Newton Alimentary Flashcards
What is a primary facial cleft called?
Cheiloschisis
Hair lip → normal in rabbits
What pathological event causes cheiloschisis?
TQ
- Incomplete fusion of nasofrontal and maxillary processes.
- involves lip (superficial) or lip & nostrils (deep)
What are the two types of primary facial clefts?
- Superficial →cleft lip
- Deep →cleft lip + nostrils (uni or bilateral)
What is a secondary facial cleft called?
Palatoschisis
What pathological event causes palatoschisis?
Sequella?
- Incomplete fusion of the palatine processes
Affected animals:
- can’t nurse properly
- aspiration pneumonia
What species have a genetic predisposition to developing a facial cleft?
- Cattle: Charlois, Hereford
- Dogs: Boxers
- Cats: Siamese, Abyssinian
What toxins can cause facial clefts and
in what species?
- Cattle: Lupines
- Sheep: Veratrum Californicum → steroidal alkaloids
- Swine: Poison Hemlock, Crotalaria
- Cats: Gruseofulvin
- Primates: steriods
Ingestion of Steroidal Alkaloids inhibits the Hedgehog Signaling Pathway in lambs. Tell what body part is affected if the ewe ingests this toxin on:
day 14, days 17-19 d & days 28-31?
- day 14 → deformities of the head
- day 17-19 → deformities of the trachea
- day 28-31 → shortened metatarsal & metacarpal bones (limbs)
What mandibular malformation results in parrot mouth?
Brachygnathia Inferior
(mandible too short)
What maxillary malformation results in “bull dog face”?
Brachygnathia Superior
(maxilla too short)
What mandibular malformation results in prolonged mandibles?
Prognathia
What mandibular malformation results in a missing lower jaw?
Agnathia
How does the dental lamina normally form?
Gingival epithelium (ectoderm) invaginates down into jaw (mesenchyme).
What makes enamel?
Ameloblasts
What develops the Dental papilla?
- mesenchymal tissue = pulp
- odontoblasts = dentin
What 3 things develop the dental follicle?
- Cementoblasts → cementum
- Osteoblasts → boney socket of teeth
- Fibroblasts → peridontal ligament
Describe brachydont (simple) teeth.
- Crown→above gum
- Root→ below gum line
- Pulp→ inner core, nerves & vessles
- Have demarcation between root & crown
- Fibrous peridontal ligament holds tooth in socket
Who has brachydont teeth?
- Carnivores
- Pigs (except tusks)
- Ruminants (lower incisors)
Describe hypsodont (complex) teeth.
- high crown teeth w/ root
- crown & pulp grow throughout life
- no demarcation between root and crown
- infundibulum: cementum and enamel invaginations
Who has hypsodont teeth?
- Horses
- Rodents
- Rabbits
- Ruminants →cheek teeth
What are the 3 typs of developmental teeth abnormalities?
Anadontia = no teeth (rare)
Oligodontia = too few teeth (rare)
- Pseudo-oligodontia = failed/delayed eruption
Polydontia= too many teeth
- Psuedo-polyodontia = retained deciduous teeth
What are dentigerous cysts?
- Heterotrophic polydontia AKA ear tooth
- Epithelial lined cavity + keratin + abnormal tooth
Who gets dentigerous cysts?
Horses →under their ears
What is the cause of enamel hypoplasia?
damage to ameloblasts → segmental brownish, thin to missing enamel.
Etiology of enamel hypoplasia?
TQ
- K9 Distemper → dogs < 6 mo. old
- BVD → calves in utero
- High fever in young animals
Where is chronic fluorisis most common?
down stream of aluminum plants
What are 3 types of abnormal pigmentation of teeth?
- Chronic Fluorisis
- Congenital Erythopoetic Porphyria
- Tetracycline
Pathogenisis of chronic flurosis?
- Occurs during odontogenesis (6-36 mo. in cattle)
- Excess flouride disrupts enamal formation
- teeth are soft, chalky enamel with yellow, brown to blackish spots
What helps prevent chronic fluorisis in cattle?
selenium supplementation
What is “pink tooth”?
Congenital erythropoetic prophyria
What is the etiology of congenital erythropoetic porphyria?
- 2° to porphyrins in dentin
-
Inherited→defective heme pigment synthesis in erythrocytes
- uroporphyrinogen 3 cosynthetase defect →type 1 porphyrin deposits
What does tetracycline do to teeth?
Deposits Ca2+ in enamel→turning teeth yellow-brown.
(Will fluoresce under UV light/Wood’s Lamp)
What is pulpitis?
Inflammation of dental pulp→ 2° to tooth DAMAGE
What is periodontitis?
- Inflammation of soft tissue surrounding tooth (gingivitis)
- 2° to bacterial plague/dental tartar → toxins & mechanical irritation.
What type of teeth do dental caries occur in?
Brachydont Teeth
What causes dental caries?
- Microbial enzymes & Acids→De-Calcification of enamel and Dentin
- Pulpitis
What type of teeth do Infundibular impaction occur in?
Hypsodont Teeth
2 other names for Infundibular Impactions?
- Infundibular necrosis
- Infundibular caries
What is the etiology of Infundibular impaction?
- Acid from food degradation by bacteria causing demineralization of enamel and cementum
- leading to pulpitis and periodontitis
What is the etiology of feline external resorptive neck lesions?
