Thursday, January 18, 2018

Complications in Oral and Periodontal Surgery-#DrDonDeForge 18Jan2018

Donald H. DeForge, VMD
#DrDonDeForge
Fellow of the Academy of Veterinary Dentistry
17 Seemans Lane
Milford, CT 06460
www.SilverSandsVeterinary.com
The New England and NY Animal Dental Health Services
P 203-877-3221
F 203-877-8301
E-Mail DonDeForge100@gmail.com
No.28

COMPLICATIONS IN ORAL SURGERY & 
PERIODONTAL SURGERY IN COMPANION ANIMALS

Image result for Picture of a high speed dental rear venting handpiece for oral surgery

The new Millennium has brought great advances to the oral care of companion animals.  Veterinary dentists are now preserving teeth routinely with root canal therapy.  Damaged dentition can be preserved with full jacket crowns or caps.

We are very close to tooth implants in animals becoming a reality.  These will be especially beneficial for working dogs.

Patients with advanced periodontal disease no longer have to suffer.  Through the usage of periodontal surgery; antibiotic implants; supportive periodontal therapy by an animal dentist; and excellent anti-plaque home care programs, pets can now have a quality and pain free life.  Teeth that formerly were extracted, in many instances, can now preserved.

Digital oral radiology has become the major diagnostic tool for the animal dentist and the general practitioner performing routine oral care.  Hand held dental x-ray generators and digital x-ray processing combined with teledentistry [oral x-ray interpretation] has made detailed oral diagnostics in reach of all veterinarians.  The patient benefits with precise treatment based on oral radiology diagnostics leading to a pain free quality of life.

Many general practices now have dental units with high speed and low speed dental handpieces to permit atraumatic care in the treatment of a plethora of oral conditions.

Courses have become available nationwide to train dental practitioners in the correct implementation of these dental drills.

With all technology, there are risk factors that must be understood to prevent inadvertent trauma to the patient.
One of these risks is associated with the high speed air turbine drill and the 3-way air/water syringe.

The high speed air turbine dental drill makes the removal of difficult dentition less complicated.  This is especially the case with root fusion to bone [ankylosis]; in retained root removal; and in mass removal [cysts or tumors attached to bone].

The complication of air embolism, to be described, is uncommon but can occur in people as well as animals.

Subcutaneous emphysema can occur with pressurized air from the dental hand-piece or the 3-way air syringe that is found on most dental tables manufactured for the human dentist, animal dentist, and general practitioner performing extractions. 

During oral surgery or periodontal surgery, the air from these handpieces can become entrapped in fascial planes and accumulate in tissues.  The sublingual spaces communicate with the retropharyngeal space which can continue to the mediastinum. Air can enter and spread with pathogenic microorganisms.  

Air embolism from a dental drill or 3 way air syringe- used with air-on or air-water on can be injected [with mandibular oral surgery] into the facial and/or pterygoid venous plexus which communicates with the superior vena cava and the right atrium and ventricle.  It is postulated that the air can pass on to the pulmonary circulation causing arrhythmias and potential cardiac arrest.

Facial emphysema has also been reported with orbital spread and retinal artery collapse.  This could lead to permanent blindness.  Reports have indicated that air spread down the neck can cause a mediastinal emphysema; tension pneumothorax, pneumoperitoneum, and even death.

As stated, human dentists, veterinary dentists, and veterinary practitioners daily use high speed air turbine drills and 3-way auto syringes in the air and air-water combination without complication or life-threatening outcomes.  

That is not a reason to ignore the potential for serious complications.  Never use the 3-way syringe in the air mode or air-water mode during any surgical procedure.  Use the high speed air turbine drill judiciously after surgical flap creation.  Never place the air driven handpiece deep into tissue planes blindly.

The other alternative in oral surgical extractions and periodontal surgery cases is avoiding the standard air driven handpiece that is used for restorative procedures which produces a stream of water and compressed air to the operative field.  Substitute a high speed air turbine driven surgical handpiece which vents air to the back of the handpiece.  These are called rear-venting handpieces.

Excellent surgical techniques and judicious use of handpieces is recommended in all procedures.  If you feel the case is beyond your expertise consult with an animal dentist.

Continue your education in all periodontal and oral surgery applications by taking laboratory courses on-site.  


