This dog presented as a second opinion for not eating and vomiting for 3 days. He was in good physical condition and there were no abnormalaties found on his exam or bloodwork. We suspected a tooth problem despite no swelling or tooth issues on visual exam. Upon X-Rays of his teeth, we found that the 3rd Pre-Molar on the left upper arcade had been fratured from its 2 roots. He was given anesthesia and Dr. Keith remved the crown and two broken roots. After healing he should do very well! The lesson here is that teeth can be difficult to access without X-Rays and and a full oral exam under sedation or anesthesia.