosthetic devices for use when these teeth are fractured.

Kinematic analysis of mandibular motion before and after mandibulectomy and mandibular reconstruction in dogs

OBJECTIVE

To evaluate and quantify the kinematic behavior of canine mandibles before and after bilateral rostral or unilateral segmental mandibulectomy as well as after mandibular reconstruction with a locking reconstruction plate in ex vivo conditions.

SAMPLE

Head specimens from cadavers of 16 dogs (range in body weight, 30 to 35 kg).

PROCEDURE

Specimens were assigned to undergo unilateral segmental (n = 8) or bilateral rostral (8) mandibulectomy and then mandibular reconstruction by internal fixation with locking plates. Kinematic markers were attached to each specimen in a custom-built load frame. Markers were tracked in 3-D space during standardized loading conditions, and mandibular motions were quantified. Differences in mandibular range of motion among 3 experimental conditions (before mandibulectomy [ie, with mandibles intact], after mandibulectomy, and after reconstruction) were assessed by means of repeated-measures ANOVA.

RESULTS

Both unilateral segmental and bilateral rostral mandibulectomy resulted in significantly greater mandibular motion and instability, compared with results for intact mandibles. No significant differences in motion were detected between mandibles reconstructed after unilateral segmental mandibulectomy and intact mandibles. Similarly, the motion of mandibles reconstructed after rostral mandibulectomy was no different from that of intact mandibles, except in the lateral direction.

CONCLUSIONS AND CLINICAL RELEVANCE

Mandibular kinematics in head specimens from canine cadavers were significantly altered after unilateral segmental and bilateral rostral mandibulectomy. These alterations were corrected after mandibular reconstruction with locking reconstruction plates. Findings reinforced the clinical observations of the beneficial effect of reconstruction on mandibular function and the need for reconstructive surgery after mandibulectomy in dogs.

Fracture Limits of Maxillary Fourth Premolar Teeth in Domestic Dogs Under Applied Forces

A cadaveric study was performed to investigate the external mechanical forces required to fracture maxillary fourth premolar teeth in domestic dogs and describe a clinically relevant model of chewing forces placed on functionally important teeth in which fracture patterns are consistent with those defined by the American Veterinary Dental College (AVDC). Twenty-four maxillary fourth premolar teeth were harvested from dog cadavers. Samples consisted of teeth with surrounding alveolar bone potted in polycarbonate cylinders filled with acrylic. The cylinders were held by an aluminum device at an angle of 60° with respect to the ground. An axial compression test was performed, creating a force upon the occluso-palatal aspects of the main cusps of the crowns of the teeth. The highest compressive force prior to failure was considered the maximum force sustained by the teeth. Results showed the mean maximum force (± SD) sustained by the tested teeth at the point of fracture was 1,281 N (± 403 N) at a mean impact angle (± SD) of 59.7° (± 5.2°). The most common fracture type that occurred among all samples was a complicated crown fracture (n = 12), followed by an uncomplicated crown fracture (n = 6), complicated crown-root fracture (n = 5), and uncomplicated crown-root fracture (n = 1). There was no statistically significant correlation between dog breed, age, weight, impact angle, crown height or crown diameter, and the maximum force applied at the point of fracture. The only independent variable that remained significantly associated with maximum force was the crown height to diameter ratio (p = 0.005), suggesting that a decreased ratio increases tooth fracture resistance. The methodology described herein has been successful in creating a pattern of fracture of maxillary fourth premolar teeth consistent with that defined by the AVDC under angled compression at forces within the maximum chewing capability of the average domestic dog.

Successful Treatment of Mandibular Nonunion With Cortical Allograft, Cancellous Autograft, and Locking Titanium Miniplates in a Dog

Discontinuities of the mandible can occur for a variety of reasons including primary pathology of bone, pathologic fracture secondary to periodontal disease, and segmental resection for the treatment of neoplasia. Surgical intervention is necessary in many cases to establish normal occlusion and normal mandibular function. Rigid stabilization and treatment of these defects can be challenging due to the limited availability of bone for fixation as well as limited soft tissue coverage. This case report describes successful treatment of a nonunion fracture using cortical allograft and locking titanium miniplates. Complete osseointegration and bone healing were achieved, allowing for complete return to normal occlusion and function.

