Archive for December, 2009
Dog with Persistent Suborbital Abscess
by Brett on Dec.24, 2009, under Veterinary Dental Cases
This is Lexie. She 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. Lexie came back Jan13th for her recheck. The suborbital lesion has healed.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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This tooth doesn't appear too diseased.
Radiography confirms severe periodontal disease.
Root canal and crown prep for canine tooth in a dog
by Brett on Dec.16, 2009, under Veterinary Dental Cases
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
The right mandibular canine (top) has a smaller pulp cavity than the left. Periapical lucencies are present on both. The left canine is undergoing apical root resorption as well. The left tooth had exposed necrotic pulp.
Although the right canine is fine on gross examination the pulp on this tooth is also necrotic.
Root canal therapy is the treament of choice.
The tooth is prepared with a chamfer margin and a detailed impression made and sent to the lab from crown fabrication.
A cast metal alloy crown is placed at the next visit to complete the procedure.
Squamous cell carcinoma in a cat mandible
by Brett on Dec.15, 2009, under Veterinary Dental Cases
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
Squamous cell carcinoma in a cat mandible
Squamous cell carcinoma in a cat mandible
Squamous cell carcinoma in a cat mandible x-ray
Periodontal Disease in a Young Cat Canine Tooth
by Brett on Dec.13, 2009, under Veterinary Dental Cases
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
Young cat with periodontal disease maxillary canine x-ray
Young cat with periodontal disease maxillary canine. Treatment was extraction.
Fistula in a Dog Associated with the maxillary fourth premolar abscess
by Brett on Dec.10, 2009, under Veterinary Dental Cases
This dog has a fistula associated with the left maxillary fourth premolar tooth.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
The pulp is exposed and the tooth is non-viable in the middle aged dog
The fistula can be seen associated with the distal root
The bone loss is evident and the apical portion of the root is resorbing
The radigraph demonstrates the lucencies in the bone
Post-operative view with bone contouring
