Cute little Layla was attached by another dog which broke out part of her upper jaw. Initially, her owners thought things looked ok from the outside, but upon evaluation by Dr. Niemiec, it turned out the damage was fairly extensive. Layla had severely fractured her jaw, leaving damage to her puppy teeth as well as her un-erupted adult teeth. Continue reading “Upper Jaw Fracture Repair for Puppy” »
For Veterinary Professionals
As Board Certified Veterinary Dentists, we work closely with referring veterinarians. We value our relationship with our veterinary partners and seek to provide the latest news, information and educational opportunities related to the veterinary dentistry field, all aimed to help you best serve your clients.
A five year old Pit Bull Terrier named Roscoe presented to Veterinary Dental Specialties and Oral Surgery to have an anesthetized dental exam, cleaning, a few teeth with uncomplicated crown fractures (chipped teeth) sealed after the fractures were noted by his referring veterinarian. However, during his anesthetized exam, a lower left premolar was noted to be missing (Figure 1). Continue reading “Dentigerous Cyst” »
Roscoe is a 5 year old male neutered Chihuahua mix who was attacked by a large dog about 10 months ago and sustained a palatal fracture that turned into a palatal defect. Continue reading “Roscoe’s Palatal Fracture Repair” »
Arlo is an eight year old Boxer/Hound mix who was a patient at Veterinary Dental Specialties and Oral Surgery in California. He came in due to a crown fracture of his right mandibular canine which was noted by the veterinarian at the Department of Animal Services.
On awake examination discoloration of the right maxillary canine and left mandibular canine were noted in addition to the complicated crown fracture of the right mandibular canine. Once under anesthesia, dental X-rays confirmed that the discolored teeth were non-vital, or dead, by the presence of a widened root canal. Due to a malocclusion, a few incisors also had complicated crown fractures.
The non-vital canines were treated with root canal therapies. One of the root canal therapies had a complication and was not able to be performed, so the canine was extracted. The fractured incisors were also extracted. Arlo’s other teeth were scaled and polished.
Arlo now has a nice clean smile to show off back at the Department of Animal Services. The discolored teeth will remain a unique color, but are no longer a source of infection. Hopefully, a sweet boy with a healthy mouth will help Arlo to be adopted soon!
Ruby, an 8 year old German Shepherd, presented to Arizona Veterinary Dental Specialists for her annual professional dental assessment and cleaning. Full mouth intraoral radiographs were obtained under general anesthesia and a thorough examination was performed to evaluate all of Ruby’s teeth and gingiva. Significant tooth resorption affecting the crown of the left maxillary fourth premolar tooth (208) was found. Calculus accumulation prevented this lesion from being visible while Ruby was awake, but significant damage to this tooth was present. Continue reading “Tooth Resorption in an Adult Dog” »
Our board certified veterinary dentists are thrilled to hear that our veterinary colleagues in Australia have taken the right stance on the practice of anesthesia free dentistry, and it’s clear risks to a pet’s welfare. Continue reading “Australian Veterinary Community Takes a Stance Against Anesthesia Free Dentistry” »
Little Cali was born with a congenital cleft palate. She was constantly getting material and food caught in her nose, which not only creates difficulty breathing, but also creates an environment for chronic nasal infection.
Dr. Niemiec of Veterinary Dental Specialties and Oral Surgery performed a cleft palate surgery to close the defect. Cali will be able to lead a normal life once she heals.
Cori is a five year old male Chihuahua that was adopted from a rescue group. It was immediately apparent that Cori has an upper jaw that is significantly shorter than his lower jaw. However, this was the least of his dental problems.
When Cori’s owner brought him to Dr. Allen Matson at Eastside Veterinary Dentistry for a complete veterinary dental exam, Dr. Matson found Cori had severe periodontal disease with heavy accumulations of plaque and calculus. In addition, many of his teeth had root exposure and were mobile. The periodontal disease was causing Cori a lot of pain in his mouth, and choosing a veterinary dentist was the absolute correct choice of care. Cori’s teeth were cleaned and full mouth x-rays were taken. A total of 17 teeth were extracted and periodontal therapy was performed on many of the remaining teeth.
Cori’s owner is extremely pleased with his response to the comprehensive veterinary dental treatment. Cori now eats dry food without pain for the first time in his life, not to mention delicious, soft chew sticks. As part of an ongoing home-care plan, Cori’s owner brushes his teeth regularly and states he loves having his teeth brushed!
As you know, veterinary dentists are strongly against the practice of anesthesia free dentistry or Non-Anesthetic Dentistry (NAD). There are numerous reasons for this, but mostly because it is a completely ineffective method of pet dental care. Moreover, the single most important step of a prophylaxis (subgingival scaling) cannot be performed without general anesthesia. Patients are often seen following NAD with clean crowns (visible portion of the tooth), but with significant areas of subgingival calculus. This may be the most damaging issue with this service, as it gives the client a false sense that they are improving the dental health of their pet. Dr. Niemiec along with his colleagues regularly have to have hard discussions with clients who are very upset when dental disease is diagnosed despite “clean” crowns. These clients feel that they have “failed” their pet, allowing them to progress to disease despite their well-intentioned efforts.
The following case contains detailed case photographs and video demonstrating the severity of the circumstances and evidence as to the risks of anesthesia free dental cleanings.
This patient had received regular (every other month) NAD. Despite this, she had waxing and waning halitosis. She was eventually referred to Veterinary Dental Specialties and Oral Surgery for a fractured tooth. Upon oral exam, the fractured left maxillary fourth premolar (208) was confirmed; however the teeth were fairly clean, with a few areas of calculus and gingival recession. (Figures 1-3) The patient was placed under anesthesia and oral exam revealed further areas of recession as well as a draining tract over the left maxillary canine (204). (Figure 4).
Periodontal probing revealed numerous periodontal pockets including a very deep pocket on the left canine (Figures 5-8) ad furcation 3 exposure on several teeth (Figure 9). In addition to the advanced periodontal disease, the patient also had tooth resorption, which is a very painful condition.
Finally, watch to see the right maxillary M1 (109) mobile level 3.
Dental radiographs confirmed severe periodontal loss and TRs (Figures 10-14) and surgically 204 had significant bone loss (Figure 15).
The patient was treated with numerus extractions. When the patient returned for the two week recheck, the owner commented that not only was their pet’s breath greatly improved, but also had far more energy.
All veterinary dentists have cases similar to this in which pets have suffered needlessly due to lack of proper care. NAD only serves to hide periodontal disease as well as other painful and infectious conditions.
We encourage veterinarians to refer their clients to this article as well avdc.org/afd for more education about the risks of anesthesia free dental cleanings and to encourage regular veterinary dental cleanings under anesthesia as part of their pet’s regular care.
A 10 month old Chow Mix presented to Arizona Veterinary Dental Specialists for evaluation and treatment of an oral mass affecting the right maxilla in the region of the canine tooth. The canine tooth was not present on visual examination, however, numerous small tooth-like structures were observed protruding through the gingiva in this region. The owner reported an accident involving part of a couch landing on his head when he was a young puppy, but that this accident did not appear to result in any significant injury. Continue reading “Surgical Treatment of a Compound Odontoma in Chow Puppy” »