The Vet Dental Show

Brett Beckman
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Where we dig deep into everything in general vet practice dentistry and have fun doing it. In the weekly Vet Dental Show be prepared for timely topics, off-topic rants, special interviews, and anything in between. Brett Beckman, board-certified veterinary dentist, and world-class instructor teaches general practice to help them be the best that they can be for their patients. Join him on a journey each and every Wednesday for 10 to 30 minutes of fun discussions and useful information to help unpack the myths, keep you up to date, and improve your knowledge and skills to make your patients and their parents love you even more.

  1. 1H AGO

    Episode 218 - The #1 Dental Mistake Vets Still Make

    Want to sharpen your dental skills and earn RACE-approved CE—completely free? 👉 Head over to https://ivdi.org/free to access high-impact training and join thousands of veterinary professionals improving their dentistry outcomes. ------------------------------------------------------------------------------------ Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ------------------------------------------------------------------------------------ In this episode, we tackle real-world clinical questions submitted by veterinary professionals during recent trainings. From flap design concerns to periodontal regeneration strategies, this Q&A session delivers practical, experience-driven guidance you can immediately apply in general practice. ------------------------------------------------------------------------------------ This episode focuses on common—but often nuanced—clinical challenges in veterinary dentistry. Dr. Beckman addresses concerns around surgical technique, instrument handling, and treatment decision-making with clear, actionable explanations. Key topics include safe flap creation near critical anatomy, effective gingival closure techniques, suture selection across species, and the clinical importance of removing retained tooth roots. The discussion also dives into instrument sharpening protocols and modern periodontal therapies, including the shift away from traditional antibiotic products toward regenerative solutions like hyaluronic acid-based gels. If you're looking to refine your surgical confidence and elevate patient outcomes, this episode delivers essential insights grounded in daily clinical practice. What You'll Learn in This Episode ✅ How to safely create vertical releasing flaps near the infraorbital canal ✅ Practical technique for closing gingiva near the canine tooth ✅ Suture material selection for dogs vs. cats in oral surgery ✅ Why retained deciduous roots must always be removed—and how to do it efficiently ✅ Step-by-step approach to accessing and extracting fractured roots ✅ How often to sharpen dental instruments—and who should be responsible ✅ Clinical decision-making for teeth affected by resorption ✅ Techniques to stabilize bone graft material within extraction sites ✅ How hyaluronic acid-based products enhance healing and reduce pain ✅ Why traditional periodontal antibiotics are becoming obsolete Key Veterinary Dentistry Takeaways ✅ Vertical flap creation is safer than many assume when proper tissue tension and anatomical awareness are applied ✅ Retained roots are not benign—they can lead to infection, fistulas, and chronic discomfort ✅ Efficient flap design and bone removal improve visualization and extraction success ✅ Instrument sharpness directly impacts surgical efficiency and outcomes—make it routine ✅ Bone graft success depends on proper layering, clot management, and stabilization ✅ Hyaluronic acid gels support regeneration, reduce epithelial down-growth, and improve healing predictability ✅ Periodontal therapy is shifting toward biologics and regeneration—not antibiotics Questions This Episode Answers ❓ How close is too close to the infraorbital nerve during flap creation? ❓ What's the best way to suture gingiva near tight anatomical spaces? ❓ Which suture size should I use for different patient sizes? ❓ Do I really need to chase every retained root fragment? ❓ What's the easiest way to remove fractured deciduous roots? ❓ Should I sharpen instruments daily, weekly, or after every procedure? ❓ When is extraction necessary for resorptive lesions? ❓ Why does bone graft material displace—and how do I prevent it? ❓ Are products like doxycycline gels still relevant in periodontal therapy? ------------------------------------------------------------------------------------ 🔚 Ready to Level Up Your Dentistry Skills? If this episode helped clarify your approach to extractions, suturing, or periodontal care, don't stop here. 👉 Get your FREE RACE-approved CE course at https://ivdi.org/free 📩 Subscribe to stay updated with new clinical insights 💬 Drop your questions in the comments—we may feature them in a future episode! ------------------------------------------------------------------------------------ veterinary dentistry techniques, dog dental extraction tips, cat dental surgery sutures, infraorbital nerve veterinary dentistry, retained deciduous teeth extraction, veterinary dental flap design, periodontal regeneration dogs, hyaluronic acid dental veterinary, veterinary dental instruments sharpening, veterinary dentistry CE course, tooth resorption treatment dogs cats, veterinary oral surgery tips, bone graft veterinary dentistry

    11 min

  2. MAR 25

    Episode 217 - Mandibular Canine Extraction Tips Every Vet Should Know (Avoid These Mistakes!)

