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This case study is courtesy of Dr Anthony Caiafa at Mobile Pet Dentistry www.mobilepetdentistry.com.au
12 month old female Cavoodle.
Unilateral sneezing—left hand side, gingival inflammation, and gingival recession with apparent extrusion of tooth 204 and intrinsic discolouration of crown of tooth 204.
Trauma due to a fight, motor car accident, blunt trauma or abrasion injury from bones or another hard object.
Pulp necrosis of tooth 204 with inflammatory apical root resorption and oronasal fistula, confirmed with intra-oral X-rays.
Due to the extent of the root resorption, root canal therapy was a poor option with low chance of success. Extraction with removal of all tooth structure, curettage of the alveolus and repair of the oronasal fistula with a buccal mucoperiosteal advancement flap was necessary.
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