87 comments:

  1. Really i found this article more informative, thanks for sharing this article.
    dental doctors in san jose

    ReplyDelete
  2. We are committed to creating a Lifetime of Healthy Smiles for all our patients and ensuring that your dental visit is a pleasant one. At Pioneer Dental Centre your comfort is our top priority. We understand that all our patients are individuals, each of whom has his or her unique and personal needs and concerns. Please visit:-
    Affordable dentist yonge and eglinton
    Emergency Dentist yonge and eglinton

    ReplyDelete
  3. Smile matters Dentistry is the Best Dentist in Brampton Specializing in Family and Cosmetic Dentistry Services in Brampton, ON. Your comfort is our top priority and we are excited to see you and help you have the best and most pleasant dental experience ever in Brampton. We want the best for our patients, and want to help them maintain the health of their teeth and to fix problems at a pace that is most comfortable for them. Please visit:-
    Best dental services in Brampton
    Best Family Dentist Brampton

    ReplyDelete
  4. I find many interesting things with your post. I would like to thank the author for this informative article.

    Best Dental Clinic in Dubai

    Specialist dentist in Dubai

    Dental implant in Dubai

    ReplyDelete
  5. North Capitol dental care is one of the Dental Care San Jose. Dental implants, General Dentistry, root canal treatment, teeth extraction services ,cosmetic dentistry san jose are offered at affordable cost. our dental team takes special care for every patient. To book an appointment call @ 408-719-8600.

    ReplyDelete
  6. Thanks for sharing such useful information. To buy dental handpiece repair kit, visit here.

    ReplyDelete
  7. Nice!!! Healthy teeth and gums can help you enjoy the taste of life. For those who are suffering from decayed teeth, infected gums and other dental health problems, Smile Care is with you. Keep it up Best Dentist in Mohali

    ReplyDelete
  8. Thank you for sharing this post with us. I have read your post and really get some awesome tips and tricks. I love to share and waiting for next post as well.All veterinarians may have the fundamental information required to deal with critical situations, however solely a vet who's accustomed to small canine, particularly Shih Tzu, will perceive the very particular well being wants of smaller, toy canine. For more information please visit our website.Queensland Veterinary Hospital

    ReplyDelete
  9. Thanks for sharing beautiful blog

    If you are looking for the best dentist in delhi. visit once at Dr. Kandhari's Clinic

    ReplyDelete
  10. This comment has been removed by the author.

    ReplyDelete
  11. Thanks for Sharing this valuable information. It is very useful for me .

    Dental information.

    ReplyDelete
  12. Amazing post and also great suggestions! Thank you for the helpful information about Best Dentist in Mohali

    ReplyDelete
  13. This is an nice post it give me an more idea for this topic thakyou for sharing this information. Keep doing this kind of activities.
    Best Dentist In Chennai
    Best Dental Clinic in Chennai
    Best dental clinic in nungambakkam
    Full mouth implant treatment

    ReplyDelete
  14. Thanks for sharing this post. I'm very interested in this topic. Vet near me For that reason, it is very important make an appointment along with your vet as quickly as you get your new pet to insure that he's on observe for an exquisite and wholesome life with you.

    ReplyDelete
  15. Best Family Dentists in Brampton. Smile matters offer you the affordable dentistry in Brampton. Please visit here for the emergency dentist in Brampton. Visite https://www.smilematters.ca/ for more detail.

    ReplyDelete
  16. Someone essentially help to make significantly articles I would state. That is the first time I frequented your web page and to this point? I amazed with the analysis you made to make this actual publish incredible. Great job! for more information visit our website

    ReplyDelete
  17. training for dogs involves a lot of effort and the use of dog training app makes it easy

    ReplyDelete
  18. Get high-quality yet affordable treatment for all your dental problems at Invisalign Dentistry Bayview Sheppard

    ReplyDelete
  19. Best Dentistry in Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  20. Looking For Best Dentistry in yonge and eglinton Pioneer Dental Centre-Yonge and Eglinton Dental Clinic.Call @ 416.488.1776 for an appointment for best affordable dental services like crown, denture and many more.

    ReplyDelete
  21. Looking For Dentistry in yonge and eglinton Pioneer Dental Centre-Yonge and Eglinton Dental Clinic.Call @ 416.488.1776 for an appointment for best affordable dental services like crown, denture and many more.

    ReplyDelete
  22. 24 hour Emergency Dentist in Brampton, 5 star client reviews of Best affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  23. Looking For Dentistry in yonge and eglinton Pioneer Dental Centre-Yonge and Eglinton Dental Clinic.Call @ 416.488.1776 for an appointment for best affordable dental services like crown, denture and many more.

    ReplyDelete
  24. Looking For Affordable Dentist in yonge and eglinton Pioneer Dental Centre-Yonge and Eglinton Dental Clinic.Call @ 416.488.1776 for an appointment for best affordable dental services like crown, denture and many more.

    ReplyDelete
  25. Nice Blog. Thank you for sharing this information. if you are interested in Dentist near me, feel free to visit our website.

    ReplyDelete
  26. $1000 off on dental braces in brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  27. $1000 off on braces in brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  28. I have really enjoyed reading your blog posts.Thanks and appreciate the author for the work.
    Best orthodontists at Le Dentiste .

