Hi Guys,

This case involves a 5-year-old neutered Miniature Dachshund bitch, Lulu.

I carried out a COHAT on her earlier this month. She had severe periodontal disease affecting both 109 and 209 [209 photo]. The mesiobuccal roots were worst affected.

These teeth were surgically extracted [209 – pre- and post extraction photos], and she made a good recovery. Post operatively she received a ten day course of clavulanate amoxicillin .

Eight days after completing the antibiotic course she was re-presented with a superficial pyoderma, and, of more concern, her left eye was swollen.

Caudal oral examination is impossible in this individual, and her left eye had slight photophobia with exophthalmos and conjunctivitis. The SMLN are normal and she is not pyrexic. The remainder of the PE was unremarkable.

I dispensed clindamcyin to treat both her skin and the periorbital reaction. The photo was taken one day later, and as you can see the left eye is slightly closed, and there is some bagginess of the left lower eyelid. However, she was less photophobic, and had good PLRs.

Your advice regarding this case would be welcomed. I was happy with the post extraction radiograph, but again your expert opinions would be well received.

I am pleased that I took post extraction radiographs in this case, and I will never ever say again that I am too busy to take them!

With best wishes,

David