Cover Page

Wiggs's Veterinary Dentistry

Principles and Practice


Second Edition


Edited by


Heidi B. Lobprise, DVM, DAVDC

Main Street Veterinary Hospital and Dental Clinic

Flower Mound
TX, USA

and

Johnathon R. (Bert) Dodd, DVM, FAVD, DAVDC

Veterinary Dentistry

Texas A&M University
College Station
TX, USA






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Dedication

“Dentistry has emerged over the last twenty years as a distinct and significant part of clinical veterinary medicine. This emergence as a prominent and accepted science has not come easily nor without controversy in the modality of treatments and in organization. The veterinary dental pioneers faced numerous scientific and technical barriers, as well as lack of acceptance on occasion, by colleagues. However, science embraces and accepts science, and as research continues to link oral health with general health, dentistry is becoming more widely appraised and appreciated.”

This was the opening paragraph from the first edition of this book published by Robert B. Wiggs and Heidi B. Lobprise twenty years ago. So much of that paragraph is still true today; however, because of the foresight of dental pioneers like Bob Wiggs, Don Ross, Tom Mulligan, Sandy Manfra Maretta, Ben Colmery, Chuck Williams, Colin Harvey, Peter Emily, Steve Holmstrom, and Ed Eisner, the practice of veterinary dentistry today is “widely appraised and appreciated” over these last 40 years.

This book is dedicated to the memory of Robert Bruce (Bob) Wiggs for his vision, his knowledge, his perseverance, and his unending selflessness to advance the level of dentistry in private (and specialty) practice throughout the world. His memory is in the hearts of countless veterinarians whose personal knowledge and skills improved because of Bob's willingness to share with anyone who would ask for help. Bob never asked for anything in return.

Mike Peak had this to say about Bob: “When I started my residency with Dr. Wiggs, I was pretty green and no doubt had a lot to learn. I had been ‘doing’ dentistry for 4–5 years before beginning the residency and knew ‘how’ to do procedures, but didn't have the depth of understanding and knowledge ‘why’ certain procedures were done one way vs. another. I can remember Dr. Wiggs helping me understand certain oral pathologies and treatments, that at the time, in some cases seemed unorthodox. On more than one occasion, I thought for certain he was wrong about what he was telling me. I can remember thinking, ‘this just can't be right’ or ‘there’s no way he's right about that’. However, once I researched the literature, or we saw the case through its entirety, it turned out he was right EVERY time. It is amazing, even to this day, I see diseases that have now been more thoroughly investigated and he continues to be right!”

Another colleague, Gregg DuPont, added, “Dr. Bob Wiggs, the lead co‐author of the first edition of this book, inspired countless veterinarians to increase their knowledge of dentistry and to improve their level of dental care for their patients. He shared his skills and his wealth of knowledge readily and selflessly with anyone who wanted to learn more about veterinary dentistry. Bob was a good friend who possessed an uncommon combination of knowledge, generosity, and down‐to‐earth common sense that made time spent together delightful. The field of veterinary dentistry is a better one for his contributions, actions and interactions.”

According to Ed Eisner and Steve Holmstrom, Robert Bruce Wiggs was a renaissance man. He was a pioneer of the 1970s dental evolution in veterinary medicine. His closest friends saw many sides of Bob. He was, on the one hand, very proud of his Scottish heritage (Bruce the Fierce), and his Texas roots (1st generation Texas Ranger Ben Wills, known for his integrity as well as his toughness). As a member of one of the “Indian Companies”, Ranger Wills helped bring in alive the infamous Commanche renegade, Quantos Parker, in the 1860s.

Bob practiced with a high level of ethics and professional discipline, as well as being known for his dry sense of humor. In the 1980s, before the advent of internet “list serves”, Bob organized a dental support group that he nicknamed after one of his favorite comedy groups, The Three Stooges. There were actually five stooges, and this group shared the nuances of all stooges being Presidents of the newly forming American Veterinary Dental College, all were national and international speakers, and all were published authors. The Stooges also boasted a fierce professional football rivalry, Larry championing his Dallas Cowboys, Curly the Denver Broncos, Moe the SF 49ers, Shemp the Philadelphia Eagles, and Curly Joe the Seattle Seahawks. On the occasion of a Cowboys loss, Larry was a good sport. The Stooges were also known for their practical jokes. Among other pranks, they traditionally, at the annual Veterinary Dental Conference, short‐sheeted the bed of the incoming Dental College President. When it was Bob's turn, as incoming president, and he was cheerfully asked how he had slept the night before, Bob said “very soundly, thank you”. He had slept on top of the covers, innocent of the ongoing shenanigans. There will never be another Bob, or “Larry”.

On a more serious note, Dr. Wiggs was a meticulous innovator of dental instruments, hammering out the first set of winged elevators for his small animal dental practice. He also headed up the laboratory animal care unit at the Baylor College of Dentistry in Dallas (now known as the Texas A & M College of Dentistry), and donated his time and expertise in providing dental care for the animals at the Dallas Zoo, the Fort Worth Zoo, and area wild animal sanctuaries. He had gifted hands for oral surgery and the high quality of his procedures were acknowledged both throughout the United States and abroad. Animals of all species benefited by his dental expertise and tireless efforts on their behalf.

Dr. Bob Wiggs' ability to personally share his knowledge of dentistry ceased on November 29, 2009, but his influence on all of us will continue indefinitely.

Heidi B. Lobprise, DVM
Johnathon R. (Bert) Dodd, DVM

Foreword

Twenty years is a long time to wait on a second edition, and it took nearly four years to organize the contents of this one. The first edition of Veterinary Dentistry – Principles and Practice came out in 1997, largely due in part to the tremendous knowledge and dedication of Dr. Robert Bruce Wiggs (1950–2009). Referred to by some as “the bible” of veterinary dentistry, with no irreverence intended, it was probably the most comprehensive book in that field of topic during that time. Not without its shortcomings, such as a lack of adequate figures and illustrations due to publishing restraints, as well as now aged reference listings, it still provided a wealth of information to many a “student”.

