Canine Case Studies:
Feline Case Studies:

Semilunar Flap Surgery

Picture of Dog  

Breed: Golden Retriever

Condition:
Cleft from Periodontal Disease

Convincing clients to comply with home oral care recommendations is critical to prevent oral health issues. This eight-year-old Golden Retriever was not receiving regular dental care and had developed significant periodontal disease, causing a deep cleft on her maxillary left fourth premolar. A comprehensive oral assessment also revealed that there was insufficient attached gingival tissue to support the tooth.

Minimal attached gingiva
Minimal attached gingiva

In order to save the tooth, semilunar flap surgery was performed. A partial thickness semicircle incision was made in the buccal mucosa. The flap was undermined with sharp dissection to free it from the underlying mucosa. After the flap was raised, the infected root surface was thoroughly cleaned so the flap could fall and stay in the new position. The procedure was effective at reestablishing enough gingiva to support the tooth.

Flap surgery
Flap surgery

The newly created tissue was not as strong as natural tissue and would have been very susceptible to damage and loss from periodontal disease if home care had not been performed. The client was educated about the health risks of not providing regular care and became compliant with the veterinary dentist’s recommended home care plan, which included VOHC Accepted dental treats. Chew-based treats can often be more effective than brushing on back teeth like this one.

The patient returned for a dental recheck 13 months after the surgery. There was minimal plaque, calculus and gingivitis on the tooth and the regained gingiva was healthy. This new healthy gingiva will help the patient fight infection in the future.

Healthy tooth upon recheck
Healthy tooth upon recheck

®/™ Trademarks © The Nutro Company 2017. Other trademarks are property of their respective owners.