Today's Veterinary Practice

JAN-FEB 2016

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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Today's VeTerinary PracTice | January/February 2016 | tvpjournal.com PracTical denTisTry Peer reviewed 92 in advanced disease. Therefore, they provide a good option for maintaining teeth and removing a potentially infected or painful tooth earlier in the course of disease. if an implant could be performed in a pet with advanced disease, it may convince the client to remove an infected tooth. some have voiced concerns that there is minimal clinical evidence that these procedures work in veterinary patients. However, most research for humans was performed on dogs, and the results were very positive. The other issue with this form of therapy is the numerous anesthesias required, but advances in technology and techniques will likely improve this in the near future. adequate bone density is needed to accommodate this type of therapy. IN SUMMARY • new passive pathogen (plaque) control measures are coming out all the time. For many of these, no research exists, so look beyond the advertisements for research, or use the VoHc for confirmation before making your recommendations. • deep periodontal pockets require periodontal flap surgery or extraction, and some of these teeth can be saved with GTr. • Host modulation therapy is likely the future of periodontal therapy. • nutraceuticals, antioxidants, vitamins, and proper nutrition all play a role in supporting good periodontal health. These treatments, in combination with new local bone regenerating products (such as BMP) and implantology, will dramatically change the way we treat periodontal disease. Without mechanical removal of the causative agent of periodontal disease, these treatments Br OO k a. nieMieC Brook A. Niemiec, DVM, FAVD, Diplomate AVDC & EVDC, is Chief of Staff of Southern Cali - fornia Veterinary Dental Special- ties & Oral Surgery, with offces in California, Louisiana, and Ne - vada. He lectures extensively at national and international confer- ences. He received his DVM from University of California–Davis. A Figure 8. radiographic demonstration of the ability of guided tissue regeneration to save periodontally diseased teeth. On both images, the apex is shown by the blue arrows, while the white arrows demonstrate the cementoenamel junction where the normal bone height would be. Preoperative image (A) demonstrates the signifcant alveolar bone loss on the palatal aspect of the tooth (red arrow shows nadir of the pocket) almost into the nasal cavity. The recheck image (B) demonstrates new bone height (yellow arrow) at the 9-month recheck. The approximate bone height prior to surgery is also shown with the red arrow. When measured with digital software, 9 mm of bony attachment was obtained with guided tissue regeneration. B Figure 9. Intraoral dental radiograph of an implant prior to crown placement to replace a maxillary canine. This radiograph is important to show that the bone is healthy around the implant.

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