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.
Enamel hypocalification and hypoplasia in a dog.
Enamel hypocalification and hypoplasia in a dog
Enamel hypocalification and hypoplasia in a dog following removal of diseased enamel and dentinal bonding.
Enamel hypocalification and hypoplasia in a dog following removal of diseased enamel and dentinal bonding.
Hi Dr. Beckman..interesting case! Is this a genetic defect and how common is it?
I also posted this case and pictures in the Dog Health forum at PetDocsOnCall.com.
Hi Tom,
Any increase in body temperature that is sustained during enamel development can cause this. Classically distemper has been implicated however any febrile event will do.
Brett
Dr. Beckman,
Thank you for posting this.
Our 7 month old Miniature Schnauzer’s mouth looks identical to this. Our vet noticed it about a month ago and believes it is enamel hypoplasia. As I read through this post and especially see the photos, our puppy appears to have generalized enamel hypocalcification. Our vet recommended consulting with a veterinary dentist to determine the urgency of a procedure like this for our dog. Of course my top priority is our puppy’s health and comfort but my biggest worry is whether or not a procedure like this is even affordable. What would something like this typically cost? What would you suggest we do from here?
I am sorry to hear about your puppy Jessica. If this is generalized all exposed dentin must be covered with composites and or crowns. Many teeth may require extraction. This is ongoing monitoring commitment and it is financially a burden for many. Contact your closed veterinary dentist and they can give you more precise estimates and options. Hope this helps.
Sincrerely,
Brett