--- title: "Trauma-Induced Dental Infection in Dog: Extraction and Bone Grafting with ReGum Vet" description: Explore Daisy's remarkable recovery after presumed dental trauma, featuring ReGum Vet treatment, bone graft success, and a positive four-month follow-up. image: https://tooth.vet/hubfs/Case%20Studies/October%202024/ReGum%20%E2%80%9Cmushroom%E2%80%9D%20application.jpg --- [Skip to the main content.](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/regum#main-content) [![Animal-Dentistrylogo-transparent](https://tooth.vet/hs-fs/hubfs/Logos%20(Animal%20Dentistry)/Animal_Dentistry__logo-removebg.png?width=1280&height=720&name=Animal_Dentistry__logo-removebg.png "Animal-Dentistrylogo-transparent")](https://tooth.vet/) [![Animal-Dentistrylogo-transparent](https://tooth.vet/hs-fs/hubfs/Logos%20(Animal%20Dentistry)/Animal-Dentistrylogo-transparent.png?width=1280&height=720&name=Animal-Dentistrylogo-transparent.png "Animal-Dentistrylogo-transparent")](https://tooth.vet/) - 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This lump was first noted by the referring veterinarian (RDVM) on January 30, 2024. According to the owner, the lump had been present for a couple of weeks and had changed in size. During the exam with the RDVM, Daisy showed discomfort when the lump was palpated. The owner also mentioned that Daisy had a history of kennel chewing and had experienced trauma from kenneling in 2022-2023, including an avulsed premolar. Due to the complexity of the case, Daisy was referred to [Dr. Jennifer Mathis, DAVDC,](https://tooth.vet/about-us) at [Animal Dentistry Referral Services](https://tooth.vet/) for a cone-beam computed tomography (CBCT) scan and further treatment. ##### Dental Exam Findings: A firm swelling was detected on the left mandibular region. While the exact cause is unclear, it is suspected that trauma occurring between 10 and 24 months of age led to the death of the lower molar. Another possible cause is **Mandibular Periostitis Ossificans (MPO)**, a developmental condition seen in large breed dogs. In MPO cases, the swelling typically resolves on its own. However, Daisy’s condition, if MPO, would extend beyond the usual timeline, making trauma the more likely cause. The internal structure of the affected tooth showed disease at the root tips, leading to infection. This infection had spread into the mandibular canal and affected nearby teeth. Although there was reactive bony proliferation on the ventral aspect, significant bone loss was also noted, which posed a risk for a pathological mandibular fracture. ##### **Advanced Imaging:** Below: CT Cross Section of Disease ![CT Cross section of disease](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/CT%20Cross%20section%20of%20disease.png?width=790&height=449&name=CT%20Cross%20section%20of%20disease.png) Below: 3D Hard Tissue Overview (left side) ![3D Hard Tissue Overview (left side)](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/3D%20Hard%20Tissue%20Overview%20(left%20side).jpg?width=790&height=486&name=3D%20Hard%20Tissue%20Overview%20(left%20side).jpg) ##### Below: 3D Hard Tissue Overview (left mandible) ##### ![3D Hard Tissue Overview (left mandible)](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/3D%20Hard%20Tissue%20Overview%20(left%20mandible).jpg?width=629&height=390&name=3D%20Hard%20Tissue%20Overview%20(left%20mandible).jpg) Below: 3D Hard Tissue Lingual View (left mandible) ![3D Hard Tissue Lingual View left mandible](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/3D%20Hard%20Tissue%20Lingual%20View%20left%20mandible.jpg?width=504&height=291&name=3D%20Hard%20Tissue%20Lingual%20View%20left%20mandible.jpg)   ##### **Procedures Performed:** The diseased teeth were surgically extracted, and the site was cleaned down to healthy bone. A bone scaffold and membrane (ReGum Vet "mushroom" or "plug") were placed to aid in mandibular healing. ReGum is composed of a cross-linked gelatin foam matrix. It fills the defect and supports the tissue. One of the benefits of ReGum Vet is that it requires no suturing. After thorough cleaning, the ReGum product is placed and allowed to absorb blood, functioning like a sponge. Once it has soaked adequately, the surgical site is sutured closed. **Pro tip**: Prepare the surgical site for closure before placing ReGum to avoid dislodging it during flap trimming. In Daisy's case, a culture sample was taken prior to cleaning. The results identified **Pasteurella species**, **Moraxella species**, and **Staphylococcus pseudintermedius**. Daisy was administered and dispensed **Cefovecin** and **Clindamycin** on the day of the procedure. Fortunately, the bacteria identified were susceptible to the empirically selected antibiotics. Below: Physical Picture of Initial Presentation ![Physical picture of initial presentation](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/Physical%20picture%20of%20initial%20presentation.jpg?width=790&height=418&name=Physical%20picture%20of%20initial%20presentation.jpg) Below: ReGum “Mushroom” Application ![ReGum “mushroom” application](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/ReGum%20%E2%80%9Cmushroom%E2%80%9D%20application.jpg?width=790&height=630&name=ReGum%20%E2%80%9Cmushroom%E2%80%9D%20application.jpg) Below: Closure ![Closure](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/Closure.jpg?width=790&height=438&name=Closure.jpg) ##### Follow-Up