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Management of Class II Traumatic Malocclusion

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An 8-week-old, intact male pit bull mix was presented to the Dentistry and Oral Surgery Service at Cornell University Hospital for Animals for evaluation of oral pain and a malocclusion. On presentation the patient was bright, alert and responsive with normal vital parameters. Physical examination revealed the patient to be systemically healthy. A conscious oral exam revealed a class II malocclusion with mandibular micrognathia. The abnormally narrow and short mandible resulted in the mandibular deciduous canine teeth occluding into and traumatizing the palate. Routine preoperative clinicopathologic testing ( quick assessment tests) were unremarkable. The patient was placed under general anesthesia and an anesthetized oral examination and full-mouth intraoral radiographs were obtained. The mandibular deciduous canine teeth were surgically extracted using standard surgical extraction technique. Recovery from anesthesia was uneventful and the patient was discharged with anti-inflammatory and opioid pain medications for 5 days. Reevaluation 14 days postoperatively revealed complete healing of the extraction sites. This case study will discuss the common types of malocclusion encountered in the dog, the process of dental eruption, pertinent surgical anatomy, details of the extraction technique, and post-operative considerations.

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2015-04-29

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Traumatic Malocclusion, Deciduous Canine Extraction

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case study

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