Labial Button Sling for a caudal mandibular fracture - (yes buttons, as in from a jumper).
![](https://static.wixstatic.com/media/080d03_a52ed4cb91f5467dabf70550d19a1367~mv2.png/v1/fill/w_49,h_52,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/080d03_a52ed4cb91f5467dabf70550d19a1367~mv2.png)
Tabitha presented to VSS Jindalee after being attacked by a dog. She had sustained a caudal mandibular fracture with mandibular symphysis separation. I was immediately on the phone to Advanced Animal Dentistry and Dr Bec Tucker sent me the link to an article with a very handy technique. This was an extremely simple technique to perform and could easily be performed in general practice for the appropriate case. It utilises 3 buttons, with the aim to hold the jaw in alignment whilst the fracture heals. I also sutured the symphysis with the usual technique utilising 0 Nylene.
Tabitha came in for a check-up with Specialist Dentist Dr Bec Tucker. She was happy with Tabitha's dental alignment and occlusion (phew) so she will stay in her sling for the duration of fracture healing. I also placed an oesophageal feeding tube, so adequate nutrition can be maintained.
I wanted to share this technique with everyone! See below for the reference.
"Modified Labial Button Technique for Maintaining Occlusion After Caudal Mandibular Fracture/Temporomandibular Joint Luxation in the Cat"
Goodman et al, Journal of Veterinary Dentistry, 2016
No Jumpers were harmed in the creation of the labial button sling at Jindalee. Equipment credit - $2 shop.