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Oral and maxillofacial surgery

Examination of the oral cavity and the establishment of a diagnosis

Oral diseases are one of the most commonly detected pathological conditions in dogs and cats. In many cases, they are perceived by the owners themselves, as these diseases cause discomfort, pain, and difficulty during feeding. However, many diseases are often hidden from our eyes and a more accurate diagnostic approach is needed to detect them. A thorough clinical examination and examination of the oral cavity under general anesthesia with X-ray imaging by a digital dental X-ray and / or CT scan is the basis for establishing the correct diagnosis, appropriate treatment and planning of preventive care.

Oncologic surgery

Oncologic surgery combines knowledge of surgery and oncology. An oncologic surgeon is familiar with the biological behaviour of tumours and works closely with a team including the medical oncologist and the radiation oncologist to provide a multimodal approach to the treatment of cancer. Oncologic surgery heavily relies on advanced imaging techniques, such as CT , and an excellent anatomy knowledge of the oncologic surgeon for proper surgical planning. The oncologic surgeon must be familiar with tissues that serve as barriers and are more resistant to cancer spread and that must be removed together with the tumour to achieve the complete removal of it and prevent recurrence. For an optimal functional and cosmetic outcome of a surgical procedure, an oncologic surgeon also knows the principles of plastic and reconstructive surgery.

Diagnostic imaging (digital dental X-ray, CT, MRI)

Many oral and dental lesions can only be properly diagnosed and treated with the help of appropriate imaging information obtained by digital dental X-ray and / or CT scan. This increases the level of care for dental patients, it increases the acceptance of the proposed recommendations for treatment by the patient's owner and allows the evaluation of the effectiveness of the treatment. Imaging diagnostics is a part of an everyday practice in the treatment of a dental patient and as such is indispensable in the treatment of periodontal disease, dental resorption, pulp disease (endodontic tooth disease), lagging deciduous teeth and missing teeth. For the diagnosis of the jaw fractures, oral tumors, diseases of the jaw joint and the assessment of hard and soft palate defects in the Animal Hospital Postojna, we use more advanced and accurate imaging diagnostics, most often CT (computed tomography) and magnetic resonance imaging (MRI).

Oral hygiene and treatment of the periodontal disease

Periodontal disease caused by plaque build up affects more than 80% of dogs and cats and is therefore considered one of the most commonly diagnosed oral diseases in dogs and cats. Periodontal disease can cause severe local as well as systemic complications such as bone loss and consequent fractures of the mandible, the development of abscesses and fistulous tracts and ulcers on the soft oral tissues. Therefore, prevention of periodontal disease is extremely important. Home oral care (i.e. daily brushing and use of appropriate nutritional diets and alimentary preparations) and regular preventive check-ups are essential to control the development of periodontal disease. Treatment of periodontal disease consists of oral hygiene (removal of soft and hard dental plaque above and below the gums), X-ray imaging of the affected area with digital dental X-ray and periodontal treatment (peeling and smoothing of roots, periodontal surgery, guided tissue regeneration and extraction of periodontally affected teeth).

Oral and maxillofacial surgery

It includes tooth extraction, treatment of cysts and removal of oral tumors, surgical procedures on the lips, cheeks, tongue, palate, tonsils, pancreas, and jaw joint. In Animal Hospital Postojna, in cases of resections of oral tumors, we use advanced surgical techniques and state-of-the-art surgical instruments and materials such as a harmonic scalpel and piezoelectric surgical unit, which allow us to perform complex procedures with high precision and minimal tissue damage.

Oral and maxillofacial trauma

It involves the treatment of traumatic soft tissue or bone injuries.

Endodontic treatment

Endodontics is an expertise that deals with the health of dental pulp, i.e. the internal tissue of a tooth. A traumatic tooth injury is considered the most common cause of dental pulp disease in dogs and cats. It can lead to complicated tooth fracture (exposed dental pulp) and / or irreversible pulpitis (without exposed dental pulp), accompanied by tooth discoloration. Both conditions require dental treatment as the condition causes pain and discomfort and in case it is not treated it can result in development of abscesses, fistulous tracts and other more serious complications.
Endodontic treatment includes direct or indirect pulp coverage, partial (vital) and complete (total) pulpectomy, apexification, apicotomy, retrograde root canal treatment and partial tooth resection, in order to prevent more serious complications of maintaining endodontically affected teeth.
In vital pulpectomy, only a part of the dental pulp is removed. The procedure is used for traumatic tooth injuries within 48 hours after a tooth fracture or for a deliberate shortening of the teeth, when the teeth erupt incorrectly and are causing damage to the soft oral tissues.
In total pulpectomy, the entire content of the root canal is removed and the canal is filled with the appropriate materials.
The effectiveness of treatment in both cases is monitored at regular intervals (within 3, 6 and 12 months and later on annually) with X-ray dental imaging.

Dental reconstruction

It applies to the treatment of dental defects, caries or defects in tooth development.

Oral medicine

It involves the treatment of diseases of the oral mucous membranes and other soft tissues of the oral cavity and nearby structures. Among the most commonly treated we detect chronic gingivostomatitis in cats, chronic ulcerative stomatitis in dogs, eosinophilic granuloma and myositis of the masseter muscle tissue.

Orthodontics

It includes diagnosis, prevention and treatment of the congenital and acquired bite abnormalities (malocclusions).
Improper bite i.e. a malocclusion (dental or skeletal) that causes pain, discomfort, trauma to the hard and / or soft oral tissues requires correction to ensure a functional, painless / non-traumatic bite. Correction of a dysfunctional bite for cosmetic (aesthetic) or exhibition purposes is not recommended in veterinary medicine from an ethical point of view, because it involves concealing of the defects that are at least partially genetically based and are passed on to next generations. Animals with an incorrect bite are always carefully examined. We perform an examination on awake animals, followed by an examination under general anaesthesia with appropriate imaging of the condition, dental radiography, bite registration). By no means do we just evaluate certain teeth. We always have to perform a complete review and then, in the context of the findings, we advise on potential treatment, complications, prognosis and also further breeding. Breeding of the animals with an incorrect bite is strongly discouraged.