ENDO Dental bulge restoration and gingival collar expansion after endodontic treatment of a complicated maxillary fourth premolar crown-root fracture in a dog Reiter, Lewis

Question 1

What does the chase report describe?

Answer 1

endodontic, restorative, and periodontal treatment of a complicated crown-root fracture of the right maxillary fourth premolar tooth in a dog.

Question 2

What two factors are considered integral to success in restoring crown/root fractures?

Answer 2

Biologic width maintenance in periodontal surgery and need for owner compliance with home oral hygiene

Question 3

What type of flap can be used to help restore a crown/root fracture of this type?

Answer 3

Apically positioned flaps can be utilized for salvage of canine teeth with oblique crown-root fractures

Question 4

What are the steps involved in performing can. picky positioned flap?

Answer 4

1. reflection of a mucoperiosteal flap with bilateral releasing incisions
2. removal of a rather significant amount of tooth-supporting alveolar bone (alveolectomy).
3. Recontouring of the alveolar margin (alveoloplasty),
4. Restoration if indicated,
5. Root planing
6. Debridement of granulation tissue, and apical positioning and suturing of the flap

Question 5

What are apically positioned flaps largely unsuitable for multirooted teeth?

Answer 5

Due to inherent furcation exposure once the flap is sutured in an apical position