This puppy presented for a fractured right mandibular canine tooth. The pet parent preferred saving the tooth with a root canal. Unfortunately the crown was severely compromised with enamel hypocalification and hypoplasia that predisposed to the fracture. This occurred due to unknown trauma to the tooth during enamel development, sometime prior to eruption. Extraction was needed. The following is a pictorial summary of the procedure.
Placement of interdental suture. Obtain bites in the lingual mucosa and the vestibular attached gingiva. Simple interrupted sutures of 4-0 monocryl is my personal preferrence.
Dr. Beckman;
Thank you for sharing this case.
I would like to ask, if there is any particular reason for the buccal approach.
I thought maybe in order to protect the apices or the lingual aspect of the rostral mandible to avoid further damage. Personaly I find it very tricky to use the lingual approach in general and use mostly the buccal.
Looking forward for your next case.
Thank you for your time
Efe ONUR, DVM (TR)
Hi Efe,
The buccal (vestibular) approach provides much easier access and visualization in my hands. I have done both and prefer the vestibular.
Take care,
Brett
A very neat extraction! Did you administer a rostral mandibular regional block? If so, what volume of your Lidocaine/Marcain mix did you inject? What postoperative analgesia did you prescribe? I apologise for all the questions. Hope all goes well with you, David
Hello David,
I prefer the caudal mandibular block in that if there is vascular penetration it may obscur the tissue in the area of the foramen. As you can see we extend the bone removal almost to the foramen. Volume here was .75 ml. Postoperative NSAID and Tramadol for 4 days. Opiate given as a premed. Hope this helps.
Take care and keep in touch,
Brett