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Extractions

Extractions are a very serious business for all dentists, human and veterinarian. More can go wrong with this procedure than almost all other dental treatments combined. In dogs and cats, one needs to be aware of a plethora of complications that arise from even simple extractions. This is why we have dentistry as a specialty in veterinary medicine just like dentistry is a specialty area for human medicine.

Complications prior to extractions:

  • Proper diagnosis of what the actual problem really is. Is it just a simple extraction or an oronasal fistula or some other draining tract that simply won’t heal after the removal of the offending tooth?
  • Are there blood work abnormalities that are contra-indications for general anesthesia? Is the pet diabetic?
  • Is the tooth periodontally involved or is there a long term cyst formation at the apex of the tooth?
  • Will this extraction damage adjacent structures such as nerves, blood vessels, bone, or sinuses? On the maxilla, sinus perforations are a real danger and on the lower jaw, you have the mandibular canal which innervates the entire jaw. Damage it and your pet never feels his lower jaw again.
  • Is there infection, cancer, chronic non healing ulcerations, or any other auto immune deficiency present that would prevent proper healing?
  • Any root structure issue present such as bulbous roots, curves roots or roots that stick up into the sinuses or down into the mandibular canal?

As you can see, there is a myriad of issues that your vet might not be familiar with before you even get started. A veterinary dentist and your human dentist or oral surgeon look at all these issues very closely before extracting any teeth!

Complications during extractions:

  • The most common is root fracture. Roots on teeth can be very fragile. Any wrong or excessive force can easily break root tips which are then challenging to remove. A root tip left in place can create ongoing problems if not removed. Chronic infection, bone destruction, cyst formation and a perpetual drainage tract are just a few of the problems caused by retained infected root tips. As a dentist with over 28 years of experience, removal of broken root tips are one’s worst nightmare. It is not uncommon for Dr. Bloom and I to spend upwards of two hours, using every tool in our arsenal and 28 years of experience retrieving root tips. I have already outlined the problems if left in place, lets look at the problems of removal.
  • It is easy to push a root tip into the sinuses or worse yet, into the mandibular canal.
  • The delicate removal of surrounding bone has to be done to get the proper instrumentation into a boney socket for root tip retrieval. There are very few veterinarians with this kind of training unless they are specialists in dentistry or have done a multi year residency program in dental procedures.
  • Cutting of a nerve or artery. Very common and very easy to do on lower premolars.
  • Bone necrosis due to heat, inappropriate or aggressive cutting, inadvertent fracture of the alveolar plate, etc.
  • Damage to adjacent teeth from elevators or drill bits.
  • Root tip fracture and retrieval complications.
  • Excessive bleeding.
  • Dry socket or non healing wounds.
  • Oronasal fistula (a communication or hole between the mouth and the sinuses).
  • Jaw fractures…these are very common when extraction protocols are violated.

Finally, post op complications:

  • Non healing sockets
  • Non closure of oronasal fistulas
  • Damaged adjacent teeth becoming non-vital (dead)
  • Excessive bleeding
  • Nerve damage
  • Infection, swelling and even death
  • Non union of bone following a mandibular fracture or a cortical plate fracture

This is why we take extractions so very seriously. They are fraught with pre-op, op and post op problems that even the dental specialist, with extensive post graduate training, finds challenging to handle.

Dr. Ken Karger, DDS
Dr. Bonnie Bloom, DVM, Fellow in the Academy of Veterinary Dentistry

Dr. Bonnie Bloom

Dr. Bonnie Bloom, a Fellow of the Academy of Veterinary Dentistry, has completed a residency in veterinary dentistry and offers the newest and most innovative techniques for treatment of periodontal disease, tooth and jaw fractures, orthodontics and general dental care.


Dr. Ken Karger

Dr. Ken Karger, (human dentist) works with Dr. Bloom to contribute to our veterinary dental practice with the incorporation of advanced human dental techniques. He graduated from Baylor Dental College in 1983 with a Doctor of Dental Surgery degree. He has practiced dentistry in the metroplex for the past 28 years, winning 6 International Awards from the Academy of cosmetic Dentistry for Advanced cosmetic makeovers. He also enjoyed serving as the official dentist for ms. Texas for over a decade. Dr. Karger has lectured across the country in cosmetic dentistry and practice management, recently giving two lectures with Dr. Bloom to the Veterinary Dental Forum in Boston on dental materials advanced crown preparations.


Laura Roberts says...

I brought in a stray that had been hit by a car. The care was immediate and excellent. I was very impressed with the facility and quality of service. Thanks so much for the crate to transport him. It was very helpful!

