this great post from @warwickvetperth
I’m not putting my own spin on this one as below says it all 😊 great to see such quality work being done in general practice!
🤓What do you do if you find a missing tooth during a wellness exam? Don't just ignore it!! Think about the possibility of a retained, unerupted tooth, which carries risk of dentigerous cyst formation. 🤓Look back through your history for previous dental work (always record which teeth are extracted, learn your dental nomenclature!), ask if there has been work done elsewhere, if the missing tooth is unexplained, arrange imaging! 🤓A dentigerous cyst is a follicular cyst associated with the crown of an unerupted tooth. It is usually not painful unless infected, but continues to slowly grow in the bone of the jaw, with long term risk of jaw deformity and pathological fracture. 🤓These cysts can affect any tooth but the mandibular first premolar is often encountered, they affect dogs more than cats, and are more common in brachycephalic dogs. 🤓Thanks to everyone who answered the My Story question! This is a 2 year old Labrador who came in for a wellness exam, and we identified that the left upper third premolar was missing (#207
). No prior history of dental work. Luckily this dog had had a full skull CT at 7 months of age for an unrelated problem; so we were able to have the radiologists re-read the films and rule out an unerupted tooth 😊
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