Bite Forces and Their Measurement in Dogs and Cats

Bite force is generated by the interaction of the masticatory muscles, the mandibles and maxillae, the temporomandibular joints (TMJs), and the teeth. Several methods to measure bite forces in dogs and cats have been described. Direct in vivo measurement of a bite in dogs has been done; however, bite forces were highly variable due to animal volition, situation, or specific measurement technique. Bite force has been measured in vivo from anesthetized dogs by electrical stimulation of jaw adductor muscles, but this may not be reflective of volitional bite force during natural activity. In vitro bite forces have been estimated by calculation of the force produced using mechanical equations representing the jaw adductor muscles and of the mandible and skull structure Bite force can be estimated in silico using finite element analysis (FEA) of the computed model of the anatomical structures. FEA can estimate bite force in extinct species; however, estimates may be lower than the measurements in live animals and would have to be validated specifically in domestic dogs and cats to be reliable. The main factors affecting the bite forces in dogs and cats are body weight and the skull's morphology and size. Other factors such as oral pain, TMJ disorders, masticatory muscle atrophy, and malocclusion may also affect bite force. Knowledge of bite forces in dogs and cats is essential for various clinical and research fields such as the development of implants, materials, and surgical techniques as well as for forensic medicine. This paper is a summary of current knowledge of bite forces in dogs and cats, including the effect of measurement methods and of other factors.

Primary Repair of a Complex Panfacial Fracture by Dog Bite

Facial fractures due to dog attacks have an unknown incidence rate. To date, only 41 cases of canine bite trauma in a pediatric patient, associated with facial fracture, have been reported in the literature. As major species of involving dogs are the American pitbull terrier and rottweiler. Due to the intense kinematics of this trauma, the treatment becomes complex. Thus, attention to the primary repair of such complex lesions ensures satisfactory results, which is the focus of this discussion. The purpose of this review was to analyze how different ways to approach this type of trauma in children for clarification or correct management. In addition, we address the treatment plan of a complex case of panfacial fracture by a canine bite in a 4-year-old patient. According to a review addressed, the main involved are orbit, nasal, and zygomatic. Antibiotic therapy is indicated for infected bite wounds and wounded considerations at risk of infection, with high complexity and when involving important structures such as bones, vessels, and joints. The state of tetanus immunization and the risk of rabies infection should be routinely addressed in the management of the bite wound.

Bridging Plate Development for Treatment of Segmental Bone Defects of the Canine Mandible: Mechanical Tests and Finite Element Method

With regard to the canine mandible, a mistaken concept of application is to assume that systemic plate-bone resistance is provided by the implant so that biomechanical position could be ignored. Because the alveolar border of the mandible is a tensile zone, the plate would ideally be positioned near this area while avoiding important structures. The aim of this study was to develop 2 bridging plates for the treatment of a segmental bone defect of the canine mandible using monocortical screws to avoid damage to the tooth roots and remaining neurovascular structures. Computed tomography images of the heads of 4 dogs (rottweiler, Doberman, boxer, and miniature poodle breeds) were used as models to develop the project. The images were reconstructed in 3-dimensional (3D) format. For each dog breed, 6 mandible prototypes were produced, each with a segmental bone defect in the right mandible. The mandibular reconstruction was performed with pure titanium bridging plate and locking screws. One plate model was developed for medium- and large-breed dogs and another for small-breed dogs. Mechanical testing showed the platemandible system resists the bite forces in all dog breeds. All safety factors were greater than I in the platemandible system for medium- and large-breed dogs and greater than 10 in the plate-mandible system for small-breed dogs. Thus, bridging plates designed with differentiated geometry and monocortical locking screws showed mechanical resistance to support simulated induced bone model defects and were able to support at least 5 times the value of bite force for each evaluated dog.

