CVM100OD51 - College of Veterinary Medicine: Treatment Planning Utilizing Advanced Imaging

Course Description

Distinguishing between primary dental and primary sinus/nasal disease can be a major diagnostic challenge in the equine patient. A 2-dimensional radiographic examination of dental disease can be misleading without 3-dimensionsal computed tomography imaging. The superimposition of nasal and/or sinus disease could lead to a misdiagnosis of primary dental disease. Nasal and sinus disease can be of primary origin even when there is co-morbidity involving dental disease. Diagnostic modalities utilized for accurate diagnosis of dental and sinus disease include 1) computed tomography for 3-dimensional assessment, 2) contrast used in association with CT for soft tissue evaluation, 3) nasal endoscopy to access the maxillary sinus, 4) utilization of laser in conjunction with nasal endoscopy to create a stoma for access within the conchal bullae and 5) oral endoscopy for subtle evaluation of soft tissue attachment, recession and pocketing. Clinical cases will be discussed to show the benefits of using these diagnostic modalities.

Benefits to the Learner

• Determine when dental disease is related to sinus/nasal disease
• Understand how the dorsal and ventral conchal bullae are associated with the sinus system, hard palate and maxillary dental arcade
• Use nasal endoscopy for sinus and conchal bullae evaluation
• Use oral endoscopy for evaluation of periodontal attachment

Accrediting Associations

• The American Association of Veterinary State Boards RACE Approval Number 20-878940 1.0 Hours
• New York State Education Department 1.0 Hours