Sunday, March 21, 2010

Tooth discoloration in a dog requiring root canal therapy.

This dog belongs to a local law enforcement agency in Atlanta.  The officer astutely noticed the discoloration of the canine tooth.  Any tooth that is discolored intrinsically as this one is should have root canal therapy or be extracted.  The pulp is dead or in the process of dying and will cause problems with bone destruction at the root apex (tip)  Notice the wide periodontal ligament space associated with this tooth radiographically.  The obturation material consisted of a simplifil plug and Guttaflow.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Tuesday, February 23, 2010

Update on Severe Stomatitis, CUPS and Tongue Masses in a Boxer Dog

UPDATE: Lymphoma was the diagnosis based upon histopathology.  Further staging would involve immunohistochemical stains to determine B cell vs T cell lymphoma.  Chemotherapy is an option in these cases.  This dog was humanely euthanized.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Saturday, February 13, 2010

Severe Stomatitis, CUPS and Tongue Masses in a Boxer Dog

This 7 year old boxer dog presented with severe generalized stomatitis.  CUPS lesions were also present.  The tongue had multiple raised masses with palpable densities throughout.  Biopsies were taken.  Neoplasia is suspected.  I will update this post when pathology is complete.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Saturday, February 6, 2010

(no subject)

Cat Mandibulectomy

This cat presented with profound disfigurement from a rostral mandibular mass.  Salvage excision and euthanasia were the options provided.  The mass was excised and postoperative and next day images shown.  This cat has full tongue function despite taking the mandible back to the level of the first molars at the base of the tongue.  He is learning how to eat and doing quite well 3 days postop.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Sunday, January 31, 2010

Gingival Hyperplasia, Ossifying Epulis and a Jaw Cyst in a Boxer Dog

This 4 ½ year old boxer was referred for excision of gingival hyperplasia.  Both mandibular canines had gingival enlargement as did the maxillary premolars.  Treatment pending biopsy was excision with a scalpel and contouring with a #12 fluted finishing bur.  Biospy revealed an ossifying epulides on the right canine definitive therapy would be removing the mass and extracting the canine.    Closure will be a problem due to the involvement of the entire attached gingiva adjacent to the canine.

Unfortunately the left mandible has a large cyst forming.  See caption below for details.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Saturday, January 30, 2010

Jaw Fracture Repair in a Dog Utilizing Titanium Mesh

This dog had a right mandibular fracture secondary to chronic periodontal disease.  The jaw fractured spontaneously.  It was repaired utilizing a titanium mesh material and bone regenerative putty. 

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Jaw Fracture Repair in a Dog Utilizing Titanium Mesh

This dog had a right mandibular fracture secondary to chronic periodontal disease.  The jaw fractured spontaneously.  It was repaired utilizing a titanium mesh material and bone regenerative putty.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Wednesday, January 27, 2010

Sliding Pedicle Flap for Repair of V-shaped Gingival Recession in a Dog

This is a (very sweet) middle aged miniature schnauzer with v-shaped gingival defects.  Surgery is required to regenerate attachment and slow or prevent further compromise of the periodontal tissue associated with this canine (both were affected) and the 4th premolar.  Rostral and caudal sliding pedicle flaps were utilized to repair the canine defect.  Donor tissue was taken rostral for the 4th premolar. 

For a link to the article describing this procedure Step By Step from the Journal of Veterinary Dentistry please follow this link:

http://veterinarydentistry.net/blog/wp-content/uploads/2010/01/Sliding-Pedicle1.pdf

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Sliding Pedicle Flap for Repair of V-shaped Gingival Recession in a Dog

This is a (very sweet) middle aged miniature schnauzer with v-shaped gingival defects.  Surgery is required to regenerate attachment and slow or prevent further compromise of the periodontal tissue associated with this canine (both were affected) and the 4th premolar.  Rostral and caudal sliding pedicle flaps were utilized to repair the canine defect.  Donor tissue was taken rostral for the 4th premolar. 

For a link to the article describing this procedure Step By Step from the Journal of Veterinary Dentistry please follow this link:

http://veterinarydentistry.net/blog/wp-content/uploads/2010/01/Sliding-Pedicle1.pdf

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Tuesday, January 26, 2010

Stomatitis in a dog responds to home care avoiding full mouth extractions.

This middle aged dog presented with severe oral pain and halitosis.  Visual examination could only be done with sedation.  Note the attached gingival is severely inflamed.  Biopsy showed changes consisitent with stomatitis.  Prednisone ½ mg/kg BID was initiated following a thorough prophy in the hospital.  The results can be seen in the recheck picture one week post initiation of predisone.   The dog allowed the owner to brush once the inflammation resolved.   Prednisone was then tapered to discontinue. 

Daily brushing with adjunctive care such as wax sealants, water additives, dental diets and chews, chlorhexidine and sub antimicrobial doses of doxycycline aid in home care efforts.  Unfortunately most of these cases must have all full mouth extractions eventually or are euthanized.   Full mouth extractions is curative.  Most patients get 3 months at best before prophy in the hospital is needed. 

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Saturday, January 23, 2010

Malloclusion in a Dog Causing Trauma to Canine Tooth

This left lateral incisor has been traumatizing the mandibular canine tooth since the teeth erupted.  Note the size of the root canal in the affected tooth vs. the normal canine on the other side.  The dentin stops growing in teeth when they lose vitality causing this incongruity.  The treatment of choice in teeth like this is either root canal therapy +/- crown placement or extraction.  Due to a likely open apex and severe periapical changes noted by the bone lucency at the root tip this tooth was extracted.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Thursday, January 14, 2010

Rim mandibulectomy for an acanthomatous ameloblastoma in the mandible of a dog

Jessie had an oral mass adjacent to the left mandibular canine tooth.  The referring veterinarian biopsied it revealing  acanthomatous ameloblastoma.  A rim mandibulectomy was performed to remove the mass with minimal margins of 1.5 cm.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Wednesday, January 6, 2010

Enamel hypocalification and hypoplasia in a dog.

This 7 month old terrier presented with generalized enamel hypocalcification and hypoplasia.  Both the quantity and the quality of the enamel were compromised.  Dentin exposure was significant for all teeth.  Scaling removed a good portion of the diseased enamel.  The remainder was carefully removed with an aluminum oxide bur being careful not to extend past dentin.  Dentinal bonding was performed and will need to be repeated periodically to maintain closure of the dentinal tubules to prevent sensitivity and microbe invasion into the pulp.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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