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ELVIS TCB
(TAKIN CARE OF BUSINESS)
INTRO
F ractured teeth, enamel hypoplasia, wearing defects are conditions associated with oral trauma in dogs. Some tooth injuries need only a simple restoration. However, many injured teeth require more advanced dental techniques.
PATIENT INFO
"Elvis," a four year old German Shepherd, was referred to our dental practice for several wearing and chipped teeth. The major complaint was that "Elvis" had not been himself lately ( lethargic and poor appetite.)
Our initial oral exam identified the following:
- Generalized wearing defects and calculus accumulation.
- Fractured incisor (# 102) with pulp exposure. Lateral incisor (# 103) causing trauma to the lower mandibular canine (# 404)
Pulp exposure
- Mandibular canine ( # 404) had chronic wearing with a possible root canal. The owner did confirm # 404 had root canal therapy ( RCT) two years ago at another veterinary clinic.
Improper Filling
PROCEDURE
Our protocol remains the same:
- Pre-op work up
- Oral assessment under general anesthetic
- Digital dental radiographs
- Treatment of the presenting conditions
TREATMENT
- Dental charting, cleaning, and polishing
- RCT and crown reduction of maxillary incisors ( #'s 103, 102)
Crown Reduction
Acid Etch
Composite Restoration
Final Rads
- Failed RCT # 404 with obvious pulpal inflammation and necrosis leading to apical changes ( bone loss.) Retreatment should include removal of necrotic tissue and gutta percha (GP), disinfection of the canal, and re-obturation.
Pulp Removal
G-percha Removal
Cleaning and Disinfection
Resin / GP
Ultra Blend Base
Composite Restoration
Before
Cleaned Canal
After (Final Filling)