    Take the next step in your veterinary dentistry journey — get a FREE online course with 1 hour of RACE-approved CE when you subscribe to our newsletter: 👉 https://ivdi.org/free ----------------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ----------------------------------------------------------------------------- Welcome back! In this episode of The Vet Dental Show, Dr. Brett Beckman answers practical, real-world questions from veterinary professionals, focusing on improving extraction techniques, avoiding complications, and making smarter clinical decisions in general practice. This episode centers on one of the most technically challenging areas in veterinary dentistry—mandibular canine extractions in large dogs—along with critical guidance on retained root tips, instrumentation choices, and anesthesia alternatives. Dr. Beckman explains why accessing the apex of mandibular teeth is unsafe due to the mandibular canal and how clinicians must adapt their approach using controlled bone removal, strategic elevation, and patience. He highlights the importance of proper technique at the bone-tooth interface and why rushing extractions leads to complications. The discussion also covers how to evaluate and manage retained root fragments, when monitoring is appropriate, and when intervention is necessary based on radiographic findings. Additionally, Dr. Beckman shares insights on the use of Vet-Tome mechanical periotomes to improve efficiency and reduce trauma, recommendations for dental loupes, safe use of mouth gags, and practical alternatives to bupivacaine for dental blocks. This episode delivers actionable techniques that help veterinarians perform safer, faster, and more predictable dental extractions. What You'll Learn in This Episode ✅ Why you cannot safely reach the apex in mandibular canine extractions ✅ How to work around the mandibular canal and avoid neurovascular damage ✅ The importance of correct bone removal and tooth interface preparation ✅ Differences between luxators, elevators, and hybrid instruments ✅ How sustained pressure improves extraction success ✅ When retained root tips should be monitored vs. removed ✅ How Vet-Tome (mechanical periotome) improves efficiency and outcomes ✅ Best practices for using dental loupes in veterinary dentistry ✅ Safe mouth gag techniques to prevent trigeminal neuropathy ✅ Effective alternative to bupivacaine for dental blocks (ropivacaine) Key Veterinary Dentistry Takeaways ✅ Mandibular anatomy limits how far apically you can safely work ✅ Patience and sustained pressure are critical for successful extractions ✅ Incorrect technique at the bone-tooth interface leads to major complications ✅ Many retained root tips can be safely monitored if asymptomatic ✅ Vet-Tome use reduces extraction time and physical effort significantly ✅ Avoid excessive force—controlled technique yields better outcomes ✅ Improper mouth gag use can cause permanent nerve damage ✅ Ropivacaine is a reliable and accessible alternative for local anesthesia ✅ Instrument selection directly impacts efficiency and safety ✅ Mastering fundamentals improves both speed and clinical confidence Questions This Episode Answers ❓ Why can't you go to the apex on mandibular canine teeth? ❓ How do you safely extract deeply rooted mandibular canines in large dogs? ❓ What happens if a root tip is left behind after extraction? ❓ When should retained roots be removed versus monitored? ❓ How does a Vet-Tome improve dental extractions? ❓ What's the difference between luxators and elevators? ❓ Are mouth gags safe to use in veterinary dentistry? ❓ How do you prevent trigeminal nerve damage during procedures? ❓ What loupes are recommended for veterinary dental procedures? ❓ What can be used instead of bupivacaine for dental blocks? ----------------------------------------------------------------------------- 🎓 Get a FREE veterinary dentistry course with 1 hour of RACE-approved CE when you sign up:  https://ivdi.org/free 🛒 Veterinary dental instruments & supplies: https://drbrettspets.com ----------------------------------------------------------------------------- 💬 Questions or insights? Drop them in the comments! ----------------------------------------------------------------------------- 👍 If you found this episode helpful, LIKE, SUBSCRIBE, and SHARE with your team to improve your veterinary dentistry skills. ----------------------------------------------------------------------------- mandibular canine extraction dog, veterinary dentistry techniques, retained root tip veterinary, vet tome periotome veterinary, veterinary dental extraction tips, luxator vs elevator veterinary dentistry, veterinary oral surgery dog, dental blocks veterinary ropivacaine, veterinary mouth gag safety, veterinary dental CE course, dog tooth extraction complications, veterinary dentistry training, veterinary dental instruments guide

