The Vet Dental Show

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  Episode 242 - Why Do Oronasal Fistulas Happen After Extraction? 16.09.2026 7分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course. As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Why do some maxillary canine extraction sites develop chronic oronasal fistulas—and what can you do to prevent them? In this episode, Dr. Brett Beckman answers practical questions about oronasal fistulas following maxillary canine extraction, dentin bonding after dentoplasty, and extracting mandibular first molars with divergent roots in brachycephalic dogs. Dr. Beckman explains how dehiscence and surgical technique can contribute to chronic oronasal fistula formation and why prevention starts with proper extraction and closure technique. He also discusses why attempting to repair an established fistula without advanced surgical training can make the defect larger and more difficult to manage. The discussion also covers bonding exposed dentin after dentoplasty, including the use of Bond 1 SF, proper surface preparation, light curing, and why fluoride polishing paste should be avoided when bonding is planned. Finally, Dr. Beckman walks through his approach to teeth 310 and 410 when the caudal root angles toward the mandibular ramus, explaining why proper sectioning allows each root to be mobilized and extracted individually. What You'll Learn in This Episode 🎯 Why chronic oronasal fistulas can develop after maxillary canine extraction 🎯 How dehiscence and surgical technique influence fistula formation 🎯 Why small oronasal fistulas may require surprisingly large flaps for closure 🎯 Why fistula repair should not be attempted without appropriate advanced training 🎯 How to prepare exposed dentin before applying a bonding agent 🎯 Why saliva, debris, calculus, and fluoride polishing paste can interfere with bonding 🎯 When Dr. Beckman uses one versus two coats of bonding agent 🎯 How to approach divergent roots when extracting teeth 310 and 410 🎯 Why sectioning a mandibular first molar simplifies extraction of the individual roots Key Veterinary Dentistry Takeaways 🔑 Preventing an oronasal fistula begins with careful extraction technique and appropriate flap management to reduce the risk of postoperative dehiscence. 🔑 An established oronasal fistula may require a much larger flap than the visible defect suggests, making advanced surgical technique essential for successful repair. 🔑 Exposed dentin should be clean and free of contaminants before bonding. Dr. Beckman uses Bond 1 SF following dentoplasty when bonding is indicated. 🔑 Fluoride polishing paste can interfere with the bonding process, so Dr. Beckman uses flour of pumice when bonding procedures are anticipated. 🔑 A divergent caudal root on teeth 310 or 410 does not fundamentally change the extraction approach when the tooth is properly sectioned and the roots are mobilized individually. Questions This Episode Answers ❓ Why do oronasal fistulas develop after maxillary canine extraction? ❓ How can veterinarians prevent postoperative fistula formation? ❓ What causes an extraction flap to dehisce? ❓ Should you attempt to repair a chronic oronasal fistula? ❓ Why can fistula repair make the defect larger? ❓ Which bonding agent does Dr. Beckman use after dentoplasty? ❓ How should dentin be prepared before bonding? ❓ Why should fluoride polishing paste be avoided before bonding? ❓ How should teeth 310 and 410 be extracted when the caudal root diverges? ❓ Does root divergence make mandibular first molar extraction more difficult? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol: https://ivdi.org/extract -- veterinary dental extraction, oronasal fistula dog, veterinary oronasal fistula, maxillary canine extraction, canine tooth extraction dog, veterinary extraction complications, dental flap dehiscence, veterinary oral surgery, veterinary dental surgery, oronasal fistula repair, veterinary extraction technique, veterinary dentoplasty, veterinary dentin bonding, mandibular first molar extraction, 310 tooth extraction, 410 tooth extraction, brachycephalic dog dentistry, veterinary dentistry CE, The Vet Dental Show, Dr Brett Beckman
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  Episode 241 - Can Deciduous Extraction Damage Adult Teeth? 09.09.2026 6分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course. As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman tackles practical questions that can make deciduous and canine tooth extractions safer and more predictable. He discusses extraction forceps for small incisors, protecting unerupted permanent tooth buds, when traumatic deciduous teeth should be removed, managing feline canine buccal bone expansion, and techniques for tension-free canine flap closure. What You'll Learn in This Episode 🎯 How specialized extraction forceps can improve grip on small, rounded incisors 🎯 Where unerupted permanent canine teeth are positioned relative to deciduous teeth 🎯 How elevator positioning can reduce the risk of damaging developing permanent teeth 🎯 When to extract deciduous teeth that are causing soft-tissue trauma in puppies 🎯 How to manage bone associated with feline maxillary canine buccal bone expansion 🎯 Why a periosteal elevator can help separate adherent tissue while protecting mucosa 🎯 What owners should know about possible tongue deviation after mandibular canine extraction 🎯 Why Dr. Beckman routinely performs a buccinator release with canine and maxillary fourth premolar flaps 🎯 When compromised gingiva may be excised during maxillary canine extraction Key Veterinary Dentistry Takeaways 🔑 There is no minimum age for extracting a deciduous tooth that is causing soft-tissue trauma. Once trauma is identified, delaying extraction can unnecessarily prolong injury. 🔑 Unerupted permanent tooth buds require careful consideration during deciduous extractions. The permanent maxillary canine develops caudally, while the mandibular canine develops laterally, influencing where instruments should be placed. 🔑 Buccal bone expansion around feline maxillary canines may require careful separation of tissue from bone. Gentle use of a periosteal elevator can help protect the mucosa. 🔑 Slight tongue deviation can occur after mandibular canine extraction, but it is generally a cosmetic rather than functional concern. 🔑 Dr. Beckman uses a buccinator release routinely for canine and maxillary fourth premolar extraction flaps in both dogs and cats to facilitate appropriate closure. Questions This Episode Answers ❓ Which extraction forceps work best for small veterinary incisors? ❓ How can you avoid fracturing incisors while gripping them? ❓ Can deciduous tooth extraction damage an unerupted permanent tooth? ❓ Where are permanent canine tooth buds positioned during deciduous extraction? ❓ How young is too young to extract a traumatic deciduous tooth? ❓ How should feline maxillary canine buccal bone expansion be managed? ❓ How can bone be separated from attached tissue without tearing the gingiva? ❓ Does canine tooth extraction cause lip entrapment or buccal trauma? ❓ Should owners expect tongue deviation after mandibular canine extraction? ❓ Is a buccinator release necessary for every canine extraction flap? ❓ Should compromised attached gingiva be preserved at an extraction site? ❓ Is attached gingiva necessary after the tooth has been removed? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol — limited-time offer: https://ivdi.org/extract -- veterinary dental extraction, deciduous tooth extraction puppy, puppy tooth extraction, retained deciduous teeth dog, unerupted permanent tooth dog, veterinary incisor extraction, veterinary extraction forceps, feline canine extraction, cat canine tooth extraction, feline buccal bone expansion, maxillary canine extraction, mandibular canine extraction, veterinary dental flap, buccinator release veterinary, canine extraction flap closure, veterinary oral surgery, veterinary dental instruments, veterinary extraction technique, veterinary dentistry, veterinary dentistry continuing education, veterinary dental CE, veterinary dental training, veterinary dentistry podcast, The Vet Dental Show, Dr Brett Beckman
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  Episode 240 - Can You Cause an Oronasal Fistula During Extraction? 02.09.2026 12分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course. As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman answers practical questions about extraction flap closure, simple continuous versus simple interrupted sutures, maxillary canine extraction, preventing oronasal communication, deciduous tooth extraction, and managing developing malocclusion in puppies. He explains when experienced clinicians may consider simple continuous closure, why the depth and direction of bone removal matter during maxillary canine extraction, and how severe periodontal disease can contribute to loss of bone between the oral and nasal cavities. He also discusses instrument selection for deciduous extractions and an important clinical question: when a deciduous tooth interferes with normal jaw development, will extracting it improve the eventual occlusion—or potentially create a different problem? What You'll Learn in This Episode 🎯 When simple continuous sutures may be appropriate for closing veterinary dental extraction flaps 🎯 Why clinician experience and consistently tension-free closure matter when choosing a suture pattern 🎯 How simple continuous closure compares with simple interrupted and cruciate patterns 🎯 How much PerioVive may be needed in patients undergoing multiple dental extractions 🎯 How far palatally to remove bone during maxillary canine extraction 🎯 Why excessive bone removal around a maxillary canine can create communication with the nasal cavity 🎯 How severe periodontal bone loss can affect the palatal aspect of a maxillary canine extraction 🎯 What happens when compromised bone remains attached to the tooth root during extraction 🎯 Whether the infraorbital neurovascular structures are at risk during buccinator release 🎯 Why Dr. Beckman generally prefers greater instrument control during deciduous tooth extractions 🎯 How the presence of an unerupted permanent tooth affects instrument selection 🎯 When an interfering deciduous tooth may justify extraction in a growing puppy 🎯 Why changing mandibular position can alter where the permanent canine eventually erupts 🎯 How extracting a deciduous canine could potentially exchange one occlusal problem for another Key Veterinary Dentistry Takeaways 🔑 Simple continuous suturing can be an efficient option for experienced clinicians who consistently achieve tension-free extraction flap closure, but Dr. Beckman does not recommend it for veterinarians who are just beginning to perform extractions. 🔑 During maxillary canine extraction, excessive palatal bone removal should be avoided. Going too far can eliminate the bony separation between the oral and nasal cavities and allow bone to accompany the tooth during extraction. 🔑 Severe periodontal disease can already compromise the palatal and nasal bone associated with a maxillary canine, meaning communication with the nasal cavity may occur even without aggressive bone removal. 🔑 When a maxillary canine extraction creates or reveals communication with the nasal cavity, appropriate flap closure allows the site to heal and bone to reform within the defect. 🔑 Deciduous tooth extraction requires careful instrument selection, particularly when the permanent successor remains unerupted and is in close proximity to the deciduous root. 🔑 When deciduous teeth interfere with normal jaw development, the decision to extract should consider more than the current interference. Veterinarians should anticipate how subsequent mandibular movement may affect the eruption and final position of the permanent teeth. 🔑 Removing an interfering deciduous canine does not guarantee a normal adult occlusion. Partial mandibular movement could potentially change the permanent canine's eruption path and create a different traumatic relationship. Questions This Episode Answers ❓ Can you use simple continuous sutures to close veterinary dental extraction flaps? ❓ When should simple interrupted sutures be preferred over simple continuous closure? ❓ Is simple continuous suturing appropriate for veterinarians who are new to dental extractions? ❓ How much PerioVive is typically needed for a patient undergoing multiple extractions? ❓ How far should bone be removed during a maxillary canine extraction? ❓ Can maxillary canine extraction create an oronasal communication? ❓ What happens if bone removal extends too far palatally during canine extraction? ❓ How does severe periodontal disease affect the risk of bone loss around a maxillary canine? ❓ Can bone attached to a maxillary canine root come out with the tooth during extraction? ❓ Will bone regenerate after an extraction site communicating with the nasal cavity is properly closed? ❓ Can a buccinator release damage structures exiting the infraorbital foramen? ❓ Should a Vet-Tome be used for deciduous tooth extractions? ❓ How does an unerupted permanent tooth change the approach to deciduous extraction? ❓ Should deciduous teeth be extracted when they interfere with normal puppy jaw growth? ❓ Can extracting a deciduous canine help correct a developing malocclusion? ❓ Could extracting an interfering deciduous canine actually create a different occlusal problem? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol — limited-time offer: https://ivdi.org/extract -- veterinary dental extraction, veterinary tooth extraction, maxillary canine extraction dog, canine tooth extraction veterinary, veterinary dental flap closure, veterinary dental suturing, simple continuous suture veterinary, simple interrupted suture veterinary, veterinary extraction technique, veterinary oral surgery, veterinary dental surgery, oronasal communication dog, veterinary oronasal fistula, maxillary canine extraction complications, veterinary periodontal disease, veterinary dental bone removal, deciduous tooth extraction puppy, retained deciduous canine dog, puppy malocclusion veterinary, mandibular canine malocclusion dog, veterinary dental extraction complications, veterinary dental instruments, veterinary dentistry, canine dental extraction, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dental training, The Vet Dental Show, Dr Brett Beckman
