Medication Summary
The goals of pharmacotherapy are to prevent infections and complications and to reduce morbidity.
Antibiotics
Class Summary
Empiric antimicrobial therapy must be comprehensive and should cover all likely pathogens in the context of the clinical setting.
Penicillin G aqueous (Pfizerpen-G)
Penicillin G interferes with the synthesis of cell wall mucopeptide during active multiplication, resulting in bactericidal activity against susceptible microorganisms.
Amoxicillin (Moxatag)
Amoxicillin interferes with synthesis of cell wall mucopeptides during active multiplication, resulting in bactericidal activity against susceptible bacteria.
Analgesics, Other
Class Summary
Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties beneficial to patients who experience pain.
Acetaminophen (Acephen, Feverall Childrens, Little Fevers, Tylenol 8 Hour, O-Pap, Valorin)
May block pain impulse generation by inhibiting the synthesis of prostaglandin in the central nervous system.
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The broad red line indicates the symphyseal area. The pink area between the cuspid teeth, excepting the symphysis, indicates the parasymphyseal area.
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The model on the left shows comminuted fractures. The model on the right has been repaired to facilitate preoperative contouring of a reconstruction plate.
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Opposing lag screws have been used to treat a symphyseal fracture. This procedure requires precise technique and is not for the occasional operator.
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Two miniplates are required for the symphysis/parasymphysis region because it is subjected to torsional forces, which would be poorly resisted by one miniplate.
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Tension banding is required to prevent splaying of the fracture line at the superior surface of the mandible when using a dynamic compression plate. A mandibular arch bar can accomplish this. In this example, a miniplate is used.
