Dentistry

Benny

Thursday, July 30, 2026 at 4:07 PM

Dental Note

Indices

• Periodontal Disease: PD3 suspected – moderate periodontitis with an estimated 25–50% attachment loss based on probing; to be confirmed with dental radiographs.
• Perio Pockets (probing depth): 5–6 mm pockets at the maxillary fourth premolars and first molars bilaterally; 4 mm at the mandibular incisors; <3 mm elsewhere.
• Gingivitis Index: Moderate – generalized gingival inflammation with erythema and bleeding on probing.
• Plaque Index: Moderate accumulation observed, especially along the buccal surfaces of molars.
• Calculus Index: Moderate – visible supragingival and subgingival calculus, particularly affecting the premolars and molars.
• Occlusion: Normal class I occlusion; no malocclusion or dental crowding noted.

Recession and Furcation

• Gingival Recession: Mild gingival margin recession noted in lower incisors; exact measurements not obtained but <2 mm estimated.
• Osseous (alveolar-bone) Recession: Not assessable without radiographs; bone loss estimated from probing depths and attachment loss.
• Furcation Exposure: Grade 1 (F1) suspected at the left maxillary fourth premolar (208); no furcation involvement detected elsewhere on clinical exam.

Tooth Pathology

• Mobile Teeth:
  • Grade 2 mobility in both upper and lower incisors; movement noted buccolingually under gentle pressure.
• Missing Teeth: None absent; full dentition present for breed and age.
• Fractured Teeth: None observed.
• Tooth Wear: Normal for age; no advanced attrition or enamel loss noted.
• Tooth Resorption: No external or internal resorptive lesions noted on visual exam.

Soft Tissue

• Oral Masses: No oral or gingival masses palpated or visualized.
• Soft Tissue Findings:
  • Generalized erythema of gingiva, particularly along the caudal maxillary and mandibular arcades.
  • Darkened pigmentation on the gingiva associated with moderate tartar accumulation; consistent with staining rather than melanosis or pathology.
• Radiographs Taken: None performed during this visit; full-mouth radiographs are strongly recommended under anesthesia.
• Radiographs (teeth): Deferred; assessment based on gross exam only.

Other Pathology / Findings

• Moderate to heavy tartar accumulation noted, particularly affecting caudal molars and lingual surfaces of premolars.
• Gingival margin inflammation and minor gingival recession observed in areas with more advanced calculus build-up.
• Mild halitosis noted.

Summary

• Owner reports intermittent home care, including brushing several times a week, though lower incisors have remained mobile.
• Discussion held regarding the progression of periodontal disease and risk of infection or discomfort if loose teeth are not addressed.
• Mild oral discomfort during mastication is likely but no overt signs of pain (e.g., pawing at mouth, food avoidance) reported.
• Advised that extraction of mobile teeth is appropriate and likely necessary. Posterior dental pathology cannot be fully assessed without radiographs.
• Owner was receptive to full anesthetic dental procedure including radiographs and any indicated extractions.

Performed Today

• Pre-anesthetic blood work panel submitted; results pending.
• Core vaccines updated: DA2PP and Bordetella administered.
• Physical exam completed; cleared for anesthesia pending bloodwork.

Plan

• Schedule full anesthetic dental procedure including:
  • Full-mouth intraoral radiographs
  • Comprehensive scaling and polishing (above and below gumline)
  • Surgical extractions as needed
  • Post-op analgesia and antibiotics if indicated
• Provide discharge instructions including post-extraction care and dietary modifications if teeth are removed.

Extractions Planned

• Upper and lower incisors (12 total): Grade 2 mobility with attachment loss; not expected to be salvageable.
• Posterior teeth (premolars/molars): Extraction dependent on radiographic findings; potential concern for advanced periodontal loss on left maxillary arcade.