    10 min

  3. MAR 18

    Episode 216 - Veterinary Dental Pain Management, Nerve Blocks & Radiographs

    Take the next step in your veterinary dentistry journey — get a FREE online course with 1 hour of RACE-approved CE when you subscribe to our newsletter: https://ivdi.org/free ---------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT ---------------------------------------------------------- In this episode of The Vet Dental Show, Annie Mills, LVT answers practical, real-world questions from recent veterinary dentistry trainings, focusing on improving efficiency, pain management, radiographic technique, and client communication in general practice. Annie begins by breaking down how to effectively communicate dental findings to pet owners using detailed dental charts, anesthetic monitoring logs, radiographs, and discharge instructions. She explains how clear documentation improves client understanding, builds trust, and demonstrates the level of care provided during dental procedures. The episode then dives into postoperative pain management strategies, including when and why fentanyl patches are used in canine patients—especially those undergoing multiple or full-mouth extractions. Annie highlights the importance of continuous analgesia, minimizing gaps in pain control, and reducing owner stress by simplifying at-home care. Radiographic efficiency is another key focus, particularly for practices limited to a single size-2 sensor. Annie emphasizes that speed and accuracy come from repetition, proper training, and consistent positioning techniques—especially when working with larger canine patients. The discussion also explores updated local anesthesia protocols, including why adding narcotics like buprenorphine to nerve blocks is no longer necessary. Annie explains the extended duration of bupivacaine and the benefits of longer-acting options like Nocita for providing up to 72 hours of postoperative analgesia. Finally, she reviews decision-making for regional nerve blocks in the maxilla, including when to use infraorbital versus caudal maxillary blocks, and practical techniques such as bending needles to improve access and accuracy. This episode delivers actionable, experience-based insights to help veterinary technicians and veterinarians improve patient comfort, clinical efficiency, and client communication in everyday dental practice. What You'll Learn: ✅ How to improve client communication using dental charts and reports ✅ What to include in anesthetic monitoring and discharge instructions ✅ When to use fentanyl patches for postoperative pain management ✅ How continuous analgesia improves patient comfort after extractions ✅ Tips for taking faster dental radiographs with a size-2 sensor ✅ Why practice and positioning are key to radiographic efficiency ✅ Updated approach to nerve blocks without added narcotics ✅ How long bupivacaine and Nocita provide analgesia ✅ When to use infraorbital vs caudal maxillary nerve blocks ✅ Practical techniques to improve nerve block accuracy Key Takeaways: ✅ Clear documentation improves client understanding and trust ✅ Sending charts, radiographs, and instructions enhances compliance ✅ Fentanyl patches provide consistent pain control in dogs ✅ Reducing oral medications lowers owner stress ✅ Radiograph speed improves with repetition and training ✅ Larger patients require more troubleshooting for positioning ✅ Bupivacaine may last longer than previously thought ✅ Long-acting local anesthetics improve postoperative comfort ✅ Proper nerve block selection depends on treatment location ✅ Small technique adjustments can improve procedural success Questions This Episode Answers: ❓ Do clients understand dental charts and anesthetic monitoring reports? ❓ When should fentanyl patches be used in veterinary dental cases? ❓ How can you take faster radiographs with limited equipment? ❓ Does adding buprenorphine extend nerve block duration? ❓ How long does bupivacaine actually last? ❓ When should you use infraorbital vs caudal maxillary blocks? ❓ Can bending the needle improve nerve block technique? ❓ How can you reduce gaps in postoperative pain management? ❓ What improves client compliance after dental procedures? ---------------------------------------------------------- Get a FREE veterinary dentistry course with 1 hour of RACE-approved CE when you sign up for our newsletter: https://ivdi.org/free ---------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or challenges in veterinary dentistry! ---------------------------------------------------------- Veterinary Dentistry, Vet Dental Show, Annie Mills LVT, Brett Beckman, Veterinary Technician Dentistry, Veterinary Pain Management, Fentanyl Patch Dogs, Veterinary Nerve Blocks, Infraorbital Block, Caudal Maxillary Block, Dental Radiographs Dogs, Veterinary Dental X Rays, Bupivacaine, Nocita, Veterinary Extractions, Dog Dental Surgery, Veterinary CE, Vet Med Education

