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The vestibule deepening procedure for tight lip syndrome involves making a craniocaudal incision in the chin's skin to create additional space in the oral vestibule. The extent of the incision is based on the severity of the condition: a basic incision is used for mandibular incisor teeth only, while
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and adjusting the lip. Post-operative care requires daily manipulation to prevent the lip from returning to its previous position. Chin skin resection, another surgical option, involves removing excess skin from the chin to prevent the lip from curling over the teeth. This method is typically used in
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facial features, and traumatic occlusions. Breeding for heavier, smushier faces in particular led to the condition referred to as "tight lip syndrome," in which the lower lip may cover the mandibular incisor teeth, causing lingual tipping of these teeth and impeding normal bite alignment, leading to
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In most cases, surgical correction reduces discomfort and improves jaw alignment. However, due to the risk of recurrence or inadequate initial correction, follow-up care is essential to ensure the desired outcome. The condition is managed effectively through these surgical approaches, although care
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Affected dogs often exhibit a lower lip that covers the incisal edges of the mandibular incisor teeth, as well as secondary trauma from the maxillary incisor teeth. This can result in a shallow vestibule, making eating and oral comfort challenging. Early signs include sloppiness while eating and
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must be taken to choose the appropriate procedure based on the age and specific needs of the dog. Surgical correction is best performed at an early age. Daily digital palpation of the wound can help prevent the lip from reattaching to the mandibular dental arcade during the healing process.
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The condition is diagnosed through physical examination, noting the abnormal lip curl and the resulting misalignment of the teeth. Affected puppies may experience discomfort from biting their own lip.
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more extensive incisions are required if the canine and premolar teeth are affected. The procedure aims to relieve pressure from the lip on the teeth and improve oral function. Nonabsorbable
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typically expands before the mandible. The interference caused by the curled lip can prevent the mandible from growing properly and can lead to a misalignment of the teeth.
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secure the adjusted lip position, and post-operative care involves monitoring and ensuring proper healing to prevent recurrence and ensure optimal results.
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teeth. This abnormal lip positioning causes the mandibular teeth to be pushed inward, disrupting normal jaw alignment and growth. As puppies grow, the
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is a procedure performed to reposition the lower lip and allow it to heal in a normal position. This involves making an incision along the
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dogs with an increased amount of facial flesh, leading to a range of health problems, including small external auditory canals,
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187:"Vestibule deepening procedure for tight lip syndrome in the Chinese Shar-pei dog"
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older dogs where managing comfort is more critical than ensuring jaw growth.
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Surgical intervention is the primary treatment for tight lip syndrome.
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143:"Surgical management of the tight lip syndrome in the Shar-Pei dog"
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frequent biting of the lip, which indicates discomfort.
16:Congenital disorder affecting Shar Pei puppies
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30:puppies where the lower lip curls over the
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185:Eisner, Edward R. (December 2008).
257:Slatter, Douglas H. (2003-01-01).
234:"How Agonizing Is It to Be a Pug?"
34:teeth, particularly affecting the
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260:Textbook of Small Animal Surgery
191:Journal of Veterinary Dentistry
147:Journal of Veterinary Dentistry
141:McCoy, D. E. (September 1997).
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232:Aceves, Paula (2024-08-12).
291:Syndromes affecting the jaw
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203:10.1177/089875640802500414
102:mucogingival junction
75:Clinical presentation
24:congenital disorder
56:selective breeding
20:Tight lip syndrome
296:Syndromes in dogs
270:978-0-7216-8607-3
26:observed in some
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98:Cheiloplasty
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58:resulted in
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285:Categories
243:2024-09-13
121:References
50:Background
32:mandibular
211:0898-7564
159:0898-7564
92:Treatment
84:Diagnosis
69:underbite
64:edematous
219:19271416
60:Shar Pei
28:Shar Pei
238:The Cut
167:9571897
111:sutures
44:maxilla
40:incisor
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