16 Canine chronic gingivostomatitis
ORAL EXAMINATION – UNDER GENERAL ANAESTHETIC
In summary, examination under general anaesthesia identified the following:
4. Moderate amounts of plaque and calculus were present on the buccal aspects of the upper premolars and molars (Fig. 16.2)
THEORY REFRESHER
It is thought to be an inappropriate response to oral antigens, namely bacterial plaque present on the tooth surfaces. While underlying vesiculo-bullous disease, e.g. pemphigus and pemphigoid or discoid lupus erythematosus (DLE), cannot be excluded, it is essential to have plaque control before these can be investigated.
In the dog, I approach CGS as follows:
1. Haematology and biochemistry screens to exclude systemic diseases, e.g. endocrine or renal disorders, which may predispose to the development of severe gingival inflammation in the presence of plaque
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