{"title":"Liposomal Bupivacaine in Dentistry and Oral and Maxillofacial Surgery. A Review of Human and Veterinary Literature.","authors":"Bill Kellner, Lauren Duffee","doi":"10.1177/08987564231157041","DOIUrl":"10.1177/08987564231157041","url":null,"abstract":"<p><p>This article reviews the human and veterinary literature regarding liposome encapsulated bupivacaine use in dentistry and oral and maxillofacial surgery. The purpose of this review is to present available information on this local anesthetic in a manner that will allow veterinary dentists and oral and maxillofacial surgeons to use evidence-based information when considering incorporating liposomal bupivacaine into their practice. The twelve human clinical studies and three veterinary reports that met the literature search criteria do not support the use of liposomal bupivacaine in veterinary dentistry and oral and maxillofacial surgery.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"86-95"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9353168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amelie McAndrews, Laura Zarucco, Klaus Hopster, Darko Stefanovski, David Foster, Bernd Driessen
{"title":"Evaluation of Three Methods of Sensory Function Testing for the Assessment of Successful Maxillary Nerve Blockade in Horses.","authors":"Amelie McAndrews, Laura Zarucco, Klaus Hopster, Darko Stefanovski, David Foster, Bernd Driessen","doi":"10.1177/08987564231164769","DOIUrl":"10.1177/08987564231164769","url":null,"abstract":"<p><p>Maxillary nerve blocks (MNBs) commonly facilitate dental surgeries in standing horses. The goal of this prospective, blinded, cross-over design trial including 15 client-owned horses was to evaluate 3 methods of sensory function testing for confirming a successful MNB. Testing was performed bilaterally before sedation, 5 min after sedation, and 15 and 30 min after MNB with 0.5% bupivacaine and involved a needle prick dorsal to each naris, hemostat clamping of each nostril, and gingival algometry (measuring sensitivity to pain). Responses to stimulation were numerically scored and scores were summed up to a total score. Total score increases on the blocked side by ≥ 2 between baseline and 30 min Post MNB recordings signified a successful MNB. Sedation in the preceding 6 h, presence of sino-nasal disease, side of dental pathology, age, butorphanol administration, and detomidine dosing (µg/kg/min) throughout the tooth extraction procedure were recorded. In 73% of horses, MNB was successful. Sedation in the preceding 6 h (<i>P</i> = .732), age (<i>P</i> = .936), side of pathology (<i>P</i> = .516), and sino-nasal disease (<i>P</i> = .769) were not associated with total scores. Detomidine dosage and butorphanol use did not differ between horses in which the MNB was considered successful and for those in which it was not (<i>P</i> = .967 and <i>P</i> = .538, respectively). Scores obtained with gingival algometry were less closely associated with total scores (rho = .649) than those obtained with needle prick and nostril clamping (rho = .819 and .892, respectively). Therefore, needle prick and nostril clamping are considered the more reliable methods for use in clinical practice to determine the success of an MNB.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"48-54"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effectiveness of Liposome-Encapsulated Bupivacaine Compared to Standard Bupivacaine for Anesthesia of the Maxilla in Dogs.","authors":"Kyle Bartholomew, Lesley J Smith","doi":"10.1177/08987564231179885","DOIUrl":"10.1177/08987564231179885","url":null,"abstract":"<p><p>Medical and surgical procedures involving the canine maxilla can be painful both during and for several hours post-procedure. The length of this pain may exceed the predicted duration of standard bupivacaine or lidocaine. The goal of this study was to determine the duration and efficacy of sensory blockade of the maxilla produced by liposome-encapsulated bupivacaine (LB), compared to standard bupivacaine (B) or saline (0.9% NaCl) (S), when administered as a modified maxillary nerve block in dogs. Eight maxillae were studied bilaterally from 4 healthy dogs of the same breed and similar age. This prospective, randomized, crossover, blinded study evaluated a modified maxillary nerve block using 1.3% LB at 0.1 mL/kg, 0.5% B, or S at an equivalent volume. An electronic von Frey aesthesiometer (VFA) was used to evaluate mechanical nociceptive thresholds at 4 locations on each hemimaxilla at baseline and at specific intervals up to 72-h post-treatment. Both B and LB treatments resulted in significantly higher VFA thresholds when compared to S. Dogs that received B had VFA thresholds significantly higher than S for 5 to 6 h. Dogs that received LB had thresholds significantly higher than S for 6 to 12 h depending on the site of measurement. No complications were observed. Maxillary nerve block with B provided up to 6 h, and LB 12 h, of sensory blockade depending on the site tested.