The Vet Dental Show

Ep 144 - What Are the Key Considerations for Root Canals, Extractions, and Dentigerous Cysts in Veterinary Dentistry?

Ever wondered about the intricacies of root canals, when to extract teeth, and how to handle dentigerous cysts in veterinary patients? Discover the answers in this informative episode!

Quick Summary: In this episode, Brett Beckman, a board-certified veterinary dentist, addresses various dental issues in veterinary practice. He covers topics such as root canal training, client education for tooth extractions, monitoring after root canals, handling fractured deciduous teeth in puppies, and managing dentigerous cysts in brachycephalic breeds.

Guest, Cast, and Crew Information:

1. Host: Brett Beckman, Board Certified Veterinary Dentist

2. Sponsored by: IVDI

Main Talking Points:

1. Availability and challenges of root canal training for general practitioners

2. Client education strategies for tooth extractions

3. Post-root canal monitoring and expectations

4. Handling fractured deciduous teeth in puppies

5. Identifying and managing dentigerous cysts in brachycephalic breeds

Interesting Quotes:

1. "I used to tell people 10 years ago, 12 years ago, whatever it may be, that I've been doing root canals after becoming a specialist for 10 years. And I think I'm just now getting good."

2. "If there's no radiographic changes after that month or multiple months that it's taken for that to happen, then there's a chance that they won't [need extraction]."

Timestamps:

1. **[00:00]** – Introduction and sponsorship information

2. **[01:30]** – Discussion on root canal training availability

3. **[03:45]** – Client education for tooth extractions

4. **[07:30]** – Post-root canal monitoring and expectations

5. **[11:00]** – Handling fractured deciduous teeth in puppies

6. **[12:30]** – Identifying and managing dentigerous cysts

Key Points Summary:

1. Root canal training is not available for general practitioners due to the high learning curve and time investment required.

2. Effective client education, including the use of dental images, is crucial for explaining the need for tooth extractions.

3. Post-root canal care often involves crown placement and regular radiographic check-ups.

4. Fractured deciduous teeth in puppies should be extracted promptly to prevent infection and discomfort.

5. Dentigerous cysts are common in brachycephalic breeds with missing premolars and should be addressed early to prevent bone destruction.

Affiliate & Sponsor Links:

1. Sponsored by: Veterinary Dental Practitioner Program

2. Link: ivdi.org/inv

(Veterinary dentistry, root canal therapy, tooth extraction, client education, dentigerous cysts, brachycephalic breeds, dental radiographs, veterinary dental procedures)

In this episode of the Vet Dental Show, Dr. Brett Beckman, Board Certified Veterinary Dentist, answers listener questions about managing gingival hyperplasia in boxers and other brachycephalic breeds. Dr. Beckman discusses the importance of radiographs before treatment, when to refer complex cases, and the nuances of dealing with epulides. Tune in for expert advice and practical tips to enhance your veterinary dental practice.

• Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
• Sponsor: Veterinary Dental Practitioner Program

1. Introduction: Overview of the episode and sponsorship details.
2. Listener Question: Mandy's question on treating gingival hyperplasia in boxers.
3. Radiographs Importance: The necessity of taking radiographs before treatment.
4. Treatment Approach: Steps to handle gingival hyperplasia and epulides.
5. When to Refer: Guidance on referring complex brachycephalic cases.
6. Histopathology: The importance of submitting tissue for histopathology.
7. Maintenance and Follow-Up: Managing recurrent gingival hyperplasia.

• "You do not want to go in and start removing tissue without first taking radiographs."
• "Brachycephalic breeds often have dense cortical bone, making extractions more challenging."
• "Gingival hyperplasia will come back and requires maintenance every 6 to 18 months."

