FASAVA Congress 2017

Standard root canals in lion, tiger, bear, red panda, mountain lion, and clouded leopard. Crowns on a clouded leopard. Surgical root canal in a lion.
With complicated crown fractures in large exotic carnivores, endodontically preserving teeth is much preferred as well as being easier for both patient and veterinarian. There are various ways to instrument, obturate, and restore teeth with a standard root canal. This lecture will cover various methods to access, instrument, lubricate, sterilize, and dry the pulp cavities. Instrumenting with hand files and Light Speed rotary instruments will be shown on canine teeth and incisors. Paper points can be attached to 60mm Hedstrom files and/or pipe cleaners can be used to dry the pup cavities. Obturation with AH Plus and gutta percha, GuttaFlo 2 and gutta percha are common methods. Intermediate restoration with a glass ionomer followed with a flowable composite to complete the restoration. Standard root canals will be shown in a lion, mountain lion, red panda, and tiger.
With some of these patients the fractures are chronic and the apex has been destroyed or they are immature with an open apex, therefore standard and surgical root canal will be required to preserve a tooth. These procedures will be shown on a young male lion with a mandibular canine tooth fracture. The diseased apex was removed, the periapical region debrided, and the apex was sealed with MTA.
If an animal continues to damage its teeth in its living enclosure metal crowns can be placed on vital or endodontically treated teeth. A clouded leopard with complicated crown/ crown root fractures of all four canine teeth has an extraction, three standard root canals, and two base metal crowns.