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2002 - 2012年患有慢性龈口炎的猫的牙科X光检查结果

Dental radiographic findings in cats with chronic gingivostomatitis (2002-2012).

作者信息

Farcas Nicodin, Lommer Milinda J, Kass Philip H, Verstraete Frank J M

机构信息

William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.

出版信息

J Am Vet Med Assoc. 2014 Feb 1;244(3):339-45. doi: 10.2460/javma.244.3.339.

Abstract

OBJECTIVE

To compare dental radiographic findings in cats with and without feline chronic gingivostomatitis (FCGS).

DESIGN

Retrospective case-control study.

ANIMALS

101 cats with FCGS (cases) and 101 cats with other oral diseases (controls).

PROCEDURES

Controls were age- and treatment date-matched with cases. Conventional full-mouth dental radiographic views were evaluated for distribution, pattern, and severity of alveolar bone loss (periodontitis), tooth resorption, buccal bone expansion, tooth fractures, and retained roots.

RESULTS

All cases and 77 (76%) controls had periodontitis; differences in extent and severity of periodontitis were significant, with semigeneralized or generalized and moderate or severe periodontitis in 78 (77%) and 93 (92%) cases, respectively, and 28 (28%) and 38 (38%) controls, respectively. The pattern of alveolar bone loss in cases was dominated by horizontal bone loss, with a nonsignificant increase in vertical bone loss, compared with that of controls. Cases were more likely than controls to have external inflammatory root resorption (49 [49%] vs 25 [25%]) and retained roots (57 [56%] vs 28 [28%]). Fewer dental fractures occurred in cases (14 [14%]) than in controls (35 [35%]). There were no differences between cases and controls in breed, sex, or presence of feline resorptive lesions or buccal bone expansion.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that FCGS was associated with more widely distributed and severe periodontitis, with a higher prevalence of external inflammatory root resorption and retained roots than other oral diseases. Full-mouth radiographic views are indicated for cats with FCGS to diagnose the extent of associated periodontitis, reveal external inflammatory root resorption, and identify retained roots.

摘要

目的

比较患有和未患猫慢性龈口炎(FCGS)的猫的牙科X线检查结果。

设计

回顾性病例对照研究。

动物

101只患有FCGS的猫(病例组)和101只患有其他口腔疾病的猫(对照组)。

步骤

对照组在年龄和治疗日期上与病例组相匹配。对常规全口牙科X线片进行评估,以确定牙槽骨丧失(牙周炎)、牙齿吸收、颊骨扩张、牙齿骨折和残留牙根的分布、模式和严重程度。

结果

所有病例组和77只(76%)对照组患有牙周炎;牙周炎的范围和严重程度存在显著差异,病例组中分别有78只(77%)和93只(92%)患有半广泛性或广泛性以及中度或重度牙周炎,对照组中分别有28只(28%)和38只(38%)患有。与对照组相比,病例组牙槽骨丧失模式以水平骨丧失为主,垂直骨丧失无显著增加。病例组比对照组更易出现外部炎性牙根吸收(49只[49%]对25只[25%])和残留牙根(57只[56%]对28只[28%])。病例组发生牙齿骨折的情况(14只[14%])少于对照组(35只[35%])。病例组和对照组在品种、性别、是否存在猫吸收性病变或颊骨扩张方面无差异。

结论及临床意义

结果表明,FCGS与分布更广且更严重的牙周炎相关,与其他口腔疾病相比,外部炎性牙根吸收和残留牙根的患病率更高。对于患有FCGS的猫,建议进行全口X线检查,以诊断相关牙周炎的程度,发现外部炎性牙根吸收,并识别残留牙根。

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