Oral surgery solutions: An unerupted canine tooth
Unexpected complications can surprise even experienced veterinary specialists. Consider referring complex surgery cases to avoid taking on more than you bargained for.
|In the February issue of dvm360, we looked at two difficult cases in veterinary dentistry. In this second article in this series examining challenging oral surgery cases, we’ll discuss how to know when referral is appropriate. If your dental surgery skills are less than refined, especially complex or unusual oral surgery cases are best left to board-certified experts.
Unerupted canine tooth in a cat and subsequent complications
A 2½-year-old domestic shorthaired cat was presented for evaluation of a mass at the site of a missing right maxillary canine tooth (104). History was unclear as to whether a tooth ever was present at the site of the mass. The mass was fluctuant and had a bony rim around its base (Figure 1). Dental radiographs were taken and revealed a canine tooth within the right maxilla (Figure 2). The apical extent of the tooth extended to the level of the furcation of the right maxillary fourth premolar (108). The presumptive diagnosis was a dentigerous cyst associated with the unerupted canine tooth. The mass was likely a result of the cyst impingement on the gingiva and bone at this location.
|Figure 1: Image of a 2½-year-old domestic shorthaired cat presented for evaluation of a mass at the site of a missing right maxillary canine tooth. (All photos courtesy of Dr. Brett Beckman.)
|Figure 2: A dental radiograph demonstrating a canine tooth within the right maxilla.