Richard Jezek says...

High five kudos to Dr. Killman! She, with the help of the entire treating staff saved our TomTom’s life! Dr. Killman, Dr. Welch and Dr. Smith have renewed my faith in the caring veterinarian that we were looking for.

Brenda Rowland says...

Would like to thank the staff and doctors for the great care they gave our Tabby. The care given to Tabby was so kind and courteous. I am so grateful I chose I-20 Animal Medical Center.

Laura and Ricardo Grant & Nunook say...

Dr. Doherty and all of the vet techs that helped Nunook were so great. Words cannot convey how much we appreciate the great work everyone did for Nunook. He is our baby and he makes our family whole. Thank you for all that you do.

Marcia Marrow says...

Dr. Welch is amazing. She has a very calming nature, just what I needed when my Lhasa Apso was injured by a pit bull. She clearly explained everything in an understandable way. She also checked in with us (while we were there) to let us know what was going on. Thank you very much!

R. and B. Boone say...

The technical staff in the ICU is excellent and equally professional in providing the care, we feel, brought about Brandi’s recovery.

Don and Holly Michel say...

I20 is the greatest !! They gave us four extra years with our precious Yorkie, Cujo, and are helping us take care of our other precious Yorkie, Carrie, who is diabetic. They are deep in our hearts.

Alicia Patterson & Percy said...

I cannot thank you enough for everything the doctor and the rest of I-20 Animal Medical Center did to save my cat, Percy. Your care and compassion for my family during this emotional time was overwhelming.

Michelle & Greg Lacy say...

Greg and I could not be any more pleased with I20 Animal Medical Center for always being there for us when we need you most!

Yvonne Fiore says...

This was our first experience at I-20 Animal Medical Center. I was so impressed by Dr. Bloom, her real care, concern and understanding for my Cinnamon. My pets have been as loved as my children, thus, I expect excellent loving care and I and Cinnamon got this per Dr. Bloom and Jessica. Thank you!

Kristin Rush says...

The staff was wonderful and you can tell that they are real animal lovers. They were very thorough when checking out my dog and I didn’t feel at all like Jack was “just another dog”. They genuinely cared and explained everything very well. Loved them

Heather Matson says...

I have recommended I-20 to friends due to the compassionate and wonderful service we have received. Thank you for everything you have done for us. The doctors are wonderful as well as the techs and the rest of the staff. Thank you

Rhonda Holley says...

I have been to lots of vet clinics. Yours is the best in every way that I have ever seen! Thanks for restoring my faith in excellent veterinary care!

Matt Smoot says...

Dr. Bloom is wonderful! She put our mind at ease and alleviated all of our concerns about Spice’s surgery. We plan on using her for all of our pet’s needs in the future and will highly recommend her services to our friends and family! Thank you I-20 Animal Medical Center.

Staci Thomas says...

The service was amazing! I came in as a referral for a critical condition. I was extremely upset and concerned about my pet’s life. The staff quickly attended to us making efforts to stabilize Sebastian and provide me with a quiet and calm area. I really appreciated the service I received

Leah and Ron Bullard say...

We very much appreciate the skill and training you have and it was very evident in the procedures you performed on our dogs. Each of them had issues, some serious, and each of them are much better now, thanks to you and your staff.

Valerie Jordan says......

My family and I were so impressed by every contact we had with the staff. I have been to medical doctors for procedures and did not get such service. I have already called family members and recommended you guys, keep up the great work!

Maryann Livengood says....

The staff was extremely concerned and courteous- Dr. Stinson saved my cat's life! Also pricing extremely reasonable for a 24-hr care facility.

Paula Emmons says....

I-20 Animal Medical Center is amazing!! All the doctors, technicians and staff are the best. We had to take one of our dogs in for an emergency and everyone who helped us was great with our dog and with us. They encouraged us to call when we had to leave him and always answered and updated us on how he was doing through the nigh (even with many calls in a very short amount of time). The next morning Dr. Welch called and said that they had found something. She told us that Mikey was not going to make it and let us have hours to say goodbye. They answered all our questions and never once made us feel like we were imposing on her or her time. We have found a new clinic for all our dogs because of Dr. Welch and all the staff

Save A Mexican Mutt Rescue says...

I would like to thank the staff of I-20 for a great experience with one of our rescue dogs, Cuervo. Shortly after his rescue, we realized he had a broken canine tooth that would require a root canal. For sure we were not going to find a veterinary dentist in Mexico. So, I-20 Animal Medical Center came to the rescue! Dr. Bonnie Bloom and Dr. Ken Karger took great care of Cuervo upon our arrival. The staff at I-20 is always so friendly, professional, and socially in tune to rescue.