    ReplyDelete
  29. Best Dentistry in Brampton, 5 star client reviews of Best affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  30. Nachdem ich diesen Beitrag gelesen hatte, fand ich diesen Beitrag sehr informativ und nützlich. Vielen Dank für das Teilen dieses Blogs.
    Wir haben hart daran gearbeitet, Ihnen jedes Mal das Beste zu bieten, wenn Sie zu uns kommen. Didenta ist die Firma, die für die zahnärztliche Hilfe im ganzen Land bekannt ist. Wir haben die besten zahnärzte Düsseldorf im ganzen Land; Wir bieten Ihnen diese zahnärztliche Hilfe sowohl online als auch offline an.

    ReplyDelete
  31. I have really enjoyed reading your blog posts.Thanks and appreciate the author for the work.
    home teeth whitening kit

    ReplyDelete
  32. As a Oral surgeon i really enjoyed your article you explained each and everything in very good manner, you make my day. Thank you for sharing this amazing stuff. Looking forward for more content like this.

    ReplyDelete
  33. By brushing your child's teeth, stand together in front of the mirror or face each other. Take out your toothbrush and demonstrate to your child how you do it! This way you will not only develop your child's skills to maintain good hygiene, but you will also be able to see if she/he brushed her/his teeth thoroughly. https://edclinic.pl

    ReplyDelete
  34. Dentist Near Me - Smile Gallery is a highly modernized and best dental clinic in Bhopal. If you are searching for a dentist in Bhopal, then you are the right place. Contact us!

    ReplyDelete
  35. Dentist Near Me - Smile Gallery is a highly modernized and best dental clinic in Bhopal. If you are searching for a dentist in Bhopal, then you are the right place. Contact us!

    ReplyDelete
  36. Wow its a very good post. The information provided by you is really very good and helpful for me. Keep sharing good information.I bookmark your blog because I found very good information on your blog | Best emergency dentist near me

    ReplyDelete
  37. Wow its a very good post. The information provided by you is really very good and helpful for me. Keep sharing good information.I bookmark your blog because I found very good information on your blog | Kids dentist near me

    ReplyDelete
  38. Thanks for sharing valuable information with us. Please keep posting!
    Dentist in Bangalore

    ReplyDelete
  39. Dr. Saunders and the PCE Team make your Laser Gum Therapy experience simple, affordable, and with the highest quality of care.
    Visit our website toady for laser gum therapy in houston.

    Periodontal Services Available:
    crown lengthening spring
    tooth extraction conroe
    cosmetic dentist conroe

    ReplyDelete
  40. Dentist Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  41. Dentistry brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  42. Top Dentist in Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  43. cheap dental office in brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  44. Thanks for sharing this blog, This is very helpful. AIMS Dentistry at Sheppard. Equipped with a team of experienced dentists, Best Dentist in North York is one of the leading North York dentist. Dr. Mandeep Sandhu's Multi-speciality Dental Clinic. Located in North York, our doctors have many years of experience.

    ReplyDelete
  45. Dr dua dentist, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  46. Affordable Periodontal Treatment In Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  47. 24/7 Emergency Dentist in Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  48. Affordable Periodontal Treatment in Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  49. I found this blog more informative, thanks for sharing this blog. Checkout here for more info about
    Top Dentists in Bhopal
    Top Dentists in Sagar
    Top Dentists in Jabalpur
    Top Dentists in Indore
    Top Dentists in Chhindwara

    ReplyDelete
  50. Thanks for taking the time to share this informative article. There was plenty of helpful tips in this post. Have a fantastic rest of your weekend and keep up the posts
    Orthodontic Underbite or Class III treatment Toronto
    Orthodontics without extractions Toronto Canada

    ReplyDelete
  51. Looking for Dentist in st. Catharines. we are able to cater to patients from various demographics. You can trust Dr. David Chan, Dr. Amit Narwal and Dr. Sinclair to treat your needs with the outmost care and to make sure you are comfortable at all times. https://www.narwaldental.com/

    ReplyDelete

  52. Best Braces Clinic in Bhopal


    Proud to present the Before After Result of our patients treated through orthodontic treatment. We believe in more comfort for our patients during the treatment and delivering superior results. Discover more about Dental Braces in Bhopal or Orthodontist in Bhopal by contacting Smile Gallery Dental Wellness Center. Just click the following link.


