By Vickie Byard, CVT, VTS (Dentistry), CVJ
This young, male Boxer was admitted this morning to be neutered. Fortunately, we have been taught and value counting teeth of pets, even if the patient is not in the hospital for any dental services. Now, in this case, we noted missing lower first premolars and a missing lower third molar. But, we noted a bluish swelling distal to the right upper canine tooth.
We called the owner and recommended we obtain intraoral X-rays. We explained that there is a swelling we want to investigate and that we want to insure that there are no impacted teeth. He graciously gave permission and so the fun begins.
This X-ray shows that the blue swelling is caused by a dentigerous cyst created by an impacted supernumary right upper first premolar. Who’da thunk!
Then we asked ourselves, should we take an X-ray of the other side? There is no swelling and there are the right number of teeth. Yes!
And so the hunt continued. Remember, there were missing teeth as well:
Operculectomies were performed to expose the teeth and disrupt any remaining enamel epithelium that could possibly create a dentigerous cyst as the pup ages.
This case elucidates the value of counting teeth when dealing with these young pets when they are admitted for spay or neutering. The dental corrections cost this owner a couple hundred extra dollars. Dentigerous cysts can silently destroy the jaw or maxillary bone. This is an X-ray of the jaw of a Boxer that had his dentistry at the age of 6.
The cost of treatment for this patient was thousands of dollars and extensive recovery.
Remember to count all teeth! This case was fun to work with. This is TRUE WELLNESS care!
*If any of this information was useful or you would like to see similar content, “LIKE” the Pet ED Veterinary Education and Training Resources Facebook page and subscribe on the HOME page of the PetED website to receive upcoming newsletters and news. If you feel friends or colleagues would benefit from or enjoy this article, feel free to share on YOUR Facebook page.