Diagnostic value of full-mouth radiography in cats.
ABSTRACT To determine the diagnostic value of full-mouth radiography in cats.
115 cats referred for dental treatment without a previous full-mouth radiographic series available.
In a prospective nested case-control analysis of multiple outcomes in a hospital cohort of cats referred for dental treatment, full-mouth radiography was done prior to oral examination and charting. After treatment, the clinical and radiographic findings were compared, with reference to presenting problems, main clinical findings, additional information obtained from radiography and unexpected radiographic findings. Importance of the radiographic findings in therapeutic decision making was assessed.
The main clinical findings were radiographically confirmed in all cats. Odontoclastic resorption lesions, missed on clinical examination, were diagnosed in 8.7% of cats. Analysis of selected presenting problems and main clinical findings yielded significantly increased odds ratios for a variety of other conditions, either expected or unexpected. Radiographs of teeth without clinical lesions yielded incidental or clinically important findings in 4.8 and 41.7% of cats, respectively, and were considered of no clinical value in 53.6%. Radiographs of teeth with clinical lesions merely confirmed the findings in 13.9% of cats, but yielded additional or clinically essential information in 53.9 and 32.2%, respectively.
The diagnostic yield of full-mouth radiography in new feline patients referred for dental treatment is high, and routine use of full-mouth radiography is justifiable.
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ABSTRACT: OBJECTIVES To investigate the attitudes of final year veterinary students towards small animal dentistry and to examine the teaching received in this subject, both at university and during extra-mural studies.METHODSA cross-sectional study of all UK final year veterinary students in 2012 was designed and used by a self-administered Internet-based questionnaire.RESULTSSix of seven universities participated with 188 student responses. All students felt that it was important or very important for a small animal practitioner to have a broad understanding of dentistry, and that orodental problems were common or very common in small animals. Almost all (99 · 5%) students perceived small animal dentistry as an important or very important subject. Less than 40% of students felt that the teaching had prepared them for entering practice. Over 50% reported that they neither felt confident in discussing orodental problems with clients nor in performing a detailed examination of the oral cavity.CLINICAL SIGNIFICANCEDental problems are perceived by students as frequently encountered in small animal practice. The veterinary surgeon should be adequately trained to detect, diagnose and treat dental disease in small animals and many students feel that their current teaching is inadequate.Journal of Small Animal Practice 08/2014; 55(9). DOI:10.1111/jsap.12258 · 0.91 Impact Factor
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ABSTRACT: Background It has been shown that the prevalence of both clinical attachment loss (CAL) >1 mm and pocket probing depth (PPD) >4 mm is relatively high even in younger dogs, but also that only a minority of the dogs have such clinical signs of periodontal disease (PD) in more than a few teeth. Hence, a minority of dogs carry the major PD burden. These epidemiological features suggest that screening for PD in larger groups of dogs, allowing for rapid assessment of treatment planning, or for the selection of dogs with or without PD prior to be included in experimental trials, should be possible. CAL is the central variable in assessing PD extent and severity while PPD is the central variable used in treatment planning which make these two variables obvious in a screening protocol with the dual aim of disease identification and treatment planning. The main purpose of the present study in 98 laboratory Beagle dogs was to construct a fast, simple and accurate screening tool, which is highly sensitive for the identification of dogs with PD.ResultsExamination of the maxillary P4, P3, P2, I1 and C would, in this population, result in the identification of 85.5% of all dogs and 96% of all teeth positive for CAL ¿1mm, and 58.9% of all dogs and 82.1% of all teeth positive for PD ¿4 mm.Examination of tooth pairs, all C¿s, maxillary I2, M2 and the mandibular P4 would, in this population result in identification of 92.9% of all dogs and 97.3% of all teeth positive for PD ¿4 mm, and 65.5% of all dogs and 83.2% of all teeth positive for CAL ¿1mm. The results presented here only pertain to the present study population.Conclusions This screening protocol is suitable for examination of larger groups of laboratory Beagle dogs for PD and our findings indicate that diseased dogs are identified with a high degree of sensitivity. Before this screening can be used in clinical practice, it has to be validated in breeds other than Beagle dogs and in populations with larger age variation.Acta Veterinaria Scandinavica 11/2014; 56(1):77. DOI:10.1186/s13028-014-0077-8 · 1.00 Impact Factor
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ABSTRACT: Objective-To evaluate long-term response of cats with stomatitis to tooth extraction. Design-Retrospective case series. Animals-95 cats with stomatitis. Procedures-Medical records of cats with stomatitis that was treated with tooth extraction during a 14-year period were reviewed. Demographic information and diagnostic results were recorded as well as surgical procedure, including full-mouth extraction (FME) versus partial-mouth extraction (PME), and specifics of medical management. Patients were categorized according to response to treatment. Results-Median postoperative follow-up time was 231 days (range, 33 to 2,655 days). Of 95 cats, 6 (6.3%) had no improvement and 25 (26.3%) had little improvement in stomatitis following tooth extraction and extended medical management (EMM). Following tooth extraction, 37 (39.0%) cats had substantial clinical improvement and 27 (28.4%) cats had complete resolution of stomatitis; of these 64 cats, 44 (68.8%) required EMM for a finite period to achieve positive outcomes. Extent of tooth extraction (PME vs FME) was not associated with overall response to treatment. At initial recheck examination, a better long-term response to tooth extraction was observed in patients with resolution of abnormal behavior (OR, 7.2), decrease in oral inflammation (OR, 3.5), and lack of need for follow-up medical management with antimicrobials (OR, 3.7). Conclusions and Clinical Relevance-Extraction of teeth in areas of oral inflammation provided substantial improvement or complete resolution of stomatitis in more than two-thirds of affected cats. Full-mouth extraction did not appear to provide additional benefit over PME. Most cats with stomatitis may require EMM to achieve substantial clinical improvement or complete resolution. (J Am Vet Med Assoc 2015;246:654-660).Journal of the American Veterinary Medical Association 03/2015; 246(6):654-60. DOI:10.2460/javma.246.6.654 · 1.67 Impact Factor