Topic 9

Question 1

What is the name for feline chronic gingivostomatitis?

Answer 1

Feline Chronic Stomatitis.

Question 2

What are some key words to define feline chronic stomatitis?

Answer 2

Severe inflammation of : oral mucosa, gingivitis, ulcerative lesions, chronic.

Question 3

What areas become inflamed with feline chronic stomatitis?

Answer 3

The oral mucosa. Will see caudal stomatitis with or without buccal stomatitis.

Question 4

What % of cats are subjext to stomatitis?

Answer 4

0.7%

Question 5

At what age to we tend to see the stomatitis develop?

Answer 5

10-17 months.

Question 6

What is the breed predilection for stomatitis?

Answer 6

None

Question 7

What are the causes of stomatitis?

Answer 7

Possibly viral but unknown.

Question 8

What are some clinical signs of feline chronic stomatitis?

Answer 8

Halitosis
Ptyalism ( salivation )
Anorexia
Weight loss
Dysphagia
Poor grooming
Hiding
Agressivity/behavior change
swollen LNodes
Pain in mouth

Question 9

What diseases should we rule out when diagnosing chronic stomatitis?

Answer 9

FIV/FELV, Renal dse, Bartonella.

Question 10

What is the TX for stomatitis?

Answer 10

ATB, Steroids, NSAIDS, extraction

Question 11

What is the BEST tx for stomatitis?

Answer 11

Full mouth extraction.

Question 12

What % of cats do not respond to extraction?

Answer 12

5-10%

Question 13

Full mouth extraction provides healing within how many months and in what % of stomatitis cases?

Answer 13

3 months, 80%

Question 14

When does feline juveline onset ginigivitis occur?

Answer 14

After permanent teeth erupt.

Question 15

What do we see in the mouth of a cat with juveline onset gingivitis?

Answer 15

Severe gingivitis wit overgrowth around crowns of PM and M. Halitosis, little to no tartar.

Question 16

What are some tx for feline juvenile onset gingivitis?

Answer 16

Early detection
Frequent cleaning ( q3-6mo)
gingivectomy of hyperplastic tissue
daily brushing & homecare.

Question 17

What are some breed predispositions to feline juvenile onset diabetes?

Answer 17

Siamese, Maine Coon and DSH.

Question 18

What is the technical term for extra teeth?

Answer 18

Supernumerary teeth.

Question 19

What problems do supernumerary teeth cause?

Answer 19

Crowding and PD disease.

Question 20

In what species are supernumerary teeth more common?

Answer 20

Cats

Question 21

Which teeth are more commonly supernumerary?

Answer 21

Pm4

Question 22

How does a vet differentiate supernumerary teeth from deciduous teeth?

Answer 22

Xrays

Question 23

What is gemination?

Answer 23

The attempt by the mouth to merge 2 teeth together.

Question 24

What criteria does gemination often involve?

Answer 24

Supernumerary teeth

Question 25

What cells form and deposit enamel?

Answer 25

Ameloblasts.

Question 26

When is enamel formed and what cannot occur after eruption?

Answer 26

Before eruption. Repair.

Question 27

What can cause enamel hypoplasia?

Answer 27

Trauma to ameloblast cells prior to eruption. Ex. Hard toys. Severe systemic infection (ex. distemper) Hereditary conditions. Nutritional problems. Tetracycline drugs.

Question 28

How can trauma to the unerupted tooth occur?

Answer 28

Externally ( ex. toy ) or trauma during extraction of deciduous teeth.

Question 29

What is amelogenesis imperfecta? Which teeth and which surfaces will be involved?

Answer 29

Decreased enamel matrix applied to teeth during development. Nearly all, all surfaces.

Question 30

What defects will we see in enamel hypoplasia?

Answer 30

``` Stained ( tan to dark brown) Pitted & rough hard surface easy exposure of dentin and staining increased plaque and pd disease. No tertiary dentin ```

Question 31

What is the goal and method of treatment for enamel hypoplasia?

Answer 31

To remove sensitivity and avoid endodontic infection by occluding dental tubules and smoothing the tooth. Best tx= composite application

Question 32

What is the difference between attrition and abrasion?

Answer 32

Attrition: Gradual physiological wear of enamel...ex. on occluding surfaces from wear of time. Abrasion: Mechanical wear from toys,rocks, sticks, dental instruments etc

Question 33

What are the 3 types of dentin?

Answer 33

Primary: Forms before eruption Secondary: Forms as tooth develops Tertiary: Dark. Result of wear or trauma.

Question 34

When do we need to be concerned about enamel wear?

Answer 34

When there is pulp exposure and the probe catches.

Question 35

What can abrasion cause?

Answer 35

Slab fractures.

Question 36

How can we treat slab fractures?

Answer 36

Extraction or endodontics ( root canal)

Question 37

What is endodontic therapy. What does it deal with?

Answer 37

Tooth roots. Pulp capping or pulpectomy. Ex. root canal.

Question 38

What is the most common malignant oral cancer?

Answer 38

Squamous cell carcinoma.

Question 39

What is an epulis/epulid? Tx?

Answer 39

Localized swelling of the gingivia. Removal.