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This case study is courtesy of Dr Anthony Caiafa at Mobile Pet Dentistry www.mobilepetdentistry.com.au
Patient:
12 month old female Cavoodle.
Presenting issue:
Unilateral sneezing-left hand side, gingival inflammation, and gingival recession with apparent extrusion of tooth 204 and intrinsic discolouration of crown of tooth 204.
Possible causes:
Trauma due to a fight, motor car accident, blunt trauma or abrasion injury- from bones or another hard object.
Diagnosis:
Pulp necrosis of tooth 204 with inflammatory apical root resorption and oronasal fistula, confirmed with intra-oral X-rays.
Treatment:
Due to the extent of the root resorption, root canal therapy was a poor option with low chance of success. Extraction with removal of all tooth structure, curettage of the alveolus and repair of the oronasal fistula with a buccal mucoperiosteal advancement flap was necessary. V
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