TOA
PAYOH VETS
E-MAIL TO DR SING DATED MAY 10, 2012Dr Sing,
I have started some preliminary research and it seems the procedure we are looking at is called "vital pulpotomy with pulp capping". It is outlined on this vet website
http://www.mypetsdentist.com/site/view/113265_VitalPulpotomy.pml
You can access the site as a vet, by contacting them for a password or something.... I have also written an email to them asking if they are willing to work via correspondence with us... I am not sure how they seal up the one that is fractured all the way up though - wouldn't the risk of infection still be there?
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Summer's fractured teeth after cracking big bones |
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Here is what they had to say about Summer's type of injury -
http://www.mypetsdentist.com/site/view/113061_BrokenTeeth.pml
I spoke to a vet tech friend in the US and she said most
likely we will get the best outcome if you can try and contact
a vet directly? She said they are more likely to help rather
than if I wrote to them. I will continue doing my homework and
research though!
Thanks!
Smile,
C
E-MAIL REPLY FROM DR SING DATED MAY 10, 2012
Dear C
It was great to meet you in person after our e-mail
correspondence regarding the rescue group who had a stray dog
with tick fever of Babesia gibsoni that your first vet
said that imidocarb would not be effective and only the use of
the expensive Atovaquone and azithromycin would cure this dog.
You got the dog treated by a sponsor of an online request for
help and the second vet had successfully treated it with
imidocarb with two injections and the dog is now healthy.
Thank you for your detailed research on the dental procedures
for your naughty young Retriever who has fractured both upper
pre-molars 4.
Singapore does not have a veterinary dental specialist and
your research on procedures will be most helpful and useful
for Singapore dogs with similar problems. Dental extraction
has been advised by vets you had consulted. Your dog's right
upper premolar is definitely sensitive as the pulp is exposed
partially.
You live in a golden age where internet info is easily
available if a person takes the time and trouble to research
on a specific medical or surgical problem. We will plan what
to do with your Golden Retriever's fractured premolars within
14 days and after you have completed your research. Thank you
for doing the research.
 E-MAIL
TO DR SING DATED JULY 10, 2012 Dr Sing, After much research and corresponding with both human and dog dentists, the results were disappointing. 2 canine dental specialists said that without a root canal the results would not be good in long run, and human dentists all expressed doubts that a simple filling would hold. We probably would need to make a crown. Too expensive and not practical. Over the past 2 months Summer has had no trouble eating her usual kibble or even chewing treats. I have been brushing her teeth regularly to maintain hygiene etc. The tooth on the left is looking healthy and fine, except for the small exposed inside. There is no pain. The molar on the right which is fractured to the root has died. It is discoloured gray and has yellow plaque covering it. It has a slightly unpleasant smell. I think it is best at this point if we were to extract the worse cracked molar on the right side, but leave in the left since it is working fine. What do you think? We would be honoured if you could carry out the operation. How much would it cost? Can we schedule it this week? As soon as possible.. I am having just a 1 week break now, and then back to school full time with no more breaks till end of the year. Thank you. Look forward to hearing from you..  E-MAIL
FROM DR SING DATED JULY 10, 2012 I think you should do much more research on "simple filling" as I believe that is the answer to your dog's fractured molar. This is based on my personal experience. I had a large mercury amalgam filling when I had big cavities in my molar some 50 years ago. The filling is still around and my molar is still OK (filling has not dropped off although I know that some people had their fillings dropped off). Now, it is 50 years later. There must be great advancement is this area and it is up to you to find out in more depth and do more research. Extraction of a good strong molar tooth in a big breed is extremely difficult and may lead to fracture of the jaw bone. So, it is best done at the last resort. Do more research on different types of "filling" found in the world of human dentistry as if you are doing a PhD, and let me know as soon as possible. |
