Tag: X-ray
Severe Periodontal Disease in a Greyhound
by Brett on Jun.25, 2010, under Veterinary Dental Cases
This middle aged greyhound had a prophylaxis three months prior. Note the severe changes that have been present for some time. Failure to properly treat or refer cases like this one result in unnecessary patient suffering. The affected teeth were extracted and the adjacent teeth treated with EDTA and bone grafting. This dog’s pet guardian will brush daily and place a dental sealant weekly along with an antiplaque water additive. Periodic professional cleaning will be part of the preventive regimen.
Tooth Discoloration in a Dog Requiring Root Canal Therapy.
by Brett on Mar.21, 2010, under Veterinary Dental Cases
This dog belongs to a local law enforcement agency in Atlanta. The officer astutely noticed the discoloration of the canine tooth. Any tooth that is discolored intrinsically as this one is should have root canal therapy or be extracted. The pulp is dead or in the process of dying and will cause problems with bone destruction at the root apex (tip) Notice the wide periodontal ligament space associated with this tooth radiographically. The obturation material consisted of a simplifil plug and Guttaflow.
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
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.
