Feline Dental Diseases PDF

Dentistry 2 -- Lecture 2 **Feline Resorptive Lesions** **Review:** Staging -- visual and tactile examination, not clinically important because all TRL should be extracted Typing -- Radiographs Intra-Oral dental radiography is essential for the accurate assessment and proper treatment of tooth r...

Dentistry 2 -- Lecture 2 **Feline Resorptive Lesions** **Review:** Staging -- visual and tactile examination, not clinically important because all TRL should be extracted Typing -- Radiographs Intra-Oral dental radiography is essential for the accurate assessment and proper treatment of tooth resorption, regardless of the species Charting Code = TR-S\_-T\_ **Juvenile Hyperplastic Gingivitis** - Seen in young cats (6-8 months) - Tissue begins to cover the teeth when permanent teeth are erupting - Impacts chewing & oral hygiene - Gingivectomy, COHAT & monitor regularly **Feline Chronic Gingivostomatitis** - Often there is a history of juvenile hyperplasia - Very painful disease characterized by severe inflammation of gingiva, buccal mucosa and caudal oral mucosa - CGS affects 0.7% to 10% of general cat population - Difference between gingivitis and stomatitis is that gingivitis is inflammation of only the gingiva, stomatitis is inflammation of the mucous lining of any structures in the mouth - Mucogingival line provides a landmark - Is a result off an inappropriate immune response to oral antigenic stimulation and, unfortunately, there may be one or more initiating causes that trigger this event - Triggers can include\< periodontal disease, tooth resorption, oral bacteria, calicivirus, herpesvirus - Complicating management of disease: feline leukemia virus, immunodeficiency virus Clinical Signs - Pain (behavior changes, weight loss, lack of grooming, dropping food etc) - Hypersalivation - Caudal Mucositis (Type 2) - Food aversion - Halitosis Management - 4 stages: 1. COHAT, XSS, Abx/Steroids/Pain Management = "Rescue Therapy' 2. Extraction of all teeth caudal to canines, homecare, rescue therapy 3. Full mouth extractions "FME" 4. Long term Abx + Steroids - Successful treatment of CGS requires the minimization of oral bacteria - Partial or full mouth complete tooth extractions is generally end result - Extraction of teeth in areas of oral inflammation provided substantial improvement or complete resolution of stomatitis in more than 2/3 of affected cats - Effectiveness of dental extractions has been shown to be 55% cure, 35% markedly improved and 10% no improvement Role of Corticosteroids - (positives) suppress immune system, & increases appetite - (Negatives) skin/hair changes, muscle wasting, insulin resistance = DM - Only used after pain is taken away, so extractions or managed Type 1 -- more manageable, involves only alveolar and labial/buccal gingiva. Type 2 -- Caudal stomatitis (affecting palatine tonsils), less manageable