Assessment of 68 Prosthodontic Crowns in 41 Pet and Working Dogs (2000-2012)

A search of the medical and dental records at the Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania was conducted to identify dogs that received full or partial prosthodontic crowns over a 13-year period (2000-2012). Forty-one dogs with a total of 68 prosthodontic crowns were identified. Further criteria for acceptance into the study included presence of complete medical records containing adequate information pertaining to the procedures performed, and current follow-up either by telephone, electronic mail, or via in-person examination. Treatment was considered to be successful when the prosthodontic crown was in place and there was no further structural injury to the tooth upon making contact with the client or at the time of death of the dog confirmed by the client. The mean number of days the prosthodontic crowns remained in place without further injury to the tooth was 1,598 (range, 161-4, 464 days [median, 1,414 days], standard deviation 1,093 days). Bond failure between the cement and the tooth or the cement and the prosthodontic crown occurred in 3 cases (4.4%). Fracture of the prosthodontically treated tooth occurred in an additional 7 cases (10.3%). Treatment was classified as successful in 58 cases (85.3%). The results suggest that prosthodontic crown therapy is a successful, practical, and durable treatment option for protection of previously injured teeth in pet and working dogs.

The Influence of Crown Height to Diameter Ratio on the Force to Fracture of Canine Teeth in Dogs

Previous work suggests that the tooth height to diameter ratio (H/D) may have an influence on the fracture resistance of dog canine teeth. Thus, it can be hypothesized that canine teeth with distal abrasion or teeth already requiring pulpal manipulation may benefit from a reduction in height and that an ideal H/D exists that balances tooth fracture resistance and tooth function. Therefore, a study was performed to investigate the influence of H/D on force to fracture and probability of fracture of canine teeth in dogs. Thirty extracted canine teeth from laboratory Beagle dogs were standardized by hard tissue volume and evenly distributed among three groups; unaltered H/D (group A), 10% reduction in H/D (group B), and 20% reduction in H/D (group C). The teeth were potted in clear autopolymerizing orthodontic acrylic and then secured within a universal materials testing machine. A displacement was applied at a speed of 1-mm/min to the distoocclusal line angle at an angle of 45 degrees to the long axis of the crown. The maximum measured force at the time of fracture represented the maximum force to fracture. A linear regression model showed a significant inverse relationship between H/D and force to fracture (p = 0.043; 95% CI-55.2 to -0.09). A margin of safety (MoS) analysis was performed to determine the probability of fracture by comparing normal force distributions of the measured force at fracture to that reported in a previous study, representative of normal biting-pulling loads on canine teeth. When 100% of the load was applied to a single unaltered canine tooth the probability of fracture was 36.7%. Decreases in H/D of 10% and 20% resulted in a decreased probability of fracture by 24.1% and 60.4%, respectively. A paired MoS analysis was conducted wherein the applied loads were distributed across 2 maxillary canine teeth according to their relative heights. Within the pair, a 20% decrease in H/D decreased the probability of fracture of that tooth by 86.5%, but increased the probability of fracture of the unaltered contralateral canine tooth by 54.4%. The findings of this study support the hypothesis that teeth with a lower H/D are more resistant to fracture. However, given the potential impact of crown reduction of a single canine tooth on the load redistribution to the remaining unaltered canine teeth, further investigation is needed to determine what H/D would be ideal. In addition, future studies could elucidate in which clinical scenarios the concept of H/D reduction could be implemented. The results of this study may have implications on the successful long-term management of traumatized canine teeth in dogs.

The Influence of Axial Grooves on Dislodgment Resistance of Prosthetic Metal Crowns in Maxillary Fourth Premolar Teeth of Dogs

The reported failure rate for full veneer crowns in dogs is suboptimal, particularly in teeth with naturally poor retentive features such as the maxillary fourth premolar tooth of dogs. Although the data regarding crown retention on the maxillary fourth premolar in dogs are limited, there are data that suggest the crown failure rate could be similar to that of the canine tooth. Thus, methods to improve retentive features of the preparation design should be pursued. The objective of the present study is to quantify the influence of axial grooves on the dislodgment resistance of full veneer metal crowns in dogs. Crown dislodgment testing was performed on cast alloy dies of the maxillary fourth premolar tooth with unfavorable retentive features prepared with and without axial grooves, to quantify the difference in force required to dislodge a cemented full veneer crown. The force required to cause crown dislodgment was recorded for each crown. Statistical analysis revealed a significant increase ( P < .001) in the force required for crown dislodgment in teeth prepared with axial grooves compared to those prepared without axial grooves.

