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Case of the Month and Archives

Dr. Koehm publishes a Dental Case of the Month Newsletter describing an interesting dental case complete with photos, intraoral radiographs, and a discussion of the diagnosis and treatment.  This newsletter is sent to recipients via email and the past issues are archived below.  To receive your monthly copy, please submit your email address below.  Veterinarians, technicians, assistants, or anyone with an interest in veterinary dentistry is welcome to join our list.

File Name Description / Comment Past Archives: 2007 | 2008 | 2009 | |2010| 2011
December 2010 (pdf 606kb)

A seven year old spayed female Dachshund was presented with a fractured right maxillary 4th premolar with pulp exposure. This tooth also had a pulp granuloma at the fracture site.

 
November 2010 (pdf 376kb)

A six month old neutered male Chihuahua was presented for evaluation and treatment of a Class III malocclusion. The mandibles were too long relative to the length of the maxilla. The maxillary incisors were contacting the lingual surface of the mandibular incisors. On the right side of the mouth this malocclusion resulted in abnormal contact between the mandibular canine tooth and the maxillary 3rd incisor.

 
October 2010 (pdf 1.1mb)

A seven year old neutered male Lab-Rottweiler mix was presented for a routine dental prophylaxis and a radiographic recheck on a root canal procedure that had been performed on the right maxillary canine tooth four years prior. No specific complaint had been registered by the owner.

 
September 2010 (pdf 361kb)

A ten year old neutered male Lab was presented for assessment of periodontal disease and severe gingival recession involving multiple teeth. The patient was also missing several teeth, which had previously been extracted.

 
August 2010 (pdf 802kb)

A six year old neutered male Rat Terrier was referred for evaluation and treatment of a partially erupted left maxillary canine tooth. The tooth was erupting in a rostral direction, much like a rostrally deviated canine, or “lance tooth.”

 
July 2010 (pdf 401kb)

An eleven week old intact male American Bulldog was referred for evaluation and treatment of a large firm swelling on the ventral aspect of the right mandible. The firm swelling extended to the lingual surface of the mandible and a soft, fluctuant area was located on the buccal surface.

 
June 2010 (pdf 441kb)

A nine year old neutered male Lab was referred for a fractured right maxillary 4th premolar. The owner complained that the patient was showing a decrease in appetite. The oblique slab fracture extended subgingivally but at the time of referral the presence of a pulp exposure was in question. The patient had previously been treated by another veterinarian for a right in–fraorbital swelling with antibiotics and steroids, resulting in temporary improvement.

 
May 2010 (pdf 816kb)

A twelve year old neutered male Poodle was referred for evaluation and treatment of a chronic, recurrent fistulous tract on the ventral aspect of the rostral right mandible. This lesion had been present for at least one year. The patient was painful when touched in this area and the owner felt that he had been exhibiting signs of “head shyness” for over a year. Numerous exploratory procedures had been performed to search for a cause of these symptoms and foxtails had been removed on at least two occasions. The patient had been placed under anesthesia for these procedures four times in the past year.

 
April 2010 (pdf 338kb)

A seven month old spayed female Dachshund was referred for treatment of a significant Class II malocclusion (overbite) with base narrow mandibular canine teeth. Oral examination of the patient while awake confirmed the presence of the overbite with both mandibular canine teeth contacting the hard palate. In addition we found an enamel fracture of the left maxillary 1st incisor.

 
March 2010 (pdf 300kb)

A four year old spayed female Doberman was presented for a dental prophylaxis with no specific complaint. The patient was placed under general anesthesia for a complete oral examination. All four canine teeth demonstrated what appeared to be gingival hyperplasia with pseudopocket formation.

 
February 2010 (pdf 1.1mb) A fourteen month old neutered male Toy Fox Terrier was referred for
assessment and treatment of a discolored right maxillary canine tooth. As previously discussed in our May 2008 Case of the Month, these discolored teeth are nearly always non-vital and the treatment choices are twofold: extraction or root canal therapy. See the previous case report for a complete discussion of the pathogenesis and rationale for treatment. The owner in this instance elected root canal therapy to save the tooth and retain its function.
 
January 2010 (pdf 2.0mb)

A ten year old neutered male Airedale was presented for a dental prophylaxis. A cursory oral exam revealed several teeth with longstanding enamel fractures and abrasion. This patient had the history of chewing on a chain link fence.