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Dry socket is one of the most common complications after dental extractions, including wisdom teeth. Watch this video to learn how to avoid this painful condition!
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In this video, Dr. Brett demonstrates the extraction of a maxillary canine in a cat.

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Ankylosis is a terrible thing to happen to children's teeth, luckily there are things we can do to help.

Another case successfully treated with the SURGIC TOUCH piezosurgery unit.
This time a mesio-angular impacted wisdom tooth.
The piezosurgery allows for a minimally invasive approach to 3rd molar extractions since the tips can be safely used alongside soft tissue flaps. And saline irrigation removes debris and blood around the working area immediately.

New camera, so still working on the angles. Surgical extraction of impacted third molar (wisdom tooth). Normally I would use chromic gut sutures, but for some reason silk was all I had that day.

The key to taking out impacted thirds is 1) making a flap so you can visualize the bone and tooth, and 2) to remove buccal bone in order to visualize the tooth and create space to elevate the tooth. The flap definitely could have gone more distal instead of going 90 degree buccally, but it should always go in a disto-buccal angle in a "hockey stick" type shape instead of going over the retromolar pad, as some patients may have the lingual nerve running through there.

The tooth probably could have easily been delivered without being sectioned, but I decided to section the crown off in order to facilitate delivering the tooth without risk of tearing or damaging the lingual soft tissue/lingual nerve.

Daniel got her wisdom teeth taken out today and was hilarious afterward as we took her home while still on the medication!

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Periodontitis is a disease that attacks the supporting tissues of the tooth. Its attack is at the bone level and the damage involved is irreversible. This problem is the result of the accumulation of certain bacteria that release destructive toxins. Tartar carries microorganisms. Periodontics aims to eliminate all rough spots that impede the attachment the gum to the root of the tooth. In the case of periodontitis that is just beginning, the treatment consists of a scaling similar to that done during the regular visits, including the tartar cleaning. The difference is that this one is done under local anaesthesia so as to avoid any pain during the sampling of deposits lodged more deeply. Periodontal flap surgery is a technique often used following the failure of a less aggressive approach or when access to the rough spots becomes difficult because the tartar is located too deeply. Moreover, the lack of visibility adds the difficulty of removing all deposits thus impelling the healing of the tissues. Periodontal flap surgery consists of shifting the gum to allow a good view of and direct access to the surface to be smooth down. Bone remodelling can also be done in order to recover the natural anatomy, thus enabling easier brushing and flossing. Once the root has been freed of its imperfection, the gum is replaced and held in place with stitches or glue. Take note that certain surgeries can bring about the exposure of part of the root which might lead to sensitivity to cold or hot foods. After periodontal surgery, it is very important to have a thorough follow up so as to maintain healthy gums. A scaling every three months is usually suggested. The frequency of the follow-ups will be determined by your dentist or your specialist as the case may be.

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The information in this capsule contains general information and is for educational purposes.