Human and other mammalian bite injuries of the hand: evaluation and management

The hand is the most common site for bite injuries. Because of specific characteristics of hand anatomy, bite mechanics, and organisms found in human and animal saliva, even small wounds can lead to aggressive infections. Failure to recognize and treat hand bites can result in significant morbidity. Human and animal bites most commonly lead to polymicrobial bacterial infections with a mixture of aerobic and anaerobic organisms. Pasteurella species are commonly found in dog and cat bite wounds, and Eikenella is characteristic of human wounds. Staphylococcus, Streptococcus, and anaerobic bacterial species are common to all mammals. Although public health measures in developed countries have been highly effective at reducing rabies transmission, dog bites remain the most common source of rabies infection worldwide. Human bites can transmit HIV, hepatitis B, or hepatitis C, especially when contaminated blood is exposed to an open wound. Appropriate management of any mammal bite requires recognition, early wound cleansing, evaluation of injured structures, and infection prophylaxis. Structural repair is performed as indicated by the severity and contamination of the injury, and wounds may require delayed closure. Wound infections typically require débridement, empiric antibiotics, and delayed repair or reconstruction.

Biomechanics of the canine mandible during bone transport distraction osteogenesis

This study compared biomechanical patterns between finite element models (FEMs) and a fresh dog mandible tested under molar and incisal physiological loads in order to clarify the effect of the bone transport distraction osteogenesis (BTDO) surgical process. Three FEMs of dog mandibles were built in order to evaluate the effects of BTDO. The first model evaluated the mandibular response under two physiological loads resembling bite processes. In the second model, a 5.0 cm bone defect was bridged with a bone transport reconstruction plate (BTRP). In the third model, new regenerated bony tissue was incorporated within the defect to mimic the surgical process without the presence of the device. Complementarily, a mandible of a male American foxhound dog was mechanically tested in the laboratory both in the presence and absence of a BTRP, and mechanical responses were measured by attaching rosettes to the bone surface of the mandible to validate the FEM predictions. The relationship between real and predicted values indicates that the stress patterns calculated using FEM are a valid predictor of the biomechanics of the BTDO procedures. The present study provides an interesting correlation between the stiffness of the device and the biomechanical response of the mandible affected for bone transport.

Crown preparation design: an evidence-based review

Evidence-based clinical guidelines for full metal crown preparation design are seldom encountered in the veterinary literature. The veterinary literature regarding prosthodontic treatment in companion animals is sparse and consists primarily of case reports and expert opinion based primarily on clinical experience. The goal of this manuscript is to present concepts of evidence-based practice, review common recommendations on crown preparation design from the veterinary literature, and to provide an assessment of the evidence for or against those recommendations.

Histologic and histomorphometric evaluation of peri-implant bone of immediate or delayed occlusal-loaded non-splinted implants in the posterior mandible--an experimental study in monkeys

OBJECTIVES

The primary aim of this study was to compare the bone reaction around immediate-loaded non-splinted single implants vs. delayed loaded non-splinted single implants placed in healed ridges in the posterior mandible.

MATERIALS AND METHODS

Six adult Macaca Fascicularis monkeys were used in this study. The first and second premolars and the first molar were extracted in both sides of the mandible. After 3 months of healing, four implants (Replace Select Tapered; Nobel Biocare, Gothenburg, Sweden) with a moderately rough surface (TiUnite, Nobel Biocare) were placed in the edentulous areas of each monkey, two in each side. The implants had a length of 10 mm and a diameter of 3.5 mm. Four groups of varying time and occlusal loading aspects were created: (i) control group: implant placed non-loaded for 3 months; (ii) immediate loaded: implant placed and loaded immediately for 3 months; (iii) immediate loaded: implant placed and loaded immediately for 6 months; and (iv) delayed loaded: implant placed submerged for 3 months and then loaded for 3 months. At the loaded implants, after a second stage surgery, a composite crown was made directly on an abutment mounted on the implant reinsuring simultaneous occlusal contact on the implant crown and the neighboring teeth. After euthanization of the animals, histologic specimens were quantified in the light microscope.

