Hale Veterinary Clinic

Hale Veterinary Clinic Dr. Martin F. A. Hamilton, BVM&S, Dip.AVDC, Dip.EVDC, MRCVS
Board Certified Veterinary Dentist™
Dental and oral surgery for dogs🐶 and cats🐱 by referral

🐶 This is Scarlett, a 4-year-old FS Australian Shepherd mix. She had an oral mass by her left lower canine tooth. Can yo...
05/21/2026

🐶 This is Scarlett, a 4-year-old FS Australian Shepherd mix. She had an oral mass by her left lower canine tooth. Can you tell she had part of her jaw removed for treatment of that mass?

🩺 The gingival mass Scarlett had was a Canine Acanthomatous Ameloblastoma (CAA), which is the second most common type of odontogenic tumour in dogs. Although this is a benign tumour and does not metastasize, it is often locally invasive, can destroy adjacent tissue and alveolar bone, and cause tooth loss, necessitating early diagnosis and surgical intervention. Conservative management with simple marginal excision is generally non-curative and associated with a high recurrence rate (91%). Therefore, complete surgical excision with 5mm margins of clinically normal tissue is required for cure. In Scarlett’s case, this involves the removal of teeth 303 to 305. The surgical site was radiographed to confirm the extraction of all tooth roots, and the excised tissue was sent for histopathology to confirm clean margins.

☺️ Many pet owners are concerned about how their pet will look or how their lives will be affected after a procedure like this. In fact, most patients look the same and adapt exceptionally well once the surgery site is healed! Last week, we saw Scarlett back for a 2-week post-op recheck. Her surgical site was healing well. Her family said she is happy and comfortable, living her normal life like nothing had happened!

😺 Who doesn’t want to see some cute cat incisors on a Thursday afternoon!🔍 Have you noticed these rounded bumps on the b...
05/14/2026

😺 Who doesn’t want to see some cute cat incisors on a Thursday afternoon!
🔍 Have you noticed these rounded bumps on the biting (occlusal) edge of a cat’s incisors? Do you know what they are called?
👉 These are called mamelons! Humans have them too, especially when our permanent incisors are newly erupted, and they typically wear down over time from normal chewing. It is similar in our kitty friends and can be more prominent in some cats than others (the kitty in the photo is a 1.5-year-old DSH). For cats, these mamelons are theorized to assist with grooming.
😃 Check out your kitty’s incisors and share a photo of their mamelons in the comments!

😃 Dr.Hamilton just gave his talk on vital pulpotomy in cats at the European Veterinary Dental Forum! Let him know what y...
05/09/2026

😃 Dr.Hamilton just gave his talk on vital pulpotomy in cats at the European Veterinary Dental Forum! Let him know what you think and ask him any questions if you are there too!

05/07/2026

🤣Not all patients' profile photos turn out perfect

🐈 Earlier this month, we posted the treatment options for feline caudal malocclusions, along with a case example of Carl...
05/01/2026

🐈 Earlier this month, we posted the treatment options for feline caudal malocclusions, along with a case example of Carlton, the 8-month-old Himalayan. With the increased awareness of this condition, Carlton was one of the luckier kitties whose issue was noticed and addressed at a younger age. When it is left unnoticed or untreated, the chronic traumatic contact is not only painful but can also cause more irreversible damage.

👉 When the cusp of the maxillary premolar traumatizes the gingiva of the opposing mandibular tooth, V-shaped gingival clefts can develop. When left untreated, it can result in progressive periodontal disease of the mandibular tooth, necessitating extractions, as shown in the images below.

👉 When the cusp of the maxillary premolar traumatizes the mandibular alveolar mucosa, cats develop proliferative lesions (pyogenic granulomas) as seen in Carlton’s case. It usually creates a self-perpetuating cycle in which inflammation causes tissue to swell, increasing contact with the upper tooth, leading to further trauma and inflammation. When left untreated, these pyogenic granulomas can enlarge over time, sometimes mistaken for oral tumours.

😿 Unfortunately, when there is a traumatic contact from malocclusion, until the trauma is alleviated, the lesions will persist, and no conservative or medical management can fix the problem. Adult cats with caudal malocclusion don’t ‘grow out of it’, so ‘keep an eye on it’ is not an appropriate approach. Pain relief, such as NSAIDs, can be provided temporarily to improve comfort.

🥰 It’s our honor to provide care for these incredible animals! Both procedures went really well and we hope they are fee...
04/18/2026

🥰 It’s our honor to provide care for these incredible animals! Both procedures went really well and we hope they are feeling better with their dental problems treated ❤️

😃Looking forward to working with the Toronto Zoo Wildlife Health and Science Centre team again this Thursday!
04/14/2026

😃Looking forward to working with the Toronto Zoo Wildlife Health and Science Centre team again this Thursday!

😿 Feline caudal malocclusion is a condition where a cat’s teeth in the back of their mouth do not align correctly. As a ...
04/13/2026

😿 Feline caudal malocclusion is a condition where a cat’s teeth in the back of their mouth do not align correctly. As a result, the sharp cusp of the upper fourth premolar traumatizes the mandibular soft tissues. This usually creates a self-perpetuating cycle in which inflammation causes tissue to swell, increasing contact with the upper tooth, leading to further trauma and inflammation.

🐱This is Carlton, an 8-month-old MN Himalayan, who was presented with this condition bilaterally, where the trauma had resulted in the development of pyogenic granulomas. The primary goal of treatment is to eliminate traumatic contact between the upper premolars and the lower gums; therefore, options are typically either extraction or odontoplasty of the upper fourth premolars. There are pros and cons of each option (see the 2nd and 3rd image for details).

🩺 After a thorough discussion, Carlton’s caregiver elected to proceed with odontoplasty. Dental radiographs were taken to assess the location of pulp chambers of the upper fourth premolars. The cusps of these two teeth were reduced using a coarse-grit diamond bur, taking care to avoid pulp exposure. The exposed dentin was acid-etched, and a bonded sealant was applied. The pyogenic granulomas were gently debrided. Carlton’s occlusion was reevaluated upon recovery, and it appeared that the traumatic contact had been successfully alleviated.

😽 Last week, we saw Carlton for a 2-week post-op recheck. He is doing great, no traumatic contact noted, and the pyogenic granulomas have mostly healed!

🦷 Root canal therapy is commonly performed for fractured or nonvital (intrinsically stained) teeth in dogs and cats. The...
03/30/2026

🦷 Root canal therapy is commonly performed for fractured or nonvital (intrinsically stained) teeth in dogs and cats. The success rate for this procedure is very high (90-99%, depending on the study and which tooth is treated). To confirm treatment success, a radiographic recheck of the treated tooth is still recommended.

🐶 This is Hansi, a 3-year-old MN Doberman Pinscher. He was initially referred to us a year ago for the assessment and management of an intrinsically stained left maxillary canine tooth (204). At that time, there was evidence of apical periodontitis (periapical lucency), indicating infection surrounding the root. Root canal therapy was performed on this tooth, which went well and without complication.

☺️ Last week, Hansi was presented for a radiographic reassessment of this treated tooth. Fortunately, things looked great, with a significant reduction in the size of the periapical lucency surrounding 204, indicating treatment success. Should there be any concerns regarding this tooth, or should Hansi be anesthetized for any reason in the future, it may be worth re-radiographing this tooth; otherwise, we did not recommend any strict radiographic rechecks.

Address

159 Fife Road
Guelph, ON
N1H7N8

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

+15198228598

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