Dear All,

I would be very grateful for your input into this case.

The case involves a 9-month-old crossbred bitch that was born on a Greek island. She had been found in a ditch with a sibling when she was two to three weeks old, and consequently hand-reared.

When I saw her soon after she had been rescued and brought to the UK she had areas of alopecia and crusting on her pinnae and forefeet. She had been diagnosed with dermatophytosis in Greece and given topical antifungal treatment. I checked her for leishmaniasis with negative results (so far).

She has retained the deciduous canine tooth 504, and the permanent canine tooth 104 is showing signs of an enamel defect. The rest of her teeth are normal. I have attached images of the teeth, and radiographs of both maxillary canine teeth.

I suspect that the enamel defect reflects her history, and poor nutrition at an early age.

Apart from extraction of the deciduous teeth, how would you recommend that I treat tooth 104?

As ever, thank you for your help.

With best wishes,

David