RESULTS

All implants were clinically, radiographically, and histologically osseointegrated at the time of euthanization and with only mild signs of inflammation in the peri-implant mucosa. The histologic marginal bone level was located on average 1.14-1.74 mm apical to the margin of the implants in the various groups. The average bone-to-implant contact (BIC) varied between 55% and 65% and the average bone density (i.e., the proportion of mineralized bone tissue from the implant surface and to a distance of 1 mm lateral to the implant) varied between 30.6% and 34.2%. No statistical significant differences between groups were observed in the above-stated histomorphometric parameters.

CONCLUSIONS

Similar histologic and histomorphometric findings were observed in immediately and delayed loaded non-splinted implants placed in the posterior mandible of macaque monkeys.

Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

Dog bite injury frequently occurs in children, and many of these bites involve the facial region. On the other hand, facial fractures due to dog attacks are a rare complication, with the orbital, nasal, and maxillary bones most often affected. We present a case report of a child who suffered a double facial fracture, mandible and left zygoma, due to a dog bite. The clinical diagnosis was supported by X-rays and computed tomography, which also provided information about the characteristics of the fracture. Internal fixation was done with titanium miniplates. Finally, the pathophysiological mechanism and the biomechanics of the fracture, as well as the use of resorbable versus nonresorbable material on infants, are discussed.

In vitro bone strain analysis of implant following occlusal overload

OBJECTIVES

To enumerate peri-implant bone strain pattern under quantified occlusal load and verify the bone response through comparison with the critical strain thresholds defined by Frost's bone mechanostat theory.

MATERIAL AND METHODS

Mandibular unilateral recipient sites in two greyhound dogs were established with posterior teeth extractions. After 6 weeks, four titanium implants were placed in each dog mandible. Following 12 weeks of healing, successfully osseointegrated implants were placed in supra-occlusal contact via screw-retained non-splinted metal crowns. Plaque control and a dental health enhancing diet were prescribed. A bite force detection device was used to quantify in vivo occlusal load as the dogs functioned with supra-occlusal contact. After 8 weeks, the dogs were sacrificed. In vitro peri-implant bone strain under quantified occlusal load was measured using bonded stacked rosette strain gauges.

RESULTS

The average and peak in vivo occlusal load measured were 434 and 795 newton (N). When individually and simultaneously loaded in vitro (≤476 N), absolute bone strains up to 1133 and 753 microstrains (με) were measured at implant apices, respectively. Bone strain reaching 229 με was recorded at distant sites. For bone strain to reach the pathological overload threshold defined by Frost's bone mechanostat theory (3000 με), an occlusal load of 1344 N (greater than peak measured in vivo) is required based on the simple linear regression model.

CONCLUSION

Under the in vivo and in vitro conditions investigated in this study, peri-implant bone was not found to be under pathological overload following supra-occlusal contact function. Strain dissipation to distant sites appeared to be an effective mechanism by which implant overload was avoided.

Novel system for bite-force sensing and monitoring based on magnetic near field communication

Intraoral devices for bite-force sensing have several applications in odontology and maxillofacial surgery, as bite-force measurements provide additional information to help understand the characteristics of bruxism disorders and can also be of help for the evaluation of post-surgical evolution and for comparison of alternative treatments. A new system for measuring human bite forces is proposed in this work. This system has future applications for the monitoring of bruxism events and as a complement for its conventional diagnosis. Bruxism is a pathology consisting of grinding or tight clenching of the upper and lower teeth, which leads to several problems such as lesions to the teeth, headaches, orofacial pain and important disorders of the temporomandibular joint. The prototype uses a magnetic field communication scheme similar to low-frequency radio frequency identification (RFID) technology (NFC). The reader generates a low-frequency magnetic field that is used as the information carrier and powers the sensor. The system is notable because it uses an intra-mouth passive sensor and an external interrogator, which remotely records and processes information regarding a patient's dental activity. This permits a quantitative assessment of bite-force, without requiring intra-mouth batteries, and can provide supplementary information to polysomnographic recordings, current most adequate early diagnostic method, so as to initiate corrective actions before irreversible dental wear appears. In addition to describing the system's operational principles and the manufacture of personalized prototypes, this report will also demonstrate the feasibility of the system and results from the first in vitro and in vivo trials.

