Veterinary Medicine - July 2008 - (Page 367) of endodontic disease and its extent. Even if extraction has been selected, radiographic assessment is necessary to plan the extraction in light of possible root ankylosis, fractured roots, supernumerary roots, and the health of the surrounding tissue. Treatment options for fractured teeth include vital pulp therapy, root canal treatment, bonded composite restoration, crown restoration, and extraction. Pulpitis: Another outcome of trauma Because the pulp is entombed in a rigid tooth structure, excessive pulp inflammation can lead to venous congestion and ischemic necrosis. Intrinsic staining is a clinical sign of irreversible pulpitis. The clinical appearance is a tooth discolored from the inside out. The discoloration may be pink, purple, gray, or beige. One study showed that 92.2% of these teeth have nonvital pulp.1 Pulpitis can result in intense, acute pain and continue as waxing and waning pain. Additionally, pulpitis may lead to internal root resorption and pulp abscess due to anachoresis (microbes from the blood localize in the inflamed or necrotic pulp). These teeth are generally excellent candidates for root canal therapy, especially if the pulp chamber is wide, as in young patients. REFERENCE 1. Hale FA. Localized intrinsic staining of teeth due to pulpitis and pulp necrosis in dogs. J Vet Dent 2001;18(1): 14-20. Vital pulp therapy Vital pulp therapy is an endodontic procedure that involves removing most of the coronal portion of the pulp, placing a pulp-capping agent to stimulate formation of tertiary dentin over the pulp, and then applying a bonded composite restoration (Figures 4A-4D). Recent research indicates that mineral trioxide aggregate is superior to traditional calcium hydroxide as a pulp-capping agent.14 The goal of vital pulp therapy is to maintain vital pulp tissue beneath the restoration and protect that vital tissue from noxious stimuli and bacterial invasion. Root canal treatment Root canal treatment involves completely removing pulp tissue and the diseased dentin and then completely filling the débrided canal with a sealant and core
Table of Contents Feed for the Digital Edition of Veterinary Medicine - July 2008 Veterinary Medicine - July 2008 Contents Leading Off Practical Matters Idea Exchange Clarification Dental Corner The Diagnostic Approach to Hematuria Guidelines for Evaluating Hypercalcemic Cats CE Form Advertiser Index Marketplace/Classifieds Mind Over Miller Veterinary Medicine - July 2008 Veterinary Medicine - July 2008 - Veterinary Medicine - July 2008 (Page Cover1) Veterinary Medicine - July 2008 - Veterinary Medicine - July 2008 (Page Cover2) Veterinary Medicine - July 2008 - Veterinary Medicine - July 2008 (Page 347) Veterinary Medicine - July 2008 - Veterinary Medicine - July 2008 (Page 348) Veterinary Medicine - July 2008 - Contents (Page 349) Veterinary Medicine - July 2008 - Contents (Page 350) Veterinary Medicine - July 2008 - Contents (Page 351) Veterinary Medicine - July 2008 - Contents (Page 352) Veterinary Medicine - July 2008 - Contents (Page 353) Veterinary Medicine - July 2008 - Contents (Page 354) Veterinary Medicine - July 2008 - Contents (Page 355) Veterinary Medicine - July 2008 - Leading Off (Page 356) Veterinary Medicine - July 2008 - Leading Off (Page 357) Veterinary Medicine - July 2008 - Practical Matters (Page 358) Veterinary Medicine - July 2008 - Practical Matters (Page 359) Veterinary Medicine - July 2008 - Practical Matters (Page 360) Veterinary Medicine - July 2008 - Practical Matters (Page 361) Veterinary Medicine - July 2008 - Clarification (Page 362) Veterinary Medicine - July 2008 - Clarification (Page I1) Veterinary Medicine - July 2008 - Clarification (Page I2) Veterinary Medicine - July 2008 - Clarification (Page I3) Veterinary Medicine - July 2008 - Clarification (Page I4) Veterinary Medicine - July 2008 - Dental Corner (Page 363) Veterinary Medicine - July 2008 - Dental Corner (Page 364) Veterinary Medicine - July 2008 - Dental Corner (Page 365) Veterinary Medicine - July 2008 - Dental Corner (Page 366) Veterinary Medicine - July 2008 - Dental Corner (Page 367) Veterinary Medicine - July 2008 - Dental Corner (Page 368) Veterinary Medicine - July 2008 - Dental Corner (Page 369) Veterinary Medicine - July 2008 - Dental Corner (Page 370) Veterinary Medicine - July 2008 - Dental Corner (Page 371) Veterinary Medicine - July 2008 - Dental Corner (Page 372) Veterinary Medicine - July 2008 - Dental Corner (Page 373) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 374) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 375) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 376) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 377) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 378) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V1) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V2) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V3) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V4) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V5) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V6) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V7) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page V8) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 379) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 380) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 381) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 382) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 383) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 384) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 385) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 386) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 387) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 388) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 389) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 390) Veterinary Medicine - July 2008 - The Diagnostic Approach to Hematuria (Page 391) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 392) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 393) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 394) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 395) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 396) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 397) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 398) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 399) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 400) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 401) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 402) Veterinary Medicine - July 2008 - Guidelines for Evaluating Hypercalcemic Cats (Page 403) Veterinary Medicine - July 2008 - Advertiser Index (Page 404) Veterinary Medicine - July 2008 - Marketplace/Classifieds (Page 405) Veterinary Medicine - July 2008 - Marketplace/Classifieds (Page 406) Veterinary Medicine - July 2008 - Marketplace/Classifieds (Page 407) Veterinary Medicine - July 2008 - Marketplace/Classifieds (Page 408) Veterinary Medicine - July 2008 - Marketplace/Classifieds (Page 409) Veterinary Medicine - July 2008 - Mind Over Miller (Page 410) Veterinary Medicine - July 2008 - Mind Over Miller (Page Cover3) Veterinary Medicine - July 2008 - Mind Over Miller (Page Cover4)
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