    <a href="https://www.youtube.com/watch?v=W14QyAETiZQ&list=PLIwTx61acLWoGylE81u5_fynFaXoK7v4G</a>

    ReplyDelete
  53. Looking for the best doctors in Jabalpur and physiotherapy in Bhopal, Check out here
    Physiotherapy in Bhopal

    Best Doctors in Jabalpur

    ReplyDelete
  54. Looking for Dentist in st. Catharines using PPE. we are able to cater to patients from various demographics. You can trust Dr. David Chan, Dr. Amit Narwal and Dr. Sinclair to treat your needs with the outmost care and to make sure you are comfortable at all times. https://www.narwaldental.com/

    ReplyDelete
  55. Looking for Affordable Family Dentistry in st. Catharines. we are able to cater to patients from various demographics. You can trust Dr. David Chan, Dr. Amit Narwal and Dr. Sinclair to treat your needs with the outmost care and to make sure you are comfortable at all times. https://www.narwaldental.com/

    ReplyDelete
  56. Looking for Covid 19 Emergency Dental Services st. Catharines. we are able to cater to patients from various demographics. You can trust Dr. David Chan, Dr. Amit Narwal and Dr. Sinclair to treat your needs with the outmost care and to make sure you are comfortable at all times. https://www.narwaldental.com/

    ReplyDelete
  57. I simply wanted to write down a quick word to say thanks to you for those wonderful tips and hints you are showing on this site. Dental urgent care in Encino

    ReplyDelete
  58. Thank you very much for sharing the valuable blog with us. Keep sharing helpful information.

    Dentist in Ludhiana

    ReplyDelete
  59. Very Nice post. The strength of the 4AD is built on the best outcomes that are reflected on the quality care delivery while implementing best practice and achieving evidence based dentistry.Best Lasers Dentistry academy in USAfor more information you can contact us + 1 614 5073 321 or you can visit our website.

    ReplyDelete
  60. Looking for covid 19 Emergency Dentist yonge and Eglinton. Dr. Rohit Arora- Family & Cosmetic dentist more than 18 years experience. Call now to reach Affordable, Economical & Best Dentist in Yonge and Eglinton, Toronto. Visit us https://www.pioneerdentalcentre.com/ for more information.

    ReplyDelete
  61. Looking for Dentist in Bayview Sheppard. At Bayview Sheppard Dentistry you will feel comfortable with our specialist. We provide the best dentist near Bayview Sheppard. Visit us at http://www.bayviewshepparddentistry.com/ for more details.

    ReplyDelete
  62. Cheap Dental Clinic in Brampton, affordable dentist, 5 star client reviews of Best & affordable dentist in Brampton -Comprehensive care, top technologies, trusts for great smiles.Call Brampton Dentist 905-230-3200.

    ReplyDelete
  63. This comment has been removed by the author.

    ReplyDelete
  64. Looking for Emergency Dental pain Niagara Falls. we are able to cater to patients from various demographics. You can trust Dr. David Chan, Dr. Amit Narwal and Dr. Sinclair to treat your needs with the outmost care and to make sure you are comfortable at all times. https://www.narwaldental.com/

    ReplyDelete
  65. Nice blog, great information for sure. Best dental treatment clinic in Düsseldorf offers ideal dental answers to every single dental problem. Call 01805 986700 today if you have dental problems.
    dental clinic Dusseldorf

    ReplyDelete
  66. Lasers Dentistry in USA, this course will provide participants with the latest trend in Laser Dentistry Courses in Nevada to allow practitioners to achieve good aesthetic results with minimal patients.

    Thanks to dental technology, Lasers are widely used in dental practice to allow practitioners to achieve good aesthetic results through minimally invasive procedures and with minimal patient’s discomfort.

    Laser dentistry in soft tissue management is of great value when managing tissues and maintaining haemostasis leading to Aesthetic results.

    ReplyDelete
  67. Thank you for sharing very important information about animal oral surgery.
    Dr. Mittal Dental Clinic is the best choice for Dental Implants in Rohini, with the help of advanced technology and expert doctor we provide the best dental service in Rohini

    Tooth Discoloration Treatment IN Rohini

    ReplyDelete
  68. Getting regular massage can help to prevent muscle related injuries in various sporting activities. 송파구 출장안마

    ReplyDelete
  69. This is a very useful and relevant post. braces specialist in hyderabad The information is clearly laid out for understanding and the examples are good. Thanks for posting this great info. Continue to post stuff like this.

    ReplyDelete
  70. Procuredental is the best dental clinic in bellandur Bangalore We are providing the best treatment for patients in our dental clinic.

    ReplyDelete
  71. There are various veterinary dental tools to diagnose and treat small animals. German forged small animal dental instruments are resistant to environmental changes, making them free from rust. Furthermore, these are reliable instruments for veterinary surgical procedures.

    ReplyDelete
  72. Nice Blog, If you are looking for Dentist in Ludhiana, Then visit Ludhiana Dental Centre. They have well-educated doctors with vast experience in this specific field.

    ReplyDelete

Feline Orofacial Pain-Cat Stomatitis Syndrome

  Feline Orofacial Pain  Cat Stomatitis Syndrome  Guided Bone Regeneration  An Innovative Treatment Donald H DeForge, VMD Fellow of the Acad...