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  Episode 239 - Should You Suture Each Dental Quadrant as You Go? 26.08.2026 13分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course. As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman answers practical questions about extraction workflow, anesthesia considerations, dental instrument maintenance, bur selection, suture materials, extraction site management, flap healing, and preventing postoperative dehiscence. He explains why the decision to extract and suture one quadrant at a time can have important implications for patient safety—particularly when anesthesia monitoring and dental staffing are limited. He also breaks down why bur design matters when creating a groove alongside a canine tooth, which needles and suture sizes he prefers for oral surgery, and how proper flap technique and postoperative protection can help prevent dehiscence. What You'll Learn in This Episode 🎯 Whether to extract and suture each dental quadrant individually or complete multiple quadrants before closure 🎯 How anesthesia monitoring can influence extraction and suturing workflow 🎯 Why regional nerve blocks can help maintain a lighter anesthetic plane during dental procedures 🎯 How coordinating postoperative dental radiographs can improve procedural efficiency 🎯 When and how to sharpen periosteal elevators, luxators, elevators, and curettes 🎯 Why dental scissors may be better sent out for professional sharpening 🎯 Why a #699 or #701 crosscut bur is preferred over a round bur when creating a lateral groove beside a canine tooth 🎯 How round burs can increase the risk of inadvertently engaging the tooth during bone removal 🎯 Which suture sizes and needle types Dr. Beckman uses in cats, very small dogs, and larger patients 🎯 Why reverse-cutting needles are preferred over taper needles for oral soft tissue 🎯 How much PerioVive may be needed in extraction sites and periodontal pockets 🎯 Why extending a mucoperiosteal flap over adjacent teeth does not inherently create periodontal pockets 🎯 How tension, patient interference, toys, and rough activity can contribute to postoperative dehiscence Key Veterinary Dentistry Takeaways 🔑 Completing and closing one quadrant before moving to another may be the safer approach in many general practices, particularly when there is greater potential for an unexpected anesthetic event. 🔑 When anesthesia is carefully monitored and effective nerve blocks are used, maintaining a lighter anesthetic plane may allow greater flexibility in extraction, radiography, and closure workflow. 🔑 Dental instruments should be sharpened routinely after they are cleaned so elevators, luxators, periosteal elevators, and curettes are ready for the next procedure. 🔑 A crosscut bur such as a #699 or #701 provides better control when removing bone alongside a canine tooth than a round bur, which can more readily engage the tooth. 🔑 For oral surgery, Dr. Beckman uses 5-0 Monocryl with a P3 needle in cats and very small dogs and 4-0 Monocryl with a PS3 or PS2 needle in other patients. 🔑 Reverse-cutting needles are preferred for oral soft tissue because taper needles do not penetrate this tissue as effectively and may traumatize delicate feline gingiva. 🔑 Only a small amount of PerioVive may be necessary. Dr. Beckman describes approximately 0.2–0.3 mL for a large extraction site such as a maxillary fourth premolar and even less for periodontal pockets. 🔑 Properly elevated and repositioned oral flaps can rapidly reattach to the underlying tissues and should not inherently create periodontal pockets around adjacent teeth. 🔑 Excessive tension and postoperative trauma are major contributors to flap dehiscence following veterinary dental extractions. 🔑 E-collars and strict postoperative instructions can be especially important after rostral extractions to prevent patients, toys, other animals, or rough activity from disrupting the surgical site. Questions This Episode Answers ❓ Should you extract and suture one dental quadrant at a time? ❓ Is it safe to leave one extraction quadrant open while working on another? ❓ How should anesthesia risk influence veterinary dental extraction workflow? ❓ How often should veterinary dental instruments be sharpened? ❓ Which dental instruments can be sharpened in the veterinary practice? ❓ Should scissors be sharpened in-house or professionally? ❓ Should you use a round bur to create a groove alongside a canine tooth? ❓ Why are #699 and #701 crosscut burs useful during canine tooth extraction? ❓ What suture size should be used for cats and small dogs after dental extractions? ❓ Should veterinary oral surgery use a taper or reverse-cutting needle? ❓ How much PerioVive should be placed in an extraction site? ❓ Can extending a dental flap over adjacent premolars create periodontal pockets? ❓ What causes extraction flap dehiscence after veterinary oral surgery? ❓ When should an E-collar be used following dental extractions? ❓ How can veterinarians reduce the risk of postoperative extraction site complications? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol — limited-time offer: https://ivdi.org/extract -- YouTube Cards Card Title: Master Dental Extractions Call to Action: Improve Your Technique Teaser Text: Avoid Extraction Mistakes -- veterinary dental extraction, veterinary tooth extraction, veterinary extraction technique, canine tooth extraction, veterinary dental surgery, veterinary oral surgery, veterinary dental suturing, veterinary dental suture material, veterinary dental needle selection, reverse cutting needle veterinary, veterinary dental bur selection, 699 crosscut bur, 701 crosscut bur, canine extraction bur technique, veterinary dental instrument sharpening, veterinary luxator sharpening, veterinary elevator sharpening, veterinary extraction site closure, dental flap dehiscence dog, veterinary mucoperiosteal flap, veterinary dental anesthesia, veterinary nerve blocks, veterinary dental complications, veterinary dentistry, canine dental extraction, feline dental extraction, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dental training, The Vet Dental Show, Dr Brett Beckman
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  Episode 238 - How Much Bone Can You Safely Remove During Veterinary Extractions? 19.08.2026 11分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course.  As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- In this episode, Dr. Brett Beckman answers practical questions about fractured root tip retrieval, bone removal, surgical extraction technique, patient positioning, and extraction site closure. He explains why adequate bone removal can make root retrieval safer and more predictable, and why trying to move a root with excessive force can create unnecessary risk—particularly when extracting mandibular first molars in small dogs with significant periodontal bone loss. What You'll Learn in This Episode 🎯 How to position patients in lateral or dorsal recumbency for veterinary dental procedures 🎯 Why patient size, body condition, surgical access, and head positioning can influence recumbency 🎯 When simple extraction sites should—and shouldn't—be sutured 🎯 Why incisor extraction sites can often be left open to heal 🎯 Which extraction sites are more likely to require closure because of food impaction 🎯 How additional vestibular bone removal can improve access to fractured root tips 🎯 Why adequate bone removal can reduce the need for excessive force during extraction 🎯 How mandibular anatomy changes the approach to root tip retrieval in small dogs Key Veterinary Dentistry Takeaways 🔑 Lateral and dorsal recumbency can both be appropriate for veterinary dental procedures; positioning should provide optimal access while allowing the head to be manipulated as needed. 🔑 Dorsal recumbency may be preferable for heavier patients during longer procedures to avoid placing excessive weight on one side of the chest. 🔑 Simple incisor extraction sites often do not require suturing unless the surrounding gingiva is significantly inflamed, mobile, or otherwise requires closure. 🔑 Extraction sites in areas used for mastication may require closure to help prevent food and debris from becoming impacted in the alveolus. 🔑 Surgical extractions should provide sufficient exposure of the root and surrounding bone to allow controlled extraction and root tip retrieval. 🔑 When a root tip fractures, removing additional vestibular bone can create better visualization and access rather than relying on excessive force. 🔑 Removing vestibular bone does not automatically compromise mandibular integrity; inadequate bone removal and excessive torque can increase extraction difficulty and risk. 🔑 Small dogs with severe periodontal bone loss around the mandibular first molar can have an increased risk of mandibular fracture and may be better candidates for referral. 🔑 Knowing when a case exceeds your comfort level is an important part of safe veterinary dental extraction planning. Questions This Episode Answers ❓ Should veterinary dental patients be positioned in lateral or dorsal recumbency? ❓ When is dorsal recumbency preferable during veterinary dental procedures? ❓ Do simple tooth extraction sites always need to be sutured? ❓ Should incisor extraction sites be closed? ❓ Which veterinary extraction sites are most important to suture? ❓ Does every fractured root tip need to be removed? ❓ How do you retrieve a fractured root tip during a surgical extraction? ❓ How much vestibular bone can safely be removed during an extraction? ❓ Does removing bone increase the risk of mandibular fracture? ❓ Why are mandibular first molar extractions particularly challenging in small dogs? ❓ When should a difficult veterinary dental extraction be referred to a specialist? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol — offer ends Sunday: https://ivdi.org/extract -- veterinary dental extraction, fractured root tip dog, veterinary root tip retrieval, veterinary tooth extraction, veterinary surgical extraction, fractured tooth root veterinary, vestibular bone removal, veterinary dental bone removal, mandibular fracture dog, mandibular first molar extraction, small dog dental extraction, veterinary extraction complications, veterinary dental suturing, extraction site closure, veterinary dental patient positioning, lateral recumbency veterinary dentistry, dorsal recumbency veterinary dentistry, veterinary oral surgery, veterinary dentistry, canine dental extraction, veterinary dental specialist, veterinary extraction technique, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dental training, The Vet Dental Show, Dr Brett Beckman
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  Episode 237 – Root Planing vs. Extraction: When Can You Save the Tooth? 12.08.2026 11分