• 00:00 - 00:30: Introduction
• 00:31 - 02:00: Listener Question from Mandy
• 02:01 - 04:00: Importance of Radiographs
• 04:01 - 06:00: Treatment Approach for Gingival Hyperplasia
• 06:01 - 08:00: When to Refer Complex Cases
• 08:01 - 10:00: Histopathology and Tissue Submission
• 10:01 - 11:30: Maintenance and Follow-Up
• 11:31 - 13:00: Summary and Conclusion

[Veterinary dentistry, gingival hyperplasia, brachycephalic breeds, radiographs, dental extractions, epulides, histopathology, veterinary dental training, Dr. Brett Beckman]

• Radiographs Importance: Always take full mouth radiographs before treating gingival hyperplasia.
• Treatment Approach: Remove affected teeth and contour tissue for closure.
• Referral Guidance: Refer complex brachycephalic cases to specialists.
• Histopathology: Submit all excised tissue for pathology to ensure an accurate diagnosis.
• Maintenance: Regular follow-up and maintenance are necessary for managing recurrent gingival hyperplasia.

• IVDI.org/inv - Submit your request for an invitation to the Veterinary Dental Practitioner Program.

In this episode of the Vet Dental Show, Dr. Brett Beckman continues his insightful conversation with Dr. Trudi Bowden. Following the success of part one, this episode dives deeper into the structure of dental practices, the importance of having a dedicated dentistry lead, and practical advice for implementing dental consultations in a veterinary setting. Dr. Bowden shares her journey of expanding dental services, overcoming challenges, and the critical role of passion and confidence in achieving success in veterinary dentistry.

• Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
• Guest: Dr. Trudi Bowden, IVDI Instrcutor
• Sponsor: Veterinary Dental Practitioner Program

1. Introduction: Overview of the episode and a recap of part one.
2. Importance of a Dedicated Dentistry Lead: The role of having a go-to person for dental consultations in a practice.
3. Free Dental Consultations: How Dr. Bowden used free 30-minute dental consultations to build trust and expand dental services.
4. Client Education and Marketing: Strategies for communicating the value of dental services to clients.
5. Overcoming Challenges: Handling price objections, building confidence, and the impact of client education on practice success.
6. Training and Mentorship: The importance of training support staff and mentoring others to maintain high standards in veterinary dentistry.
7. Growth and Demand: The growing demand for quality dental care and the challenges of managing a busy dental clinic.
8. Closing Remarks: Encouragement for veterinarians to persevere through challenges and continue improving their dental skills.

• "Passion without confidence or experience is difficult, but when combined, it makes all the difference."
• "We were price shopping, but the passion and commitment led to an 80% success rate in scheduling dental procedures."
• "Failure is not a failure; it's just a reason to get better."

• 00:00 - 00:30: Introduction and recap of part one
• 00:31 - 02:00: Importance of a dedicated dentistry lead in practice
• 02:01 - 03:30: Implementing free dental consultations to build client trust
• 03:31 - 05:00: Client education and how to market dental services
• 05:01 - 06:30: Overcoming challenges in communicating the value of dental services
• 06:31 - 08:00: Training support staff and mentoring in veterinary dentistry
• 08:01 - 10:00: Growth in demand for quality dental care and managing a busy clinic
• 10:01 - 12:00: Encouragement and closing remarks

[Veterinary dentistry, dental consultations, client education, veterinary dental practitioner, practice growth, veterinary mentorship, overcoming challenges in veterinary practice, Dr. Brett Beckman, Dr. Trudy Bowden]

• Introduction: Welcoming listeners, recap of part one, and introduction to part two.
• Dedicated Dentistry Lead: The importance of having a specialised dentist within a practice.
• Free Consultations: Using free consultations to build trust and expand dental services.
• Client Education: Strategies for effectively communicating the importance of dental care to clients.
• Overcoming Challenges: Building confidence, handling price objections, and improving client conversion rates.
• Training and Mentorship: The significance of training support staff and mentoring other veterinarians.
• Growth and Demand: The rising demand for quality dental care and the challenges of managing a full clinic.
• Encouragement: Inspiring words for veterinarians to keep improving their skills and overcoming obstacles.

• IVDI.org/INV - Submit your request for an invitation to the Veterinary Dental Practitioner Program.

Quick Summary: Dr. Brett Beckman discusses the causes, treatment, and management of enamel hypoplasia and other dental defects in young animals, focusing on hypocalcification, trauma, and systemic diseases like distemper. He shares key insights into treatment options, extraction methods, and preventive care to maintain optimal oral health in young patients.