Jim and Kay Marshall say...

Excellent Care! I highly recommend you to our friends. Thanks to all the staff, especially Dr. Welch - we have a healthy dog once again. The love you and the girls showered on Rainey showed me how much you all love animals.

Janice Bunting with Tye says...

Our vet Dr. Litsey, referred us to you when Tye needed special boarding. We were very pleased with his care. We also really appreciated the staff's willingness to talk with us every time we called the ICU to check on him. It made it so much easier to be away from him. He came home a healthier and spunkier dog. Dr. Long was great with Tye and felt she took very good care to properly diagnose his condition and treatment.

Dave and Pamela Reitzel say….

“Cutie was a stray. When I took Cutie to I-20 Animal they were concerned for her health, and made arrangements to see her the next day. I-20 Animal set me at ease about Cutie after her exam. Now knowing that she is and was in good hands, I-20 Animal will be where I will take both my pets. VERY IMPRESSED!!.”

Nancy Schultz says…

“The doctor called the next day to check on Sophie and was genuinely interested in how she was doing. Very well done”

James Jacobs says...

“Huge thanks to the staff and doctors for the excellent care that Sasha received. The explanations about her care and pricing were first class. Thank you once again”

J. Headland says...

I cannot say enough how great Dr. Stinson and the staff were with Dirk and explaining the procedures. We have found a "new" place that I feel confident will take care of and actually care about Dirk. I have and will continue to tell our firends, family and co-workers how much we love I-20 Animal Medical Center.

LaTonya Thomas says...

"Shasha get's excited every time we exit the freeway to come to the I-20 Animal Clinic. Everyone there is so friendly and concerned about my pet's well being. Thank you all for such outstanding service."

J. Beed says...

"I just wanted to say thanks for your help yesterday! Mr. Fluffers had a great time getting his shots and I actually think he wanted to go back instead of driving home! :) Lauren and Kimberly were great! I'm sure Mr. Fluffers hopes to see them when he gets his booster in a few weeks. Thanks again!"

Laura Roberts says...

I brought in a stray that had been hit by a car. The care was immediate and excellent. I was very impressed with the facility and quality of service. Thanks so much for the crate to transport him. It was very helpful!

Richard Jezek says...

High five kudos to Dr. Killman! She, with the help of the entire treating staff saved our TomTom’s life! Dr. Killman, Dr. Welch and Dr. Smith have renewed my faith in the caring veterinarian that we were looking for.

Brenda Rowland says...

Would like to thank the staff and doctors for the great care they gave our Tabby. The care given to Tabby was so kind and courteous. I am so grateful I chose I-20 Animal Medical Center.

Laura and Ricardo Grant & Nunook say...

Dr. Doherty and all of the vet techs that helped Nunook were so great. Words cannot convey how much we appreciate the great work everyone did for Nunook. He is our baby and he makes our family whole. Thank you for all that you do.

Marcia Marrow says...

Dr. Welch is amazing. She has a very calming nature, just what I needed when my Lhasa Apso was injured by a pit bull. She clearly explained everything in an understandable way. She also checked in with us (while we were there) to let us know what was going on. Thank you very much!

R. and B. Boone say...

The technical staff in the ICU is excellent and equally professional in providing the care, we feel, brought about Brandi’s recovery.

Don and Holly Michel say...

I20 is the greatest !! They gave us four extra years with our precious Yorkie, Cujo, and are helping us take care of our other precious Yorkie, Carrie, who is diabetic. They are deep in our hearts.

Alicia Patterson & Percy said...

I cannot thank you enough for everything the doctor and the rest of I-20 Animal Medical Center did to save my cat, Percy. Your care and compassion for my family during this emotional time was overwhelming.

Michelle & Greg Lacy say...

Greg and I could not be any more pleased with I20 Animal Medical Center for always being there for us when we need you most!

Yvonne Fiore says...

This was our first experience at I-20 Animal Medical Center. I was so impressed by Dr. Bloom, her real care, concern and understanding for my Cinnamon. My pets have been as loved as my children, thus, I expect excellent loving care and I and Cinnamon got this per Dr. Bloom and Jessica. Thank you!

Kristin Rush says...

The staff was wonderful and you can tell that they are real animal lovers. They were very thorough when checking out my dog and I didn’t feel at all like Jack was “just another dog”. They genuinely cared and explained everything very well. Loved them

Heather Matson says...

