For the next several weeks, we're sharing exclusive Q&A sessions from The Definitive Veterinary Extraction Protocol, recorded live during the July 2026 course.
Explore the complete course and learn more about the extraction techniques discussed in this series.
Learn more and enroll here:
https://ivdi.org/extract
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Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM
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In this episode, Dr. Brett Beckman answers practical questions about veterinary dental nerve blocks, Nocita dosing and timing, bone graft materials, preventing oronasal fistulas during maxillary canine extractions, and choosing safer chew toys for dogs with a history of tooth fractures.
He explains how he incorporates long-acting local anesthesia into dental procedures, why nerve block placement and dosing matter, and how extraction technique can minimize complications in patients with significant periapical disease.
Dr. Beckman also discusses synthetic bioglass for periodontal bone defects and shares practical advice for educating pet owners about hard chews, fractured teeth, and safer alternatives.
What You'll Learn in This Episode
π― When synthetic bioglass materials such as Consel may be appropriate for periodontal bone defects
π― Dr. Beckman's experience with Nocita and potential adverse reactions
π― Important considerations surrounding off-label Nocita use in veterinary dentistry
π― How long to wait after placing a dental nerve block before beginning surgery
π― How Dr. Beckman determines Nocita volume per injection site
π― Why monitoring anesthetic responses helps assess nerve block effectiveness
π― Why therapeutic laser use after liposomal bupivacaine placement is discouraged in this discussion
π― How to approach maxillary canine extractions with significant periapical disease
π― Why compromised bone can accompany an extracted tooth and expose an oronasal communication
π― How appropriate flap closure supports healing after extraction
π― Which common dog chews increase the risk of tooth fractures
π― What alternatives veterinarians can recommend to owners who resist eliminating hard chews
Key Veterinary Dentistry Takeaways
π Dr. Beckman continues to use Consel, a synthetic bioglass, for selected periodontal defects adjacent to teeth being preserved rather than routinely placing it in extraction sites.
π Nocita nerve blocks are incorporated early in the dental procedure, typically after radiographs, without unnecessarily delaying surgery while waiting for onset.
π Nocita dosing must account for the patient's total allowable dose. Dr. Beckman discusses using smaller volumes per site and reassessing block effectiveness when needed.
π Dr. Beckman advises against applying therapeutic lasers to the oral cavity after liposomal bupivacaine placement because of concerns about disrupting the liposomal formulation.
π During maxillary canine extraction, controlled technique and appropriate force direction help minimize additional trauma when periapical disease has already compromised surrounding bone.
π Hard chew objects, including antlers and rigid synthetic bones, can contribute to painful tooth fractures. Client education is essential, particularly when owners are reluctant to change their dog's chewing habits.
π Flexible chews, appropriate rubber enrichment toys, and products listed by the Veterinary Oral Health Council may provide alternatives, although no single product works for every dog.
Questions This Episode Answers
β Does Consel cause inflammation in veterinary dental patients?
β When should synthetic bioglass be used for periodontal defects?
β Are adverse reactions to Nocita common in veterinary dentistry?
β Should veterinarians discuss off-label Nocita use with pet owners?
β How long should you wait after placing a dental nerve block?
β How much Nocita should be administered per injection site?
β Can therapeutic lasers affect liposomal bupivacaine nerve blocks?
β How can veterinarians reduce oronasal fistula complications during maxillary canine extractions?
β What happens when periapical disease has already destroyed supporting bone?
β Can an extraction site heal after an oronasal communication is closed?
β Which dog chew toys are most likely to fracture teeth?
β Are antlers, Nylabones, and other hard chews safe for dogs?
β What safer chewing alternatives can veterinarians recommend?
β How should veterinarians counsel owners who refuse to stop giving hard chews?
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Ready to take your dentistry skills further?
π FREE RACE-Approved CE Course
https://ivdi.org/free
π¦· Live & Online Veterinary Dental Courses
https://veterinarydentistry.net/
π οΈ Dr. Brett's Trusted Equipment & Instruments
https://drbrettspets.com/
π» The Definitive Veterinary Extraction Protocol
https://ivdi.org/extract
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