Dentistry

Question 1

of teeth a dog has

Answer 1

42

Question 2

what are some developmental conditions of canines

Answer 2

supernumerary teeth
unerupted teeth
retained teeth

Question 3

what is a dentigerous cyst?
most common tooth association?
treatment?

Answer 3

cyst associated with imbedded teeth - causing pressure necrosis
most commonly associated with imbedded mandibular 1st premolar
extraction and enucleation & submit the lining for biopsy

Question 4

treatment for imbedded teeth

Answer 4

extraction

Question 5

treatment for retained teeth?
what is the criteria to leave them?

Answer 5

usually extracted
1. no endodontic dz
2. no communication w/ oral cavity
3. < 5mm in size

Question 6

enamel hypomineralization
what disease can it cause?
treatment?

Answer 6

endodontic disease
restoration, extraction or serial radiographic monitoring

Question 7

what is the difference between canine chronic ulcerative stomatitis and periodontal disease

Answer 7

CCUS - mucosal disease
periodontal disease - gingival disease

Question 8

CCUS
common lesion?
treatment?

Answer 8

kissing lesion
extractions!
can also do immunosuppression/immunomodulators, analgesia (NSAIDs) and home/professional oral care

Question 9

what are the two types of reactive lesions seen in the mouth?

Answer 9

ulcerative
proliferative

Question 10

causes of ulcerative reactive lesions

Answer 10

foreign body
chemical exposure
electrical cord injury
osteonecrosis

Question 11

reactive lesions require ____ for definitive diagnosis

Answer 11

biopsy

Question 12

when is the only time we see gums recede and bone does not (reveals necrotic bone)

Answer 12

osteonecrosis

Question 13

what is unique about the treatment for electrical cord injuries?

Answer 13

must stabilize and treat systemically first - NCPE
may take up to 6mo for extent of damage
surgical tx must be delayed

Question 14

what are some proliferative lesions

Answer 14

sublingual/buccal granuloma
gingival enlargement
papillomatosis
focal fibrous hyperplasia

Question 15

Sublingual and buccal granuloma “gum chewer” or “tongue chewer” lesions
cause?
treatment?

Answer 15

physical trauma from mastication
excise only if ulcerated

Question 16

Gingival enlargement treatment

Answer 16

excise
change meds
azithromycin toothpaste

Question 17

viral papillomatosis treatment

Answer 17

mild case - non
severe case - sx or laser
medical management - immunomodulators or vaccine

Question 18

focal fibrous hyperplasia
cause?
diagnosis?
treatment?

Answer 18

periodontal disease
biopsy
excise and treat underlying PD

Question 19

what are the masticatory oral conditions we talked about for “painful opening the mouth”

Answer 19

masticatory muscle myositis
TMJ ankylosis
retrobulbar disease

Question 20

muscles involved in masticatory muscle myositis

Answer 20

temporalis
masseter
pterygoid
NOT digastricus

Question 21

differentiate the two phases of masticatory muscle myositis

Answer 21

acute - inflammation, pain, bilaterally swelling, good prognosis if tx started
chronic - fibrosis, non-painful, muscle atrophy, guarded prognosis based on fibrosis

Question 22

masticatory muscle myositis
diagnostics?
treatment?

Answer 22

CK, 2M muscle Ab test, or CT guided biopsy
Prednisone

Question 23

TMJ ankylosis
diagnostic?
treatment?

Answer 23

CT
condylectomy or mandibulectomy
analgesia/anti-inflam

Question 24

what are the masticatory oral conditions we talked about for “painful closing the mouth”

Answer 24

bilateral mandibular fracture
dental disease (supereruption)
TMJ luxation
trigeminal neuropathy

Question 25

TMJ luxation treatment

Answer 25

closed reduction open surgical reduction condylectomy

Question 26

trigeminal neuropathy treatment

Answer 26

supportive usually resolves 1-3 weeks

Question 27

what are the 3 types of odontogenic tumors

Answer 27

peripheral odontogenic fibroma canine acanthomatous ameloblastoma odontoma

Question 28

which odontogenic tumor: slow growing osseous or fibrous originates from periodontal ligament most common oral tumor in the dog

Answer 28

peripheral odontogenic fibroma (POF)

Question 29

which odontogenic tumor: fast growing irregular surface locally invasive, doesn't met common in rostral oral cavity

Answer 29

canine acanthomatous ameloblastoma

Question 30

which odontogenic tumor: developmental tumor seen in young dogs, horses, ruminants facial swelling associated with unerupted teeth has small tooth like structures "denticles"

Answer 30

odontoma

Question 31

peripheral odontogenic fibroma (POF) treatment

Answer 31

excise may require whole tooth extraction if recurrs

Question 32

canine acanthomatous ameloblastoma (CAA) treatment

Answer 32

wide surgical excision (1cm)

Question 33

Odontoma treatment

Answer 33

surgical removal

Question 34

non-odontogenic tumors

Answer 34

malignant melanoma SCC fibrosarcoma "hi-lo"

Question 35

cats are naturally missing what teeth

Answer 35

05 on top 05,06 on bottom

Question 36

what is the most significant predictor of tooth loss

Answer 36

attachment loss (gingival recession and pocketing)

Question 37

what are unique features of feline periodontal disease

Answer 37

juvenile periodontitis alveolar bone expansion super-eruption

Question 38

juvenile periodontitis treatment

Answer 38

regular dental cleanings home care extensive, early extractions

Question 39

alveolar bone expansion treatment

Answer 39

radiograph monitoring extract associated tooth bone reduction at time of extraction

Question 40

Super-eruption of teeth especially maxillary canines treatment

Answer 40

extraction

Question 41

clinical signs of feline chronic gingivostomatitis (FCGS)

Answer 41

halitosis decreased grooming decreased appetite inflammation of the caudal oral cavity/**palatoglossal folds**

Question 42

feline chronic gingivostomatitis (FCGS) biochemical findings

Answer 42

increased globulins

Question 43

feline chronic gingivostomatitis (FCGS) treatment

Answer 43

caudal mouth extractions or full mouth extractions + analgesia + nutritional support (Etube)

Question 44

pyogenic granuloma in cats most commonly associated tooth? secondary to what? treatment?

Answer 44

mandibular 1st molar trauma from maxillary 4th premolar excision + extraction of teeth

Question 45

what is the most common feline oral tumor? prognosis? ddx?

Answer 45

SCC poor prognosis osteomyelitis