I have recommended I-20 to friends due to the compassionate and wonderful service we have received. Thank you for everything you have done for us. The doctors are wonderful as well as the techs and the rest of the staff. Thank you

Rhonda Holley says...

I have been to lots of vet clinics. Yours is the best in every way that I have ever seen! Thanks for restoring my faith in excellent veterinary care!

Matt Smoot says...

Dr. Bloom is wonderful! She put our mind at ease and alleviated all of our concerns about Spice’s surgery. We plan on using her for all of our pet’s needs in the future and will highly recommend her services to our friends and family! Thank you I-20 Animal Medical Center.

Staci Thomas says...

The service was amazing! I came in as a referral for a critical condition. I was extremely upset and concerned about my pet’s life. The staff quickly attended to us making efforts to stabilize Sebastian and provide me with a quiet and calm area. I really appreciated the service I received

Leah and Ron Bullard say...

We very much appreciate the skill and training you have and it was very evident in the procedures you performed on our dogs. Each of them had issues, some serious, and each of them are much better now, thanks to you and your staff.

Valerie Jordan says......

My family and I were so impressed by every contact we had with the staff. I have been to medical doctors for procedures and did not get such service. I have already called family members and recommended you guys, keep up the great work!

Maryann Livengood says....

The staff was extremely concerned and courteous- Dr. Stinson saved my cat's life! Also pricing extremely reasonable for a 24-hr care facility.

Paula Emmons says....

I-20 Animal Medical Center is amazing!! All the doctors, technicians and staff are the best. We had to take one of our dogs in for an emergency and everyone who helped us was great with our dog and with us. They encouraged us to call when we had to leave him and always answered and updated us on how he was doing through the nigh (even with many calls in a very short amount of time). The next morning Dr. Welch called and said that they had found something. She told us that Mikey was not going to make it and let us have hours to say goodbye. They answered all our questions and never once made us feel like we were imposing on her or her time. We have found a new clinic for all our dogs because of Dr. Welch and all the staff

Save A Mexican Mutt Rescue says...

I would like to thank the staff of I-20 for a great experience with one of our rescue dogs, Cuervo. Shortly after his rescue, we realized he had a broken canine tooth that would require a root canal. For sure we were not going to find a veterinary dentist in Mexico. So, I-20 Animal Medical Center came to the rescue! Dr. Bonnie Bloom and Dr. Ken Karger took great care of Cuervo upon our arrival. The staff at I-20 is always so friendly, professional, and socially in tune to rescue.

Jim and Kay Marshall say...

Excellent Care! I highly recommend you to our friends. Thanks to all the staff, especially Dr. Welch - we have a healthy dog once again. The love you and the girls showered on Rainey showed me how much you all love animals.

Janice Bunting with Tye says...

Our vet Dr. Litsey, referred us to you when Tye needed special boarding. We were very pleased with his care. We also really appreciated the staff's willingness to talk with us every time we called the ICU to check on him. It made it so much easier to be away from him. He came home a healthier and spunkier dog. Dr. Long was great with Tye and felt she took very good care to properly diagnose his condition and treatment.

Dave and Pamela Reitzel say….

“Cutie was a stray. When I took Cutie to I-20 Animal they were concerned for her health, and made arrangements to see her the next day. I-20 Animal set me at ease about Cutie after her exam. Now knowing that she is and was in good hands, I-20 Animal will be where I will take both my pets. VERY IMPRESSED!!.”

Nancy Schultz says…

“The doctor called the next day to check on Sophie and was genuinely interested in how she was doing. Very well done”

James Jacobs says...

“Huge thanks to the staff and doctors for the excellent care that Sasha received. The explanations about her care and pricing were first class. Thank you once again”

J. Headland says...

I cannot say enough how great Dr. Stinson and the staff were with Dirk and explaining the procedures. We have found a "new" place that I feel confident will take care of and actually care about Dirk. I have and will continue to tell our firends, family and co-workers how much we love I-20 Animal Medical Center.

LaTonya Thomas says...

"Shasha get's excited every time we exit the freeway to come to the I-20 Animal Clinic. Everyone there is so friendly and concerned about my pet's well being. Thank you all for such outstanding service."

J. Beed says...

"I just wanted to say thanks for your help yesterday! Mr. Fluffers had a great time getting his shots and I actually think he wanted to go back instead of driving home! :) Lauren and Kimberly were great! I'm sure Mr. Fluffers hopes to see them when he gets his booster in a few weeks. Thanks again!"