By Chanda R. Miles, DVM, DAVDC

Veterinary Dentistry Specialists, Katy, Texas

Companion animals are affected by many oral conditions beyond just an annual teeth cleaning and require the care of a board-certified veterinary dentist and oral surgeon. Although a majority of my patients suffer from periodontal disease, I also treat patients that need extensive oral surgery (tumor removal and jaw fracture repair), orthodontics, endodontics (root canals), restorations, prosthodontics (metal crowns), and oral medicine management.  

In the field of periodontics (the prevention, diagnosis, and treatment of diseases that affect the gums, bone, and other structures that support the teeth), I provide advanced techniques such as bone grafting, gingival surgery, and periodontal pocketing reduction to save the functionality of certain teeth that may otherwise be extracted. Many clients are motivated to stay on top of their pet’s oral health, and this is one way we can do this together. However, when a tooth can’t be saved, extractions are absolutely an option and can still give the patient a healthy and comfortable mouth, which is most important. I also provide care to patients that require numerous extractions at one time if the primary practitioner is not comfortable performing at one anesthetic event.

Other conditions, such as oral tumors or jaw fractures, require advanced surgical techniques. For example, removal of an oral tumor requires advanced imaging such as a cone-beam CT and can often require an extensive surgical resection depending on the extent of the tumor. I provide these surgical skills to pets with a prognosis of an excellent quality of life following an oral cancer diagnosis. Similarly, pets can be affected by a traumatic event that causes a jaw fracture. Again, I can provide advanced imaging and surgical repair (if needed) for these pets to get them comfortable and back to their everyday lives.

One of the more common conditions we treat is fractured teeth. If a tooth is fractured so badly that it has caused pulp exposure, it may be a good candidate for a root canal to save the tooth. A root canal is performed almost in the same way as it is done in humans. One of the big differences is that some of the teeth don’t require a crown. Others are candidates for a full metal crown. Crowns provide protection. Restoratives can also be placed on teeth for cavities (rare in dogs), superficial fractures, or enamel defects in teeth that don’t cause pulp exposure.  

Congenital malocclusions (misaligned teeth) occur in many different breeds. When a patient has a malocclusion that is causing a tooth or teeth to strike another area in the mouth that causes pain, then orthodontics can be an option to move the teeth in the correct position. There are also other options where teeth are reduced in height and receive a vital pulp therapy (mini root canal).

We also provide care to patients with rare oral conditions that don’t necessarily require surgical intervention but need more medical management. Certain auto-immune disorders will require lifelong management to keep the condition under control. Cats are more often affected with an auto-immune condition called feline chronic gingivostomatitis that requires both medical and surgical intervention.

Here at VDS Katy, we put your pet’s comfort and safety at the forefront of everything we do. In fact, I am assisted by Bradley Simon, DVM, MSc, DACVAA, a board-certified veterinary anesthesiologist at each procedure. This means your pet benefits from exceptional clinical expertise when advanced dental care and oral surgery are needed.

VDS Katy is located at 1437 FM 1463Suite #120Katy, TX 77494.

Office hours are M-Th 7:30am – 7:00pm, by appointment only.

To learn more, visit, email, or call (346) 257-6725.