  For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course. These episodes provide an overview of the topics covered and give you a preview of the practical, step-by-step training included in the full program. As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the complete course for $300 off before its official release on August 15. This special podcast listener pricing ends Sunday, so don't miss your chance to secure lifetime access to the course at a significant discount. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- What You'll Learn in This Episode 🎯 How to decide between open and closed root planing 🎯 Why bleeding on probing can be more important than probing depth alone 🎯 How large a flap should be for open root planing and curettage 🎯 Why periodontal root planing is rarely indicated in cats 🎯 When small periodontal defects may not require a bone graft 🎯 Which canine periodontal defects may be candidates for root planing and regenerative therapy 🎯 How the mucogingival line influences whether a periodontal defect can be treated 🎯 What apical root resorption can indicate about tooth vitality 🎯 Why converging or fused roots do not automatically mean extraction 🎯 When dentigerous and maxillary cysts should be referred to a veterinary dental specialist Key Veterinary Dentistry Takeaways 🔑 The decision between open and closed root planing is driven primarily by whether the periodontal defect involves bone or soft tissue—not simply by probing depth. 🔑 Bleeding on probing, particularly alongside marginal gingivitis, is an important indicator of active periodontal inflammation. 🔑 Open root planing flaps should be extended only as far as necessary to adequately visualize and clean the periodontal defect. 🔑 Periodontal therapy in cats has limited indications because of their thin attached gingiva, although select early canine-tooth lesions may be candidates. 🔑 Small periodontal defects may be managed without a bone graft, while larger defects may require additional regenerative therapy. 🔑 Gingival recession extending beyond the mucogingival line can significantly limit treatment options for canine teeth. 🔑 Root resorption involving the apex can indicate loss of tooth vitality, while resorption elsewhere does not necessarily mean the tooth is non-vital. 🔑 Root convergence or fusion alone is not automatically an indication for extraction. 🔑 Complex dentigerous or maxillary cysts can be difficult to completely remove and may require specialist expertise. Questions This Episode Answers ❓ When should veterinarians perform open versus closed root planing? ❓ Is there a probing depth that determines when open root planing is necessary? ❓ Why does bleeding on periodontal probing matter? ❓ How large should a periodontal flap be for open root planing? ❓ Can root planing and curettage be performed in cats? ❓ When should a bone graft be used for periodontal defects? ❓ Can periodontal therapy save a canine tooth with gingival recession? ❓ Are teeth with resorbing roots always non-vital? ❓ Do converging tooth roots always require extraction? ❓ How do you know when a dentigerous cyst has been completely removed? ❓ When should cystic lesions be referred to a veterinary dental specialist? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol — offer ends Sunday: https://ivdi.org/extract -- veterinary root planing, open root planing veterinary dentistry, closed root planing, veterinary periodontal therapy, veterinary periodontal disease, veterinary tooth extraction, veterinary dentistry, canine periodontal disease, feline periodontal disease, periodontal probing dogs, bleeding on probing veterinary, veterinary dental bone graft, canine gingival recession, veterinary tooth resorption, root resorption dog, converging tooth roots, fused tooth roots, dentigerous cyst dog, veterinary dental cyst, veterinary oral surgery, veterinary dental specialist, veterinary dental extraction, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dental training, The Vet Dental Show, Dr Brett Beckman
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  Episode 236 - Bone Loss, Furcations & Extraction Decisions in Veterinary Dentistry 05.08.2026 11分

  As a listener of The Vet Dental Show, you have a limited-time opportunity to purchase the NEW Definitive Veterinary Extraction Protocol Online Course for $300 off before its official release on August 15. This special podcast listener pricing ends Sunday, so don't miss your chance to secure lifetime access to the course at its lowest available price. Learn more and enroll here: https://ivdi.org/extract -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- When should a periodontally compromised tooth be treated with open root planing instead of extraction? How much vertical bone loss is too much? Can furcation involvement ever be managed without removing the tooth? In this episode, Dr. Brett Beckman answers common questions from veterinarians following the release of The Definitive Veterinary Extraction Protocol, providing practical guidance on diagnosing and treating periodontal defects while preserving teeth whenever appropriate. Through real clinical examples, he explains how to evaluate periodontal pockets, identify healthy candidates for open root planing, and recognize when extraction remains the best treatment option. Dr. Beckman also discusses techniques for improving visualization during periodontal surgery, removing granulation tissue effectively, selecting cases for bone grafting versus blood clot healing, and understanding the role of attached gingiva, furcation involvement, and advanced periodontal disease in long-term treatment success. Whether you're looking to improve periodontal therapy or make more confident extraction decisions, this episode offers practical, evidence-based insights for everyday veterinary practice. What You'll Learn in This Episode 🎯 How to determine when open root planing is appropriate for periodontal pockets 🎯 Techniques for visualizing and removing granulation tissue during periodontal surgery 🎯 How air-water syringes improve visibility during flap procedures 🎯 When vertical bone loss still allows successful periodontal treatment 🎯 How to decide between bone grafting, blood clot healing, and extraction 🎯 Why radiographs alone don't always reveal the full extent of periodontal disease 🎯 How furcation involvement influences treatment planning 🎯 Why attached gingiva plays a critical role in preserving teeth 🎯 When advanced periodontal defects should be referred to a veterinary dental specialist 🎯 Practical tips for improving periodontal treatment outcomes in general practice Key Veterinary Dentistry Takeaways 🔑 Open root planing can successfully preserve strategically important teeth when adequate supporting bone remains. 🔑 Surgical flap exploration provides the most accurate assessment of periodontal defects and treatment options. 🔑 Effective removal of granulation tissue is essential for successful periodontal healing. 🔑 Bone grafting can help maintain marginal bone height in appropriate cases, although smaller defects may heal well with a stabilized blood clot. 🔑 Radiographic findings should always be combined with clinical examination before deciding whether to extract a tooth. 🔑 Furcation involvement does not always require immediate extraction, but case selection is critical and often requires specialist evaluation. 🔑 Early diagnosis and proper periodontal therapy can slow disease progression and improve long-term patient outcomes. Questions This Episode Answers ❓ When should a tooth receive open root planing instead of extraction? ❓ How much vertical bone loss is too much for periodontal therapy? ❓ How can veterinarians tell if all granulation tissue has been removed? ❓ When should bone grafts be used during periodontal surgery? ❓ Is a blood clot enough for healing smaller periodontal defects? ❓ How reliable are dental radiographs when evaluating periodontal disease? ❓ Does furcation involvement always mean extraction? ❓ When should periodontal cases be referred to a veterinary dental specialist? ❓ How does attached gingiva affect periodontal treatment success? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ 💻 Save $300 on The Definitive Veterinary Extraction Protocol before the official release: https://ivdi.org/extract -- veterinary periodontal disease, veterinary root planing, open root planing, veterinary periodontal therapy, canine periodontal disease, periodontal pocket treatment, veterinary dental surgery, veterinary tooth extraction, vertical bone loss, furcation involvement, veterinary bone grafting, granulation tissue removal, attached gingiva, veterinary dental radiographs, periodontal flap surgery, veterinary oral surgery, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dental training, veterinary dental education, general practice veterinary dentistry, Dr Brett Beckman
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  Episode 235 - Base Narrow Canines: Stop Puppy Palatal Trauma 29.07.2026 13分

