This dog was treated with antibiotics only to have the abscess recur over the weeks prior to presentation. The tooth and gum tissue looks fairly normal. The x-ray shows a decrease in the periapical bone density on the fourth premolar. The right first molar has an obvious periapical lucency on the palatal root. Those two teeth and the second molar were extracted.
This dog was treated with antibiotics only to have the abscess recur over the weeks prior to presentation. The tooth and gum tissue looks fairly normal. The x-ray shows a decrease in the periapical bone density on the fourth premolar. The right first molar has an obvious periapical lucency on the palatal root. Those two teeth and the second molar were extracted. Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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This patient had what appears to be a normal right mandibular canine tooth. The left mandibular canine was fractured with pulp exposure. The radiograph shows root resorption and a large pulp cavity with a periapical lucency. Periapical changes are also present on the right mandibular canine tooth. The final root canal procedure, the crown prep and crown placement are demonstrated.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
This middle aged cat presented with drooling and a rostral oral mass. Further evaluation revealed severe mandibular inflammation with “floating teeth” present. Radiographs reveal destruction of bone surrounding the teeth of the left mandible. The mass crosses the midline in the caudal oral cavity partially displacing the tongue. Surgical cure is not possible. Analgesic management has been instituted to provide a good quality of life until discomfort or anatomical problems warrant euthanasia.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
This is a 4 year old cat with extrusion, 3 mm pockets. Radiographic changes show increased PDL space apical to the marginal bone, consistent with periodontal disease. Other teeth show no changes. Likely this cat traumatized the tooth predisposing it to periodontal changes.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
This is the same patient from the prior post. This is an example of Type I tooth resorption on the mesial root and Type II resorption on the distal root.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
Hi All,
If you get an email message from someone that you know on a social media site that says something like “is this you dancing on this video” or some other similar message don’t open it. It will start a program that simulates a massive computer virus attack that looks like a Microsoft security box asking you to stop it by clicking ok. If this happens don’t click it. Go to task manager and shut down all of those pages. Then run your normal virus software to ensure no breaches.
Brett
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
This 10 year old domestic short haired cat was referred for oral evaluation and likely tooth resorption and missing teeth this week. The procedure for crown amputation show here applies to only Type II resorption. As you can see there is no discernable periodontal ligament space around the root that is in the final stages of replacement with bone. 5-0 monocryl was used to close. As always regional nerve blocks are employed.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
This 8 week old puppy presented with a cleft palate involving the hard and soft palate, also know as a secondary palatal defect. Due to minor signs at the time the surgery was delayed until 16 weeks of age to provide more tissue for closure.
The soft palate is closed in two layers, nasal and palatal after splitting the two with metzenbaum scissors.
The palatal mucosa is dissected off of the bone. A 1 mm debridement of the margin with a diamond bur allows for healing prior to epithelial migration into the defect. An incision is made as shown and a full thickness palatal graft obtained sparing the major palatine artery.
The edges are opposed and sutured, burying the simple interrupted knots.
Healing at 2 weeks is complete.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
| Hi, Thank you for signing me up on the blog. I been diagnosing dental disease daily and recommending treatments with true conviction. I even did a cat extraction! I actually had an interesting case today and I was wondering if anything can be done with orthodontics to help him. Or whether he will need extractions. Cody presented for his neuter today and on oral exam I noted: 1. Underbite 2. The left maxilla is longer than the right. 3. The left upper incisors are pressing on the lower gingiva and creating depressions. (please see attached pictures) Thank you, Joanne Gonzalez Town and Country Animal Hospital |