    9 min

  4. MAR 11

    Episode 215 - Veterinary Dental Extractions & Suturing: Root Tips, Bone Grafts, Hemorrhage Control

    Transform how you manage extraction sites and periodontal pockets — get a FREE 30-minute consultation with a specialist + a FREE sample of PerioVive for your practice: 👉 https://ivdi.org/ha ------------------------------------------------------------------ Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ------------------------------------------------------------------ In this episode of The Vet Dental Show, Dr. Brett Beckman answers practical questions submitted during recent veterinary dentistry trainings—covering extraction closure techniques, bone graft decisions, periodontal pocket management, and managing intraoperative bleeding in general practice. ------------------------------------------------------------------ What You'll Learn: ✅ When extraction sites should be fully sutured versus partially closed ✅ Surgical approaches for ankylosed teeth and replacement resorption ✅ How to safely elevate palatal gingiva in feline dental extractions ✅ Interdental suturing techniques for closing envelope flaps ✅ When bone grafts are indicated during veterinary dental extractions ✅ How hyaluronic acid can support healing in periodontal defects ✅ Techniques for managing bleeding during dental extractions ✅ How to properly treat periodontal pockets with root planing ✅ Why modern periodontal therapy is moving away from doxycycline products ✅ How and when to reevaluate periodontal treatment outcomes Key Takeaways: ✅ Complete closure of extraction sites is generally safest in veterinary patients ✅ Ankylosed teeth require careful bone removal and patience during extraction ✅ Interdental sutures allow closure of envelope flaps without damaging adjacent teeth ✅ Bone grafts are only necessary when adjacent teeth are at risk due to bone loss ✅ Hyaluronic acid can improve healing when combined with natural blood clot formation ✅ Hemostatic agents can control bleeding caused by surgical trauma during extraction ✅ Proper periodontal pocket treatment requires removal of granulation tissue and root planing ✅ Follow-up periodontal evaluation often requires anesthetized exams and radiographs Questions This Episode Answers: ❓ Should maxillary molar extraction sites be fully sutured? ❓ How do you extract teeth affected by ankylosis or replacement resorption? ❓ How do you elevate palatal gingiva during feline dental procedures? ❓ How do you suture an envelope flap when healthy teeth are present? ❓ When should bone grafts be used during dental extractions? ❓ How do you control bleeding during veterinary dental surgery? ❓ How should periodontal pockets be treated in dogs and cats? ❓ When should periodontal defects be re-evaluated after treatment? ------------------------------------------------------------------ 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 has become a staple in modern veterinary dentistry for pain management, attachment gain, and regenerative support in both extraction and periodontal cases. Take advantage of this offer here: https://ivdi.org/ha ------------------------------------------------------------------ Questions? Leave a comment below with your thoughts, clinical experiences, or case challenges in veterinary dentistry.' ------------------------------------------------------------------ Veterinary Dentistry, Vet Dental Show, Veterinary Dental Extractions, Veterinary Oral Surgery, Brett Beckman, Dental Suturing, Bone Grafts, Periodontal Pockets, Hyaluronic Acid Veterinary Dentistry, Veterinary CE, Veterinary Education, Vet Dental Surgery, Veterinary Periodontal Therapy, Extraction Techniques, Veterinary Dental Training

    18 min

  5. MAR 4

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

    Transform how you manage extraction sites and postoperative pain — get a FREE 30-minute consultation with a specialist + a FREE sample of PerioVive for your practice: 👉 https://ivdi.org/ha ------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ------------------------------------------------------- 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. ------------------------------------------------------- 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. Take advantage of this offer here: https://ivdi.org/ha ------------------------------------------------------- Questions? Leave a comment below with your clinical experiences or challenges in veterinary extractions. ------------------------------------------------------- veterinary dentistry, veterinary tooth extraction, veterinary extractions, luxator vs elevator, dental elevator veterinary, luxator veterinary dentistry, mandibular canal dog, mandibular fracture prevention, small breed dog dental extraction, canine tooth extraction veterinary, feline canine extraction, crown amputation veterinary, retained root tips dog, veterinary dental burs 701L 699L, cross cut fissure bur veterinary, periodontal ligament space, veterinary oral surgery, gingival flap closure veterinary, friable gingiva extraction, Brett Beckman veterinary dentistry