  Ready to build a veterinary dental service that improves patient care while increasing practice profitability? Enroll in our FREE RACE-accredited online veterinary dentistry course and gain practical, step-by-step training designed to help general practitioners develop confidence, improve clinical outcomes, and implement a higher standard of dental care. Get started today: https://ivdi.org/free -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Palatal trauma caused by base narrow mandibular deciduous canine teeth is one of the most painful and time-sensitive dental conditions encountered in young puppies. In this episode, Dr. Brett Beckman explains why these cases require immediate attention, how early intervention can improve long-term jaw development, and what every general practitioner should know when managing puppies with traumatic malocclusions. Using clinical examples, Dr. Beckman discusses the causes of palatal impingement, including narrow mandibular conformation and Class II malocclusions, while emphasizing the importance of identifying affected puppies during routine wellness examinations. He also explains why extraction of the mandibular deciduous canine teeth alone is often insufficient, reviews the unique anatomy of deciduous incisor roots, and outlines when referral to a veterinary dentist is the best course of action. This episode provides practical guidance that helps veterinarians relieve pain quickly while improving the likelihood of normal permanent tooth eruption. What You'll Learn in This Episode 🎯 How to recognize palatal trauma caused by mandibular deciduous canine teeth during puppy examinations 🎯 Why base narrow canine teeth and Class II malocclusions commonly lead to palatal impingement 🎯 Why these cases should be treated as urgent rather than monitored 🎯 How traumatic deciduous teeth can interfere with normal mandibular growth 🎯 Why mandibular incisors often require extraction in addition to the deciduous canine teeth 🎯 The unique anatomy of deciduous incisor roots and why extraction requires careful technique 🎯 Which luxators, periotomes, and instruments improve extraction success 🎯 When referral to a veterinary dental specialist is recommended 🎯 How to monitor permanent canine eruption following treatment 🎯 What owners should understand about the potential for future adult malocclusion Key Veterinary Dentistry Takeaways 🔑 Palatal trauma from deciduous mandibular canine teeth is a painful condition that should be treated as soon as possible. 🔑 Early extraction may reduce pain while allowing more normal mandibular growth during development. 🔑 Removing only the mandibular canine teeth may leave the mandibular incisors as the new source of palatal trauma. 🔑 Deciduous incisor roots are exceptionally long relative to their crowns and require meticulous extraction technique. 🔑 Sharp luxators and periotomes significantly improve efficiency and reduce the risk of root fracture. 🔑 Puppies should be re-evaluated as permanent canine teeth erupt because adult malocclusion may still develop. 🔑 Early diagnosis and timely intervention improve both patient comfort and long-term occlusal outcomes. Questions This Episode Answers ❓ What causes mandibular deciduous canine teeth to traumatize the palate? ❓ What is a base narrow canine malocclusion? ❓ When should deciduous canine teeth be extracted? ❓ Why isn't extraction of the canine teeth always enough? ❓ Why are deciduous incisor extractions technically challenging? ❓ Which instruments work best for deciduous tooth extraction? ❓ How can early treatment influence jaw development? ❓ When should these patients be referred to a veterinary dentist? ❓ How should puppies be monitored as permanent canine teeth erupt? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ -- base narrow canine teeth, puppy malocclusion, palatal trauma in puppies, deciduous canine extraction, veterinary puppy dentistry, mandibular canine impingement, Class II malocclusion dog, veterinary deciduous tooth extraction, deciduous incisor extraction, veterinary luxators, veterinary periotome, veterinary dental instruments, puppy dental pain, veterinary oral surgery, veterinary dentistry continuing education, veterinary dental CE, veterinary dentistry podcast, veterinary dentistry training, veterinary dental wellness exam, Dr Brett Beckman
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  Episode 234 - Don't Extract Every Fractured Tooth 22.07.2026 14分

  Ready to build a veterinary dental service that improves patient care while increasing practice profitability? Enroll in our FREE RACE-accredited online veterinary dentistry course and gain practical, step-by-step training designed to help general practitioners develop confidence, improve clinical outcomes, and implement a higher standard of dental care. Get started today: https://ivdi.org/free -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Not every fractured tooth requires extraction—but knowing when to save a tooth and when intervention is necessary is one of the most important clinical decisions in veterinary dentistry. In this episode, Dr. Brett Beckman answers common questions from veterinary professionals about root fractures, periapical lucencies, vital pulp therapy, root canal treatment, and selecting the right dental burs for efficient surgical extractions. Using real clinical examples and radiographic interpretation, Dr. Beckman explains how to distinguish fractures that can safely remain from those that require extraction or endodontic treatment. He also discusses the biological principles behind vital pulp therapy, when root canal therapy is the preferred alternative to extraction, and practical equipment recommendations that improve efficiency during dental procedures. This episode provides actionable guidance for veterinarians looking to improve diagnostic confidence and treatment planning in everyday practice. What You'll Learn in This Episode 🎯 When a fractured tooth root can safely remain without extraction 🎯 How to identify radiographic signs that indicate extraction is necessary 🎯 The difference between a normal chevron sign and a true periapical lucency 🎯 Why periodontal communication changes treatment recommendations 🎯 When root canal therapy is an appropriate alternative to extraction 🎯 How periapical disease develops and why it should never be ignored 🎯 Clinical indications and timing for successful vital pulp therapy 🎯 The biological principles behind mineral trioxide aggregate (MTA) in pulp preservation 🎯 Which diamond football and crosscut burs are most useful in general veterinary practice 🎯 Practical instrumentation recommendations for efficient surgical tooth extraction Key Veterinary Dentistry Takeaways 🔑 Root fractures beneath healthy bone without periodontal involvement often do not require extraction. 🔑 Periapical lucencies indicate pulpal death and generally require either extraction or root canal therapy. 🔑 Radiographic interpretation should always be combined with probing and mobility assessment before making treatment decisions. 🔑 Vital pulp therapy offers excellent success rates when performed on appropriately selected, recently exposed teeth. 🔑 Early intervention dramatically improves the long-term prognosis for preserving strategic teeth. 🔑 Proper bur selection improves surgical efficiency while minimizing unnecessary bone removal. 🔑 Combining accurate diagnostics with appropriate treatment planning leads to better patient outcomes and long-term oral health. Questions This Episode Answers ❓ Does every root fracture require extraction? ❓ How can you determine whether a fractured root can safely remain? ❓ What does a periapical lucency indicate on dental radiographs? ❓ How do you differentiate a chevron sign from true apical pathology? ❓ When should root canal therapy be recommended instead of extraction? ❓ What are the ideal indications for vital pulp therapy? ❓ Why is timing so critical for successful pulp preservation? ❓ Which dental burs should every general veterinary practice keep available? ❓ How should radiographs guide treatment decisions for fractured teeth? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ -- veterinary tooth fractures, veterinary root fracture treatment, veterinary dental radiography, periapical lucency in dogs, veterinary root canal therapy, veterinary vital pulp therapy, fractured canine tooth treatment, veterinary tooth extraction indications, veterinary dental burs, diamond football bur veterinary dentistry, crosscut bur veterinary dentistry, veterinary endodontics, veterinary oral surgery, veterinary dentistry continuing education, veterinary dental CE, veterinary dental diagnostics, veterinary dental radiographs, veterinary dentistry podcast, veterinary dentistry training, Dr Brett Beckman
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  Episode 233 - How to Build a Profitable Veterinary Dental Service 15.07.2026 9分

  Ready to build a veterinary dental service that improves patient care while increasing practice profitability? Enroll in our FREE RACE-accredited online veterinary dentistry course and gain practical, step-by-step training designed to help general practitioners develop confidence, improve clinical outcomes, and implement a higher standard of dental care. Get started today: https://ivdi.org/free -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Building an exceptional veterinary dental service requires more than purchasing equipment—it requires the right mindset, a committed team, and proven systems that can be repeated every day. In this episode, Dr. Brett Beckman shares a powerful presentation on why embracing change is essential for growth and how investing in veterinary dentistry benefits patients, clients, team members, and the overall success of the practice. Drawing from real-world case studies, Dr. Beckman explains how practices dramatically increased dental revenue after investing in education, dental radiography, instrumentation, and standardized workflows. He also discusses why creating a small, dedicated dental team leads to greater consistency, confidence, and efficiency than attempting to train an entire hospital staff at once. Whether you're a practice owner, associate veterinarian, or veterinary technician, this episode provides practical strategies for building a sustainable, high-performing dental program. What You'll Learn in This Episode 🎯 Why embracing change is essential for improving veterinary dentistry 🎯 How high-quality dentistry improves both patient outcomes and practice growth 🎯 Revenue and return-on-investment data from practices that invested in dentistry 🎯 Why dental equipment and staff education often pay for themselves quickly 🎯 The three foundational components of a successful veterinary dental service 🎯 Why a small, dedicated dental team outperforms broad cross-training 🎯 How standardized clinical workflows improve consistency and efficiency 🎯 The importance of repetition in developing speed, confidence, and clinical excellence 🎯 How technicians can help advocate for investments in veterinary dentistry 🎯 Why passion and commitment are key drivers of long-term success Key Veterinary Dentistry Takeaways 🔑 Great veterinary dentistry starts with mindset, education, and a commitment to continuous improvement 🔑 Dentistry can become one of the most profitable service areas within a general veterinary practice 🔑 Investments in dental radiography, instrumentation, and training can produce exceptional returns on investment 🔑 Dedicated dental teams develop stronger skills and greater consistency than broadly cross-trained teams 🔑 Standardized protocols improve workflow, confidence, and patient care 🔑 Repetition and structured systems accelerate mastery of veterinary dental procedures 🔑 Better dentistry benefits patients, clients, veterinary teams, and the long-term health of the practice Questions This Episode Answers ❓ Why do many veterinary practices underutilize their dental service? ❓ How profitable can veterinary dentistry become? ❓ What kind of return on investment can dental equipment and education provide? ❓ Why should practices invest in dental radiography and advanced instrumentation? ❓ How many team members should initially be dedicated to dentistry? ❓ Why is a focused dental team more effective than training the entire hospital? ❓ How do standardized workflows improve dental efficiency? ❓ What role do technicians play in building a successful dental program? ❓ How can practices develop confidence while improving their standard of care? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ -- veterinary dentistry, veterinary dental practice management, veterinary dental team, veterinary dentistry profitability, veterinary dental ROI, veterinary dental radiography, veterinary dental education, veterinary dental workflow, veterinary dental protocols, veterinary dental equipment, veterinary technician dentistry, veterinary dental training, veterinary practice growth, veterinary dentistry CE, dental practice systems, veterinary dentistry leadership, veterinary hospital profitability, veterinary dental team training, veterinary dental continuing education, Dr Brett Beckman
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  Episode 232 - Should You Ever Leave an Extraction Open? 08.07.2026 8分

