Traumatic Intrusion of a Maxillary Canine Tooth: 3 Cases.

Of the six recognized types of tooth luxation injuries, intrusion generally carries the most guarded long-term prognosis due to the high risk of complications, including root resorption, ankylosis, marginal bone loss, and pulp canal obliteration or necrosis. The degree of traumatic intrusion and stage of root development affects the outcome and treatment planning. This report describes the clinical history, oral and radiographic examination findings, and rationale for surgical extraction in 2 dogs and 1 cat with traumatic intrusion of a maxillary canine tooth.

The development of an oral health charting system for koalas (Phascolarctos cinereus).

The koala is one of Australia's most highly specialized folivores with a diet exclusively of eucalyptus leaves to provide all nutritive needs and therefore requires to be free of oral disease as they are dependent on good dentition for optimal health and quality of life. We developed an oral examination methodology based on protocols for companion animals and human dentistry to chart the oral health of koalas. Thirty free-ranging koalas from South-East Queensland, Australia were examined for general body and oral health. Inspection of the oral cavity was conducted for the presence or absence of the indicators oforal disease such as caries or periodontal disease. Univariate and multivariate analyses were performed on the examination data and a prototype oral health chart developed. The prototype was then trialled and the methodology validated by the Kappa statistic using ten additional koalas examined by four multidisciplinary personnel involved in koala care. Trauma associated fractures, tooth displacement, abnormal occlusion and tooth wear compacted vegetation, extrinsic stain deposits, periodontal bone loss, gingivitis, tooth mobility, and calculus were present in the oral cavities of the examined koalas. A system of scoring between 0 and 3 was constructed in accordance with current koala general health charting formats. Validation of the charting method using Kappa coefficients of agreement statistics indicated that there was a good agreement among observers on recorded results except for inflammation and calculus scoring. Modifications were made and visual aids and index scales produced to further assist observers. Oral health surveillance has been proven in other species to be significant in diagnosing physiological disturbances derived from environmental genetic, and developmental causes. Veterinarians, dental researchers, and koala husbandry personnel will benefit in using this charting method and reporting the oral health of koala populations in their future findings. This unique form of oral health monitoring would be adaptable to other mammals.

Mandibular canine tooth luxation injury in a dog.

A mixed breed dog was presented for lateral luxation of the mandibular left canine tooth following oral trauma. This case report describes the management of this injury including reduction, stabilization using a wire reinforced acrylic splint, and standard endodontic therapy of the mandibular left canine tooth.

Endodontic diagnosis in dogs.

Complete endodontic evaluation should diagnose endodontic involvement, provide a treatment plan, and evaluate the true success or failure probabilities. Evaluation of the age, physical and oral health of the patient, the endodontic anatomy, clinical and radiographic findings can provide a treatment plan and a predictable prognosis.

Treatment of traumatic dental displacement in dogs: six cases of lateral luxation.

In dogs and cats, the most common causes of dental injury are fights with other animals, car accidents, falls from a height, and chewing on hard materials such as bones or rocks. The trauma more often causes fracture of the teeth, but sometimes avulsion or luxation can occur. Avulsion is the complete displacement of the tooth out of the alveolar socket and luxation is the partial displacement of the tooth. Tooth luxation and avulsion represent dental emergencies. Time is an important factor for successful treatment; the prognosis becomes poorer the longer the tooth is out of the socket. This paper describes the guidelines for treatment of dental displacement in cats and dogs and presents six cases of dental lateral luxation in dogs seen at the Veterinary Hospital of the University of Pennsylvania (VHUP) in the period from May 1996 to September 1997.

[Replantation and fixation of luxated canine teeth in the dog]. / Replantation und Fixation luxierter Canini beim Hund.

The alveolus of a (usually maxillary) canine tooth in a dog may fracture during fighting or in a car accident. The trauma loosens the tooth with resultant avulsion. Ten patients are reviewed, nine with maxillary and one with mandibular canine tooth avulsion, and a method for fixation and replantation is described.

Replantation of a maxillary canine tooth after traumatic avulsion in a dog.

An infrequent traumatic injury in dogs is avulsion of a tooth from its alveolus. The management of the avulsed tooth is complex. This report describes the treatment of a traumatically avulsed maxillary canine tooth in a dog. Replantation and splinting of the tooth was performed. Despite a protracted extraoral time, follow up clinical and radiographic assessment of the tooth indicated successful replantation.

Problems associated with the diagnosis and treatment of endodontic disease.

The diagnosis of endodontic lesions in animal dentistry is complicated and restricted by the use of objective diagnostic procedures. Human endodontics uses subjective symptoms to a large degree, as well as objective symptoms. Subjective symptoms include patient pain; sensitivity to hot or cold; percussion; and foul taste or odor. Veterinary dentists must receive input from clients, as well as using their own clinical and radiographic evaluation. Many endodontic lesions remain undetected because the client fails to notice broken or discolored teeth, facial swelling, drooling, difficulty in chewing, chewing only on one side, and general malaise. An increased awareness of the endodontic problems that can occur in animals increases the level of veterinary care. Numerous techniques, including apexogenesis, apexification, direct and indirect pulp capping, and conventional and surgical endodontic therapy, can be used to treat various endodontic problems successfully.

[Luxation of a canine tooth with fracture of the alveolar wall of the maxilla in a dog]. / Luxatie van een hoektand met fractuur van de alveolaire wand van het os maxillare bij een hond.

The method of treatment used in a case of alveolar fracture of the maxilla is reported in the present paper. Using a splint, the canine tooth was fixed at the level of the enamel-cement border of the teeth. The method employed in applying compression at the site of the fracture is reported.