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Dentistry > 5th: Dentistry 1 > Flashcards

5th: Dentistry 1 Flashcards

1
Q

Which species get tooth resorption?

A

Cats, dogs, humans

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2
Q

What is happening in a feline resorptive lesion?

A

Cellular digestion of the tooth by odontoclasts

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3
Q

What are the two types of feline resorptive lesions?

A

Root or neck (gingival hyperplasia)

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4
Q

What are the best tests for feline resorptive lesions?

A

Air syringe and radiography

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5
Q

What is a type 1 feline resorptive lesion?

A

Tooth loss NOT replaced with bone, periodontal ligament still present, perhaps associated with bone loss, rest of tooth normal

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6
Q

What is a type 2 feline resorptive lesion?

A

Tooth lost and replaced with bone, loss of periodontal ligament, ankylosis, cannot extract normally

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7
Q

Are both types of resorptive lesion possible on the same tooth?

A

Yes

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8
Q

Which teeth especially need radiographic evaluation for resorptive lesions?

A

Canine

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9
Q

What is the treatment for resorptive lesions?

A

Extraction

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10
Q

What can you do to treat an advanced type 2 lesion?

A

Can amputate crown and leave root 1mm below margin and suture gum across

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11
Q

Why is “drilling out” never satisfactory to treat a resorptive lesion?

A

Heat damage etc

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12
Q

How do you treat a resorptive lesion if the crown is gone but the gingiva normal?

A

Leave

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13
Q

How do you treat a resorptive lesion if the crown is gone but the gingiva is inflamed?

A

Remove remaining root

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14
Q

What is the correct name for chronic gingivostomatitis?

A

Plasmacytic-lymphocytic stomatitis

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15
Q

What causes chronic gingivostomatitis?

A

Local immune response to antigens - look for underlying problems

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16
Q

What are clinical signs of chronic gingivostomatitis?

A

Very painful - anorexic, reduced grooming, lethargic

17
Q

What is a secondary problem in nearly all chronic gingivostomatitis patients?

A

Calicivirus (opportunistic)

18
Q

What are blood changes in chronic gingivostomatitis?

A

High WBCs and hypergammaglobulinaemia

19
Q

Which species get a pyogenic granuloma?

A

Cat

20
Q

How do you treat a pyogenic granuloma?

A

Remove and check for neoplasia

21
Q

How do you treat gingivitis?

A

Extract all teeth in stages to leave only canines

22
Q

What is the problem with treating gingivitis with steroids?

A

Good effect but diminishing returns

23
Q

How does juvenile onset periodontitis begins?

A

Juvenile gingivitis

24
Q

How you you manage juvenile onset periodontitis?

A

Increased teeth cleaning

Dentistry (13 decks)

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