Case #2: Crowding

Bones Full
Bones Before right
Bones after left

Picture key: 

#1 Crowding

#2 Abscess 

#1

Diagnosis: Periodontal disease. Upper jaw is shorter than the lower jaw. Bottom incisors are crowded and some of them should be removed to prevent loss of all of them. 

Treatment: Scaled, Root Planned, Polished, Extracted a premolar and molar on lower right jaw. Sutures in mouth. Medications sent home for inflammation, pain, and infection prevention. Post-dental recheck scheduled in 5 days. 

Recommendations:  

BRUSHING Teeth- Gold standard of dental care- Should brush teeth at least 3 times weekly
DIETS- We recommend Hill’s Science Diet t/d as a primary diet, in addition to their current food, or as a treat.
CHEWS- CET Chews (rawhide like, but digestible in the stomach); Veggie Dents (plant based); ORAVET                                         (makes sealant to prevent bacterial attachment)

DENTAL- A future procedure is needed to resolve issues created by crowding of the lower incisors.