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"80-85"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Practical Guide to Loco-Regional Nerve Blocks for Oromaxillofacial Surgery in Dogs and Cats.","authors":"Kirsten Hailstone","doi":"10.1177/08987564241281484","DOIUrl":"10.1177/08987564241281484","url":null,"abstract":"<p><p>This article provides an overview of the neuroanatomy of the head with a detailed explanation and visual images to enable accurate placement of loco-regional nerve blocks to achieve pre-emptive blockade of the nociceptive input which occurs when performing oral surgery. Variations in anatomy and between species are addressed to assist in accurate placement.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"24-32"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Injectate Distribution of the Middle Mental Nerve Block Within the Mandibular Canal in a Cadaveric Canine Model.","authors":"Angus Fechney, David E Clarke","doi":"10.1177/08987564241293188","DOIUrl":"10.1177/08987564241293188","url":null,"abstract":"<p><p>Awareness among veterinarians has increased regarding the need for comprehensive pain relief, but many companion animal veterinarians do not administer regional analgesia pre-emptively during dental procedures. The middle mental nerve (MMN) block desensitizes the ipsilateral mandibular incisor and canine teeth as well as soft tissues rostral to the delivery site. There is little published information on the efficacy of the MMN block in dogs. The objective of this study was to determine injectate distribution within the mandibular canal using a radiopaque contrast media/methylene blue solution. Half a milliliter of solution was injected within the opening of the middle mental foramen using a standard hypodermic syringe and a 25G x 25 mm needle. The course of the injectate was traced both via computed tomography (CT) and, in some cadavers, gross dissection. Post-treatment CT revealed that in 90% of the cases, the contrast diffused at least as far caudally as the mesial root of the third premolar tooth. The injectate was not identified within the canal of 5% of cadaveric mandibles examined. Although the solution used diffused caudally within the mandibular canal when injected using recommended clinical techniques, this may not completely represent the extent of clinical effects experienced in live patients. This technique also confirmed that the needle does not need to be advanced into the mandibular canal to achieve adequate diffusion to at least the mesial root of the third premolar tooth.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"41-47"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of an Acquired Palatal Defect With a 3-Dimensional Printed Palatal Obturator in a Dog.","authors":"Jacob Eriksson, Michael Braian, Hanne Kortegaard","doi":"10.1177/08987564241307351","DOIUrl":"https://doi.org/10.1177/08987564241307351","url":null,"abstract":"<p><p>Large defects in the hard palate can be difficult to treat surgically, as dehiscence is common. These defects may instead be managed with a palatal obturator, which can serve to separate the oral and nasal cavities. In this report, a 7-year-old, mixed breed dog was treated with a palatal obturator, after presenting with an acquired palatal defect following treatment of a giant cell tumor of bone in the hard palate. The palatal obturator was designed and manufactured using computer-aided design and manufacturing (CAD/CAM), and 3-dimensional printing. The obturator, anchored to 4 maxillary teeth, was easy to apply and remove, allowing daily cleaning without the need for sedation. The patient showed no symptoms or discomfort related to the obturator or acquired palatal defect over 2 years after initial presentation to the dental clinic.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"8987564241307351"},"PeriodicalIF":0.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnosis, Classification, and Treatment of Canine Tooth Resorption: A Literature Review.","authors":"Emily Baldwin, Melissa Guillory, Patrick Vall","doi":"10.1177/08987564241295330","DOIUrl":"https://doi.org/10.1177/08987564241295330","url":null,"abstract":"<p><p>Tooth resorption is a common finding in imaging and oral examination of the canine veterinary dental patient. Although significant literature exists on tooth resorption in the feline, available canine tooth resorption publications are sparse. This article aims to provide a comprehensive literature review of canine tooth resorption, including diagnosis, classification, and treatment.