Teeth problems

Question 1

What are fused teeth?

Answer 1

Tooth has 1 crown and 2 roots

Question 2

What are gemini teeth?

Answer 2

Tooth has 2 crowns and 1 root

Question 3

What is MAL1-4?

Answer 3

MAL1= Misalignment of teeth
MAL2-4= Misalignment of mandible or maxilla

Question 4

What is a spearing/lancing canine/laternal incisor?

Answer 4

Maxillary tooth is tipped rostrally

Question 5

What are base narrowed canines?

Answer 5

Structural narrowing of the mandible or improper eruption causing irritation on the hard palate

Question 6

What is a labioversion?

Answer 6

Incisor or canine in normal position but angled towards the tongue

Question 7

What is a buccoversion?

Answer 7

Incisor or canine in normal position but angled towards the cheek

Question 8

What is a rostral crossbite?

Answer 8

1+ mandibular incisors is labial to the opposing maxillary incisors aka bottom teeth are in front of the top teeth

Question 9

What 4 dental conditions are the most common in cats?

Answer 9

Tooth resorption, alveolar osteitis, feline oral pain syndrome, feline chronic gingivostomatitis (sores, FCGS)

Question 10

What is faucitis?

Answer 10

Inflammation of are surrounding the tonsils or lateral walls of the pharynx

Question 11

What is Type 1 FCGS?

Answer 11

In cats, only involves alevolar and labial/buccal mucositis/stomatitis, and the teeth can be saved.

Question 12

What is Type 2 FCGS?

Answer 12

In cats, involves caudal mucositis/stomatitis with or w/o alveolar and labial/buccal mucositis/stomatitis

Question 13

What causes FCGS?

Answer 13

Tooth resorption, PD, various bacteria and viruses like calicivirus and herpesvirus.

Question 14

What are complicating factors of FCGS?

Answer 14

FIV, FeLV, abberant immune response, diet (excessive vitamin D)

Question 15

What are tests for FCGS?

Answer 15

Test for calicivirus, FIV, FeLV, blood chemistry and CBC, anesthetized oral exam and radiographs, biopsy to rule out eosinophilic granuloma and SCC, food allergies

Question 16

What are the 4 stages of managing FCGS?

Answer 16

Step 1: COHAT/radiographs, extractions with root removals, rescue meds
Step 2: Extract teeth caudal to canines if full isn’t wanted. COHAT every 4-12 months, canines and incisors to be extracted later maybe
Step 3: If no response to steps 1-2, full mouth extractions. Omega interferon injections (imported from Europe)
Step 4: If cat still doesn’t respond, longterm antibiotics and steroids necessary.
Other tx options are vitamin supplementation, diet mod, azithromycin, cyclosporine, bovine lactoferin, stem cells

Question 17

How many cats may have tooth resorption?

Answer 17

50-75%

Question 18

What are signs of tooth resorption?

Answer 18

Dropping/hissing at food, change in behavior, masking pain

Question 19

What are signs of tooth resorption?

Answer 19

Inflammed gums and maybe hyperplastic gingiva.

Question 20

How is tooth resorption treated?

Answer 20

Extractions of stage 2-4 lesions

Question 21

How many stages of tooth resorption are there?

Answer 21

5, gets progressively worse from Stage 1-5

Question 22

What is alveolar oseitis?

Answer 22

Expansion of the buccal bone. Early cases tx with PD debridement and Doxirobe/Arestin, advanced cases extract.

Question 23

Which breed is Feline Orofacial Pain syndrome common in?

Answer 23

Burmese cats

Question 24

What facial nerve is effected in Feline Orofacial Pain Syndrome (FOPS)?

Answer 24

Trigeminal nerve

Question 25

What medications don’t work, and do work, with FOPS?

Answer 25

Traditional pain meds don’t work, anticonvulsants with analgesic works.

Question 26

How is FOPS diagnosed?

Answer 26

Establish notes with date, time and activities leading up to the episode. At home video recordings, can last from a few minutes to hours.

Question 27

What are FOPS differentials?

Answer 27

Retained tooth fragments, small intestinal lymphoma, IBD