Veterinary Dentistry Live

11/04/2024

Base Narrow Canine in a Dog with an Incline Plane Causing Mucositis

This is a case of palatal trauma from base narrow canine tooth in a dog.

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Base Narrow Canine in a Dog with an Incline Plane Causing Mucositis. Improper placement of the device can result in multiple problems.

11/04/2024

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11/04/2024

LIMITED FREE ENROLLMENT

You’re invited to join a private community that will receive exclusive offers and specials on veterinary dental equipment and instruments that aren’t available anywhere else.

As many of you already know, if you attend my live or online courses I provide a 3-page pdf with all the equipment, instruments, and products that I personally use or recommend as part of the learning resources. To help you avoid having to do all the legwork of visiting dozens of websites, I decided to create Dr. Brett’s Pets.
Since starting Dr. Brett’s I’ve increasingly gotten manufacturers and industry suppliers reaching out to give our community better products at better prices than available anywhere else.
I’ve decided to create a private group called Dr. Brett’s Pet’s Plus to pass on special offers and new equipment that I think this community would love.
You’ll get:
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-First access to limited offers provided by sponsors and equipment manufacturers
We’ll be working to source additional products that will be of benefit when it comes to general practice dentistry procedures.
This group will be private and will be $29 a year to access, but as a benefit of being in our community already, we’ll be offering free membership until Nov 8th at midnight.
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https://veterinarydentistry.lpages.co/dr-bretts-pets-plus/

11/03/2024

Fractured Fourth Premolar in A Dog Requiring Multiple X-ray Views to Demonstrate Periapical Lucencies

Multiple views were needed in this case to confirm periapcial lucencies due to a fracture of tooth 208 in a dog.

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Fractured Fourth Premolar in A Dog Requiring Multiple X-ray Views to Demonstrate Periapical Lucencies

11/02/2024

Maxillary Cyst in a Dog Adjacent to the Left Fourth Premolar

A middle aged Bassett hound presented with a mass adjacent to the left maxillary fourth premolar (208).

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A maxillary cyst in a dog adjacent to the left fourth premolar is surgically removed along with extraction of the tooth and mucoperiosteal flap closure

11/01/2024

Hemablock

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11/01/2024

Gingival Hyperplasia in a Mastiff Dog Treated with Gingivectomy and Gingivoplasty

This is an example of gingival hyperplasia that did not have significant periodontal changes radiographically.

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Gingival Hyperplasia in a Mastiff Dog before and after gingivectomy and gingivoplasty surgery

11/01/2024

Gingival Hyperplasia in a Mastiff Dog Treated with Gingivectomy and Gingivoplasty

Please join me for my next FREE LIVE online training = Killer Tips for Quicker Extractions

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Gingival Hyperplasia in a Mastiff Dog before and after gingivectomy and gingivoplasty surgery

10/28/2024

Are you ready for the veterinary quiz for today?!

This photograph and intraoral radiograph are from an 18 month old mixed breed dog that initially presented for persistent deciduous teeth.

Describe the abnormal intraoral radiographic findings.

Grossly Normal Molar in a Dog with Radiographic Pathology

Click for the Answer
Increased periodontal ligament space adjacent to the mesial aspect of the left mandibular second molar (310). It also has a single root rather than the usual two and the cusp is misshapen. The left mandibular third molar (311) is missing.

Normal Dog Molar

The right mandibular first molar (410) had a similar widening of the periodontal ligament space confluent with vertical and horizontal bone loss mesially. It too has just one root and an altered cusp. Tooth 411 (right mandibular third molar) was missing

Grossly Normal Molar in a Dog with Radiographic Pathology

Are you ready for te Veterinary Dental Quiz of Today?
What is the the diagnosis and recommended treatment?

Click for the Answer
Teeth 310 and 410 have periodontal disease and extraction was the treatment of choice

Navigating client conversations about FCG in homes with multiple cats. Gain insights on effective communication strategies and preventive measures.

Improve Client Guidance - Register Today for the FCGS online course!

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10/22/2024

How do you facilitate exposure of molars in small dogs?

How does a cat's viral status affect FCG treatment outcomes? Unravel the complexities in our engaging online course with Dr. Brett Beckman.
Uncover Insights - Join the Course!

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10/21/2024

Is your practice updated with the latest in Feline Chronic Gingivostomatitis care? Discover the current treatment recommendations and elevate your veterinary service.

