Episode 214 - Avoid Mandibular Fractures & Extraction Mistakes in Veterinary Dentistry

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Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM

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In this episode of The Vet Dental Show, Dr. Brett Beckman answers practical, real-world questions from recent online veterinary dentistry trainings — focusing on extraction technique, instrument selection, crown amputation, mandibular canal safety, and surgical flap management in dogs and cats.

The discussion begins with a foundational question in veterinary extractions:
What’s the difference between an elevator and a luxator?

Dr. Beckman explains how modern luxating elevators differ from traditional elevators, why luxators are sharper and more precise for simple extractions, and how proper instrument selection improves efficiency while minimizing trauma to the periodontal ligament space.

The episode then dives into one of the most critical surgical risks in small breed dogs:
How do you avoid damaging the mandibular canal during mandibular first molar extraction?

Dr. Beckman clarifies:
- Why the root is not actually “in the canal” unless bone has been destroyed
- Why aggressive torque leads to mandibular fractures
- Why extensive bone removal reduces fracture risk
- The importance of gentle, sustained elevation (minimum 15 seconds or longer)
- Why two-finger control prevents catastrophic outcomes

He also addresses one of the most misunderstood procedures in veterinary dentistry:
Is crown amputation ever acceptable in dogs?

The answer is clear:
- Crown amputation is only appropriate in cases of complete root replacement resorption (typically in cats)
- Retained roots in dogs are not acceptable and may border on malpractice
- Proper flap creation and closure are mandatory when performing partial extraction procedures

Additional clinical pearls include:
- Managing vestibular bone expansion during feline canine extraction
- When a buccinator release is necessary — and when it is not
- Proper bur selection (699L vs 701L cross-cut tapered fissure burs)
- Instrument choices for small breed dogs, large dogs, and cats
- How to handle friable gingival tissue during flap closure
- Why attached gingiva must be preserved adjacent to healthy teeth
- When advanced flap techniques are required
- Thoughts on serrated elevators in general practice

Throughout the episode, Dr. Beckman emphasizes surgical precision, controlled force, and predictable technique to reduce complications such as mandibular fracture, retained roots, and flap failure.

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What You’ll Learn:
✅ The difference between a luxator and an elevator in veterinary dentistry
✅ How to safely extract mandibular first molars in small breed dogs
✅ Why torque causes mandibular fractures
✅ When crown amputation is appropriate — and when it is not
✅ Proper bone removal technique for safe extractions
✅ Which burs to use for canine tooth extraction
✅ How to manage vestibular bone expansion in cats
✅ How to handle friable tissue during flap closure
✅ Why gentle, sustained elevation improves outcomes

Questions This Episode Answers:
❓ What’s the difference between a luxator and an elevator?
❓ How do I avoid damaging the mandibular canal?
❓ When is crown amputation acceptable?
❓ Do retained roots need to be removed if they’re quiet?
❓ What bur should I use for canine extraction?
❓ What do I do if the gingiva is too friable to suture?
❓ Are serrated elevators helpful?

PerioVive is offering:
✔ A FREE 30-minute consultation with a board-certified veterinary dentist or VTS in dentistry
✔ A FREE sample of the product for use in your practice

Hyaluronic acid supports pain management in extraction sites and regenerative capabilities in veterinary dental procedures.

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Questions? Leave a comment below with your clinical experiences or challenges in veterinary extractions.

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