Veterinary Dentistry: Feline Oral Conditions

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Questions and Answers

What is the main purpose of intra-oral dental radiography in the context of feline dental issues?

To determine the breed of the cat

To measure the size of the oral cavity

To accurately assess tooth resorption and treatment needs (correct)

To assess the relationship between teeth and gums

What condition is characterized by severe inflammation of gingiva and buccal mucosa in cats?

Cyclic neutropenia

Feline Chronic Gingivostomatitis (correct)

Juvenile hyperplastic gingivitis

Feline leukocyte adhesion deficiency

What impact does juvenile hyperplastic gingivitis have on young cats?

It leads to increased risk of dental fractures

It only affects the color of the gums

It restricts normal chewing and oral hygiene (correct)

It causes loss of all teeth

In Feline Chronic Gingivostomatitis, how does the inflammation differ from gingivitis?

Stomatitis includes inflammation of the entire oral mucosa, while gingivitis is limited to the gums Signup and view all the answers

What are the stages of management for Feline Chronic Gingivostomatitis starting from the initial 'Rescue Therapy'?

COHAT, Extraction of caudal teeth, Full mouth extractions Signup and view all the answers

Which of the following is a potential trigger for Feline Chronic Gingivostomatitis?

Tooth resorption Signup and view all the answers

Which clinical sign is NOT commonly associated with Feline Chronic Gingivostomatitis?

Increased appetite Signup and view all the answers

What is the typical age range for cats affected by juvenile hyperplastic gingivitis?

6-8 months Signup and view all the answers

How prevalent is Feline Chronic Gingivostomatitis in the general cat population?

0.7% to 10% Signup and view all the answers

What is a significant management challenge in treating Feline Chronic Gingivostomatitis?

Presence of other viral infections Signup and view all the answers

Which factor is least likely to complicate the management of Feline Chronic Gingivostomatitis?

Routine dental cleaning Signup and view all the answers

What is NOT a typical clinical sign of Feline Chronic Gingivostomatitis?

Excessive urination Signup and view all the answers

Which procedure is a part of the management stages for Feline Chronic Gingivostomatitis?

Full mouth extractions Signup and view all the answers

What is a primary characteristic of juvenile hyperplastic gingivitis in young cats?

It involves tissue growth covering erupting permanent teeth. Signup and view all the answers

Which of the following statements about gingivitis and stomatitis is true?

Gingivitis is involved only in inflammation of gingiva. Signup and view all the answers

What is a potential initiating cause of Feline Chronic Gingivostomatitis?

Inappropriate immune response Signup and view all the answers

Which clinical sign is indicative of caudal mucositis in cats?

Hypersalivation Signup and view all the answers

What aspect of tooth resorption diagnosis is the least clinically significant?

Clinical importance Signup and view all the answers

Study Notes

Feline Resorptive Lesions

Staging by visual and tactile examination is not clinically significant as all TRL (tooth resorptive lesions) should be extracted.
Intra-oral dental radiographs are essential for accurate assessment and treatment of tooth resorption, for any species.
Different types of TRL (Type 1, Type 2, Type 3) are distinguished using radiographs.
TR type 1, 2 and 3 are different types of tooth resorptive lesions.

Juvenile Hyperplastic Gingivitis

Seen in kittens (6-8 months old).
Characterized by tissue covering the erupting permanent teeth.
Impacts chewing and oral hygiene.
Treatment involves gingivectomy, COHAT (Comprehensive Oral Health Assessment and Treatment) and regular monitoring.

Feline Chronic Gingivostomatitis

Often preceded by juvenile hyperplastic gingivitis.
A painful condition characterized by severe inflammation of gingiva, buccal and caudal oral mucosa.
Affects approximately 0.7% to 10% of the feline population.
Gingivitis impacts only the gingiva, whereas stomatitis affects the mucous lining.
Mucogingival line is used as a landmark to demarcate areas.
Involves inappropriate immune response to oral stimulation.
Triggers include periodontal disease, tooth resorption, oral bacteria, calicivirus, herpesvirus.
Complicated by feline leukemia virus and feline immunodeficiency virus.
Clinical signs include pain (behavior changes), weight loss, lack of grooming, and difficulty eating.

Management of Feline Chronic Gingivostomatitis

Four stages: COHAT, potentially steroids, anti-inflammatories, extractions, and long-term treatments (antibiotics and steroids), making it a Rescue Therapy.
Complete tooth extractions may be necessary to resolve inflammation if other treatments do not work completely.
Success rates of extractions in treating the disease are substantial, approximately 55% cure, and 35% are marked improvement.
Corticosteroids may be used to suppress the immune system and increase appetite but adverse effects (such as skin/hair changes, muscle wasting, and insulin resistance) should be considered.
Extractions or management should only be performed after pain relief.
Type 1 (involves alveolar and buccal gingiva)- more manageable than Type 2.
Type 2 (involves caudal stomatitis affecting palatine tonsils) is less easily treated.

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Description

Test your knowledge on common feline dental issues including Feline Resorptive Lesions, Juvenile Hyperplastic Gingivitis, and Feline Chronic Gingivostomatitis. This quiz covers diagnosis, treatment options, and implications for oral health in cats. Gain insights into the importance of dental radiographs and comprehensive treatments.