Click the link below to learn more- https://veterinarydentistry.net/fcgsonlinecourse

10/16/2024

Can we use Client Videos
on Social Media?

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10/16/2024

Are you ready for today's Veterinary quiz?

A 4-year-old cavalier king Charles spaniel was diagnosed with TMJ luxation.

Look at this image and consider the most likely direction of luxation. Which side is luxated?
Click for the Answer
Rostral and dorsal luxation is the most common. This patient has right TMJ luxation. Caudal and ventral is much less common.

Question:

What is a common method for reduction?

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A dowel, generally a wooden pencil with a hexagonal cross-section, is placed between the maxillary fourth premolar and mandibular first molar teeth and the mouth is closed gently over the pencil, allowing the condyle to move ventral to the mandibular fossa.

Question:

Name some treatment options for this patient to prevent the TMJ from re-luxating.

Click for the Answer
Maxillomandibular fixation (MMF).
Molds were cut initially for this patient utilizing 3 cc syringe cases, which were too wide allowing composite to leak around the syringes. Suction tubing proved to be a viable choice for the mold in this patient as shown here. Canine teeth were etched on the palatal and lingual surface following cleaning and flower pumice. The entire tooth was then coated with a bonding agent and light cured. The device is left on for two weeks to allow adequate soft tissue healing but not too long for significant atrophy, fibrosis and possible ankylosis.

Some feel a tape muzzle may be helpful instead of MMF since it allows for some joint movement while allowing the joint capsule and ligaments to stabilize. This was not successful in this patient requiring MMF. There was concern with the broad tongue in this breed that MMF would create a problem with tongue protrusion when lapping gruel consequently the splints were created to allow for that, opening the mouth a bit wider than usual. Swallowing is better facilitated when the final mouth position is less open.

Removal of the device was accomplished with various burs and polishing discs to finish.

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10/12/2024

Internal Root Canal Resorption in a Dog in Atlanta

This dog seen at Atlanta Veterinary Dentistry has large lucent regions within the pulp cavity of both mandibular canine teeth. This is representative of idiopathic internal resorption.

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Learn about the approach to treatment for a 7-year-old Dachshund with bilateral cleft palate and oronasal fistulas in veterinary dentistry.

10/12/2024

Think you know your animal facts? Test your Veterinary knowledge with this quick quiz here- http://drbrettbeckman.com/june-2012/

10/12/2024

Squamous Cell Carcinoma Cat Mandibulectomy

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Squamous cell carcinoma in a cat treated with mandibulectomy.

10/04/2024

What To Use For Hemorrhage Control?

Are root tip fractures too frequent and always challenging?
Learn:
#1 How to minimize them
#2 How to retrieve them with less stress and frustration.

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10/04/2024

Don’t Miss Out, Final Chance to Join VDP 2024/2025!

Do you feel alone with your dentistry cases? Is there no one around you that shares your passion for veterinary dentistry?
Don’t miss out on the support and friendship of like-minded veterinarians that are waiting to help.

This is your final opportunity to secure your spot for the VDP 2024/2025 class!

Only participants from this Sunday’s event will be eligible to join our exclusive Veterinary Dental Practitioner Program. Don’t miss out on this chance to enhance your skills and elevate your veterinary practice.

Register from the link below - https://veterinarydentistry.net/vdptrainingsocial

10/04/2024

Are you ready for the veterinary dental quiz today?

A 17 year-old F/S Siamese presented for chronically fractured maxillary canine teeth (104 and 204). The owner reported that the teeth had been “wearing down” for several years. The owner reported root canal treatments were done 10 years earlier, elsewhere. Additional medical history included previous ear canal ablation, managed and stable chronic renal failure, healed OU ulcers, and constipation. Examination identified a 2/6 left parasternal cardiac murmur.

Oral examination identified mild to mode
Oral examination identified mild to moderate plaque and calculus. Teeth 104 and 204 were missing restorations and gutta percha was exposed.

Question:

What treatment options are available for teeth 104 and 204 pending intraoral radiographs?

Click for the Answer
Normograde retreatment of 104 and 204 2) Surgical Extraction of 104 and 204

Complete CBC/Chemistry/Urinalysis/Urine Culture and Sensitivity/Total T4 identified an elevated BUN and Creatinine. However, the elevated values were consistent with previous renal values and the renal disease was stable. A cardiology evaluation and echocardiogram identified hypertrophic cardiomyopathy as the cause of the cardiac murmur. The thyroid value was within normal limits.

