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Author Archives: laurenstartupADS

If A Tooth Fractures…Is It Okay to Wait and See?

If A Tooth Fractures…Is It Okay to Wait and See?
You may hear the suggestion to “monitor the fracture to see if the tooth abscesses” before diagnosing and treating a fractured tooth.

With all fractures -no matter how minor- it is important to complete a Comprehensive Oral Health Assessment and Treatment ( COHAT ) as soon as possible.

The majority of the time fractured teeth HURT, and the signs are not obvious. The pain can be subclinical and chronic. Pets will try to hide dental pain, so the symptoms of pain may be extremely subtle.

The image below shows tooth fracture classifications according to the AVDC. You can imagine how inconsequential some of these fractures could appear to the naked eye. Dental X-ray included in COHAT is the best way to safely determine an accurate diagnosis and create a corresponding treatment plan.

 

If you follow the “monitor the fracture to see if the tooth abscesses” advice, you are waiting around for potential infection to spread. If the pulp is exposed, infection will certainly happen. So while you are “monitoring the tooth” the infection gradually moves from the dying tooth pulp to the alveolar bone. Then the bone and soft tissue around the now dead tooth become totally infected, resulting in an abscess and bone infection. Infection can now spread to the rest of the body.

Sometimes abscessed teeth can cause an obvious swelling and even a draining tract. With antibiotic treatment this can temporarily go away. But don’t be fooled. Antibiotic therapy is not definitive treatment. The infection will continue as soon as antibiotics are removed. The tooth issue must be addressed directly with extraction or root canal.

The options for treating fractures with pulp exposure are either extraction or root canal therapy. Waiting and monitoring is not an option.

Some toys and treats are harder than the enamel and can break teeth. Read more about Dog Toys and Treats that are tough on teeth.

 

When to use dental X-ray

When to use dental X-ray

When does Dr. Startup use dental X-ray? Always. Here’s why. Dental X-rays (Dental Radiographs) are crucial for accurately diagnosing and treating dental health. Dental X-rays before, during, and after the procedure make a huge difference on the quality of dental care. Without Dental X-rays, you just see the tip of the iceberg. In dogs and… Continue Reading

The Discolored Tooth Dilemma

The Discolored Tooth Dilemma

    A patient walks into your clinic with a tooth that looks like this. The pulp is not exposed and other than being discolored, the tooth is sound.     Why not just monitor? This tooth received significant trauma at some time in its life as evidenced by the discoloration. Studies show that over 92% of intrinsically stained… Continue Reading

Extremely Rare Supernumerary Tooth

Extremely Rare Supernumerary Tooth

  Supernumerary teeth are not too common, and a supernumerary maxillary fourth premolar, as seen in this patient, is extremely rare. Crowding of teeth is a common cause of periodontal disease in dogs. This tooth was extracted for periodontal disease prevention.   Pre operative dental radiographs are necessary for surgical planning. In this case, you will see… Continue Reading