Information: We had the pleasure of seeing Daisy for her four-month follow-up after the ReGum application, and her progress has been remarkable! The bone graft site has healed well, with smooth margins overall, though there are still some minor defects continuing to heal. Importantly, there is no evidence of any further cystic formation. Daisy’s owners are thrilled with both her appearance and the success of her treatment so far. What’s especially exciting is the amount of bone seen at this stage—significantly more than anticipated, as radiographic mineralization typically takes around six months to become noticeable. Daisy’s next imaging is scheduled with Animal Dentistry Referral Services for March 2025, and we’re eager to see her continued recovery. ##### 4-Month Post Operative Images: Below: 3D Hard Tissue Overview (left side) ![Follow Up - 3D Hard Tissue Overview (left side)](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/Follow%20Up%20-%203D%20Hard%20Tissue%20Overview%20(left%20side).jpg?width=790&height=505&name=Follow%20Up%20-%203D%20Hard%20Tissue%20Overview%20(left%20side).jpg)       Below: 3D Hard Tissue Overview (ventral aspect) ![Follow Up - 3D Hard Tissue Overview ventral aspect](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/Follow%20Up%20-%203D%20Hard%20Tissue%20Overview%20ventral%20aspect.jpg?width=790&height=513&name=Follow%20Up%20-%203D%20Hard%20Tissue%20Overview%20ventral%20aspect.jpg) Below: CT Cross section of the prior disease site, sagittal plane, now with significant healing ![CTFollow Up - Cross section of the prior disease site, sagittal plane, now with significant healing](https://tooth.vet/hs-fs/hubfs/Case%20Studies/October%202024/CTFollow%20Up%20-%20Cross%20section%20of%20the%20prior%20disease%20site%2c%20sagittal%20plane%2c%20now%20with%20significant%20healing.jpg?width=790&height=540&name=CTFollow%20Up%20-%20Cross%20section%20of%20the%20prior%20disease%20site%2c%20sagittal%20plane%2c%20now%20with%20significant%20healing.jpg) - [Tweet](https://twitter.com/share) [![Complicated Dental Fractures: The Benefits of Root Canal Therapy](https://tooth.vet/hubfs/Case%20Studies/Root%20Canal%20Therapy%20%28RCT%29%20Case%202%20-%20July%202024/Henry.jpeg)](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-2) 1 min read #### [Complicated Dental Fractures: The Benefits of Root Canal Therapy](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-2) ![Picture of Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/hs-fs/hubfs/Jennifer%20Mathis%20-%20CV,%20Bio,%20Headshot/Jennifer%20Mathis%20-%20500x500%20Headshot-2.png?width=30&name=Jennifer%20Mathis%20-%20500x500%20Headshot-2.png) [Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/author/mathis) : Jul 1, 2024 10:59:00 AM Case Summary: In this case study, we delve into the intricate treatment of a complicated crown fracture in a canine tooth, where the pulp is exposed,... [veterinary dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dentistry) [veterinary surgery](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-surgery) [Dental Health Management](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/dental-health-management) [surgical techniques](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/surgical-techniques) [Veterinary case study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-case-study) [Pet dental care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-dental-care) [Veterinary Dental Referral Services](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-referral-services) [Animal Dental Care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-dental-care) [Pet Oral Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-oral-health) [Root Canal Therapy](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/root-canal-therapy) [Vet Education](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-education) [Vet Life](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-life) [Iowa Vet Dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/iowa-vet-dentistry) [Animal health care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-health-care) [Veterinary Dental Case Study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-case-study) [Canine Dental Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/canine-dental-health) [Read More](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-2) [![Worn Teeth May Need Root Canal Therapy](https://tooth.vet/hubfs/Case%20Studies/Root%20Canal%20Therapy%20%28RCT%29%20-%20August%202024/3D%20image%20of%20open%20pulp%20chamber.jpg)](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-3) 1 min read #### [Worn Teeth May Need Root Canal Therapy](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-3) ![Picture of Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/hs-fs/hubfs/Jennifer%20Mathis%20-%20CV,%20Bio,%20Headshot/Jennifer%20Mathis%20-%20500x500%20Headshot-2.png?width=30&name=Jennifer%20Mathis%20-%20500x500%20Headshot-2.png) [Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/author/mathis) : Sep 1, 2024 10:14:39 AM Case Summary: In this case study, we examine a canine tooth that has been worn down to the pulp, leading to a painful exposure that allows bacteria... [veterinary dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dentistry) [veterinary