Calibration of estimated biting forces in domestic canids: comparison of post-mortem and in vivo measurements

Estimates of biting forces are widely used in paleontological and comparative studies of feeding mechanics and performance, and are usually derived from lever models based on measurements made on the skull that are relevant to the mechanics of the masticatory system. Owing to assumptions and unmeasurable errors in their estimation, such values are used comparatively rather than as absolute estimates. The purpose of this paper was to provide calibration of post-mortem calculated bite force estimates by comparing them to in vivo forces derived from a sample of 20 domestic dogs (Canis familiaris) during muscle stimulation under general anaesthesia. Two lever models previously described in the literature were used to estimate post-mortem values, and regression analysis was also performed to derive best-fit equations against a number of morphometric measurements on the skull. The ranges of observed forces in vivo were 147-946 N at the canine, and 524-3417 N at the second molar. The lever models substantially underestimated these forces, giving mean values between 39% and 61% of the observed means. Predictability was considerably improved by removing the linear bias and deviation of the regression slope from unity with an adjustment equation. Best-fit statistical models developed on these animals performed considerably better (calculated means within 0.54% of observed means) and included easily measureable variables such as bodyweight, dimensions of the temporalis fossa and out-lever from the jaw joint to the biting tooth. These data should lead to more accurate absolute, rather than relative, estimates of biting forces for other extant and fossil canids, and other carnivorans by extrapolation.

Crown restoration of the endodontically treated tooth: literature review

The reviewed literature supports full crown restoration in all endodontically treated teeth other than incisors in humans [corrected] In general terms, a crown is a cemented, extra-coronal restoration that covers the entire outer surface of the clinical crown. Prosthodontic treatment, and particularly crown restoration in veterinary patients has been the subject of general informational articles and veterinary dental texts. These publications have discussed techniques for crown preparation, fabrication, and cementation as well as the general principles of prosthodontic treatment. The purpose of this review is to present available information on this topic in an organized manner which will help veterinary dentists to use an evidence-based approach when deciding on a type of final restoration for their endodontic patients.

Indentation modulus of the alveolar process in dogs

One mechanism of bone adaptation is alteration in tissue level material properties. We hypothesized that alteration in the indentation modulus of the alveolar process is an adaptive response to the localized mechanical environment. Forty-eight specimens representing anterior and posterior regions of the maxilla and mandible were obtained from 6 mature male beagle dogs. The indentation properties of the alveolar bone proper and more distant osteonal cortical bone were estimated. The bone types were further divided into 3 regions (coronal, middle, and apical), with 27 indents being made in each region of tooth-supporting bone. There was a significant difference (p < 0.001) in the indentation moduli of the jaws (maxilla/mandible), location (anterior/posterior), and bone type (alveolar bone proper vs. cortical bone). However, statistical interactions exist which preclude the simple interpretation of results. The distribution of relative stiffness provides a better understanding of bone adaptations in the alveolar process.

Influence of forces on peri-implant bone

Occlusal forces affect an oral implant and the surrounding bone. According to bone physiology theories, bones carrying mechanical loads adapt their strength to the load applied on it by bone modeling/remodeling. This also applies to bone surrounding an oral implant. The response to an increased mechanical stress below a certain threshold will be a strengthening of the bone by increasing the bone density or apposition of bone. On the other hand, fatigue micro-damage resulting in bone resorption may be the result of mechanical stress beyond this threshold. In the present paper literature dealing with the relationship between forces on oral implants and the surrounding bone is reviewed. Randomized controlled as well as prospective cohorts studies were not found. Although the results are conflicting, animal experimental studies have shown that occlusal load might result in marginal bone loss around oral implants or complete loss of osseointegration. In clinical studies an association between the loading conditions and marginal bone loss around oral implants or complete loss of osseointegration has been stated, but a causative relationship has not been shown.

