A step-by-step photo guide to crown amputations

The author showcases how using less force and more finesse can help master these extractions

All photos by Dr. Jan Bellows

Introduction

Tooth extraction in veterinary patients is a delicate balance of skill, patience, and precision. Traditional extractions carry the risk of root fracture, hemorrhage, or even mandibular trauma—especially in patients with advanced periodontal disease. 1

Enter crown amputation-assisted extractions. This method prioritizes anatomical respect, surgical visibility, and patient safety while reducing procedural time and stress for the practitioner.

When to extract a tooth

Extractions are indicated in the following presentations:

  • Stage 4 periodontal disease

    Greater than 50 percent attachment loss, probing depths, Stage 3+ mobility, Stage 3 furcation, or gingival recession past the mucogingival junction.

  • Stage 3 periodontal disease

    Attachment loss of 25–50 percent. Recommended when home care is ineffective or not possible.

  • Fractured teeth

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