Tag: veterinary dentistry
Update on Severe Stomatitis, CUPS and Tongue Masses in a Boxer Dog
by Brett on Feb.23, 2010, under Veterinary Dental Cases
This 7 year old boxer dog presented with severe generalized stomatitis. CUPS lesions were also present. The tongue had multiple raised masses with palpable densities throughout. Biopsies were taken. Neoplasia is suspected.
UPDATE: Lymphoma was the diagnosis based upon histopathology. Further staging would involve immunohistochemical stains to determine B cell vs T cell lymphoma. Chemotherapy is an option. This dog was humanely euthanized.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Class III Malocclusion with Mandibular Base Narrow Canines in a Maltipoo Dog with Maxillary Incisors Preventing Mandibular Canine Eruption
by Brett on Feb.13, 2010, under Veterinary Dental Cases
This 7 month old Maltipoo has a class III malocclusion with mandibular base narrow canines. The maxillary incisors are preventing eruption of the canines. Extraction of the maxillary incisors will allow for continued eruption (although in an abnormal location). Radiographs show an open apex indicating further eruption is possible.
Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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Mandibulectomy in a Cat
by Brett on Feb.06, 2010, under Veterinary Dental Cases
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
by Brett on Jan.31, 2010, under Veterinary Dental Cases
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.
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.
Jaw Fracture Repair in a Dog Utilizing Titanium Mesh
by Brett on Jan.30, 2010, under Veterinary Dental Cases
This dog had a right mandibular fracture secondary to chronic periodontal disease. The jaw fractured spontaneously. It was repaired utilizing a titanium mesh material and an osteoconductive bone putty. http://www.securos.com/downloads/SI%20VelosityPuttyBrochure5.pdf
The fracture line can be seen overshadowed by the first molar mesial root. The site of the mesial root of the 4th premolar was near fracture. The veterinarian did a great job avoiding fracture when extracting these teeth.
Post extraction the fracture line becomes visible. This was a chronic fracture that had the body had attempted to heal. Fibrous tissue was present around the site and provided minor stability.
View of the right mandible after fitting the titanium mesh. The ventral mandible had considerable fibrous tissue present. Disrupting this would have created more instability. The plate was placed over the fibrous tissue. This gives the appearance on the final radiography that the plate doesn't conform well to the mandible. On the contrary this material is very compliant and fits tightly to the bone with minimal anchorage.
The vestibular aspect of the right mandible, screw placement
You can appreciate the delicate structure in relation to my fingers. The plate placed was about 5 times the size of this peice that was clipped off of the portion utilized in this case.
The final repair preclosure
Postop radiograph showing screw placement. Accomodation of the mesh was excellent. Consequently a lingual screw was not needed