    11 min

  6. FEB 25

    Episode 213 - Extraction Mistakes You Must Avoid in Vet Dentistry

    Transform how you manage extraction sites and periodontal pockets — get a FREE 30-minute consultation with a specialist + a FREE sample of PerioVive for your practice: 👉 https://ivdi.org/ha ------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ------------------------------------------------------- In this episode of The Vet Dental Show, Dr. Brett Beckman answers real-world questions from recent online veterinary dentistry trainings—covering extraction decision-making, radiographic interpretation, and modern periodontal therapy in general practice. The discussion begins with a common and controversial question: Is it ever okay to leave a root tip? Dr. Beckman explains when root tips must be removed, when monitoring is acceptable, and why proper training in surgical extractions is essential to avoid long-term complications and liability issues. The episode also clarifies the radiographic "Chevron sign" — a normal lucency seen around certain tooth apices in dogs — and how to distinguish normal anatomy from true pathology. Dr. Beckman then addresses key workflow questions: - Should radiographs be taken before or after cleaning? - Why you should not scale teeth that are going to be extracted - How proper sequencing improves efficiency and anesthesia safety He also tackles one of the most misunderstood clinical decisions in general practice: What to do with a discolored tooth that looks normal on radiographs. Spoiler: discoloration almost always means a non-vital tooth — and that means treatment. The conversation continues with: - How to approach discovering a previously retained root tip from another practice - When (if ever) products like Clindoral or doxycycline are indicated - Why hyaluronic acid (PerioVive) has replaced older doxycycline-based products - How hyaluronic acid reduces postoperative pain in extraction sites - Surgical principles for extracting teeth close to neighboring roots without causing damage - Why cleaning prior to extraction does not reduce infection risk Throughout the episode, Dr. Beckman emphasizes practical, repeatable systems that make extractions safer, more predictable, and more efficient in everyday veterinary practice. What You'll Learn: ✅ When retained root tips must be removed vs. monitored ✅ How to recognize a normal "Chevron sign" on radiographs ✅ Why radiographs should be taken before cleaning ✅ Why scaling teeth scheduled for extraction wastes anesthesia time ✅ Why discolored teeth are almost always non-vital ✅ When to recommend root canal vs. extraction ✅ How to handle discovering a previously retained root tip ✅ Why hyaluronic acid has replaced doxycycline products ✅ How HA improves pain control in extraction sites ✅ How to avoid trauma when extracting teeth near adjacent roots Key Takeaways: ✅ Do not intentionally leave root tips during extractions ✅ Normal apical lucencies (Chevron signs) are not pathology ✅ Radiographs first = better estimates, safer anesthesia, smarter workflow ✅ Discolored teeth require treatment even if radiographs appear normal ✅ Hyaluronic acid improves attachment gain and postoperative comfort ✅ Proper surgical technique eliminates concerns about cleaning before extraction ✅ Education and wet lab training are critical for extraction competency Questions This Episode Answers: ❓ Is it ever acceptable to leave a root tip behind? ❓ What is a Chevron sign on dental radiographs? ❓ Should I take radiographs before or after scaling? ❓ Do discolored teeth always need treatment? ❓ How should I handle finding a retained root tip from another clinic? ❓ Are doxycycline products still indicated? ❓ Does cleaning before extraction reduce infection risk? ❓ How do I safely extract teeth that are very close together? ------------------------------------------------------- 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 has become a staple in modern veterinary dentistry for pain management, attachment gain, and regenerative support in both extraction and periodontal cases. Take advantage of this offer here: https://ivdi.org/ha ------------------------------------------------------- Questions? Leave a comment below with your thoughts, clinical experiences, or case challenges in veterinary dentistry. ------------------------------------------------------- Veterinary Dentistry, IVDI, Vet Dental Show, Brett Beckman, Root Tips, Discolored Teeth, Dental Radiographs, Chevron Sign, Veterinary Extractions, Hyaluronic Acid, PerioVive, Periodontal Therapy, Veterinary CE, Veterinary Education

    12 min

  7. FEB 18

    Episode 212 - Hyaluronic Acid in Veterinary Dentistry: Extraction & Pocket Protocols

