Veterinary Dentistry Today » veterinary dental

Periodontal and Endodontic Disease in a Mandibular Molar in a Dog

Brett — Fri, 13 May 2011 12:52:56 +0000

Periodontal and endodontic disease in a mandibular molar in a dog is shown here. This young dog underwent a thorough prophylaxis. The technician at the hospital does the majority of the prophy’s. They have no dental radiography. We visited and took full mouth radiographs. Once completed we asked the technician to comment on the oral health. No signficiant changes were noted, however look at the radiograph. Severe periodontal bone loss is present with profound periapical lucencies indicative of endodontic disease.

This tooth looks fairly normal. Some erythema is present. Blood on the distal crown is from probing in the distal periodontal pocket.

Severe periodontal and endodontic disease is present on the radiograph. Extraction is the treatment of choice.

Severe Class III Malocclusion in a Dog – Underbite

Brett — Sun, 27 Mar 2011 16:45:47 +0000

This Scottish Terrier dog had a severe Class III malocclusion resulting in canine trauma from the maxillary intermediate incisors and lingual floor trauma from the maxillary central incisors. Extraction of the offending was resolved the traumatic occlusion.

Trauma is evident at the gingival margin from the intermediate incisors.

Extracting the intermediate incisors will allow the central incisors to dig deeper into the lingual floor making these two defects significantly worse. Extraction eliminates this concern.

Mandibulectomy in a Cat

Brett — Sat, 06 Feb 2010 12:26:26 +0000

This cat presented with profound disfigurement from a rostral mandibular mass. Salvage excision and euthanasia were the options provided. The mass was excised and postoperative and next day images shown. This cat has full tongue function despite taking the mandible back to the level of the first molars at the base of the tongue. He is learning how to eat and doing quite well 3 days postop.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Cat Mandibulectomy PreopMandibulectomy in a Cat

Gingival Hyperplasia, Ossifying Epulis and a Jaw Cyst in a Boxer Dog

Brett — Sun, 31 Jan 2010 20:07:46 +0000

This 4 ½ year old boxer was referred for excision of gingival hyperplasia. Both mandibular canines had gingival enlargement as did the maxillary premolars. Treatment pending biopsy was excision with a scalpel and contouring with a #12 fluted finishing bur. Biospy revealed an ossifying epulides on the right canine definitive therapy would be removing the mass and extracting the canine. Closure will be a problem due to the involvement of the entire attached gingiva adjacent to the canine.

Unfortunately the left mandible has a large cyst forming. See caption below for details.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Intially this ossifying epulis was treated with bulk excision with a blade and contour with a #12 fluted bur pending histopath.

Immediate postop. The bur decreases hemorrhage to a minimum.

The left mandible had similare changes

Postoperative view

A large cyst is present in the left mandible. This will eventually destroy the jaw if not treated. Note the supernumery first premolars with resorption on them and the mesial root of the second premolar.

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Hard and soft palate secondary cleft puppy dog

Brett — Fri, 20 Nov 2009 18:13:15 +0000

This 8 week old puppy presented with a cleft palate involving the hard and soft palate, also know as a secondary palatal defect. Due to minor signs at the time the surgery was delayed until 16 weeks of age to provide more tissue for closure.

The soft palate is closed in two layers, nasal and palatal after splitting the two with metzenbaum scissors.

The palatal mucosa is dissected off of the bone. A 1 mm debridement of the margin with a diamond bur allows for healing prior to epithelial migration into the defect. An incision is made as shown and a full thickness palatal graft obtained sparing the major palatine artery.

The edges are opposed and sutured, burying the simple interrupted knots.

Healing at 2 weeks is complete.

Brett Beckman, DVM, FAVD, DAVDC, DAAPM

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Hard and soft palate secondary cleft puppy dog

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