$The Vet Dental Show - Ep 147- Veterinarians, Curious about how to prevent mandibular fractures during extractions?$

Ep 147- Veterinarians, Curious about how to prevent mandibular fractures during extractions?

10/16/24 • 12 min

Quick Summary: In this episode of the Vet Dental Show, Dr. Brett Beckman shares practical advice for veterinary dental teams. Topics covered include using mouth gags during surgery, managing incisor extractions, handling complex tooth extractions, and using tools like the Vetome. Dr. Beckman also discusses the importance of choosing appropriate methods for specific malocclusions and the pros and cons of referrals versus in-house procedures.

Guest, Cast, and Crew Information:

Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
Guest: None
Sponsored by: IVDI

Main Talking Points:

Using syringe barrels as mouth gags in different-sized animals.
Tips for incisor extractions and dealing with difficult suture closures.
Managing extraction of complex teeth, especially lateral incisors.
The value of the Vetome tool for easy extractions.
Treating class II malocclusion with mandibular canine extractions.
Why the mandibular second molar extraction can be particularly challenging.

Interesting Quotes:

"When it comes to extractions, slow, deliberate movements ensure better control and prevent fractures."
"The Vetome has been a game-changer in how we approach extractions—efficient, precise, and effective."

Timestamps:

[00:00] – Introduction and overview.
[01:10] – Discussion on using mouth gags and practical techniques.
[04:05] – Tips and tricks for incisor extractions and managing dehiscence.
[07:30] – Importance of the Vetome tool for easy and efficient extractions.
[10:20] – Treating class II malocclusions and mandibular canine extractions.
[12:50] – Managing the mandibular second molar extraction challenges.

(Veterinary dentistry, mouth gags, tooth extraction, incisor extraction, Vetome, dental surgery tools, class II malocclusion, canine tooth extraction, veterinary dental procedures, periodontal disease)

Key Points Summary:

Use syringe barrels as mouth gags for different animal sizes, ensuring comfort.
Avoid flaps in simple incisor extractions; they often lead to dehiscence.
The Vetome is an invaluable tool for efficient extractions in challenging cases.
Class II malocclusions can be treated with mandibular canine extractions if other treatments are not viable.
The mandibular second molar presents specific extraction challenges due to its deep placement and thick bone structure.

Affiliate & Sponsor Links:

Link: IVDI.org/inv

Guest, Cast, and Crew Information:

Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
Guest: None
Sponsored by: IVDI

Main Talking Points:

Using syringe barrels as mouth gags in different-sized animals.
Tips for incisor extractions and dealing with difficult suture closures.
Managing extraction of complex teeth, especially lateral incisors.
The value of the Vetome tool for easy extractions.
Treating class II malocclusion with mandibular canine extractions.
Why the mandibular second molar extraction can be particularly challenging.

Interesting Quotes:

"When it comes to extractions, slow, deliberate movements ensure better control and prevent fractures."
"The Vetome has been a game-changer in how we approach extractions—efficient, precise, and effective."

Timestamps:

[00:00] – Introduction and overview.
[01:10] – Discussion on using mouth gags and practical techniques.
[04:05] – Tips and tricks for incisor extractions and managing dehiscence.
[07:30] – Importance of the Vetome tool for easy and efficient extractions.
[10:20] – Treating class II malocclusions and mandibular canine extractions.
[12:50] – Managing the mandibular second molar extraction challenges.

Key Points Summary:

Use syringe barrels as mouth gags for different animal sizes, ensuring comfort.
Avoid flaps in simple incisor extractions; they often lead to dehiscence.
The Vetome is an invaluable tool for efficient extractions in challenging cases.
Class II malocclusions can be treated with mandibular canine extractions if other treatments are not viable.
The mandibular second molar presents specific extraction challenges due to its deep placement and thick bone structure.

Affiliate & Sponsor Links:

Link: IVDI.org/inv

Previous Episode

Ep 146- How do nutritional deficiencies and systemic diseases affect enamel formation in young animals?

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:

Causes of enamel hypoplasia and the role of systemic diseases.
Identifying brittle and compromised teeth in young patients.
When extractions are necessary and special considerations for brittle teeth.
The importance of radiographic monitoring and pulp cavity analysis.
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:

[00:00] – Introduction and overview.
[01:20] – Heather’s question: How brittle are hypoplastic teeth?
[03:30] – Extraction concerns for hypoplastic teeth.
[05:45] – Radiographic monitoring and bone loss.
[09:20] – Nutritional deficiencies and enamel formation.
[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

Next Episode

Ep 148 - Is every case of feline oral inflammation stomatitis?

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:

The role of histopathology in diagnosing oral conditions in cats.
The difference between feline stomatitis and gingivitis.
When to biopsy a case of feline oral inflammation.
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

The Vet Dental Show - Ep 147- Veterinarians, Curious about how to prevent mandibular fractures during extractions?

Transcript

00:00:02.080

Welcome to the Vet Dental Show. I'm Brett Beckman. I'm a board certified veterinary dentist. And we come to you every week on Wednesday to provide the veterinarian and the technician team some actionable things that you can use in your practice. And this episode is going to be a recorded episode of That we've done in the past, not a podcast that we've recorded or not the Vet Dental Show, but actually some other information for you that we know you're going to enjoy. S