Guest, Cast, and Crew Information:

• Host: Brett Beckman, Board Certified Veterinary Dentist
• Guest: None
• Sponsored by: Veterinary Dental Practitioner Program

Main Talking Points:

1. Causes of enamel hypoplasia and the role of systemic diseases.
2. Identifying brittle and compromised teeth in young patients.
3. When extractions are necessary and special considerations for brittle teeth.
4. The importance of radiographic monitoring and pulp cavity analysis.
5. Managing patient sensitivity and appropriate home care options.

Interesting Quotes:

• "Teeth compromised by enamel hypoplasia are more brittle due to the lack of proper calcification, making them prone to fracture."
• "In young animals, even a brief fever can disrupt the formation of enamel, leading to hypoplasia."

Timestamps:

1. [00:00] – Introduction and overview.
2. [01:20] – Heather’s question: How brittle are hypoplastic teeth?
3. [03:30] – Extraction concerns for hypoplastic teeth.
4. [05:45] – Radiographic monitoring and bone loss.
5. [09:20] – Nutritional deficiencies and enamel formation.
6. [11:10] – Managing systemic diseases like distemper and their effect on enamel.

(Veterinary dentistry, enamel hypoplasia, brittle teeth in young animals, tooth extractions, dental defects, systemic diseases in animals, canine distemper, enamel formation, dental care for puppies and kittens)

Key Points Summary:

• Enamel hypoplasia makes teeth brittle and prone to fractures, especially in young patients.
• Systemic diseases like distemper and fevers can cause enamel defects if they occur during enamel formation.
• Monitoring dental health through regular radiographs helps catch defects early.
• Special tools and techniques are required for successful extractions and restorations in hypoplastic teeth.

Affiliate & Sponsor Links:

• Sponsored by: IVDI
• Link: https://ivdi.org/inv

Let’s clear up the confusion and prevent unnecessary biopsies!

Quick Summary of the Episode: In this episode, Brett Beckman, a board-certified veterinary dentist, dives deep into differentiating oral inflammation and stomatitis in cats, with a focus on histopathology and common misconceptions. Dr. Beckman also answers questions on oral masses, providing guidance on when to refer cases to a board-certified veterinary dentist.

Guest, Cast, and Crew Information:

• Host: Brett Beckman, DVM, FAVD, DAVDC, DAAPM (Board Certified Veterinary Dentist)
• Special Mention: Dr. Cindy Bell (Pathologist for Oral Histopathology)

Main Talking Points:

1. The role of histopathology in diagnosing oral conditions in cats.
2. The difference between feline stomatitis and gingivitis.
3. When to biopsy a case of feline oral inflammation.
4. The importance of referring to a board-certified veterinary dentist for oral masses.

Interesting Quotes From the Episode:

• "Not all oral inflammation is feline gingivostomatitis. The key is caudal oral mucosal inflammation."
• "The only reason I would biopsy is if there's a unilateral mass—99% of the time, it's likely squamous cell carcinoma."
• "Always refer to a board-certified dentist; they've undergone practical exams for perfect execution."

Timestamps for Major Segments:

• 00:00-01:00 – Introduction and sponsor mention (Veterinary Dental Practitioner Program).
• 01:00-03:00 – Dr. Cindy Bell's expertise in oral histopathology.
• 03:00-08:00 – Differentiating feline stomatitis and the need for biopsies.
• 08:00-11:00 – Discussing oral masses and the importance of a veterinary dentist.
• 11:00-13:00 – Practical advice on when to refer for oral masses.

(Veterinary dentistry, Oral inflammation in cats, Feline stomatitis vs gingivitis, Veterinary oral pathology, Board-certified veterinary dentist, Oral histopathology, Squamous cell carcinoma in cats)

Key Takeaways:

• Feline gingivostomatitis involves caudal oral mucosal inflammation, whereas other oral inflammations could simply be severe gingivitis.
• Only biopsy when necessary, especially if there is a unilateral mass indicating something more serious like squamous cell carcinoma.
• Always refer oral mass cases to a board-certified veterinary dentist for the best outcomes.

Affiliate & Sponsor Links:

• Veterinary Dental Practitioner Program: IVDI.org/INV