4060. VET CASE. Story telling using the 3D's. The Jack Russell has two carnassial tooth abscesses

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VETERINARY STORIES by Dr Sing Kong Yuen Two Carnassial Tooth Abscess 27 Jan 2020 CASE 1
This 13-year-old dog suffers from a bleeding facial wound below the right eye. This wound does not heal despite cleaning and repeated antibiotics. Why? This is not the usual traumatic wound on the face. When you lift his right upper lip, you will see he also suffers from Periodontal Disease Stage 4. Stage 4 occurs when more than 50% of periodontal ligament connecting the tooth to the gum is lost to bacterial infections. Pus is formed around the 3 destroyed roots of the carnassial tooth. This is the big cheek tooth called the upper 4th premolar tooth. The pus collects around the roots to form the Carnassial Tooth Abscess. BLOOD WORK. The total white cell count shows an abnormally high number of total white cell count and the number of neutrophils. This blood test show that the dog has a blood-borne bacterial infection. ORAL X-RAYS. DONE. LOOK FOR THEM. GENERAL ANAESTHESIA. Many owners are worried about their old dogs dying during anaesthesia when the dog has dental work. In Toa Payoh Vets, we use only gas anaesthesia and no injectable sedative for old dogs. This is the safest method and least risky for old dogs. My observation during the past 30 years show that old dogs do not die from gas anaesthesia during dental work. UPDATE ON 27 JAN 2020. The tooth was extracted and the dog has recovered fully. In this case, the Jack Russell suffered from the left Carnassial tooth abscess and was successfully operated and has recovered fully.



TIPS AND ADVICES Tooth extraction is the most effective and least expensive treatment as compared to root canal treatment in the dog.
yearly dental check up for your dog is the best way to ensure that he does not suffer from carnassial tooth abscess or tumour as in another case. See video and images. FOR MORE INFORMATION (Image): TOA PAYOH VETS PTE LTD Block 1002, Toa Payoh Lor 8, 01-1477, Singapore 319074 +65 6254-3326, 9668-6468, 9664-0404 judy@toapayohvets.com 99pups@gmail.com www.toapayohvets.com

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