Dental X-ray opinions please!

Re: Dental X-ray opinions please!

Bob Russell — Fri, 27 Feb 2015 09:02:31 GMT

[quote user="Rob Davis"]

Nothing to add to Evelyn's summary. Could you see the ventral mandibular border on the original radiograph in the area of the possible fracture?

[/quote]

We moved the X-ray head around to change the position of the image and the ventral border is unremarkable. I am fairly confident that this is bone loss and not an actual fracture but I suspect was a dental disaster waiting to happen had we been even slightly 'forceful'. Booked in for re X-ray in a month!

The only obvious issues with this one were poor incisors! Toy breeds are a dentists dream!

Thanks for the advice!

Re: Dental X-ray opinions please!

Rob Davis — Thu, 26 Feb 2015 19:49:59 GMT

Nothing to add to Evelyn's summary. Could you see the ventral mandibular border on the original radiograph in the area of the possible fracture?

Re: Dental X-ray opinions please!

Evelyn Barbour-Hill — Thu, 26 Feb 2015 13:55:54 GMT

Pathological fractures (let us not get into the "all fractures are pathological" discussion....) in such circumstances can heal very quickly. Repeat Xray in a month?

I have radiographs of a Yorkshire terrier with a horrid pathological fracture stemming from 309. Apart from extracting the offending tooth and some others, I gave no specific treatment and it healed excellently. (The fracture was real: I could waggle it on palpation, but it was stabilised by the surrounding soft tissue.)

Re: Dental X-ray opinions please!

Bob Russell — Thu, 26 Feb 2015 13:46:40 GMT

Many thanks and no not a trick question!

All three extracted but very, very gently as I was concerned about the possibility of a pathological fracture. not sure antibiotics will do much but how soon should I re-X-ray?

Re: Dental X-ray opinions please!

Evelyn Barbour-Hill — Thu, 26 Feb 2015 13:19:31 GMT

Periodontitis. Huge bone loss on fourth premolar, with a vague suggestion possibly of periapical lesion on its mesial root from perio-endo lesion and neighbouring bone degeneration (but I'm not absolutely sure, could be plain bone degeneration from periodontitis). Maybe there's a "pathological" fracture just off the film? Pretty hefty bone loss on third premolar, could be some internal resorption but I think that's artefact. Mesial to that, odd-looking tooth: could be persistent milk tooth with one root resorbed and absence of permanent second premolar, but I think it's the second premolar in "terminal" stage of periodontitis with the distal root resorbed and/or broken.

First premolar absent of course.

Or was this a trick question?

You extracted all three, I presume?