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

09/18/24 • 14 min

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)

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!

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)

Previous Episode

Ep 143- What Are the Key Guidelines for Tooth Extractions and Vital Pulp Therapy?

Ever wondered when a fractured tooth in a canine patient should stay, or when it’s time to extract? Discover the intricacies of root fractures and vital pulp therapy in this quick 13-minute episode!

Quick Summary: In this episode, Brett Beckman dives deep into key dental decisions faced by veterinarians, focusing on canine tooth fractures. He covers when to extract, signs of periodontal disease, and alternative treatments like root canals and vital pulp therapy. This informative episode will enhance your practice skills in veterinary dentistry.

Guest, Cast, and Crew Information:

Host: Brett Beckman, Board Certified Veterinary Dentist
Sponsored by: IVDI

Main Talking Points:

Root fractures in canines – extraction vs. retaining the tooth.
Periodontal disease and its impact on fractured teeth.
Understanding lucency around fractured roots.
When and how to use root canal or vital pulp therapy.
Best practices for extraction with a mucoperiosteal flap.

Interesting Quotes:

“If there’s no lucency and no periodontal disease, a root fracture below the bone might never be an issue.”
“Vital pulp therapy can save teeth, but timing is critical – ideally within 24-48 hours of the fracture.”

Timestamps:

[00:00] – Introduction and opening.
[01:30] – Monique’s question: When to keep or extract a fractured tooth.
[03:45] – Signs that a fractured tooth needs extraction.
[05:50] – Vicko’s question: Lucency and root canals.
[09:10] – Kimberly’s question: Explanation of vital pulp therapy.
[11:50] – Carol’s question: Root canal viability over time.

(Veterinary dentistry, canine tooth extraction, root fracture, periodontal disease, vital pulp therapy, root canal, veterinary dental procedures, lucency in teeth, tooth extraction in dogs)

Key Points Summary:

Not all fractured teeth require extraction if there’s no periodontal involvement or lucency.
Proper diagnosis using radiographs and probing is key to decision-making.
Vital pulp therapy can save teeth when treated within 24-48 hours post-fracture.
Root canals are viable even years after fractures, provided radiographic evidence isn’t severe.

Affiliate & Sponsor Links:

Sponsored by: IVDI
Link: IVDI.org/INV

Next Episode

$undefined - Ep 145- How do you prevent mandibular fractures during complex canine dental procedures?$

Ep 145- How do you prevent mandibular fractures during complex canine dental procedures?

This episode dives into techniques for ensuring safe extractions and optimal recovery in veterinary dentistry."

Quick Summary: In this episode, Dr. Brett Beckman discusses essential strategies for preventing fractures during canine tooth extractions, particularly in cases with significant bone loss. He addresses common issues such as cyst involvement, dehiscence, and post-operative care, providing practical advice for veterinary professionals. The episode also includes insights into specific tools and techniques for managing cyst repairs and complex extractions.

Guest, Cast, and Crew Information:

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

Main Talking Points:

Preventing mandibular fractures during extractions with compromised bone.
Addressing cysts in canine patients and the risks of bone loss.
Techniques to manage dehiscence in brachycephalic breeds.
Using jugular blood samples for defect healing post-extraction.
Breed predisposition to dentigerous cysts (brachycephalic breeds like Boxers, Boston Terriers, and Pugs).

Interesting Quotes:

"Slow, deliberate, sustained extraction force with an luxator elevator allows us to have control and prevent mandible fractures."
"When we have a large bone defect, using a jugular sample helps fill the defect and promote healing."

Timestamps:

[00:00] – Introduction and overview.
[01:30] – Allison Marie’s question: Preventing mandibular fractures during extractions with significant bone loss.
[05:15] – Dehiscence in brachycephalic breeds and managing post-operative healing.
[08:40] – Amelia Jane’s question: Using jugular blood samples for improved healing in dental procedures.
[11:10] – Morgan de Schell’s question: Breeds most prone to dentigerous cysts.

Call to Action:

For more information on veterinary dental procedures and to request an invitation to the Veterinary Dental Practitioner Program, visit IVDI.org/INV.
Don't forget to subscribe, leave a rating on iTunes, and share a review on the Vet Dental Show Facebook page to receive a free Instrument Use Essentials course!

(Veterinary dentistry, canine tooth extraction, mandibular fracture, dental cyst repair, brachycephalic breeds, dehiscence in dental procedures, jugular blood sample, dentigerous cysts, veterinary dental tools, veterinary dental techniques)

Key Points Summary:

Take precautions during canine extractions to prevent fractures, especially with compromised bone.
Brachycephalic breeds are prone to dehiscence post-surgery due to tissue pressure.
Using jugular blood samples helps promote healing in larger bone defects.
Dentigerous cysts are common in brachycephalic breeds and require early detection for effective management.

Affiliate & Sponsor Links:

Sponsored by: IVDI
Link: IVDI.org/inv

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

Transcript

Brett00:00:00.609

Welcome to the Vet Dental Show. I'm Brett Beckman, board certified veterinary dentist, and we bring this podcast to you every Wednesday as a veterinarian, as a technician, as a dentistry team to help you be even better in veterinary dentistry and your practice. We're sponsored and partnered today with the Veterinary Dental Practitioner Program. If you're interested in being among the best. anywhere in general practice as a team in veterinary dentistr