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- Tooth Fracture in Dogs
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- Pain, especially if the pulp (pink tissue beneath the tooth) of the tooth is exposed
- Formation of a tooth abscess (called a carnassial abscess, most common in fractures of the fourth premolar)
- Infection of the fractured tooth
- Bleeding near the fractured tooth
- The best-case scenario for a fracture is a minor fracture in which the pulp is not exposed. There will be less pain for the pet and less risk, but the fracture should still be treated before it becomes worse.
- If the pulp is exposed, the pet will likely be in a lot of pain. An exposed pulp will cause the formation of a carnassial abscess, in which an abscess at the root tips breaks through the skin.
- In addition to the exposing of the pulp, it’s possible that a fracture will result in the tooth losing the crown, in which case it may need to be restored.
- Root canal therapy: This is the best treatment option for a tooth that is otherwise healthy (no disease, root fracture, etc.). This treatment option removes the infected pulp and fills the root canals with mendicants to prevent future infection. For dogs, this is most commonly used on canines, upper fourth premolars, and lower first molars, though it can be completed for any fractured tooth.
- Vital pulpotomy: This treatment is completed if the fracture is fresh and has not become severely infected. This is commonly used on fractures of the teeth of young dogs (less than 18 months of age).
- Extraction: This treatment option depends largely on the tooth, severity of the fracture, and any other present diseases. This is the last option for fractures of the canines, upper fourth premolars, and lower first premolars. This treatment is typically avoided if possible for a few reasons: it is very painful, and not simple, especially in canines; additionally, an extraction completely removes functionality of the tooth, which can be very important for chewing (especially if it is one of the three types mentioned previously).
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