Dental surgery = use the bloody dental radiograph machine!

I have given myself a couple of weeks before sitting down to write this particular blog; however, from the title, you may sense that I am still pretty frustrated. This whole thing could have been avoided and the dog would not have been in pain.
So here is a picture of the poor dog. It doesn't take much imagination to see there is a swelling on the side of its face. As well, the dog had ALREADY had dental surgery to remove tooth 208 (the big carnaissal tooth) to help with the swelling. Hmmmmmmmm. The owner had taken the dog back to the original vet concerned because the swelling hadn't gotten any better post-surgery. This person said it would take time to go down so the owner came to see me for a second opinion.

I was able to get a copy of the medical records and no where did it say that the dental radiograph machine had been used or that bloodwork had been performed on this senior dog. Needless to say, we did bloodwork (normal) and radiographs to see what was waiting for us as this tooth has three roots. Gee, that looks like a root to me! Brought out my drill and got it (and some pretty gross abcess material) out in short order.

The next radiograph showed..... the blue arrow pointing at the second root that was left behind (that means the vet only took out one root of three). The red arrow shows a tooth root abcess starting in the tooth in front so it had to be extracted as well.

After taking a final radiograph to make absolute sure there was nothing left, we sutured her up and let her have a well deserved, pain free nap!

So folks, should your dog or cat need to have dental surgery, make sure the facility has the ability to take radiographs so this sort of thing does not happen. Thank you for putting up with my rant!!!!

Slab fractures

I was informed by one of my volunteers this morning that I have been rather negligent in my blogging lately. Luckily she told me this as I was about to start my dental surgery so I took pictures as I went along.

Recently, I had a dog come in for its yearly physical exam and vaccinations. I found that it had a slab fracture on its carnaissal tooth (if I'm going to use fancy dental charting - the 108 was fractured). It had occured long enough ago that the pulp was black. The thought of walking around with a tooth like this makes me want to cringe but our animals don't often tell us when they are having tooth problems.

Today was the day to take it out. I am holding the "slab" part of the tooth up. One thing you should never see is tissue between pieces of the same tooth. Yup, there is the infected tissue. Would you like to know what it smelled like? Nasty! There is a positive about a fracture like this, it exposes so much that it makes it incredibly easy to figure out where to do the drilling to isolate each of the three roots.

This is one of the three roots and all of them had granulomas on the root tip. Basically there were small abcesses on the tips. If you are having a hard time orienting yourself, the nasty tip is pointing to the left. The other thing that is missing from this root is length. The infection has eaten away at the tooth so it is now shorter. I won't bore you with how long I cleaned each of the sockets so I could feel comfortable about closing it properly. At least I know she will enjoy the pork liver flavored antibiotics!!!