  Ready to perform veterinary dentistry with greater confidence? Enroll in our FREE RACE-accredited online veterinary dentistry course and gain practical, step-by-step training designed to help general practitioners improve case outcomes and elevate the standard of dental care in their practice. Get started today: https://ivdi.org/free -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Questions from practicing veterinarians often reveal the clinical challenges that come up every day in general practice, and this episode is dedicated to answering them. Dr. Brett Beckman provides practical, evidence-based guidance on some of the most common topics submitted during recent online veterinary dentistry trainings, including extraction site closure, local anesthesia, postoperative pain management, suture selection, and home-care recommendations. Throughout the episode, Dr. Beckman explains why extraction sites should almost always be debrided and closed without tension, when advanced flap techniques or referral are appropriate, and how proper surgical planning improves healing. He also shares his preferred approach to mouth gags, discusses long-acting pain management with Nocita® and Zorbium®, reviews infraorbital nerve block techniques in dogs and cats, and offers realistic recommendations for improving owner compliance with dental home care. What You'll Learn in This Episode 🎯 Why extraction sites should almost always be debrided and sutured 🎯 When advanced flap techniques or referral become necessary 🎯 How to achieve predictable, tension-free gingival closure 🎯 A practical mouth gag solution using cut endotracheal tubes 🎯 Dr. Beckman's experience using Nocita® for postoperative dental pain 🎯 Pain management considerations for feline stomatitis patients 🎯 Why infraorbital nerve blocks anesthetize the entire maxilla in cats 🎯 Preferred reverse-cutting suture needles for dogs and cats 🎯 Home-care products that can improve long-term oral health 🎯 How VOHC-approved products help guide evidence-based recommendations Key Veterinary Dentistry Takeaways 🔑 Proper flap design and tension-free closure are essential for predictable extraction healing 🔑 Cases with insufficient attached gingiva may require advanced flap techniques or referral 🔑 Long-acting local anesthesia can improve patient comfort while simplifying postoperative care for owners 🔑 Understanding feline maxillary anatomy improves the effectiveness of infraorbital nerve blocks 🔑 Reverse-cutting needles remain the preferred choice for oral soft tissue closure 🔑 Simple, practical home-care recommendations are more likely to improve owner compliance 🔑 VOHC-approved products provide an evidence-based starting point for dental home care recommendations Questions This Episode Answers ❓ Should every extraction site be debrided and sutured? ❓ When should difficult extraction cases be referred? ❓ What mouth gag works best during veterinary dental procedures? ❓ How effective is Nocita® for postoperative dental pain? ❓ Does the infraorbital nerve block anesthetize all maxillary teeth? ❓ Which suture needles are best for veterinary oral surgery? ❓ Why is the infraorbital block especially effective in cats? ❓ Which home-care products have the strongest clinical evidence? ❓ How can veterinarians improve owner compliance after dental procedures? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ -- veterinary dentistry, veterinary dentistry Q&A, veterinary tooth extraction, veterinary dental extractions, extraction flap closure, gingival flap techniques, veterinary oral surgery, canine tooth extraction, feline tooth extraction, infraorbital nerve block, feline dental anesthesia, veterinary dental pain management, Nocita veterinary dentistry, Zorbium cats, veterinary suture techniques, reverse cutting needle veterinary, VOHC dental products, veterinary dental home care, veterinary dental CE, Dr Brett Beckman
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  Episode 231 - Why Do Your Dental Extractions Keep Failing? 01.07.2026 14分

  Ready to perform veterinary dentistry with greater confidence? Enroll in our FREE RACE-accredited online veterinary dentistry course and gain practical, step-by-step training designed to help general practitioners improve case outcomes and elevate the standard of dental care in their practice. Get started today: https://ivdi.org/free -- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM -- Questions from practicing veterinarians often highlight the real-world challenges encountered during dental procedures, and this episode is dedicated to answering them. Dr. Brett Beckman responds to a wide range of clinical questions submitted during recent online training sessions, covering everything from feline and canine extraction techniques to regenerative therapies, instrumentation, and surgical decision-making. Throughout the discussion, Dr. Beckman shares practical guidance for reducing complications during difficult extractions, selecting the right burs for specific procedures, preventing mandibular fractures in small breed dogs, and understanding current recommendations for guided tissue regeneration and bone grafting. He also explains why proper training, repetition, and cadaver practice are essential for developing surgical confidence and predictable outcomes. What You'll Learn in This Episode 🎯 How feline maxillary incisor anatomy influences extraction technique compared with dogs 🎯 Strategies for safely extracting all mandibular teeth in small breed dogs while minimizing fracture risk 🎯 Why proper bone removal is critical for successful mandibular canine extractions 🎯 The importance of cadaver practice and structured training before performing advanced surgical procedures 🎯 Dr. Beckman's preferred burs for bone removal and difficult extractions 🎯 How to safely use mouth gags while reducing the risk of trigeminal nerve injury 🎯 Current recommendations for guided tissue regeneration (GTR) materials 🎯 Why PerioVive has replaced Doxyrobe in Dr. Beckman's current protocol 🎯 When Console remains an effective bone graft material in veterinary dentistry 🎯 The potential benefits of combining hyaluronic acid with bone grafts 🎯 Techniques for extracting difficult maxillary fourth premolar roots without excessive bone removal 🎯 Why patience and controlled elevation produce better surgical outcomes than excessive force Key Veterinary Dentistry Takeaways 🔑 Successful extractions rely on proper visualization, controlled bone removal, and correct instrument positioning 🔑 Surgical confidence comes from quality education, repetition, and hands-on cadaver practice 🔑 Excessive force increases complications—controlled elevation leads to more predictable outcomes 🔑 Mouth gags should never overextend the jaw regardless of procedure length 🔑 Regenerative techniques continue to evolve, making it important to stay current with clinical research 🔑 Bone graft materials primarily provide a scaffold for healing, while newer adjuncts may enhance regeneration 🔑 Magnification improves visualization of tooth movement and surgical precision during difficult extractions 🔑 Proper technique is often more important than specialized equipment when managing challenging cases 🔑 Understanding regional anatomy helps reduce root fractures and surgical complications 🔑 Continued education directly improves patient safety and clinical success Questions This Episode Answers ❓ Can feline maxillary incisors be extracted using the same approach as dogs? ❓ How can veterinarians reduce the risk of mandibular fractures during full-mouth extractions? ❓ Which burs are best suited for veterinary dental extractions? ❓ How long is it safe to leave a mouth gag in place during anesthesia? ❓ Is Doxyrobe still recommended for guided tissue regeneration? ❓ Which bone graft materials are most appropriate for general veterinary practice? ❓ Does combining hyaluronic acid with bone grafts improve periodontal healing? ❓ What techniques help prevent fracture of maxillary fourth premolar roots? ❓ Why is controlled elevation more effective than applying greater force? ❓ How does additional training improve surgical outcomes in veterinary dentistry? -- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ -- veterinary dentistry Q&A, veterinary tooth extraction techniques, canine dental extractions, feline dental extractions, mandibular canine extraction, veterinary bone grafting, guided tissue regeneration veterinary dentistry, PerioVive veterinary dentistry, Console bone graft veterinary, veterinary oral surgery, veterinary dental burs, veterinary extraction complications, veterinary dental CE, veterinary dentistry for general practitioners, difficult tooth extractions dogs and cats, Dr Brett Beckman veterinary dentistry
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  Episode 230 - Why Most Veterinary Dental Patients Are Still Suffering (And Owners Don't Know It) 24.06.2026 11分

  Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --- Client communication and home care compliance are among the most important factors influencing long-term success in veterinary dentistry. In this episode, Annie Mills, LVT, answers questions submitted during recent online trainings and shares practical strategies for improving client education, increasing treatment acceptance, and helping pet owners become active participants in their pet's oral health. The episode also explores evidence-based home care recommendations, including the role of Veterinary Oral Health Council (VOHC) approved products, practical options for dogs and cats, and why home care should be viewed as an essential component of every dental treatment plan. Annie also addresses common objections to dental radiography and explains why comprehensive assessment and diagnosis must take priority over cosmetic cleaning alone. Whether you're looking to improve client communication, increase follow-up compliance, or strengthen your preventive dentistry protocols, this episode provides practical guidance you can immediately apply in general practice. What You'll Learn in This Episode 🎯 How to communicate the need for dental extractions to pet owners 🎯 Why client education is the foundation of treatment acceptance and compliance 🎯 How dental radiographs can help owners understand periodontal disease 🎯 Why oral masses should be biopsied and diagnosed early 🎯 How proactive dentistry helps prevent silent suffering in veterinary patients 🎯 Strategies for improving compliance with follow-up examinations and professional dental care 🎯 How to use VOHC-approved products when making home care recommendations 🎯 Practical home care options for both dogs and cats 🎯 Why dental cleaning alone is not an adequate treatment plan when disease is present 🎯 How to address client concerns about dental radiography Key Veterinary Dentistry Takeaways 🔑 Well-educated clients are more likely to accept treatment recommendations and follow home care protocols 🔑 Diagnostic dental radiographs are often one of the most effective tools for improving client understanding 🔑 Advanced periodontal disease frequently requires extraction because affected teeth cannot be predictably saved 🔑 Early diagnosis and treatment help prevent progression of oral disease and unnecessary suffering 🔑 Positive patient outcomes improve client confidence and long-term compliance 🔑 VOHC-approved products provide an evidence-based approach to home care recommendations 🔑 Home care should be considered an essential part of every dental treatment plan 🔑 The primary goal of veterinary dentistry is diagnosis, treatment, and prevention—not cosmetic cleaning 🔑 Dental radiographs are necessary for proper assessment and diagnosis of oral disease 🔑 Treating disease early can help preserve teeth and reduce the need for more extensive procedures later Questions This Episode Answers ❓ How do you convince a client that a tooth needs to be extracted? ❓ How should veterinarians discuss oral masses with pet owners? ❓ What percentage of clients typically return for recommended follow-up dental care? ❓ Which home care products should veterinarians recommend to clients? ❓ What is the Veterinary Oral Health Council (VOHC) and why is it important? ❓ Are oral cleansing wipes effective for plaque control? ❓ What home care options are available for cats? ❓ Should veterinarians show before-and-after cleaning photos to clients? ❓ How do you handle clients who are resistant to dental radiographs? ❓ Why is dental cleaning alone insufficient when periodontal disease is present? --- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --- veterinary client communication, veterinary dentistry client education, dental radiographs veterinary dentistry, veterinary periodontal disease, veterinary dental extractions, veterinary oral health council VOHC, veterinary home care recommendations, veterinary dental compliance, dental x-rays veterinary practice, veterinary oral masses, periodontal disease treatment dogs and cats, veterinary dental prevention, veterinary dentistry for general practitioners, veterinary dental follow up care, Annie Mills LVT, Dr Brett Beckman veterinary dentistry
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  Episode 229 - Veterinary Dentigerous Cysts Explained 17.06.2026 10分

  Join thousands of veterinary professionals committed to advancing their dentistry skills through our FREE RACE-accredited online course. Access expert-led training and practical techniques that can help you provide better dental care every day. https://ivdi.org/free --- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --- Dentigerous cysts are among the most commonly overlooked dental conditions in veterinary patients, particularly in brachycephalic breeds with impacted teeth. In this episode, Dr. Brett Beckman answers a series of insightful questions submitted during recent veterinary dentistry training sessions, providing practical guidance on diagnosis, treatment planning, surgical management, and long-term monitoring of dentigerous cyst cases. The discussion covers when blood clot augmentation may be beneficial during oral surgery, which patients are most at risk for developing dentigerous cysts, how these lesions progress, and what factors determine whether a case can be managed in general practice or should be referred to a veterinary dentist. Dr. Beckman also addresses concerns about recurrence, radiographic interpretation, partially erupted canine teeth, and strategies for preserving important teeth whenever possible. Whether you're evaluating a missing tooth in a young brachycephalic dog or determining the appropriate treatment plan for an impacted canine tooth, this Q&A episode provides practical clinical insights that can help improve patient outcomes and increase confidence in veterinary dental decision-making. What You'll Learn in This Episode 🎯 When blood clot augmentation can improve healing after difficult extractions 🎯 How to manage extraction sites with limited natural bleeding 🎯 Which dog breeds are most commonly affected by dentigerous cysts 🎯 Why dentigerous cysts often remain undetected until significant bone loss occurs 🎯 How to determine whether a cyst case is appropriate for general practice management 🎯 What level of canine tooth involvement may warrant referral 🎯 How radiographic findings influence decisions to preserve or extract adjacent teeth 🎯 Why complete cyst removal is critical for long-term success 🎯 Recommended radiographic follow-up protocols after cyst treatment 🎯 Management options for partially erupted canine teeth 🎯 When surgical exposure may preserve an impacted canine tooth 🎯 Why impacted canine extractions can be challenging even for specialists Key Veterinary Dentistry Takeaways 🔑 Dentigerous cysts occur most commonly around impacted teeth, particularly mandibular first premolars in brachycephalic breeds 🔑 Boston Terriers, Pugs, and Boxers are among the breeds frequently affected 🔑 Most dentigerous cysts are not painful until infection or fistulation develops 🔑 Routine dental radiographs are often the only way to identify these lesions early 🔑 Blood clot formation can play an important role in successful healing following cyst removal and extraction 🔑 Many uncomplicated cyst cases can be successfully managed in general practice when appropriate surgical skills are present 🔑 Significant canine tooth involvement often increases case complexity and referral considerations 🔑 Complete removal of cyst lining minimizes the risk of recurrence 🔑 Postoperative radiographic monitoring is essential to confirm normal bone regeneration 🔑 Partially erupted canine teeth may sometimes be monitored rather than immediately extracted Questions This Episode Answers ❓ When should blood from a jugular sample be used to fill an extraction defect? ❓ Are dentigerous cysts painful for veterinary patients? ❓ Which breeds are at the highest risk for dentigerous cyst formation? ❓ Can general practitioners successfully treat dentigerous cysts? ❓ How much bone involvement is too much for a GP-managed cyst case? ❓ Should adjacent teeth with radiographic lucencies always be extracted? ❓ Can dentigerous cysts recur after surgical treatment? ❓ How often should cyst patients be monitored radiographically? ❓ What should be done when a canine tooth only partially erupts? ❓ Are there situations where impacted canine teeth can be preserved? --- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --- dentigerous cyst dog, veterinary dentigerous cyst treatment, impacted tooth dog, impacted canine tooth veterinary dentistry, brachycephalic dog dental disease, dentigerous cyst surgery dog, veterinary oral surgery techniques, extraction site healing veterinary dentistry, blood clot grafting extraction site, canine tooth impaction treatment, veterinary dentistry CE, veterinary dental case management, veterinary dental referral guidelines, dental radiographs in dogs, veterinary oral pathology, dental cyst diagnosis, veterinary dentistry for general practitioners, Dr Brett Beckman veterinary dentistry
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  Episode 228 - Building a Better Veterinary Dental Team 10.06.2026 13分

  Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --- Building a successful veterinary dental service takes more than purchasing equipment—it requires education, team development, realistic scheduling, and a commitment to raising the standard of care. In this episode, Dr. Brett Beckman interviews Annie Mills, LVT, about the practical steps general practices can take to strengthen their dental programs before investing in advanced technology. Annie shares her recommendations for developing a focused dental team, identifying staff members who are passionate about dentistry, maximizing continuing education opportunities, and creating a foundation for long-term success. The discussion also explores the growing role of Veterinary Technician Specialists in Dentistry, the transformative impact of dental radiography, and why quality-focused dentistry ultimately leads to better outcomes for both patients and veterinary teams. Whether your practice is just beginning its dentistry journey or looking to elevate an existing service, this episode provides actionable guidance for building confidence, improving patient care, and creating sustainable growth within your dental department. What You'll Learn in This Episode 🎯 Why education should be the first investment when developing a veterinary dental service 🎯 How to identify and cultivate dental champions within your veterinary team 🎯 The ideal structure for a dedicated dental team in general practice 🎯 Why focused CE investment often produces better clinical outcomes 🎯 Why dental radiography is essential for modern veterinary dentistry 🎯 How earlier diagnosis can help preserve teeth and improve patient quality of life 🎯 Common scheduling mistakes that contribute to stress and frustration in dentistry 🎯 Why limiting case volume improves treatment quality and team confidence 🎯 How practice leadership can better support dental teams and patient care 🎯 Practical recommendations for growing a dentistry service without burnout Key Veterinary Dentistry Takeaways 🔑 Education creates the foundation for successful implementation of advanced dental services 🔑 Team members who are passionate about dentistry often become the driving force behind departmental growth 🔑 Small, dedicated dental teams can significantly improve consistency and patient outcomes 🔑 Veterinary Technician Specialists bring valuable expertise, mentorship, and leadership to dental programs 🔑 Dental radiography reveals pathology that cannot be identified during visual examination alone 🔑 Many veterinary patients experience significant oral disease without obvious clinical signs 🔑 Early diagnosis and treatment can help preserve teeth and improve long-term oral health 🔑 Dentistry should focus on diagnosis, treatment, and prevention—not simply cleaning teeth 🔑 Excessive case volume often compromises both quality and team satisfaction 🔑 Organizational support and realistic scheduling are essential for maintaining high standards of care Questions This Episode Answers ❓ What should a practice focus on before investing in dental radiography and advanced equipment? ❓ How do you identify team members who should become part of a dedicated dental team? ❓ How many technicians and veterinarians should be involved in a growing dental department? ❓ What value does a Veterinary Technician Specialist in Dentistry bring to a practice? ❓ Where can practices find qualified VTS (Dentistry) professionals? ❓ Why is dental radiography considered a minimum standard of care? ❓ How does earlier diagnosis change long-term patient outcomes? ❓ How many dental procedures should a developing practice schedule each day? ❓ What causes frustration and anxiety for veterinary teams performing dentistry? ❓ How can practice owners and managers better support dental teams? --- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --- veterinary dental team development, Annie Mills VTS Dentistry, veterinary dental radiography training, veterinary dentistry CE, veterinary dental education, veterinary technician specialist dentistry, veterinary dental department setup, dental x-rays veterinary practice, veterinary dentistry standards of care, veterinary dental team training, periodontal disease diagnosis veterinary dentistry, veterinary oral health education, veterinary dentistry for general practitioners, building a veterinary dental service, Dr Brett Beckman veterinary dentistry
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  Episode 227 - The Extraction Mistake That Can Fracture a Mandible 03.06.2026 8分

  Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --------------------------------------------------------------------------------------- This week's episode tackles some of the most challenging extraction scenarios encountered in veterinary practice. Dr. Brett Beckman answers clinician-submitted questions on managing ankylosed roots, performing mandibular canine extractions safely, preventing jaw fractures, and handling complications when fractures occur during surgery. Drawing from decades of clinical and teaching experience, Dr. Beckman explains the surgical principles behind difficult extractions, including bone removal strategies, handpiece positioning, patient luxation techniques, and when referral is the best option. The discussion also highlights the importance of deliberate skill development, cadaver practice, and case selection as veterinarians build confidence in advanced dental procedures. What You'll Learn in This Episode 🎯 How to approach extraction of ankylosed roots in veterinary patients 🎯 Why mandibular ankylosis cases can be significantly more challenging than maxillary extractions 🎯 When brachycephalic dogs with ankylosed mandibular teeth should be referred 🎯 Proper handpiece angulation during mandibular canine extractions 🎯 How bone removal improves access and reduces extraction difficulty 🎯 Why slow, sustained luxation is safer than excessive force 🎯 Realistic expectations for extraction times while developing surgical skills 🎯 How cadaver training accelerates extraction proficiency 🎯 Techniques for preventing mandibular fractures during canine extractions 🎯 What to do when a tooth fractures during extraction 🎯 Immediate management of mandibular fractures that occur intraoperatively 🎯 When conservative management may be appropriate versus referral Key Veterinary Dentistry Takeaways 🔑 Ankylosed roots require creation of a surgical tooth-bone interface through careful bone removal 🔑 Mandibular ankylosis cases often carry higher risk and greater technical difficulty 🔑 Brachycephalic dogs with mandibular ankylosis are frequently referral-level cases 🔑 Proper handpiece positioning improves visibility and allows safer bone removal 🔑 Long-duration elevation with controlled pressure reduces the likelihood of complications 🔑 Excessive torque increases the risk of mandibular fracture and extraction failure 🔑 Cadaver practice provides valuable experience before performing advanced procedures clinically 🔑 Root fractures can sometimes improve visualization and facilitate continued extraction 🔑 Hemorrhage control is an important first step when mandibular fractures occur 🔑 Advanced dentistry skills develop through repetition, training, and progressive case experience Questions This Episode Answers ❓ How do you remove ankylosed roots safely? ❓ Why are mandibular ankylosis cases more difficult than maxillary cases? ❓ When should ankylosed extractions be referred to a veterinary dentist? ❓ What handpiece angle is recommended for mandibular canine extraction? ❓ How much bone should be removed during difficult canine extractions? ❓ How long should elevator pressure be maintained during luxation? ❓ What increases the risk of mandibular fracture during extraction? ❓ What should you do if a root fractures during surgery? ❓ How do you manage a mandibular fracture that occurs during extraction? ❓ When can severely compromised mandibles be managed conservatively? --------------------------------------------------------------------------------------- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --------------------------------------------------------------------------------------- veterinary dental extractions, ankylosed root extraction dog, mandibular canine extraction veterinary dentistry, mandibular fracture during extraction, veterinary oral surgery, difficult tooth extractions dog, brachycephalic dental extraction, veterinary dentistry CE, canine tooth extraction techniques, veterinary dental surgery training, veterinary dentistry for general practitioners, jaw fracture prevention veterinary dentistry, root fracture management veterinary extraction, advanced veterinary dentistry, Dr Brett Beckman veterinary dentistry
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  Episode 226 - Why Root Tips Keep Breaking During Extractions 27.05.2026 9分

  Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --------------------------------------------------------------------------------------- This week's episode answers some of the most common surgical extraction questions submitted during recent veterinary dentistry trainings. Dr. Brett Beckman shares practical guidance for improving extraction technique in general practice, with a focus on flap elevation, bone removal, luxation technique, fractured root tip retrieval, and surgical decision-making during difficult extractions. The conversation centers around real-world challenges veterinarians encounter during canine and maxillary tooth extractions—including managing soft tissue attached during flap creation, how deep to remove bone around roots, preventing root fractures, and approaching difficult maxillary fourth premolar and molar extractions safely and efficiently. --------------------------------------------------------------------------------------- What You'll Learn in This Episode 🎯 Why tissue can remain attached during flap creation—especially during mandibular canine extractions 🎯 How muscle attachment affects exposure in mandibular canine surgical extractions 🎯 How much bone should be removed around roots before elevation 🎯 Why the "banana" analogy helps guide circumferential bone removal 🎯 How long to maintain elevator pressure during extractions 🎯 Why larger roots require longer sustained luxation time 🎯 How controlled pressure helps prevent root fracture during extraction 🎯 Tips for avoiding fractured mesio-palatal root tips in maxillary fourth premolars 🎯 Surgical approach for retrieving fractured palatal root tips safely 🎯 How to approach sectioning and extraction of the last maxillary molars 🎯 Why visualization, magnification, and patience are critical during oral surgery Key Veterinary Dentistry Takeaways 🔑 Mandibular canine extractions often require additional flap reflection because muscle can remain tightly adhered to bone 🔑 Adequate surgical exposure before bone removal makes extractions faster and safer 🔑 Bone removal should extend slightly beyond halfway around many roots to improve elevation success 🔑 Sustained pressure is more effective than forceful luxation during difficult extractions 🔑 Releasing pressure too early reduces movement because bone and periodontal ligament rebound quickly 🔑 Larger tooth roots require longer elevation time before repositioning instruments 🔑 Fractured palatal root tips can often be avoided with slower, more patient luxation technique 🔑 Safe root retrieval depends on understanding regional anatomy and avoiding nearby neurovascular structures 🔑 Sectioning maxillary molars properly improves access and simplifies extraction of individual roots 🔑 Magnification and lighting allow clinicians to see subtle tooth movement and work more precisely Questions This Episode Answers ❓ Why does tissue sometimes stay attached during flap creation? ❓ Why are mandibular canine extractions especially challenging? ❓ How deep should bone removal go during surgical extraction? ❓ How long should elevator pressure be held during difficult extractions? ❓ What helps prevent fractured root tips during maxillary fourth premolar extraction? ❓ How do you retrieve a fractured mesio-palatal root safely? ❓ Do last maxillary molars need to be sectioned before extraction? ❓ What makes maxillary molar root removal easier after sectioning? ❓ How can better visualization improve extraction success? ❓ What role does patience play during surgical extractions? --------------------------------------------------------------------------------------- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --------------------------------------------------------------------------------------- veterinary dental extractions, veterinary dentistry CE, mandibular canine extraction dog, maxillary fourth premolar extraction dog, fractured root tip removal veterinary dentistry, veterinary oral surgery, dog tooth extraction techniques, veterinary flap design, veterinary root tip retrieval, veterinary dental surgery training, veterinary dentistry for general practitioners, maxillary molar extraction dog, veterinary extraction complications, surgical tooth extraction veterinary medicine, Dr Brett Beckman veterinary dentistry
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  Episode 225 - Why Mandibular Canine Extractions Go Wrong 20.05.2026 10分

  Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM --------------------------------------------------------------------------------------- This week's episode tackles some of the most challenging and frequently misunderstood topics in veterinary dental extractions. Dr. Brett Beckman answers clinician-submitted questions from recent online trainings, focusing heavily on mandibular canine extractions, retained root tips, extraction instrumentation, mouth gag safety, and local anesthesia protocols in veterinary dentistry. The episode also explores when retained root tips should be monitored rather than surgically removed, how vet tomes can significantly improve extraction efficiency, and practical considerations for loupe selection and safer oral surgery workflows in general practice. What You'll Learn in This Episode 🎯 Why mandibular canine extractions are especially difficult in large dogs 🎯 How the mandibular canal limits safe bone removal during extractions 🎯 Why entering the tooth instead of the periodontal space causes major extraction complications 🎯 How sustained luxation pressure improves extraction success 🎯 The difference between luxators, elevators, and hybrid instruments 🎯 When retained root tips should be monitored versus surgically removed 🎯 What radiographic findings suggest retained roots are problematic 🎯 How vet tomes improve extraction efficiency and reduce bone removal 🎯 Why mandibular first molars present similar extraction challenges 🎯 Which patients benefit most from mechanical periotomes 🎯 How to safely use mouth gags without causing trigeminal neuropathy 🎯 Which loupe systems are recommended for veterinary dentistry 🎯 Why ropivacaine may be preferable for extended dental blocks Key Veterinary Dentistry Takeaways 🔑 Mandibular canine extractions require conservative bone removal due to the proximity of the mandibular canal and neurovascular structures 🔑 One of the most common extraction mistakes is entering the tooth rather than maintaining the correct bone-tooth interface 🔑 Difficult extractions often require prolonged, sustained pressure instead of excessive force 🔑 Hybrid elevators can assist with both periodontal ligament breakdown and tooth elevation 🔑 Retained root tips are not always surgical emergencies if they are fully healed and radiographically stable 🔑 Periapical lucency is one of the most important indicators of retained root pathology 🔑 Vet tomes can significantly decrease extraction time and reduce surgical trauma 🔑 Mechanical periotomes are especially valuable in mandibular canine and first molar extractions 🔑 Mouth gags should never excessively force the jaw open due to the risk of trigeminal neuropathy 🔑 Custom loupes can improve ergonomics and visualization for veterinarians performing frequent dentistry procedures Questions This Episode Answers ❓ Why are mandibular canine extractions so difficult in dogs? ❓ How far can you safely remove bone during mandibular extractions? ❓ What causes extraction procedures to become prolonged and frustrating? ❓ How long should elevator pressure be maintained during difficult extractions? ❓ When is it acceptable to leave retained root tips behind? ❓ What radiographic changes indicate retained root pathology? ❓ What is a vet tome and how does it work? ❓ Which extractions benefit most from mechanical periotomes? ❓ Are mouth gags safe during veterinary dental procedures? ❓ How can veterinarians avoid trigeminal neuropathy during oral surgery? ❓ Which loupes are best for veterinary dentistry? --------------------------------------------------------------------------------------- Ready to take your dentistry skills further? 🎓 FREE RACE-Approved CE Course https://ivdi.org/free 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --------------------------------------------------------------------------------------- mandibular canine extraction dog, veterinary dental extractions, retained root tips veterinary dentistry, veterinary dentistry CE, vet tome veterinary dentistry, veterinary oral surgery, veterinary luxators and elevators, dog tooth extraction techniques, mandibular canal veterinary dentistry, veterinary dental instrumentation, veterinary dentistry training, difficult canine extractions, veterinary extraction complications, veterinary dental radiographs, veterinary dentistry for general practitioners, veterinary mouth gag safety, veterinary dental nerve blocks, ropivacaine veterinary dentistry, veterinary periotome extraction techniques, Dr Brett Beckman veterinary dentistry
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  Episode 224 - Are Your Dental Patients Too Deep Under Anesthesia? 13.05.2026 13分

  Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. Visit: https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --------------------------------------------------------------------------------------- This week's episode answers some of the most common and clinically relevant veterinary dentistry questions submitted during recent online trainings. Annie Mills shares practical guidance for general practice teams on anesthesia management, patient warming, dental recovery protocols, pain management, and technician involvement in advanced dental workflows. The discussion begins with strategies for preventing hypothermia during lengthy dental procedures, including how to maximize thermal support in small patients undergoing advanced periodontal treatment and full mouth extractions. Annie explains why maintaining body temperature directly impacts recovery quality and anesthetic safety, especially in cats and small breed dogs. --------------------------------------------------------------------------------------- What You'll Learn in This Episode 🎯 How to prevent hypothermia during long veterinary dental procedures 🎯 Why warm IV fluids improve anesthetic recovery 🎯 How full-body warming systems support patient temperature stability 🎯 When full mouth extractions may need to be staged 🎯 Which anesthetic parameters guide intraoperative decision-making 🎯 Why lighter anesthesia planes are preferred during oral surgery 🎯 How dental nerve blocks reduce inhalant anesthetic requirements 🎯 Whether veterinary dental patients should be fed before discharge 🎯 Why post-operative pain medication remains essential after extractions 🎯 How veterinary technicians can assist with dental charting and pathology recognition 🎯 Why anxious patients may benefit from modified intake and recovery protocols 🎯 Why even routine prophylaxis patients often require pain management planning Key Veterinary Dentistry Takeaways 🔑 Maintaining body temperature is critical for safe anesthesia and smoother recovery in veterinary dental patients 🔑 Warm IV fluids and dual-sided warming systems can significantly reduce intraoperative hypothermia 🔑 Most full mouth extraction patients can safely complete procedures without staging when properly monitored 🔑 Patient temperature, blood pressure, and anesthetic depth should guide procedural decisions in real time 🔑 Nerve blocks allow clinicians to maintain lighter anesthesia planes during advanced oral surgery 🔑 Veterinary technicians play an important role in identifying obvious pathology and initiating dental charting 🔑 Dental radiographs help technicians recognize extraction sites, tooth resorption, and missing or unerupted teeth 🔑 Reducing patient anxiety improves recovery quality and client satisfaction 🔑 Pain management protocols should assume underlying pathology exists until proven otherwise 🔑 Routine prophylaxis patients frequently require treatment beyond simple cleaning once diagnostics are completed Questions This Episode Answers ❓ How can veterinary teams prevent hypothermia during dental procedures? ❓ Why are warm IV fluids helpful during anesthesia? ❓ When should full mouth extractions be staged? ❓ What temperature changes may require aborting a procedure? ❓ Should veterinary dental patients be fed before discharge? ❓ Are post-operative pain medications always necessary after extractions? ❓ Why are lighter anesthesia planes preferred during oral surgery? ❓ How do nerve blocks improve anesthetic safety? ❓ Can veterinary technicians perform dental charting? ❓ What pathology should technicians recognize on dental radiographs? ❓ How can practices reduce anxiety in veterinary dental patients? ❓ Why do even routine prophylaxis patients often require pain management? --------------------------------------------------------------------------------------- Ready to take your dentistry skills further? 🎓 FREE 1 CE Course: https://ivdi.org/free Sign up for the newsletter for weekly clinical insights 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --------------------------------------------------------------------------------------- veterinary dental anesthesia, veterinary dental hypothermia, veterinary dentistry recovery protocols, full mouth extractions dogs, veterinary dental nerve blocks, veterinary dental pain management, veterinary technician dental charting, veterinary dental radiographs, anesthesia monitoring veterinary dentistry, veterinary oral surgery recovery, veterinary dentistry CE course, veterinary dental warming techniques, small dog anesthesia dentistry, feline dental anesthesia, veterinary dentistry Q&A
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  Episode 223 - Hidden Dental Disease: X-Rays, Extractions & Antibiotics 06.05.2026 10分

  Don't miss out on your RACE-approved CE—completely free. Strengthen your veterinary dentistry skills with practical, case-based training you can apply immediately in practice. Visit: https://ivdi.org/free --------------------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --------------------------------------------------------------------------------------- This week's episode answers real veterinary dentistry questions from recent online trainings, with a focus on the clinical decisions that often create uncertainty in general practice. Annie Mills, LVT, discusses how to determine when a tooth should be extracted, how to interpret deep periodontal pockets, and why dental radiographs are essential before making treatment decisions. The conversation also covers antibiotic use in veterinary dentistry, including why antibiotics should not be dispensed automatically for every dental procedure. Annie explains when intraoperative antibiotics may be appropriate, when post-operative antibiotics are justified, and why patient immune status matters. You'll also hear an important discussion about young small-breed dogs and hidden periodontal disease. Even when the mouth looks normal on gross exam, significant disease can exist below the gumline. This episode reinforces why early probing, dental X-rays, and individualized follow-up protocols can prevent more severe disease and future extractions. --------------------------------------------------------------------------------------- What You'll Learn in This Episode 🎯 Why pocket depth alone should not determine whether a tooth is extracted 🎯 How radiographic bone loss guides extraction decisions 🎯 Why 50% or greater bone loss is typically an extraction indication 🎯 How maxillary canine teeth can hide significant palatal bone loss 🎯 When deep periodontal pockets may indicate severe underlying disease 🎯 Why puppies with malocclusion do not automatically need scaling 🎯 When polishing may be appropriate without unnecessary instrumentation 🎯 Why routine antibiotics are often overused in dental cases 🎯 Which patients may require post-operative antibiotics 🎯 Why young small-breed dogs need early dental assessment and radiographs Key Veterinary Dentistry Takeaways 🔑 Extraction decisions should be based on gross pathology, periodontal probing, and dental radiographs—not pocket depth alone 🔑 Bone loss is one of the most important indicators when determining whether a tooth is salvageable 🔑 Maxillary canine teeth require careful evaluation because palatal bone loss may be underestimated radiographically 🔑 Scaling clean enamel is unnecessary and should be avoided when plaque or calculus is not present 🔑 Antibiotics should be used case-by-case, not automatically after every dental cleaning 🔑 Advanced periodontal infection may justify intraoperative IV antibiotics, especially when pus, severe odor, or active infection is present 🔑 Post-operative antibiotics are generally reserved for immunocompromised patients or cases with specific clinical indications 🔑 Young small-breed dogs can have significant periodontal disease before obvious calculus or gingivitis is visible 🔑 Early diagnosis can change the patient's lifelong dental plan and reduce future extraction risk Questions This Episode Answers ❓ Should a tooth be extracted based on pocket depth alone? ❓ How much bone loss indicates that extraction is necessary? ❓ Why are dental radiographs essential for periodontal assessment? ❓ What makes maxillary canine teeth difficult to evaluate? ❓ What does a 9, 10, or 12 mm periodontal pocket suggest clinically? ❓ Should puppies undergoing malocclusion treatment also be scaled and polished? ❓ Are antibiotics necessary after every veterinary dental cleaning? ❓ When are intraoperative IV antibiotics appropriate in dentistry? ❓ Which patients may need post-operative antibiotics after dental surgery? ❓ Why can young small-breed dogs have hidden periodontal disease? --------------------------------------------------------------------------------------- Ready to take your dentistry skills further? 🎓 FREE 1 CE Course: https://ivdi.org/free Sign up for the newsletter for weekly clinical insights 🦷 Live & Online Veterinary Dental Courses https://veterinarydentistry.net/ 🛠️ Dr. Brett's Trusted Equipment & Instruments https://drbrettspets.com/ --------------------------------------------------------------------------------------- veterinary dental radiographs, veterinary tooth extraction guidelines, periodontal pocket depth dogs, bone loss dog teeth, veterinary dental antibiotics, antibiotic stewardship veterinary dentistry, small breed dog periodontal disease, hidden dental disease dogs, maxillary canine bone loss dog, dental X-rays dogs, veterinary dentistry Q&A, puppy malocclusion dental care, clindamycin veterinary dental infection, Clavamox dental infection dog, veterinary dental CE course