Medical records and radiographs were retrospectively reviewed over a 3-year period (2012-2015) from dogs presented to a private dental referral practice. Medical records were evaluated for the diagnosis of impacted or embedded teeth. The identified dogs' radiographs were reviewed for the presence of radiographically significant cystic lesions that were associated with the impacted or embedded teeth. Radiographic criteria were established by the authors for the purposes of identifying cystic lesions in dogs of different breeds and sizes, using established indices from human dental pathology as a basis. When histopathology results were available, they were reviewed and reported. In this study, 136 dogs ranging in age from 3 months to 17 years were diagnosed with 213 unerupted teeth during the study period. There were 62 (29.1%) of the 213 radiographically apparent cystic lesions identified based on the criteria proposed in this study. In this study, 146 (68.5%) of the 213 unerupted teeth were identified as mandibular first premolar teeth. Histopathology was obtained on 28 (45.1%) of the 62 diagnosed cystic lesions. Dentigerous cysts accounted for 20 (71.4%) of the 28 cystic lesions. Brachycephalic breeds were overrepresented in this study. Boxer, pug, Shih Tzu, and Boston terrier dogs were most likely to present with cystic lesions associated with unerupted teeth. Seventeen (85%) of the 20 cases with a histopathologic diagnosis of dentigerous cyst were found within these 4 brachycephalic breeds.

Medical records of patients with a histopathological diagnosis of oral osteoma were reviewed for information on signalment, body weight, history, clinical signs, physical examination and diagnostic imaging findings, surgical procedure performed, and histopathologic characteristics. Clinical signs related to the mass were noted in 2 dogs. One mass was documented to have been present for > 3-years, 3 of the masses were noted on physical examination, and 2 masses were noted during professional scaling and survey intraoral radiographs. All six masses had radiographic signs of bone proliferation without bone lysis. One case had radiographic root resorption of adjacent dentition. Four of the masses were classified as central osteoma and 2 were classified as peripheral osteoma based on clinical and radiographic findings. Four masses were treated with excisional biopsy that consisted of wide excision (rostral maxillectomy) [n = 1] and 3 had marginal excisions (en bloc resection) [n = 3]. Two of the masses were debulked with subsequent biopsy. There was no indication of recurrence in the cases with excisional biopsy and minimal progression in the cases that had lesions debulked > 5.5-months following surgery.

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Mesioverted maxillary canine teeth in combination with linguoverted mandibular canine teeth are a common ramification of persistent deciduous maxillary and mandibular canine teeth. Without the physical presence of the mandibular canine teeth, the maxillary third incisor and canine teeth diastemata are frequently narrowed. The creation of normal occlusion requires treatment of all 4 canine teeth; the mandibular canine teeth must be tipped labially and the maxillary canine teeth must be tipped and/or partially translated distally. This case report discusses the novel integration of 2 well-described orthodontic techniques to simultaneously treat both mesioverted maxillary canine teeth and linguoverted mandibular canine teeth, achieving a comfortable, functional occlusion.