Approach to mandibular canine extractions

RE: Approach to mandibular canine extractions

Busybee — Tue, 08 Mar 2016 17:51:22 GMT

[quote user="Evelyn Barbour-Hill"]Down the distal side, the caudal side, of the tooth..... i.e. approaching on the dorsal srface of the mandible.[/quote]

Ah, this makes sense. Thank you.

[quote user="Evelyn Barbour-Hill"]Why isn't your colleague doing the extraction he has so gaily booked in? If I were in your position (and I mean that literally, I'm not trying to give you advice) I'd be wanting to know exactly what my colleague had done and said. And if the dog arrived for extraction and I thought that it should have endodontic treatment, I'd tell the owner so.[/quote]

Multiple reasons! But I am finding out what has been said and what hasn't and plan to see the dog in on the day of the op.

RE: Approach to mandibular canine extractions

Evelyn Barbour-Hill — Mon, 07 Mar 2016 15:10:45 GMT

[quote user="Busybee"]Where do you mean when you say to remove more bone distally? [/quote]

Down the distal side, the caudal side, of the tooth..... i.e. approaching on the dorsal srface of the mandible. But not a lot! Don't go mad! Just a bit at a time if you don't seem to be making progress, as you would do elsewhere of course.

[quote user="Busybee"]It has been booked in by my colleague, I've not seen the dog or know if endodontic treatment has been discussed. [/quote]

Interesting situation. Why isn't your colleague doing the extraction he has so gaily booked in? If I were in your position (and I mean that literally, I'm not trying to give you advice) I'd be wanting to know exactly what my colleague had done and said. And if the dog arrived for extraction and I thought that it should have endodontic treatment, I'd tell the owner so. (No wonder I was never happy in multi-vet practices.... )

RE: Approach to mandibular canine extractions

Busybee — Mon, 07 Mar 2016 10:34:47 GMT

Thanks for your reply Evelyn!

Where do you mean when you say to remove more bone distally?

It has been booked in by my colleague, I've not seen the dog or know if endodontic treatment has been discussed.

RE: Approach to mandibular canine extractions

Evelyn Barbour-Hill — Sun, 06 Mar 2016 16:33:40 GMT

Excellent point. I've mentioned it to a few people over the years.....

A truly lingual approach presents difficulties of access however and I found it very difficult. That was my own experience.

For the occasional dentist I'd still suggest removing bone mostly buccally, but with great care of course, and not the whole way to to the apex but just past the bulge, as it were. Be prepared to remove bone distally as well. And do the rest of the job with good sharp luxators. Fahrenkrug elevators can help with the mesial and distal aspects.

There's no need to fill the alveolus with anything. The healthy blood clot will do that.

BUT if it's a fractured tooth, why extract it? Why not get endodontic treatment done and keep the tooth?