This edition is a melding of keeping as many of the timeless and true concepts and knowledge, with adding in updated and contemporary viewpoints. Of course, as with any text, by the time the ink dries, there will be newer data published electronically and in journals that will update the information provided. This edition literally rests on the shoulders of giants, from the first edition and stellar human dental resources, to the current knowledge provided by current guest contributors.

In particular, distinct efforts were made to further bolster information about anesthesia and pain management (Chapter 9), to examine traumatic dentoalveolar injuries more closely (Chapter 6), and to dedicate a chapter to Oral and Maxillofacial Tumors (Chapter 7, with a separate chapter on related surgery). Other chapters expand on newer techniques and resources such as restorative endodontic (Chapter 16) and periodontal therapy (Chapter 10) and data related to the application of crowns and prosthodontics for dogs (Chapter 18). Whenever possible, updated terminology (based on the American Veterinary Dental College Nomenclature resources) was integrated, as seen in the feline chapter (Chapter 20), with appropriate abbreviations in tables throughout the book.

There are definitely more images and illustrations than the original edition, but there are still other texts that are known for more complete coverage of specific procedures, such as Veterinary Dental Techniques (Holmstrom, Frost, and Eisner) and Oral and Maxillofacial Surgery in Dogs and Cats (Verstraete and Lommer). The step‐by‐step feature of issues of the Journal of Veterinary Dentistry is also a good resource for pictoral descriptions, and was utilized in several places in this book as well.

Therefore, as these files are sent to the publisher (interestingly on the day 8 years after Dr. Wiggs' passing), I look back at these four years with plans for when the next edition will be needed (certainly sooner than 20 years), as the future of veterinary dentistry continues to expand. I played a part in that first edition, though it was but a portion of Dr. Wiggs' contribution, which is why, with great respect and fond remembrance, we are pleased to launch the modified name of this text – Wiggs' Veterinary Dentistry – Principles and Practice, second edition. I am also pleased and proud to say that the veterinarians involved in this edition have agreed to donate proceeds to the Foundation for Veterinary Dentistry in Dr. Wiggs' name and to the Robert B Wiggs endowed scholarship at Texas A&M University.

Respectfully submitted
Heidi B. Lobprise, DVM, DAVDC

List of Contributors

Jamie G. Anderson, DVM, MS, DAVDC, DACVIM
Sacramento Veterinary Dental Services
Rancho Cordova
CA, USA

Kristin Bannon, DVM, FAVD, DAVDC
Veterinary Dentistry and Oral Surgery of New Mexico, LLC
Algodones
NM, USA

Donald Beebe, DVM, DAVDC
Apex Dog and Cat Dentistry
Englewood
CO, USA

Jan Bellows, DVM, Dipl. AVDC, ABVP (canine and feline)
All Pets Dental
Weston
FL, USA

Robert C. Boyd, DVM, DAVDC
Montgomery
TX, USA

Anthony Caiafa, BVSc, BDSc, MANZCVS
School of Veterinary and Biomedical Sciences
James Cook University
Townsville, Queensland
Australia

Diane Carle, DVM, DAVDC
Animal Medical Center of Seattle
Seattle
WA, USA

Cynthia Charlier, DVM, DAVDC
VDENT Veterinary Dental Education Networking and Training
Elgin
IL, USA

Curt Coffman, DVM, FAVD, DAVDC
Arizona Veterinary Dental Specialists
Scottdale
AZ, USA

Johnathon R. (Bert) Dodd, DVM, FAVD, DAVDC
Veterinary Dentistry
Texas A&M University
College Station
TX, USA

Roberto Fecchio, DVM, MSc., PhD.
Safari Co. – Zoo and Exotic Animals Dental Consultant
São Paulo/SP
Brazil

Marco Antonio Gioso, DVM, DDS, DAVDC
Laboratório de Odontologia Comparada da FMVZ
University of São Paulo
São Paulo, Brazil

Norman Johnston, FRCVS, DAVDC, DEVDC
DentalVets
North Berwick
Scotland, UK

Loïc Legendre, DVM, DAVDC, DEVDC
Northwest Veterinary Dental Services Ltd
North Vancouver
British Columbia, Canada

Matthew Lemmons, DVM, DAVDC
MedVet Medical and Cancer Centers for Pets
Indianapolis
IN, USA

John Lewis, VMD, FAVD, DAVDC
Veterinary Dentistry Specialists
Chadds Ford, PA

Heidi B. Lobprise, DVM, DAVDC
Main Street Veterinary Hospital and Dental Clinic
Flower Mound
TX, USA

Paul Q. Mitchell, DVM, DAVDC
Veterinary Dental Services
North Attleboro
MA, USA

Brook Niemiec, DVM, DAVDC
Veterinary Dental Specialties and Oral Surgery
San Diego
CA, USA

Michael Peak, DVM, DAVDC
Tampa Bay Veterinary Specialists
Largo
FL, USA

Alexander M. Reiter, Dipl. Tzt., Dr. med. vet., DAVDC, DEVDC
School of Veterinary Medicine University of Pennsylvania
Philadelphia
PA, USA

Bonnie H. Shope, VMD, DAVDC
Veterinary Dental Services, LLC
Boxborough
MA, USA

Christopher Smithson, DVM, DAVDC
The Pet Dentist at Tampa Bay
Wesley Chapel
FL, USA

Christopher Snyder, DVM, DAVDC
School of Veterinary Medicine University of Wisconsin‐Madison
Madison
WI, USA