13 Chronic gingivostomatitis associated with FeLV and FIV
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:
Figure 13.1 Occlusal photograph (a) and rostrocaudal radiograph (b) of the non-healing extraction socket of 204.
Figure 13.2 Lateral photograph (a) and radiograph (b) of the right mandibular quadrant.