Abstracts 2016 #1 Flashcards
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
Which breeds were most commonly affected?
Cocker spaniels and scottish terriers (7/14 dogs)
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
What were the most common clinical sign?
What (counterintuitive) sign did no dogs present with?
Halitosis (14/14)
Mandibular lymphadenopathy (11/14)
oral pain (9/14)
imappetance/difficulty eating (6/14)
NO DOG HAD A FEVER
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
What was the most common historical finding in affected dogs?
Recent dental extractions (63.3% of cases)
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
What were exclusion criteria?
neoplasia, electric burns and radiation therapy
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
What was the ratio of maxilla to mandible?
60% in the maxilla, 40% in the mandible
According to Peralta S, Arzi B, Nemec A, in Non-Radiation-Related Osteonecrosis of the Jaws in Dogs: 14 Cases (1996-2014),
Which radiograph would be an accurate representation of the amount of pathology?
Mandibular rad.
maxillary rads don’t correlate well with CT or surgical explorational extent of disease.
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
Hown many patients and sites were found over the 25 years?
13 patients, 15 sites
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
How many sites were considered secondary to dental extraction?
3
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
What is the difference in this paper between ONJ and ORNJ?
Osteonecrosis of the jaw was considered with tumor recurrence (5 cases)
osteoradionecrosis of the jaw was considered when there was no tumor recurrence
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
Relative to the target field, where were lesions located and how many?
8 in the radiation region
4 in an adjacent area of tissue
1 in the contralateral mandible
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
What was the time to onset from treatment
Range
median
mean
Range 2-44 months
median 9.8 months
mean 12.4 months
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
Below what dose of radiation is the risk considered low in people?
60 Gy
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
What are other identified risk factors in people?
- Co-60 RT,
- high total doses,
- short regimens with higher dose/fraction,
- large field size
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
What factors are associated with lower risk?
- megavoltage RT (higher energy than orthovoltage)
- continuous hyperfractionated (more smaller fractions with less down time between)
- corticosteroid use during treatment
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
What imaging modality would be the most likely to correlate well with true findings in this lesion?
According to Nemec A, Arzi B, Hansen K, et al. in Osteonecrosis of the Jaws in Dogs in Previously Irradiated Fields: 13 Cases (1989-2014).
Assuming there has been no tumor recurrence in this lesion found in a previously irradiated field,
When performing surgical debridement of this lesion, what signs would tell you that debridement is complete?
Normal appearing bone that bleeds readily.
According to Soukup JW, Snyder CJ. in Traumatic Dentoalveolar and Maxillofacial Injuries in Cats: Overview of diagnosis and management,
What is the most common TDI in cats?
Enamel-dentin-pulp fracture
Soukup JW, Snyder CJ. Traumatic Dentoalveolar and Maxillofacial Injuries in Cats: Overview of diagnosis and management
How prevalent are TDI’s in HEALTHY patients?
27% of healthy cats and dogs have a TDI