    Transform how you manage extraction sites and periodontal pockets — get a FREE 30-minute consultation with a specialist + a FREE sample of PerioVive for your practice: 👉 https://ivdi.org/ha ------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ------------------------------------------------------- In this episode of The Vet Dental Show, Dr. Brett Beckman answers thoughtful, case-based questions from recent online veterinary dentistry trainings, focusing on practical decision-making in general practice. The discussion begins with extraction technique—specifically whether you must smooth bone after extractions and how much is too much. Dr. Beckman explains why smooth bone is important for flap closure, when additional bone reduction may be necessary, and how to avoid overly aggressive removal of healthy bone. The conversation then shifts to one of the most impactful topics in modern veterinary dentistry: hyaluronic acid (PerioVive) use in extraction sites and periodontal pockets. Dr. Beckman and colleagues discuss: - Whether to combine hyaluronic acid with Gelfoam - When bone grafts add value—and when they don't - Why HA plays the "lion's share" of the biologic role - How HA works as a microscopic matrix while bone graft acts as a macroscopic scaffold - Why HA is essential for pain modulation and soft tissue healing They also clarify common misconceptions about pocket depth and product selection, including why there is no justification for choosing doxycycline products over hyaluronic acid based solely on millimeter measurements. Instead, treatment decisions should be based on surgical approach, defect location, and whether the lesion extends apical to the mucogingival line. Dr. Beckman further explains: - Why bleeding helps retain hyaluronic acid in periodontal pockets - When open flap debridement is appropriate - Why bone grafts alone are rarely indicated in general practice - When maintaining alveolar ridge height actually matters - Why HA should be placed before applying a barrier sealant like OraVet Finally, the episode explores how hyaluronic acid supports faster healing, stronger bone regeneration, and significant pain relief in extraction sites—making it a practical, everyday tool for general practices. ------------------------------------------------------- What You'll Learn: ✅ Why smoothing bone after extraction improves flap closure ✅ When additional bone removal is necessary—and when it's not ✅ Whether hyaluronic acid should be combined with Gelfoam ✅ The difference between microscopic (HA) and macroscopic (bone graft) scaffolding ✅ Why bone grafts alone are rarely sufficient ✅ How HA improves pain management in extraction sites ✅ When to use HA in periodontal pockets ✅ Why pocket depth alone should not determine product choice ✅ When open flap debridement vs. extraction is indicated ✅ Why HA must be placed before barrier sealants Key Takeaways: ✅ Smooth bone supports proper surgical closure ✅ Hyaluronic acid provides significant biologic and pain-management benefits ✅ Bone grafts may enhance outcomes when combined with HA—but are rarely needed alone ✅ Bleeding helps retain HA within periodontal pockets ✅ Alveolar ridge height preservation is only relevant in select cases ✅ Treatment decisions should be based on defect location and surgical principles—not arbitrary pocket depth cutoffs ✅ HA is a practical, everyday staple for general veterinary practice Questions This Episode Answers: ❓ Do you need to burn bone down to a perfectly smooth surface after extraction? ❓ Should hyaluronic acid be mixed with Gelfoam? ❓ Is bone graft superior to HA for extraction sites? ❓ Does pocket depth determine whether to use HA or doxycycline products? ❓ When is open flap debridement necessary? ❓ Should bone graft be used routinely after extractions? ❓ Does bleeding reduce or improve HA effectiveness? ❓ When should alveolar ridge preservation be a concern? ------------------------------------------------------- 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 has become a staple in modern veterinary dentistry for pain management, soft tissue healing, and regenerative support in extraction and periodontal cases. Take advantage of this offer here: https://ivdi.org/ha ------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or case challenges in veterinary dentistry. ------------------------------------------------------- Veterinary Dentistry, IVDI, Vet Dental Show, Brett Beckman, Hyaluronic Acid, PerioVive, Veterinary Extractions, Periodontal Pockets, Bone Graft, Alveolar Ridge Preservation, OraVet, Veterinary CE, Veterinary Education