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"8987564241295330"},"PeriodicalIF":0.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mandibular Periostitis Ossificans in a 17-Week-Old Male Great Dane.","authors":"Maureen Hoane","doi":"10.1177/08987564241295647","DOIUrl":"10.1177/08987564241295647","url":null,"abstract":"<p><p>This case report describes the clinical, radiographic, and histopathological features of a self-limiting mandibular swelling in a juvenile, large breed dog with a diagnosis of mandibular periostitis ossificans (MPO). This is a pathologic syndrome of immature large breed dogs that presents with a unilateral, nonpainful, caudal mandibular swelling centering on the erupting first molar tooth. This condition affects dogs with a median age of approximately 4 months. The diagnosis of MPO, in this case, resulted from the assimilation of clinical and radiographic findings, along with woven bone proliferation on histopathology. A distinct \"double cortex\" seen on radiographs of the caudal mandible is a defining characteristic of MPO that is most likely due to an additional cortical bone layer being produced on the mandible. MPO spontaneously resolved indicating that treatment with benign neglect was successful. The pathogenesis of periostitis ossificans is likely to be multifactorial and the mandibular bone of young, large breed dogs appears to be intrinsically predisposed. Trauma, occlusal forces, and foreign bodies are considered risk factors in the development of MPO. In this case report, trauma from a previous bite wound when the dog was 9 weeks old was a risk factor for this dog in developing MPO.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"8987564241295647"},"PeriodicalIF":0.7,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detection of Oronasal Fistula Using a Fluorescent Water Passing Test.","authors":"Masao Ogawa, Seiya Yamaki, Masamichi Yamashita, Shinya Kanegaya, Hirokazu Amimoto, Hisae Hachimura, Tomohiro Osaki, Yoshiharu Okamoto, Akiteru Amimoto","doi":"10.1177/08987564241292661","DOIUrl":"10.1177/08987564241292661","url":null,"abstract":"<p><p>The confirmation of a connection between the oral and nasal cavities provides a definitive diagnosis for an oronasal fistula (ONF). However, visual detection is difficult in patients with small fistulas. This study examined whether fluorescein sodium could be used to detect small ONFs. The study included 25 dogs that underwent dental examination and had confirmed periodontal pockets at the Amica Pet Clinic, Japan, between 2020 and 2022. Saline containing fluorescein sodium was injected into the periodontal pocket, termed a fluorescent \"water-passing test,\" followed by detection of fluid discharge from the external naris using an examination light. Of the 25 dogs, 13 showed symptoms consistent with an ONF and of these, 12 were positive and one was negative on the fluorescent water-passing test. Of the 12 asymptomatic dogs, 3 tested positive and 9 tested negative on the fluorescent water-passing test. The fluorescent water-passing test enhanced visibility and facilitated the detection of small volumes of the discharged fluid. The results of this study confirmed the fluorescent water-passing test was useful for the detection of small ONFs.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"8987564241292661"},"PeriodicalIF":0.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tooth Nomenclature and Numbering Systems for Exotic Companion Mammals.","authors":"Vittorio Capello, Cathy Johnson-Delaney, Angela Lennox","doi":"10.1177/08987564241292721","DOIUrl":"https://doi.org/10.1177/08987564241292721","url":null,"abstract":"<p><p>Exotic companion mammals represent a branch of veterinary medicine with important implications in dentistry. The standard dental nomenclature and the systems of numbering teeth have not been applied in detail in these species and are not very familiar to many veterinarians. Selected species such as lagomorphs and rodents have anatomic and physiologic features that affect terminology and numbering. The dentition of marsupial species is also different than in placental mammals, complicating use of the modified Triadan system. This article describes, illustrates, and compares the 4 numbering systems that currently are used in dentistry for the most common exotic mammal species, and proposes a modification to the Triadan system for application to marsupials.</p>","PeriodicalId":17584,"journal":{"name":"Journal of Veterinary Dentistry","volume":" ","pages":"8987564241292721"},"PeriodicalIF":0.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}