Pip Severe Class 2 Malocclusion (Overbite)

Patient Information

Name: Pip
Age: 4 years old
Breed: Greyhound
Gender: Female, Spayed

“The retained deciduous teeth were preventing normal eruption.”

Presenting Problem

Pip presented with a severe Class 2 malocclusion (overbite), resulting in significant trauma to the palate from the mandibular canine teeth. This condition led to the formation of an oronasal fistula, causing complications such as nasal discharge and associated nasal disease.

Diagnostics and Treatment

To alleviate trauma, Pip’s treatment plan included crown height reduction and vital pulpotomy of the mandibular canine teeth. The maxillary canine teeth were also extracted, and the large oronasal fistula was surgically repaired to prevent further complications.

Outcome

The surgical intervention was successful, with the oronasal fistula healing well despite its size. The mandibular canine teeth remained healthy following the crown height reduction, and Pip showed no signs of further complications.

Client Comments

“We had an amazing experience with Dr. Bec and Advanced Animal Dentistry. Dr. Bec made the process seamless with her comforting, attentive and knowledgeable expertise.”

“We felt more than comfortable leaving Pip with the team, knowing she was in great hands.”

“Dr. Bec thoroughly answered every question we had and even explained tooth anatomy to help us better understand our surgical options. We would definitely recommend Dr. Bec and the team at Advanced Animal Dentistry for any animal specialist oral care.”

“Extraction of these teeth allowed the adult teeth to move into position.”

Veterinary Comments

“Pip is a beautiful rescued Greyhound who came to us with a severe overbite, leading to extensive damage to the palate and the formation of oronasal fistulas.”

“Her symptoms, including nasal discharge and sneezing, alerted her owners to the severity of the condition.”

“We are thrilled with Pip’s response to treatment and enjoy seeing her at recheck appointments, where she always gives the best cuddles.”

FAQs

What is a severe Class 2 malocclusion in dogs, and how did it affect Pip?

A Class 2 malocclusion, or overbite, occurs when the upper and lower jaws are misaligned. In Pip’s case, this caused the lower canine teeth to repeatedly contact the palate, leading to significant trauma. Over time, this resulted in the formation of an oronasal fistula and related nasal symptoms.

What is an oronasal fistula and why is it a concern?

An oronasal fistula is an abnormal opening between the mouth and nasal cavity. For Pip, this led to nasal discharge and signs of nasal disease. Without treatment, this condition can continue to cause discomfort and ongoing complications.

How was Pip’s malocclusion and fistula treated?

Pip’s treatment involved crown height reduction and vital pulpotomy of the mandibular canine teeth to reduce trauma. The maxillary canine teeth were extracted, and the oronasal fistula was surgically repaired. This combined approach addressed both the cause and the resulting damage.

Why were multiple procedures needed in this case?

The severity of Pip’s condition meant that both the dental trauma and the fistula needed to be managed. Reducing the height of the lower canine teeth helped prevent further injury, while extracting the upper canines and repairing the fistula addressed existing damage. Each step was necessary to support healing and reduce the risk of recurrence.

What was the outcome after treatment for Pip?

The treatment was successful, with the fistula healing well despite its size. Pip’s mandibular canine teeth remained healthy following the procedure, and no further complications were observed. Her recovery also included the resolution of the symptoms that initially alerted her owners.

Key Takeaways

Severe Malocclusion Can Cause Palatal Damage

An overbite can lead to significant trauma where lower teeth contact the palate.

Oronasal Fistulas Can Develop from Trauma

Ongoing injury may create openings between the mouth and nasal cavity.

Targeted Treatment Resolves Complex Cases

Procedures such as crown reduction, extractions, and surgical repair address both cause and complications.

Successful Treatment Restores Health and Comfort

With appropriate care, healing can occur without ongoing complications.

Next steps

For Pet Owners

Are you concerned about your pet’s dental health? Call 1300 866 848 or fill out the contact form. We’ll coordinate with your primary vet to ensure the best outcome.

For Vets & Nurses

We’re here to help. If you’d like to refer a patient, please call us at 1300 866 848 , complete the referral form or email us with a brief case summary, relevant radiographs and lab results.

For advice and treatment guidance, email us with a brief case summary, relevant radiographs and lab results.

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