A persistent tooth is a deciduous (baby) tooth that is still present when the permanent tooth erupts. When this happens, the baby tooth occupies the place in the mouth that is meant for the permanent tooth, forcing the permanent tooth to erupt at an abnormal angle or in an abnormal position. The result is crowding or malposition of the tooth, causing an abnormal bite (malocclusion). Early extraction is advised.

Occasionally, dogs’ teeth do not erupt in the right location, resulting in pain and poor function. Treatment options include orthodontic appliances to move the teeth, extraction, or crown amputation with restoration. Many veterinarians are comfortable delivering orthodontic care for dogs. Your veterinarian may seek the advice of a board-certified veterinary dental specialist for advice or referral.

Like humans, benign and malignant tumors occur in dogs’ mouths. Peripheral odontogenic fibromas (POF) are the most common benign tumors while oral melanomas, squamous cell carcinomas, and fibrosarcomas are the most prevalent malignant tumors in dogs. Diagnosis may be performed via fine needle aspiration or biopsy. Spread to mandibular lymph nodes does occur. Fine needle aspiration of the lymph nodes is recommended when malignant tumors are suspected. Tumor staging including laboratory testing as well as CT imaging helps to plan therapy.

Oral melanomas are the most common malignant oral tumor in dogs. Melanomas usually present as a mass in the mouth and may be melanotic (pigmented) or amelanotic (non-pigmented). These tumors are both locally invasive and have a high tendency to metastasize to other organs. Full staging including CT scanning is recommended to determine the extent of the disease.

Fibrosarcomas are the third most common oral tumor in dogs and arise from the fibrous and connective tissues of the oral cavity. These tumors are very invasive locally and are often difficult to manage, Diagnosis is based on biopsy. Treatment involving surgery and radiation provide the longest survival times.