11. Diseases of the oral and pharyngeal cavities. Ileus. Flashcards
dental formula of dogs
I3/3 C1/1 PM4/4 M2/3
dental formula of cats
I3/3 C1/1 PM3/2 M1/1
examination of tongue
shape
size
surface
colour
consistency
moveability
examination of gum
colour
moisture
intactness
examination of salivary glands
size
surface
colour
clinical signs of dysphagia
inappetance
halitosis
pawing at the mouth
hypersalivation
facial swelling
oral haemorrhage
nasal discharge
inability to swallow
dropping food
differential diagnosis of dysphagia
dental disease
oral ulcer
trauma
fracture
stomatitis
glossitis
gingivitis
oersophageal disease
neoplasia
granuloma
myositosis
where can myositosis occur
temperomandibular joint
masticator joint
neurological issues that can look like dysphagia
tick paralysis
tetanus
botulism
cranial nerve deficit
diagnosis of dysphagia
open/ close mouth
signs of systemic disdease
palpate muscles
cranial nerve function
xray
endoscope
CT, MRI
histopath
pcr
elisa
biopsy
definition of Periodontal disease
inflammation of supporting structures surrounding the teeth
supporting structures of tooth
gingiva
periodontal lig
alveolar bone
predisposition of Periodontal disease
older
smaller
non abrasive foods
rough tooth surface
malocclusion
diabetes
retroviral infection
Plaque formation
adheres to all surfaces of the tooth
how is plaque formed
layers of bacteria, saliva, food become mineralised forming calculus –> cytokine release -> stimulated osteoclasts -> thinning of bone within socket
what is gingivitis
reversible inflammation of marginal gum due to plaque in sulcus
what is periodontitis
reversible inflammation of marginal gum & supra alveolar tissue
what does tooth loss occur in periodontitis
at 80% of loss of support
Clinical signs of periodontitis
halitosis
discomfort when eating
bloody saliva
oronasal fistula
treatment of periodontitis
plaque removal
polish and scale
prevention of periodontitis
daily brushing
chew toys
dental diets
what is FORL
Feline Odontoclastic Resorptive Lesions
definition of FORL
reactivation of odontoclast cells which stimulate the resorption of tooth structure
clinical signs of FORL
reluctance to eat dry food
pain with eating
hyperplastic gingival tissue
diagnosis of FORL
visual exam and probing
xray - retained roots
treatment of FORL
extraction
definition of stomatitis
inflammation of oral mucosa
how is stomatitis classified
according to lesion and localisation
stomatitis by lesion
simple
ulcerative
ulcerative & pseudomembranous
necrotising
Proliferative
stomatitis by localisation
gingivitis
periodontitis
glossopalatine arch
faucitis
causes of stomatitis
systemic disease
immune mediated disease
immunosuppression
traumatic, physical or chemical
virus
bacteria
fungi
systemic causes of stomatitis
uraemia
DM
immune mediated causes of stomatitis
SLE
pemphigus foliceus
idiopathic vasculitis
viral causes of stomatitis
FeLV
FIV
FIP
FCV
FHV
FPV
distemper
bacterial causes of stomatitis
bartonella henslae
fungal causes of stomatitis
candidiasis
cryptococcus
Clinical signs of stomatitis
anorexia
dsyphagia
salivation
pain when eating
difficult to open mouth
enlarged LN
ulcers
reddening
erosions
vessicles
plaque
predisposition of ulcerative stomatitis
maltese
king charles
clinical signs of ulcerative stomatitis
dysphagia
diagnosis of ulcerative stomatitis
hematology
biochem
urinalysis
PCR
ELISA
biopsy
differential of ulcerative stomatitis
palatine ulcers
neoplasia
definition feline chronic gingivostomatitis
inflammation and proliferation of gingiva and oral mucosa
cause of feline chronic gingivostomatitis
unknown, hypersensitivity
viral - FCV,FHV 1, FIV, FLV
Bacteria - bartonella henslae