2° to odontoclastic resorption of cementum in the neck/root of tooth → resorptive cavity that collects food and dental plaque→ inflammation
What is step mouth and what type of teeth does it occur in?
- 2° to lost/broken tooth of opposite jaw leading to molar/premolar elongation
- Hypsodont teeth
What is wave mouth and what type of teeth does it occur in?
- 2° to multiple lost/broken teeth of the opposite jaw
- Hypsodont teeth
What is shear mouth & what type of teeth does it happen in?
- Irregular wear of molar/premolars leading to sharp points on medial and lateral aspects
- Hypsodont
What is the normal slope of horse teeth?
15%
Define Cheilitis
Inflammation of the lips
Define Stomatitis
Inflammation of the oral mucosa
Define Glossitis
Inflammation of tongue
Define Gingivitis
Inflammation of the gums
Define Pharyngitis
Inflammation of the pharynx
Define Tonsilitis
Inflammation of the tonsils
What viruses causes Vesicular Diseases of the mouth?
(all are reportable in large animals)
-
Foot & Mouth - picorna
- (cattle, swine sheep/goats)
-
Vesicular Stomatitis - rhabdovirus
- (all LA, only one in USA)
- Swine Vesicular Exanthema - Calicivirus
- Swine Vesicular Dz - Enterovirus
What are the clinical signs of viral stomatitis in LA?
- Vesicles
- Ulcers
- Salivation
- Lameness
- Fever
- Anorexia
- + abortion
What are the zoonotic vesicular dz’s?
Parapox stomatitis:
-
Bovine papular stomatitis
- Milker’s nodules
-
Contageous ecthyma of sheep & goats
- Orf
Non-viral causes of vesicular stomatitis?
-
Pemphigus vulgaris (Autoimmune stomatitis) →acantholysis & ulcers
- auto-antibodies to desmosomal protiens in epithelium
What are the 5 types of ulcerative stomatitis in SA
- Feline Ulcerative Stomatitis →Glossitis
- Feline Lymphoplasmacytic Stomatitis-Pharyngitis
- Oral Eosinophilic Granuloma Complex
- Chronic Ulcerative Paradental Stomatitis
- Uremia
What is the etiology of:
- feline ulcerative stomatitis/glossitis
- feline lymphoplasmacytic stomatitis-pharyngitis
- oral eosinophilic granuloma complex?
- Unknown
- FUSG→ oral tissues
- FLSP→ glossopalantine arches
- OEGC:
- Cats = Upper lip
- Huskies = tongue
What is the etiology of Chronic Ulcerative Paradental Stomatitis?
- 2° to dental plague→lymphocytes & plasma cells →gingival ulceration, bone resorption/tooth loss
- Maltese & CKCS
What is the etiology of Uremia?
- 2° to chronic renal dz→increased urea in blood/saliva→vascular & tissue damage
- urease producing bacteria in mouth
- excessive ammonia →ulceration
What are 3 types of bacterial stomatitis?
- Oral Necrobacillosis→fibrinonecrotic
- Actinobacillosis→chronic granulomatous inflammation w/ fibrosis
- Actinomycosis →pyogranulomatous
Pathology of oral necrobacillosis?
(calf diptheria)
TQ
- 2° to trauma/damage
-
Fusobacterium necrophorum
- Gram (-)
- potent toxins→ulcerative gingivitis (grey-tan)
Pathology of actinobacillosis?
(wooden tongue)
TQ
- 2° to trauma/damage
-
Actinobacillus lignieresii
- Gram (-)
- goes to regional lymph nodes
- chronic granulomatous inflammation w/ fibrosis
- rigid tongue
Pathology of Actinomycosis?
(lumpy jaw)
- 2°to trauma/damage
-
Actinomyces bovis
- Gram (-)
- sulfur granules
- granulomatous inflammation (mandible) → destruction of bone
What is fungal stomatitis caused by?
Thrush = Candida albicans (commensal)
Pathology of thrush?
- 2° to immonocomp/prolonged antibiotics/ hyperglycemia
- overgrowth→greyish, pseudomembrane on tongue and esophagus
What animals get gingival hyperplasia?
TX?
Ddx?
- Middle-old aged Brachycephalic breeds
- Surgical removal
- Must distinguish from Epulis (oral tumor)
What percentage of alimentary tumors are oral neoplasms?
75%
What causes papillomas and in what species are they most common?
- Papilloma virus
- Dogs: < 1 year
- Young horses (he doesn’t say that but it’s TRUE!)
What is the appearance and pathology of papillomas?
- Cauliflower to papillary shaped warts
- Small in # most are benign
- They regress spontaneouly leaving long lasting immunity
What is the pathology of melanoma and
what species is it most common in?
- Common in older dogs
- Very aggressive–>90% malignant
What is the pathology of SCC?
- Can metastasize
- ALL are Locally invasive
- Can involve bone
What species get SCC?
-
Felines: 60% of oral tumors
- Tongue
- Dogs: Tonsils & metastasis from other sites
Pathology of fibrosarcoma?
Who gets most often?
TQ
- Can involve bone
- Felines → 20% of oral tumors
Plasmacytoma pathology
(Oral Plasma Cell Tumor)
- Can occur anywhere in the oral cavity
- Looks aggressive histologically but it’s not
- Locally invasive
- NO metastasis
What is Epulis?
- Gingival tumor → Firm, grey/pink
- Locally invasive