Chronic gingivostomatitis associated with FeLV and FIV

13 Chronic gingivostomatitis associated with FeLV and FIV




INITIAL PRESENTATION


Inappetance, drooling, sockets from previous extractions not healing.



PATIENT DETAILS


An adult (estimated 7 years), neutered male, domestic short-haired cat.



CASE HISTORY


The cat was an adopted stray cat that had been with the owners for 6 years and was at least a year old when they adopted him. He lived in a multi-cat household (eight other cats). All cats were indoor/outdoor cats.


The cat had received ‘routine dental’ treatment 10 weeks prior to referral. At this time several teeth were extracted, but no record of which teeth was made. It was noted on the record that some teeth had fractured during extraction and had been ‘drilled out’. Within a week of treatment the cat started drooling and stopped eating. Non-healing sockets were identified and several courses of antibiotics had been administered with no improvement. The cat was referred to us 10 weeks after the initial treatment.



ORAL EXAMINATION – CONSCIOUS


The cat allowed general physical examination but would not allow conscious examination of the face or oral cavity.


Blood was drawn for haematology and biochemistry screen and FeLV/FIV testing. It was decided not to wait for these results before inducing anaesthesia, as the cat was deemed safe for anaesthesia based on the general clinical examination. The owner was made aware that FeLV and/or FIV infection was a possibility.



ORAL EXAMINATION – UNDER GENERAL ANAESTHETIC


A thorough oral examination, including investigating periodontal parameters, was performed and all findings were noted on the dental record.


In summary, examination under general anaesthesia identified the following:


1. Teeth 204, 208, 209, 107, 108, 109, 309 and 409 were missing (presumably extracted 10 weeks earlier)

2. Non-healing extraction sockets of 204 (Fig. 13.1a), 309 and 409 (Fig. 13.2a)

3. Gingivostomatitis associated with the extraction socket of 204 (Fig. 13.1a)

4. Gingivostomatitis of alveolar and buccal mucosa bilaterally in the edentulous upper premolar and molar regions (Fig. 13.3).

image

Figure 13.1 Occlusal photograph (a) and rostrocaudal radiograph (b) of the non-healing extraction socket of 204.


(a) The socket has not healed after extraction of 204 10 weeks earlier. In fact, the owner reported that the defect was larger than it was immediately after the extraction.

(b) The radiograph shows an empty socket with no evidence of any retained root material.

image

Figure 13.2 Lateral photograph (a) and radiograph (b) of the right mandibular quadrant.


(a) Note the non-healing extraction socket of 409.

(b) The radiograph reveals that both the mesial and distal roots of 409 have not been extracted. Note the radio-lucent areas where atomization (drilling away root substance) was attempted.

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Sep 3, 2016 | Posted by in SMALL ANIMAL | Comments Off on Chronic gingivostomatitis associated with FeLV and FIV

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