Lecture 2 Flashcards
What are aspects of history?
- signalment
- dental history
- medical
- surgical
- anesthetic
- medicatinos etc
- vaccines
- travel
- household
- behavior
- allergies
- vomiting, diarrhea, sneezing, coughing
What are examples of dental history?
- presenting complaint
- hesitant to pick up, chew, swallow food/toys/training articles
- oral pain
- pain or unable/unwilling to close mouth
- jaw movement
- mastication pattern change
- swelling
- inapetence
- halitosis
- ptyalism
Do owners usually think the animal with dental pain is painful?
no because it is chronic pain
How can you see where a draining tract goes?
put something radiolucent in and then radiograph
What should you do with a gen. physical exam
- face
- eyes
- salivary glands
- saliva
- lymph nodes
- nose
- mandible/maxilla
- TMJ–anesthesia
- muscles of mastication
- motor innervation
How do you perform the initial oral examination
no sedation , anesthesia
can use restraint
gloves
detailed systematic approach
why should you wear gloves with an oral exam?
because rabies!
What are the three types of dog heads?
- brachycephalic
- mesocephalic
- doliocephalic
HOw do you do an open mouth oral examinatino?
overhand technique
hold around nose, thumb on lower jaw
What is class one malocclusion?
tooth in right place but angled the wrong way
What is a crossbite?
e.g. if an incisor (upper) is behind lower etc
What is a class 2 malocclusion
maxilla too long or mandible too short
What is a class 3 malocclusion
mandible too long or maxilla too short
What is a class 4 malocclusion/wry bite?
the 4 sites grow independent (congenital or trauma?)
What should you look for on initial oral examination of the lips?
- ulceration
- laceration
- swelling
What should you look for with alveolar mucosa on innitial oral examinatino?
colour moistness ulcerations lacerations swelling
What should you look for with attached gingiva on initial examination
color inflammation hyperplasia recession sulcular exudate/bleeding architecutre swelling tumor
What should you look for on initial examinaiton with the hard palate?
- swelling
- defects
- foreing body
- rugae symmetry
- lacreation
- ulceration
What should you look for on intiial examination of soft palate?
swelling defects forein bodies laceration ulceration
What should you look for on iinitial examination of tongue?
mobiility strength swelling tumor laceration ulceration foreign body vental tongue and floor of mouth
What structures should you examine durine open mouth oral examination?
lips alveolar mucosa attached gingiva frenulum hard palate soft palate oropharynx, tonsils, glossopalatine folds tongue salivary papilla
What should you examine with in-depth oral examination?
gingival sulcus–dog 1-2mm, cat
What happens with gingival dz (2 options)
gingival recession
periodontal pocket
What does it indicate if you can move a multirooted tooth
bad! that tooth is gone
also if you can push a tooth in that is also bad
How do you differentiate acute and chroni tooth fracture?
still bleeding?
What is extrinsic staining?
outside tooth
What is intrinsic staining?
pupitis–trauma, swelling, blood cells go into dentinal tuubles–colour change
What do tetracyclines cause?
intrinsic staining
What does fluoride toxicity cause?
intrinsic staining
If dog has a yellow tooth, how likely dead?
92%
If a tooth dies a few years ago, what will look like on radiograph?
will have a thin dentin layer and mottled at apex
What are oral diagnostic tests?
- culture and sensitivity
- thermal testing–doesn’t work well
- transillumination
- biopsy
- cytology-dont bother
what should you remember when taking a biospy
what are the structures behind the biopsy
What is the chart system for teeth?
modified triadan dental charting system
2 digit
first digit quadrant, second digit is individual teeth. increase numer as move caudally
What teeth doesn’t the cat have
105, 205, 405, 406, 305, 306
In the canine, what teeth have 1 root?
incisors, canines, first premolar, mandibular 3rd premolar
What caniine teeth have 3 roots?
maxillary 4th premolar, 1st and second molar
What feline teeth have 1 root
incisors, canines, maxilllary 2nd premolar
What feline teeth have 3 roots?
maxillary 4th premolar
