Case Study (Reason to Radiograph)

3 year old Beagle in for follow up endo radiogrpahs on maxillary 4th pms. We radiographed the tooth in question and the the mandibluar canines. This is how the teeth visually appeared.

Image 1.
Click to view larger image

radiograph of the area

Image 2.
Click to view larger image
Image 3.
Click to view larger image

I treated it with conventional endodontics-cheesy debris in pulp chamber. Considered opening up the area of bone loss and packing with Consil but decided to follow with serial films now that the canal is clean and sealed.

Image 4.
Click to view larger image

Teeth that are fractured with pulpal exposure (black spot in middle) are infected. Those with a shiny brown spot may have pulp exposure. Even though the dog does not appear to be in pain--this dog did not show any signs even though its mandible was resorbing, the only therapy options to arrest the disease are either root canal therapy or extraction. After you have entered hundreds of canals of fractured teeth and see what is inside you would agree. Here is a picture of the material removed from this case.

Here is the picture of the cheesy pulpal contents
Image 5.
Click to view larger image

Refer to associated Dentistry Board discussion

Table of Contents
Dental Encyclopedia
Jan Bellows, DVM, AVDC, ABVP

Also, check out
The Smile Book III
A text on Canine Periodontal Disease Diagnosis and Therapy
1. Introduction
2. Dental Anatomy
3. Endodontics
4. Orthodontics
5. Periodontics
6. Crown Preparation
7. Feline Dentistry
8. Dental Pediatrics
9. Exotic Dentistry
10. Jaw Fractures
11. Radiology
12. Instruments
13. Materials
14. Equipment
15. Professional Teeth Cleaning
16. Developmental Abnormalities
17. Oral Surgery
18. The Dental Chart
19. Dental Terminology
20. Case Study (endo-perio)
21. Case Study (Avulsed tooth)
22. Case Study (Fractured Premolar)
23. Case Study (Interesting Kitty Case)
24. Case Study (Reason to Radiograph)
25. Case Study (Crown reduction)
26. Case Study (Ouch)
27. Case Study (Cystic Mass)
28. Case Study (Oral Nasal Fistula)
29. Case Study (TM Ankylosis)


Copyright 1997- All Pets Dental Clinic
No portion of this site may be copied without authorization.
If you have any questions about the site, or are referencing it in an article or other website, please notify the webmaster.

Jan Bellows, DVM
All Pets Dental Clinic
17100 Royal Palm Blvd.
Weston, FL 33326
(954) 349-5800