Functional shape of the skull in vertebrates: Which forces determine skull morphology in lower primates and ancestral synapsids?

In order to determine the extent to which the shape of the synapsid skull is adapted for resisting the mechanical loads to which it is subjected, block- or simple plate-shaped finite-element models were constructed and loaded with external muscle and bite forces in locations estimated to resemble points of application of these forces. These 2D or 3D finite-element models were iteratively loaded and modified by removing elements that experience only low stresses, and the resulting morphologies of the models were compared with fossil skulls of synapsids and the skulls of extant mammals. The results suggest that the stress flows in these unspecific models are very similar to the arrangement of bone material in real skulls. Morphological differences between taxa depend on a few a priori conditions: length and position of the tooth rows in relation to the braincase, arrangement of muscles, position of the orbits, and position of the nasal opening. Given these initial conditions, finite-element analysis consistently reveals the close similarity between stress flows and real skulls. The major difference between mammal-like reptiles and primates is the size of the braincase. This difference accounts for most of the morphological divergence. The postorbital bar seems to be a constructional element of the skull, rather than a means to protect the eyes. The skull shapes of higher primates are determined mainly by masticatory forces and less by external forces acting on the head. This study demonstrates the utility of finite-element modeling for testing hypotheses regarding relationships between form and function in vertebrate skulls.

Dental implant replacement of the mandibular first molar tooth in a dog

A new dental implant system was used to replace the mandibular right first molar tooth in an eleven-month-old male/intact, utility trained German shepherd dog. The permanent mandibular right first molar tooth had been extracted as treatment for an extensive carious lesion when the dog was 9-months of age. There were no complications associated with placement of the dental implant. However, peri-implant osteomyelitis occurred secondary to a traumatic oral wound 6-months following implant placement. The 17-month post-operative examination indicated that the implant system used in this case could be maintained in a working dog that uses extreme bite forces. However, periodontal inflammation and vertical bone loss exposing the implant fixtures were noted during oral examination. Further clinical applications are required to determine if the periodontal inflammation and vertical bone loss noted in this case were complications associated with the implant, maturity of bone at the time of implant fixture placement, general biting/chewing forces placed on carnassial teeth, or the oral trauma that occurred 6-months following implant placement.

Behavior of the bone-titanium interface after push-in testing: a morphological study

Fourteen titanium dental implants (Tioblast) were implanted singly in the proximal tibia of New Zealand rabbits for 120 days. A bone defect was surgically produced and filled with Bio-Oss around six of these implants. After the animals were sacrificed and their organs harvested, bone segments were fixed and methacrylate embedded after the push-in test had been performed. Microradiography was performed on longitudinal sections of the implants, whereas scanning electron microscope analysis was performed on the remaining embedded half-implants using secondary electrons only. The results showed that the implants were apically and coronally surrounded by bone, whether Bio-Oss was used or not. Fractures were evident through the newly formed bone and between the pre-existing and newly formed bone. Some fracture lines propagated through the bone and stopped at the implant surface without continuing along the bone-titanium interface. Detachment between the implant and the bone occurred at the coronal extremity of the implants and along its cervical region. These results highlight the fact that the bone-titanium interface has a high resistance to loading. It exhibited greater resistance than the newly formed bone and seems to behave in a manner similar to the cement lines of osteons.

Influence of an interdental full pin on stability of an acrylic external fixator for rostral mandibular fractures in dogs

OBJECTIVE

To determine total stiffness and gap stiffness of an external fixation system in a canine mandibular fracture gap model incorporating a full interdental pin as the only point of rostral fixation in a bilateral type-I external fixator.

SAMPLE POPULATION

10 canine mandibles.

