find the problems hidden under the gums• 11 yo mn dsh • photo: open fracture of 204 (upper left...
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![Page 1: Find the Problems Hidden Under the Gums• 11 YO MN DSH • Photo: Open fracture of 204 (upper left canine); note reactive alveolar bone (RAB) and fistulous tract (FT) • Dental X-ray:](https://reader033.vdocuments.us/reader033/viewer/2022050506/5f97835c768ba1280d3e06f9/html5/thumbnails/1.jpg)
Find the Problems Hidden Under the Gums
110109108107106105104103102101 201202203204205206207208209210
411410409408407406405404403402401
RIGHT LEFT
RIGHT LEFT
301302303304305306307308309310311
108
202resorbingroot
201 root
• 2 year old FS CHI X• Photo: Are we looking at 4 adult premolars or 3 adult teeth and 1 deciduous (baby) tooth?• Dental X-ray:106 missing; retained 506 (baby 2nd premolar) is crowding 107 & increasing risk of bone loss• TX: extract 506• Note: baby/deciduous teeth are numbered as upper right = 500s, upper left = 600s, lower left = 700s, lower right = 800s
Retained Deciduous Tooth
104
105
108
110
109108
107
107
106 or 506?
• 8 year old MN Westie, just adopted• Photo: 3 upper incisors appear to be missing• Dental X-ray: 201 fractured under gumline & crown displaced, root present; 202 root resorbing • TX: retrieval of 201 crown & root; resorbing root of 202 intentionally left
Tooth Fractured Under Gum
506105
104
201fracturedcrown
201(upper left first incisor)
© 2007 Dr. Jana Levin DVM DAVDC
• 3 year old M Min Poodle• Photo: 410, 411: normal gum level, no calculus, minimal gingivitis• Dental X-ray: 410, 411 show severe bone loss; we see that 410 roots convergent, not divergent, so we can use appropriate extraction technique• TX: 410 & 411 extracted; this helps protect 409, an important tooth we want to keep!
Bone Loss (Periodontitis)108
109
409
409
410
410
411 (loose)
411
Handheld X-Ray www.aribex.com - 1-866-340-5522
![Page 2: Find the Problems Hidden Under the Gums• 11 YO MN DSH • Photo: Open fracture of 204 (upper left canine); note reactive alveolar bone (RAB) and fistulous tract (FT) • Dental X-ray:](https://reader033.vdocuments.us/reader033/viewer/2022050506/5f97835c768ba1280d3e06f9/html5/thumbnails/2.jpg)
• 11 YO MN DSH• Photo: Open fracture of 204 (upper left canine); note reactive alveolar bone (RAB) and fistulous tract (FT)• Dental X-ray: Root of 204 large abscess (arrows) with associated resorption; this is a 2-3 year old tooth in an 11-year-old patient• TX: 204 extracted
Fractured Canine
• 10 YO MN DSH• Photo: Gum above 104 bulges out (arrows); note crown is intact• Dental X-ray: Root of 104 shows advanced resorption (white arrows)• TX: Extract 104 (& incisors);entire tooth was retrieved; some resorbing teeth have become "one with the jaw" and are best treated by crowm amputation/atomization • The "Alveolar Bulge" can be caused by resorption &/or root abscess &/or periodontitis
“Alveolar Bulge” (Reactive Alveolar Bone)
• 6 year old FS DSH calico• Photo: 307: inflamed gum growing up onto tooth; 309: open resorptive lesion• Dental X-ray: extensive 307 crown destruction; note full roots present 307 & 309; we need to know this to treat appropriately• TX: 309: extracted completely; 307: crown amputated, coronal third roots atomized; 308: no Tx at this time
Resorptive Lesions309
308
307
104Upper Right
RAB
FT
104Upper Right
204Upper Left
309
308
307
Find the Problems Hidden Under the Gums
© 2007 Dr. Jana Levin DVM DAVDC
Handheld X-Ray www.aribex.com - 1-866-340-5522