Periodontal disease and Stomatitis Flashcards Preview

Vet - notes > Periodontal disease and Stomatitis > Flashcards

Flashcards in Periodontal disease and Stomatitis Deck (18):
1

primary causes

Presence of plaque-bacteria & their toxic by-products

2

secondary causes

Lack of oral hygiene
Calculus deposits
Nutrition lacking in EFA’s and anti-oxidants
Genetics
Stress
Systemic illness eg DM

3

calculus - define

mineralised plaque

4

calculus

doesn't cause perio-disease but gives rough surface for bacteria adhesion
always find periodontal disease with calculus
peridontal disease can be without calculus - needs plaque

5

stages of periodontal disease 1-4

1 - gingivitis, no attachment loss
2 - mild periodontitis, 50% attachment loss
3 - Moderate periodontitis with 25-50% attachment loss
4 - Severe periodontitis with >50% attachment loss

6

gingivitis

hyperaemia, oedema + bleeding gingiva
plaque induced
reversible with plaque control
always first stage of periodontal disease

7

pathogenesis - stage 2-4

plaque favours disease progression
gram +ve to gram -ve, obligate anaerobes

8

irreversible stages

tissue destruction
destruction by bacteria + immune response

9

systemic risks of periodontal disease

association between severity of periodontal disease + prevalence of cardiac lesions + systemic infl parameters
associations with periodontal disease + myocardial, renal disease + hepatitis

10

diagnosis

not possible in conscious dog/cat
complete dental charting + radiography

11

dental charting

missing teeth
teeth mobility
gingival recession - check for pockets
check furcations (root arch thing)
use mirror to view ligual/palatal aspects

12

Treatment of Periodontal Disease

extract
scaling + polish
prevention - oral home care
advanced treatments (flap surgery)

13

oronasal fistula

probe pocket depth on palatal aspect of canine tooth
suspect if severe periodontal disease
nasal discharge, sneezing after eating/drinking
repair recommended - good surgical technique needed

14

risk of jaw fracture secondary to periodontal disease

toy breeds - big teeth + small jaw
if disease has caused bone resorption around roots of big teeth

15

stomatitis - define

infl of oral mucosa extending beyond mucogingival junction

16

stomatitis

usually bilateral + fairly symmetrical
if asymmetrical - could be neoplasia

17

ulcerative stomatitis in dogs

contact ulcers most common
can be more extensive + similarly severe in cats

18

stomatitis - treatment

extensive extraction
analgesia
plaque control
corticosteroids as last resort