Diagnosis of pulp necrosis with iM3 CR7 VET Digital X-ray

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diagnosis of pulp necrosis
Gingival inflammation, and gingival recession with apparent extrusion of tooth 204. 

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This case study is courtesy of Dr Anthony Caiafa at Mobile Pet Dentistry www.mobilepetdentistry.com.au

Patient:

diagnosis of pulp necrosis
Above & below: X-rays reveal pulp necrosis of tooth 204 with inflammatory apical root resorption and oronasal fistula.

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:

diagnosis of pulp necrosis

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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