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.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
www.veterinarydentistry.net
www.veterinarydentistry.net/blog
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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

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

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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