    14 min

  8. FEB 11

    Episode 211 - Save or Extract? Bone Loss & Smarter Dental Decisions in Dogs

    Take the next step in your veterinary dentistry journey — get a FREE online course with 1 hour of RACE-approved CE when you subscribe to our newsletter: https://ivdi.org/free ---------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM ---------------------------------------------------------- In this episode of The Vet Dental Show, Dr. Brett Beckman answers advanced, case-based questions from recent online veterinary dentistry trainings, focusing on real-world decision-making in general practice. The discussion covers extraction technique modifications, bur selection for challenging teeth, and evidence-based use of hyaluronic acid and bone grafts in periodontal and surgical cases. Dr. Beckman explains why he has shifted away from routine vestibular bone removal for certain extractions—particularly the mandibular third and fourth premolars—and instead emphasizes controlled sectioning, gentle elevation, and patience to reduce root fracture risk. He shares practical tips on finger pressure, visualization with loupes, and how this technique improves efficiency and outcomes in both clinical cases and wet labs. The episode also explores the biological role of hyaluronic acid in extraction sites and periodontal defects. Dr. Beckman and colleagues clarify the differences between PerioVive and OralVive, explain why retention is not the primary goal of hyaluronic acid therapy, and discuss its benefits for clot stabilization, pain modulation, angiogenesis, and soft tissue healing. The conversation addresses when hyaluronic acid should be used in extraction sites, how it integrates with blood clots and bone grafts, and why products like ClinDoral no longer have a role in these scenarios. Finally, Dr. Beckman dives into one of the most challenging topics in veterinary dentistry: deciding when to save a tooth versus extract it. He breaks down why percentage-based bone loss alone is not a reliable extraction rule, and instead emphasizes case selection based on tooth function, patient age, defect type, and—most importantly—owner commitment to long-term follow-up and home care. This episode delivers thoughtful, experience-driven guidance to help veterinarians make confident, ethical, and practical dental decisions. ---------------------------------------------------------- What You'll Learn: ✅ When vestibular bone removal may increase root fracture risk ✅ How to approach difficult premolar extractions with minimal force ✅ Why sectioning and gentle elevation can replace aggressive bone removal ✅ Proper bur selection for sectioning thick alveolar bone ✅ The biological role of hyaluronic acid in clot stabilization and healing ✅ Key differences between PerioVive and OralVive ✅ Why retention is not the primary goal of hyaluronic acid therapy ✅ When and why to use hyaluronic acid in all extraction sites ✅ How bone grafts and blood clots support alveolar ridge preservation ✅ How to decide when a tooth is worth saving versus extracting Key Takeaways: ✅ Root fractures often occur at the interface between mobile and immobile bone ✅ Gentle, controlled elevation reduces complications more than force ✅ Removing less bone can sometimes improve extraction outcomes ✅ Hyaluronic acid is rapidly absorbed and supports natural healing pathways ✅ Pain modulation is a major benefit of HA in extraction sites ✅ Blood clots function as natural bone grafts ✅ Percentage of bone loss alone should not dictate extraction decisions ✅ Patient age, tooth function, and owner compliance matter most ✅ Long-term success depends on consistent rechecks and home care ✅ Some teeth can be saved—but not always in the patient's best interest Questions This Episode Answers: ❓ Should fissure burs be used for mandibular premolar extractions in dogs? ❓ Why do roots fracture after vestibular bone removal? ❓ How much pressure should be used during elevation? ❓ What is the difference between PerioVive and OralVive? ❓ Does hyaluronic acid need to "stay in place" to be effective? ❓ Should hyaluronic acid be used in every extraction site? ❓ Is a blood clot considered a bone graft? ❓ When should a tooth with severe bone loss be saved instead of extracted? ❓ How important is owner compliance in periodontal case selection? ❓ Is there still any indication for ClinDoral use? Get a FREE veterinary dentistry course with 1 hour of RACE-approved CE when you sign up for our newsletter: 👉 https://ivdi.org/free ---------------------------------------------------------- Questions? Leave a comment below with your thoughts, experiences, or case selection challenges in veterinary dentistry! ---------------------------------------------------------- Veterinary Dentistry, IVDI, Vet Dental Show, Brett Beckman, Veterinary Extractions, Bone Loss, Hyaluronic Acid, PerioVive, OralVive, Bone Grafting, Periodontal Disease, Veterinary Surgery, Dog Dental Care, Veterinary CE, Veterinary Education

    17 min
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5
out of 5
33 Ratings

About

Where we dig deep into everything in general vet practice dentistry and have fun doing it. In the weekly Vet Dental Show be prepared for timely topics, off-topic rants, special interviews, and anything in between. Brett Beckman, board-certified veterinary dentist, and world-class instructor teaches general practice to help them be the best that they can be for their patients. Join him on a journey each and every Wednesday for 10 to 30 minutes of fun discussions and useful information to help unpack the myths, keep you up to date, and improve your knowledge and skills to make your patients and their parents love you even more.

Information

  • Creator
    Brett Beckman
  • Years Active
    2021 - 2026
  • Episodes
    100
  • Rating
    Clean
  • Show Website
    The Vet Dental Show

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