surgery](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-surgery) [Dental Health Management](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/dental-health-management) [surgical techniques](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/surgical-techniques) [Veterinary case study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-case-study) [Pet dental care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-dental-care) [Veterinary Dental Referral Services](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-referral-services) [Animal Dental Care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-dental-care) [Pet Oral Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-oral-health) [Root Canal Therapy](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/root-canal-therapy) [Vet Education](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-education) [Vet Life](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-life) [Iowa Vet Dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/iowa-vet-dentistry) [Animal health care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-health-care) [Veterinary Dental Case Study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-case-study) [Canine Dental Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/canine-dental-health) [Read More](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/rct-3) [![Treating Periodontal Disease: Ziggy's Journey with Guided Tissue Regeneration](https://tooth.vet/hubfs/Case%20Studies/December%202024/Before%20COHAT%20right%20side%20.jpg)](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/ics-feline-0) 1 min read #### [Treating Periodontal Disease: Ziggy's Journey with Guided Tissue Regeneration](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/ics-feline-0) ![Picture of Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/hs-fs/hubfs/Jennifer%20Mathis%20-%20CV,%20Bio,%20Headshot/Jennifer%20Mathis%20-%20500x500%20Headshot-2.png?width=30&name=Jennifer%20Mathis%20-%20500x500%20Headshot-2.png) [Jennifer Mathis, DVM, DAVDC, CVPP](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/author/mathis) : Nov 5, 2024 7:28:23 PM Case Summary: Guided Tissue Regeneration (GTR) is a technique used to promote the regeneration of bone and soft tissue, enabling the replacement of... [veterinary dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dentistry) [veterinary surgery](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-surgery) [Dental Health Management](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/dental-health-management) [surgical techniques](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/surgical-techniques) [periodontal disease](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/periodontal-disease) [Guided Tissue Regeneration](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/guided-tissue-regeneration) [Veterinary case study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-case-study) [Pet dental care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-dental-care) [Veterinary full mouth extractions](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-full-mouth-extractions) [Veterinary Dental Referral Services](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-referral-services) [Animal Dental Care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-dental-care) [Pet Oral Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/pet-oral-health) [Vet Education](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-education) [Vet Life](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/vet-life) [Iowa Vet Dentistry](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/iowa-vet-dentistry) [Animal health care](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/animal-health-care) [Veterinary Dental Case Study](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/veterinary-dental-case-study) [Canine Dental Health](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/tag/canine-dental-health) [Read More](https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/ics-feline-0) ##### Quick Links Quick Links - [Refer a Patient](https://tooth.vet/patient-referral) - [Schedule a Consultation - For Pet Owners](https://tooth.vet/pet-owners) - [Dental Education](https://tooth.vet/dental-education) [![Animal-Dentistrylogo-transparent](https://tooth.vet/hubfs/Logos%20(Animal%20Dentistry)/Animal-Dentistrylogo-transparent.png)](https://tooth.vet/about-us) © 2025 Animal Dentistry Referral Services [Facebook](https://www.facebook.com/FamilyPetNorwalk)[YouTube](https://www.youtube.com/@toothvetia) Return to top ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Jennifer Mathis, DVM, DAVDC, CVPP", "url" : "https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/author/mathis" }, "dateModified" : "2024-10-28T18:05:44.854Z", "datePublished" : "2024-10-23T18:16:12.000Z", "headline" : "Trauma-Induced Dental Infection in Dog: Extraction and Bone Grafting with ReGum Vet", "image" : [ "https://23427187.fs1.hubspotusercontent-na1.net/hubfs/23427187/Case%20Studies/October%202024/ReGum%20%E2%80%9Cmushroom%E2%80%9D%20application.jpg" ], "mainEntityOfPage" : { "@id" : "https://tooth.vet/beneath-the-surface-animal-dentistry-referral-services-case-chronicles/regum", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" }, "name" : "Animal Dentistry Referral Services" } } ```