Veterinary Dentistry and Oral Surgery

Bizzarre upper arcade!

Miriam Lodewyks — Fri, 30 Nov 2018 09:26:47 GMT

This is a radiograph, pre-extraction, of a 10 yo Border Terrier with the most extensive and profound peridontal disease. He also suffers from intermittent seizures/syncope, though owner has declined investigation. Biochem and Haem unremarkable. During extraction large pieces of bone crumbled and were removed with the extracted teeth, the nasal passages completely exposed. After irrigation gingiva closed w monocryl, dog blowing bubbles through one nostril but otherwise recovered well.

Question: can infection do this, or more likely neoplastic?

Chronic traumatic TMJ luxation

David Barker — Tue, 06 Nov 2018 14:10:07 GMT

Peaches was bitten on the head by a dog.

The trauma occurred on July 28 and reported initial loss of vision and superficial trauma. Luxation noted.

When Peaches was referred on August 16 she was able to see but had a corneal ulcer and inability to close the mouth. Bloods showed mild hypoalbuminaemia. There was an ulcer in the oropharynx.

A CT was performed the same day which showed a left TMJ luxation with dorsal displacement of the mandible. There was a mandibular symphyseal fracture. Manual reduction of the joint was attempted, but failed.

I examined the cat for the first time on August 17 and obtained consent for a pharyngeal intubation, left sided condylectomy and wiring of the symphysis.

At surgery a left-sided zygomatic approach was made, the condyle was resected with an osteotome and the jaw was able to occlude in a normal position. A 1.2mm orthopaedic wire was placed around the rostral mandibles and tightened.

Peaches recovered well from anaesthesia, but secondary to the initial trauma, the oropharynx ulcer and the swelling secondary to pharyngeal intubation, Peaches was unable to swallow effectively. She developed aspiration pneumonia secondary to inhalation of food and saliva.

I placed a mushroom tipped gastrostomy tube on August 21 and all oral feeding and medication was temporarily suspended.

Peaches was discharged on August 24 where her owners continued to feed her via the tube at home.

I re-examined Peaches on September 8 where the gastrostomy tube was removed without any complication. Peaches was reported to be eating very well at home and had good prehension and mastication ability.

Paragon Veterinary Referrals
www.paragonreferrals.co.uk

Jaw reconstruction using 3d printed titanium implant

Peter Southerden — Mon, 29 Oct 2018 11:10:55 GMT

News story: UK-first as dog gets new jaw created on a 3d printer

The patient-specific implant is attached prior to wound closure
3D printed titanium patient-specific implant showing the mesh structure to promote bone integration
The cutting guide allows for accurate cutting of the mandibles providing for precise fitting of the prosthesis
3D printed cutting and drill guide. This allows precise screw placement avoiding the mandibular canal and tooth roots.
Sagital CT scan showing precise fit of the patient-specific implant and accurate screw placement avoiding tooth roots and mandibular canal.
3D CT reconstruction showing the mandibles following tumour resection and surgical reconstruction using a 3D printed titanium patient specific implant.
Edward, a 1 year old Airedale Terrier, two months after jaw reconstruction.

Eastcott Referrals
www.eastcottreferrals.co.uk

Compound Odontoma

Rob Davis — Sun, 02 Sep 2018 10:12:36 GMT

Odontoma pre-surgery (sutures from biopsy)
Odontoma occlusal
Odontoma post enucleation
Odontoma contents - denticles and malformed 304
Odontoma closure
Odontoma post surgery radiograph
Ondontoma 10 weeks post surgery with debris
Odontoma 10 weeks post surgery - debris removed
Odontoma pre surgery
Odontoma post surgery

Feline Full Mouth Series

Mark Frost — Wed, 24 Feb 2016 17:26:46 GMT

Would appreciate opinions on clinical aspect of above full mouth rads in 10 year old FN DLH. One obvious lesion grossly was reason for GA and dental work (107), numbering of files is just one tooth within that view to orientate not a tooth that necessarily has any concern. There was minimal tartar and no gingivitis with exception of 107, no pain on probing. Some recession by 304 and some movement in mandibular symphysis. No issues from owners point of view, normal cat, picked up dental disease on examination for unrelated issue. I think there are a few other issues but would appreciate more experienced opinions and what would you have done!? Many thanks.. Mark

Caries

Holly Lee — Sun, 13 Sep 2015 10:24:04 GMT

Ed's note: First published Feb 2010 and reuploaded following site upgrade.

This dog presented for gastrointestinal problems but during GA it was observed that his back molars, bilaterally, upper & lower were all severely damaged. All other teeth appear perfect. I'm wondering if this is likely to be part of a systemic problem as I have never seen such severe and unusually localised damage from trauma.

Gingival suturing 1.

Evelyn Barbour-Hill — Thu, 10 Sep 2015 16:58:03 GMT

As requested, diagrams of how to suture to gingiva that is tightly bound down to bone.

Page one is for when the gingiva in question is on the second side of the repair.

Spot the misplaced apostrophe..... oh no.....

Gingival suturing 2

Evelyn Barbour-Hill — Thu, 10 Sep 2015 16:56:40 GMT

To show the technique when the tight gingiva is the first side of the repair. This is the tricky one that requires sensitivity. You don't want to make the point of your needle into a hook!