Animal Dental Specialists of Upstate New York

6867 East Genesee Street
Fayetteville, NY 13066

(315)445-5640

www.adsuny.com

Common Conditions Treated and Services Offered


Fractured or Non-Vital Teeth
| Malocclusions | Retained Deciduous Teeth | Pyogenic Granulomas
Oral Tumors | Unerupted or Incompletely Erupted Teeth | Odontogenic Cysts | Gingival Overgrowth
Periodontal Disease | Immune-mediated Diseases | Tooth Resorption | Prosthodontics | Dental Restoration | Oro-nasal Fistula Repair | Jaw Fracture Repair


Fractured or Non-Vital Teeth


We offer endodontic therapy as an alternative to tooth extraction. This is a great option for fractured or non-vital canine and carnassial teeth. The pulp is removed and the tooth is filled with an inert filling material, allowing the patient to maintain the important chewing and grasping functions of these teeth. 

fractured tooth   
Before
fractured tooth fixed with RCT and restoration
   After

RCT radiograph
Dental Radiograph Following Root Canal Therapy


Malocclusions


Endodontics can also be used to treat malocclusions (when one or more teeth are in the incorrect position). This becomes a problem when the soft tissues are traumatized from this misplacement.

Malocclusion                     Malocclusion

Before


Crown reduction followed by vital pulp therapy or root canal therapy is an option for treating traumatic malocclusion. This allows us to reduce the height of the teeth causing trauma while maintaining their function.

Malocclusion after
After


The application of an orthodontic appliance is an option for some malocclusion treatment plans. Slow, constant pressure of the appliance guides the teeth into a more appropriate position. The images below demonstrate the use of restoration extensions to adjust the alignment of the canine teeth.

Malocclusion                     Malocclusion

Before

Dental composite extensions
Midway

(after removal of deciduous teeth and extension application)

Post extensions
After 


Retained Deciduous Teeth


Deciduous (baby) teeth should fall out by approximately 6 months of age. Retained deciduous teeth can cause malocclusion and/or crowding, which can lead to early periodontal disease. These teeth should always be extracted.

Retained deciduous teeth                    Retained deciduous teeth

Before

After removal of retained deciduous teeth
After


Pyogenic Granulomas


Pyogenic granulomas can form in cats with malocclusions. This is caused by the upper carnassial tooth contacting the soft tissue on the lower mandible. Often, this causes a painful lesion and also periodontal disease.

Pyogenic granulomas                     bone lose


Oral Tumors


We diagnose and treat oral tumors through biopsy and surgical excision. Examples of frequently seen oral tumors include Melanoma, Squamous Cell Carcinoma, Fibrosarcoma, Peripheral Odontogenic Fibroma, Acanthomatous Ameloblastoma, Osteosarcoma, and Papillary Squamous Cell Carcinoma.

Not all oral tumors are metastatic, however some benign tumors can still be locally invasive, displacing teeth, getting in the way when chewing, and making life uncomfortable for the patient. These tumors can be removed with the appropriate margins and the patient can go on with a great quality of life. We also offer staging, surgical excision and counseling for the treatment of metastatic oral disease.

oral mass oral mass oral mass

oral mass oral mass


In some patients, to achieve clean margins, Mandibulectomy (removal of a portion of the lower jaw) or Maxillectomy (removal of a portion of the upper jaw) may be necessary. 

after oral mass removal after oral mass removal

after oral mass removal after oral mass removal after oral mass removal


More often than not, there isn't a drastic change noticeable to the patient's face structure.

before
Before
after removal
After

Unerupted Teeth


If a tooth is missing, imaging should be done to determine if that tooth never developed or if the tooth is present but unerupted. Unerupted teeth can cause expansile cysts to develop. These teeth should always be extracted. 

unerupted tooth
Clinical Exam
unerupted tooth
Cone Beam CT Scan

unerupted tooth
Dental Radiograph

Odontogenic Cysts


Untreated odontogenic cysts can cause bone destruction and displacement of teeth. Treatment includes the complete removal of the cyst lining, any unerupted teeth associated with the cyst, and extraction of teeth that have extensive bone loss due to expansion of the cyst.

Odontogenic cyst                     Odontogenic cyst                     Odontogenic cyst


Gingival Overgrowth


We have multiple options to aid in the treatment of gingival enlargement or periodontal pocketing. Gingivectomy/gingivoplasty, guided tissue regeneration (placement of a bone graft), root planing, and crown lengthening for incompletely erupted teeth.

gingival overgrowth
Before gingivectomy/gingivoplasty
after gv/gp
After gingivectomy/gingivoplasty
partially erupted canine
Before crown lengthening
crown lengthening
After crown lengthening

Immune-mediated Diseases


We offer oral surgery and medical management for these cases. Feline Stomatitis and Canine Chronic Ulcerative Stomatitis (CCUS) are shown in the images below respectively.

Feline Gingival Stomatitis
Feline Stomatitis

CCUS
Canine Chronic Ulcerative Stomatitis (CCUS)


Tooth Resorption


Teeth with resorptive lesions can be painful and difficult to extract. We have extensive experience in extracting these teeth. Unfortunately, extraction is the only acceptable treatment for teeth with this condition.

tooth resorption                         tooth resorption


Prosthodontics


Crowns can be applied to non-vital (after root canal therapy) or vital strategic teeth. This is especially helpful in law enforcement dogs and pet dogs doing bite work. They can also be applied to feline teeth!

crown


Dental Restorations

Caries

Dental caries (similar to cavities in humans) are uncommon in dogs, but can affect the teeth that are similar in shape to our teeth. The decay is removed and a composite filling is placed.

caries
Before
caries
After

Enamel Defects


Enamel defects can occur for a variety of reasons. Restorations can be applied to protect the porous dentin that is exposed.

Enamel defects


Oro-nasal Fistula Repair


Oro-nasal fistulas (an abnormal communication between the mouth and the nasal cavity) can occur due to several different scenarios. Most commonly, they result following loss or extraction of an upper canine tooth. It is important that these are surgically repaired to prevent food and water from entering the nasal cavity, potentially leading to aspiration pneumonia.

ONF
Oro-nasal fistula
ONF after
After oro-nasal fistula repair

Jaw Fracture Repair


Jaw fracture can occur from trauma or long standing periodontal disease. We offer repair and management of these cases using a variety of techniques to restore the patient’s original occlusion (interdigitation and arrangement of the upper and lower teeth).

jaw fracture
Before
Wire jaw fracture repair
With temporary wire placed

                         

jaw fracture
Before
composite splint
With wire and composite splint