PROCEDURE

Bilateral mandibular ostectomies were performed between premolars 3 and 4. A type-I external fixator incorporating a full interdental pin was placed to stabilize a 0.5-cm fracture gap. Four pin configurations (intact mandibular bodies with fixator; ostectomized mandibular bodies and complete fixator; ostectomized mandibular bodies with caudal pins of rostral fragment cut; ostectomized mandibular bodies with all pins of rostral fragment cut) were tested in dorsoventral bending 5 times on each mandible. The full interdental pin remained intact in all configurations. Total stiffness and gap stiffness were determined for each configuration on a materials testing machine.

RESULTS

Total stiffness of intact mandibles was significantly greater than that of ostectomized mandibles, regardless of external fixator configuration. However, total stiffness and gap stiffness were not significantly different among different external fixator configurations applied to ostectomized mandibles.

CONCLUSION AND CLINICAL RELEVANCE

External fixator configurations with only the full interdental pin engaging the rostral fragment were as stiff as configurations that had 2 or 4 additional pins in the rostral fragment for the applied loads. External fixators for rostral mandibular fractures may be rigidly secured with rostral fragment implants applied extracortically, avoiding iatrogenic trauma to teeth and tooth roots.

Endodontic disease of the mandibular first molar tooth secondary to caudal crossbite in a young Shetland sheepdog

A six month-old intact female Shetland sheepdog was referred to the University of Illinois Veterinary Dental Clinic with a left-sided mandibular deviation and a thickened left ventral mandible in the region of the first molar tooth. On oral examination, left caudal crossbite was diagnosed. Dental radiographs revealed endodontic disease of the mandibular first molar tooth involved in the crossbite. Because of the difficulty of treating caudal crossbite and the potential of a pathological mandibular fracture, the endodontically affected tooth was extracted. Ten months following the extraction, mandibular deviation and alveolar bone lysis were resolved, but alveolar ridge resorption was present. The abnormal occlusal relationship caused by the caudal crossbite may have led to movement of the tooth, resorption of the tooth alveolus, and irreversible pulpal damage. Although not employed in this case, use of alveolar ridge preservation techniques can prevent mandibular bone loss after extractions.

Evaluation of the clinical performance and effectiveness of adhesively-bonded metal crowns on damaged canine teeth of working dogs over a two- to 52-month period

In this clinical study, 41 metal full crown restorations of canine teeth were placed in 18 working dogs. Twenty-six canine teeth had severe attrition with no involvement of the pulp cavities; 15 fractured canine teeth were endodontically treated. With the exception of one tooth, at least one-third of the coronal part of each canine tooth was available for a supragingivally performed, minimal tooth crown preparation. A dental resin luting cement technique was used to bond the electrolytically etched crown (made from an alloy of cobalt-chrome-molybdenum) to the tooth. The metal crowns were slightly shorter and with a more rounded tip than the original tooth. Posts or post-and-core techniques were not used. Median follow-up period was 30 months (range 2 to 61 months), at which time 36 crowns were found to be intact and functional. Five crowns were lost; three as a result of subsequent injury and fracture of the tooth below the crown; one as a result of use of less than one-third of the coronal portion of the tooth for retention of the crown; and one as a result of an oblique fracture of the root.

Long-term success rate of resin-bonded metal crowns on the canine teeth of working dogs

In this clinical study, 19 full metal crown restorations of canine teeth were placed in seven working dogs. Thirteen canine teeth were severely abraded with no involvement of the pulp cavities; six fractured canine teeth were endodontically treated. At least 1/3 of the coronal part of the canine tooth was available for a supragingivally performed, minimal tooth crown preparation. An adhesive technique to bond the electrolytically etched crown (an alloy of cobalt-chrome-molybdenum) to the tooth was used. The metal crowns, slightly shorter and with a rounder tip than the original tooth, were bounded to the enamel and dentine by using a resin luting cement. Posts or post-and-core techniques were not used. Mean follow-up period was 32 months (range 24-52 months), at which stage 17 crowns were found to be intact and functional. Two crowns were lost as a result of trauma resulting in a fracture of the tooth below the crown.