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.
Saturday, January 30, 2010
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
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
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.
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.
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.
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.
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