Veterinary Dentistry Today

Archive for October, 2009

Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

by Brett on Oct.23, 2009, under Veterinary Dental Cases

This cat had a maxillary canine tooth extracted.  Upon recheck at the referring veterinary hospital the mandibular canine was causing a mucosal defect at the extraction site.  Options for therapy were crown reduction and vital pulpotomy followed by vital pulp therapy or extraction. 
The crown was reduced to the level of the incisors.  Several millimeters of pulp and dentin were removed with a small diamond bur.  Bleeding was minimal and controlled with a paper point.  Mineral trioxide aggregate was placed over the pulp followed by glass ionomer and composite as shown on radiographs.  The purple is the acid etchant applied prior to the composite.  The patient will be checked radiographically in a year to ensure success of the procedure.  The ulcer will heal within 10 days. 

 

Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Acid Etchant Prior to Composite Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Acid Etchant Prior to Composite Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Access Site Creation with 1/2 Round Bur - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Access Site Creation with 1/2 Round Bur - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

MTA Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

MTA Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Glass Ionomer Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Glass Ionomer Application - Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Final Composite Application -Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

Final Composite Application -Maxillary Canine Extraction Site Trauma Secondary to the Mandibular Canine Treated by Crown Reduction, Vital Pulpotomy and Pulp Therapy

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Response to the Question Concerning the Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

by Brett on Oct.22, 2009, under Veterinary Dental Cases

Hi Dr. Gonzalez,
     Glad to hear from you.  The approach to this case is one of selective extractions to eliminate the trauma caused by the maxillary incisors digging holes in the floor of the oral cavity.  The central 101, 201 and the intermediate 102, 202 incisors should be extracted.  Once complete extubate with caution and check to ensure that that lateral incisors are not hitting the canines.  If they are then extract those as well.  Keep up the good work.
Take care,
Brett

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Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

by Brett on Oct.22, 2009, under Veterinary Dental Cases

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

 

 

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

Dog with a Class III Malocclusion (Underbite) with Incisors Causing Lingual Floor Trauma

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Developing Tooth Trauma in a Puppy Resulting in Unerupted Nonvital Canine

by Brett on Oct.20, 2009, under Veterinary Dental Cases

Hi David,
     There appears to be a lucency surrounding the canine tooth apex.  The pulp chamber is large indicating the dentin formation has ceased indicating a dead tooth.  The incisor appears to have that same pulp cavity diameter but I can’t tell for sure with the rads.  There is increased radiodnesity at the apical 1/3 of the canine and possibly the incisor that is likely abnormal dentin production initiated by the original insult.  Extraction of the canine and the incisor is indicated.  The discoloration indicates that there is pulp death.  Please let me know if you have any questions.
Brett 

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Developing Tooth Trauma in a Puppy Resulting in Unerupted Nonvital Canine

by Brett on Oct.20, 2009, under Veterinary Dental Cases

Developing Tooth Trauma in a Puppy Resulting in Unerupted Nonvital Canine

Developing Tooth Trauma in a Puppy Resulting in Unerupted Nonvital Canine

 

Dr. Beckman,
This is Sadie, a 6 year old JRT presented for OVH. An incompletely erupted crown of #204 was noticed. Also seen was discoloration of crown of #203. Lateral and lateral-oblique dental radiographs were taken after dental prophylaxis performed. The record indicates she may have suffered facial trauma (hit w/ golf ball) as puppy. Thanks! David Kane, dental tech @ Woodworth Animal Hospital (Waynesboro, VA)

 

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