Craniomandibular Osteopathy --------------------------- General Information Craniomandibular osteopathy is a painful disease of puppies (usually of Terrier breeds) between the ages of 3 and 10 months. The jaw and adjacent bones of the skull become thickened and develop sharp, bony projections (spicules) on their surfaces. This bony proliferation limits the range of jaw motion, causing pain on chewing and inability to open the mouth widely. The cause is unknown, but the condition is neither inflammatory nor cancerous. Important Points in Treatment 1. Periodic radiographs (x-rays) are necessary to evaluate your pet's condition. 2. Diet: Follow the instructions checked. ____Feed the normal diet. ____A special diet is required. Feed: 3. Special instructions: Notify the Doctor if Any of the Following Occur: * Your pet cannot eat. * Your pet's general health declines. * You cannot give the medication as directed.