Exotics: Dental Disease In Rabbits and Rodents Flashcards

1
Q

What do the following terms mean?:
1. Elodont
2. Hypsodont

A
  1. Elodont- open root
  2. Hypsodont long crowns

All of rabits teeth are elodont hypsodont

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2
Q

What is a rabbits dental formula?

A

I 2/1, C 0/0, P 3/2, M 3/3
=28

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3
Q

What is the normal dental anatomy in rodents?
How do sciuromorphs, myomorphs and hystricomorphs differ?

A
  • 1 pair of upper incisors that grow continuously
  • 3 different groups depending on dental and masticatory muscles anatomy:
    Sciuromorphs- only incisors grow continuously (squirrels
    Myomorphs- only incisors grow continuously (rat, mice, hamsters)
    Hystricomorphs- all teeth grow continuously (guinea pigs, chinchillas)
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4
Q
  1. What is the dental formula of hystricomorphs?
  2. What dental differences are only in guinea pigs?
  3. Describe the specific dental anatomy of chinchillas
A
  1. I1/1, C0/0, PM 1/1, M 3/3
  2. Molars reserve crowns are curved, oblique occlusion
  3. Molar crowns straight, incisor enamel normally orange (iron deposits)
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5
Q

What are risk factors for dental disease?

A
  1. Diet- lack of fibre
  2. Congenital malocclusion
  3. Reduced chewing time/cycles
  4. Trauma
  5. Metabolic demands
  6. Hypovitaminosis
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6
Q

What are the different stages of dental disease in rabbits and rodents?

A
  1. Normal dentition and occlusion
  2. Root elongation
  3. Malocclusion- loss of bone density and abnormal dental growth
  4. Cessation of dental growth- loss of germinal tissue
  5. Abscess formation and osteomyelitis
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7
Q

How do rabbits/rodents clinically present with dental disease?

A
  • Anorexia, selective appetite
  • Weight loss, low bcs, unkept coat
  • Gut stasis
  • Excessive salivation
  • Contact dermatitis on chin, lower neck and front paws
    Typical of molar overgrowth:
    1. Epiphora and dacryocystitis
    2. Abscesses
    Typical of incisors
    1. Overgrown
    2. Abrasions, wounds around lips
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8
Q

What is done when investigating dental disease?

A

Oral examination:
* Every consult
* Otoscope
* Rigid endoscope
* Some patient require sedation/GA
Skull radiographs
* Under sedation/GA
* Views: lateral, DV, oblique and antero-posterior
* Consider other specific views

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9
Q

How is dental disease managed?

A

Review husbandry- cage design, materials, sources of trauma
Review diet- species dependent
* Hay and grasses, controlled pellets, remove seeds

Regular health checks: 4-6 months
Medical managment
Surgical/dental procedures
Analgesia

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10
Q

What analgesia should be given for dental disease?

A

Provide excellent and multimodal analgesia
NSAIDs- meloxicam
Opioids- methadone, buprenorphine

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11
Q

When extracting rabbits/rodents teeth what cranial nerve blocks should be used?

A

Rostral infraorbital- upper incisors and lips, infraorbital foramen
Mental nerve block- ventral and lateral aspect of mandible and lower lip, mental foramen

DO NOT BLOCK MANDIBULAR NERVE

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12
Q

What are treatments for incisor malocclusion in rabbits and rodents?

A

Rabbits:
1. Crown reduction- under sedation/GA with burr
* Can grow 3mm/week
* Repeat every 4-6 weeks
2. Incisor extraction under GA- always radiograph first
Rodents
* Only crown reduction under GA

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13
Q
  1. What is dacryocystitis?
  2. What are signs?
  3. How is it confirmed?
  4. How is it used?
A
  1. Occlusion of lacrimal duct by overgrown upper molars/inflammation
  2. Contact periocular dermatitis, recurrent/chronic eye discharge
  3. Confirm with radiographs
  4. Long term use of meloxiam, AB eyedrops, lacrimal duct flush under sedation
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14
Q

What are the treatment options for molar malocclusion in rabbits and hystricomorphs?

A
  1. Crown and spurs reduction under GA
  2. Long term medical managment with Meloxicam- chronic periapical pain
  3. Periapical abscesses
    * Abscess marsupialization
    * Extraction of affected molars
    * Enucleation in case of retrobular abscess
    * ABs minimum of 6-8 weeks
    * Lance and flush
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15
Q

Describe the steps to abscess marsupialization surgery?

A
  1. Circumferential skin incision over abscess
  2. Remove as much of the abscess capsule as possible- send a sample for C&S
  3. Suture the abscess capsule to surrounding skin
  4. Debide/remove abnormal bone
  5. Extract any affected molars
  6. Pack cavity with bactericidal material
  7. Healing be second intention
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16
Q
  1. What do these images show?
  2. What are DDXs?
  3. What is the treatment approach?
A
  1. Retrobulbar abscesses
  2. Intra-ocular disease (glaucoma), neoplasia
  3. Marsupialization, dental extractions, frequently required enucleation
17
Q

What dental problems can chinchillas develop commonly?

A

Periodontal disease
* Food/hair impaction between crowns
* Peridontal pockets
* Tooth resorption
* Removal of impactions and cleaning of peridontal spaces
* Local and systemic ABs
Dental Caries
* Very common
* Often associated w peridontal disease
* Remove affected tissue

18
Q

What specific dental problems can guinea pigs develop?

A

Macrodontia
* Enlargment of teeth width
* Irregular dental surface
* Irregular peridontal space
* Irregular alveolar bone
* Irregular pulp cavity
* Dental pain
Temporo-mandibular joint luxation/subluxation
* Accompanies other dental overgrowth problems

19
Q

What specific problems can degus and prarie dogs develop?

A

Elondontomas
Pseudodontomas
* Neoplasia/hyperplasia of dental roots
* Usually affects upper incisors
* URT signs (obstruction)
* Can affect other rodent species
* Require extensive surgery- incisor extraction, rhinostomy