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The extraction of a tooth in the dog
and cat may be necessary but can be very difficult to perform without
damaging the gums unless special instruments are used along with
good technique. The canine tooth has the longest root socket in
the jaw. The root extends 2/3 the length of the exposed crown below
the gums! The two upper 4th premolar carnassial (shearing) teeth
in the jaw have three roots each. The roots diverge making it almost
impossible to remove this tooth without sectioning it into three
pieces first.
When the decision has been made to
extract a tooth, the first step is to cut away the attached gum
tissue with a scalpel blade. Next, the tooth is cut into individual
sections, if it is multi-rooted, and the periodontal ligament is
broken down all the way around the tooth with a tool called a luxator.
The tooth is then elevated out of the socket with tooth extractors.
The remaining sharp edges of the alveolar bone is then cut away
to create a smooth surface for the reflected gum tissue to be sutured
over with absorbable material. Antibiotics and soft food are usually
given for a short period of time while the gums are healing. The
use of pain medication for a couple of days is often appropriate.
It is important to handle the gums
carefully during the extraction procedure to avoid tearing, puncturing
or otherwise compromising the blood supply. No root tips should
be left in the canal and a x-ray can be taken to confirm this. Excessive
force should be avoided as it may result in fracturing the jaw or
puncturing the skull accidentally.
Ideally, it is best if you can save
the tooth but if you can't careful extraction will result in a comfortable
healing process. In the case of the lessor important teeth most
pets adjust easily and do very well without them due to the processing
of the commercial pet foods of today. Most pets dont chew
their food the way we do but rather coat the food with saliva and
then swallow it.
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