diagnosis of feline chronic gingivostomatitis
PCR
biopsy
histopath
diffuse lymphocytic infiltration in mucosa
clinical signs of feline chronic gingivostomatitis
same as stomatitis
treatment of feline chronic gingivostomatitis
prophylactic dental
AB
extraction
antiinflammatory
cyclosporin
Feline eosinophilic granuloma cause
unknown, idiopathic, hypersensitivity, infectious, immune mediated
what is an ulcer compared to a granuloma
ulcer - upper lip. well circumscribed, symetrical, non pruritic, red/ brown, ulcerated
granuloma - tongue, lips, gums, single/ multiple, discrete, firm or raised, may ulcerate
clinical signs of Feline eosinophilic granuloma
dysphagia
ptyalism
oral pain
Diagnosis of Feline eosinophilic granuloma
CBC
biopsy
histopath
allergy
differential of Feline eosinophilic granuloma
neoplasia
foreign body reaction
mycosis
treatment of Feline eosinophilic granuloma
prednisolone
cyclosporine
irradiation
Masticatory muscle myositis cause
immune attack
predisposition of Masticatory muscle myositis
dobermann
rottweilerlin
clinical signs of Masticatory muscle myositis
acute
inflammation - dysphagia, pain, localised swelling, exophthalmos
clinical signs of Masticatory muscle myositis
chronic
fibrosis - no mouth opening, bilateral atrophy
diagnosis of Masticatory muscle myositis
biopsy, histopath,serum 2M AB
treatment of Masticatory muscle myositis
prednisolone
NG tubing
diseases of the tongue
glossitis
tumour
congenital macroglossia
strangulation of tongue
trauma
diseases of the salivary glands
sialocele
sialodentis
sialoadenosis
what is sialocele
enlargement associated with a salivary gland due to accumulation of saliva within surrounding tissue
cause of sialocele
idiopathic
trauma
clincial signs of sialocele
dysphagia
gaggine
treatment of sialocele
surgical removal of glands / ducts
what is sialodentis
inflammatory response with no evidence of infection. pain
clinical signs of sialodentis
dysphagia
gagging
fever
treatment of sialodentis
gcc
ab
what is sialoadenosis
bilateral, large, non inflammatory enlargement. Non painful
Clinical signs of sialoadenosis
wretching
gulping
ptyalism
diagnosis of sialoadenosis
FNA
oral neoplasia of dog
malignant melanoma > scc > fibrosarcoma
oral neoplasia of cat
scc > fibrosarcoma
predisposition of malignant melanoma
older, medium sized dogs
prognosis of malignant melanoma
bad, metastasis is common
treatment of malignant melanoma
surgery, chemo, radiation
SCCS invasiveness
ulcerative & locally invasive into surrounding bone
highly metastaic if located caudally in mouth
treatment of scc
nose removal
chemo
maxilla or mandibular removal
fibrosarcoma predisposition
older large breeds
retrivers
origin of fibrosarcoma
gingiva or palate
treatment of fibrosarcoma
excision
radiotherapy
epulis 2 types
acanthomatous
fibromatous
where do acanthomatous epulis arise from
periodontal ligament and invade the bone
where do fibromatous epulis arise from
dental laminar epithelium. not invasive
what is ileus
distruption of the normal propulsive gi motor activity
predispoisiton of ileus
young
large
types of mechanical ileus
intraluminal, intramural, extramural
types of functional ileus
paralytic, vascular bowel disease, spastic bowel segment
cause of foreign body ileus
solid/ cavitary object
linear foreign bodies
trichobezoar
pathophysiology of ileus
intestinal spams and ischaemia, impaired peristalsis, fluid, electrolyte imbalance
clinical signs of ileus
no appetite
depressed
vomitting
abdo pain
praying position of dog
dehydration
abdominal palpation of ileus
foreign body
wide intestines
bunching of intestines
no faeces
diagnosis of ileus
xray
contrast x ray
US
ex lap