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猫的咬合与错颌:何为正常,何为异常,何时干预最佳?

Occlusion and malocclusion in the cat: what's normal, what's not and when's the best time to intervene?

作者信息

Milella Lisa

机构信息

53 Parvis Road, Byfleet, Surrey, KT14 7AA, UK

出版信息

J Feline Med Surg. 2015 Jan;17(1):5-20. doi: 10.1177/1098612X14560095.

Abstract

PRACTICAL RELEVANCE

Malocclusion affecting cats, and treatment thereof, has not been widely described in the veterinary literature, yet is a condition seen in a growing number of breeds, often causing pain and discomfort to the patient. Recognising the problem, and certainly whether it is a hereditary problem (eg, a skeletal malocclusion), is important for the longer term health of pedigree breeds.

CLINICAL CHALLENGES

If there is a malocclusion, the mouth may be painful and a thorough occlusal assessment of the conscious patient may be difficult. Occlusal assessment should always be accompanied by a thorough oral examination and, where necessary, further investigation under general anaesthesia, including dental radiography. Recognising what is normal, and what is not, can be challenging; so, too, can be determining the correct time to intervene.

AUDIENCE

This article is intended to help fill the gap in dental education regarding the range of developmental and acquired malocclusions seen in cats. Treatment options are also briefly reviewed.

EVIDENCE BASE

The guidance contained in this article is based on a combination of the published literature, the author's personal experience and that of colleagues.

摘要

实际意义

影响猫的错颌畸形及其治疗方法,在兽医文献中尚未得到广泛描述,但在越来越多的品种中都有出现,常常给患病动物带来疼痛和不适。认识到这个问题,以及确定它是否是遗传性问题(例如,骨骼性错颌畸形),对纯种猫的长期健康至关重要。

临床挑战

如果存在错颌畸形,口腔可能会疼痛,对清醒动物进行全面的咬合评估可能会很困难。咬合评估应始终伴随着全面的口腔检查,必要时,在全身麻醉下进行进一步检查,包括牙科X线摄影。识别正常情况和异常情况具有挑战性;确定正确的干预时机同样具有挑战性。

受众群体

本文旨在填补猫发育性和后天性错颌畸形方面牙科教育的空白。还简要回顾了治疗选择。

证据基础

本文中的指导意见基于已发表的文献、作者个人经验以及同事的经验。

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