Question:

Do these lab and diagnostic findings change your treatment plan options?

Click for the Answer
In order to minimize anesthesia time and associated, potential, morbidity with a prolonged anesthetic procedure for root canal re-treatments, the owner elected surgical extraction of teeth 104 and 204 (pending intraoral radiographs).

The patient was perioperatively managed for the renal insufficiency and HCM. The teeth were cleaned, and full mouth intraoral radiographs were obtained. Intraoral radiographs of teeth 104 and 204 are presented below.

Question:

What are your radiographic findings?

See the answer here- https://drbrettbeckman.com/veterinary-dentistry-today-july-2015/

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10/02/2024

Ep 145- How do you prevent mandibular fractures during complex canine dental procedures?

This episode dives into techniques for ensuring safe extractions and optimal recovery in veterinary dentistry."

Quick Summary: In this episode, Dr. Brett Beckman discusses essential strategies for preventing fractures during canine tooth extractions, particularly in cases with significant bone loss. He addresses common issues such as cyst involvement, dehiscence, and post-operative care, providing practical advice for veterinary professionals. The episode also includes insights into specific tools and techniques for managing cyst repairs and complex extractions.

10/01/2024

Are you ready for the Vet Dental Quiz Today?
This 11 year old border collie has a swelling associated with the mucosa and gingiva on the mesial aspect of the left maxillary canine tooth.
Describe what you see radiographically

A radiographic lucency is present mesial to the canine tooth root extending rostrally toward the third incisor. What is your #1 rule out?

Although neoplasia should be considered the most likely rule out would be a cyst. This is based on the distinct lucency with smooth well defined borders at the dorsal extent of the lucency. Exposure of the tooth supports significant destruction adjacent to the canine involving the vestibular bone. The cystic structure extended to the palatal aspect of the canine, necessitating extraction for complete visualization and removal of cystic lining.

The entire cystic lining was removed after extraction of the canine tooth. The bone was smoothed with a tapered diamond, 17% EDTA ulitized on the root surface of the incisor and bone graft particulate placed adjacent to the incisor. The intention is to generate tissue growth and save the incisor tooth. Extraction of this tooth is also an option.

Radiograph showing complete removal of the canine and post-bone contouring.

Jaw Cyst Dog

Osteoconductive material is placed. What is the likely origin of this cyst?

Rostral Maxillary Jaw Cyst in a Dog

Closure of the area is accomplished with absorbable simple interrupted suture. Histopathology confirmed the diagnosis of a cyst. The epithelial cell rests of Malassez are remnants of the germinal tissue responsible for root formation. Cell rests of Serres are remnants of dental lamina epithelium entrapped within the gingiva. Either of these cell types may be spontaneously activated to result in cyst production.

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The VDP Program is What You Have Been Looking For👇
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09/28/2024

Tooth Fracture & Convergent Roots in A Dog – Root Canal or Extraction

Convergent roots, a developmental defect accompanied by a furcation defect that has resulted in dentin exposure and pulp death.

https://veterinarydentistry.net/radiographic-interpretation-online-training/

Tooth Fracture & Convergent Roots in A Dog - Root Canal or Extraction

09/28/2024

Do We Need A High-Speed Hand Piece For Surgical Extractions?

This is "Do We Need A High Speed Hand Piece For Surgical Extractions_" by Veterinary Dentistry Courses on Vimeo, the home for high quality videos and the…

09/28/2024

Periodontal Disease in a Yorkshire Terrier Dog 7 Weeks Following Cleaning and X-rays (Radiographs)

A nine-year-old male neutered Yorkshire Terrier presented 7 weeks following dental cleaning and full mouth radiographs.

https://veterinarydentistry.net/radiographic-interpretation-online-training/

A nine year old male neutered Yorkshire Terrier presented 7 weeks following dental cleaning and full mouth radiographs. Register for Dr. Beckman's NextLive Online Training   Note that the teeth […]

09/28/2024

A Dog with Oronasal Fistula ONF
PS: Video Inside with Free Training
Treatment involves eliminating the trauma to the palate from the canine tooth and closing the oronasal fistula ONF in this dog. This is due to trauma from a base narrow canine tooth. Hair and debris are present within the defect in the palate extending into the nasal cavity causing a chronic nasal discharge.
Please read the whole blog here-https://veterinarydentistry.net/dog-with-oronasal-fistula-onf/