Pelizzone Igor, Di Ianni Francesco, Volta Antonella, Gnudi Giacomo, Manfredi Sabrina, Bertocchi Mara, Parmigiani Enrico
Private Practice Clinica Veterinaria Belvedere, Via Bembo 10/12, 42100, Reggio Emilia, Italy.
Department of Veterinary Medical Science, University of Parma, Via del Taglio 10, 43100, Parma, Italy.
Vet Radiol Ultrasound. 2017 May;58(3):273-283. doi: 10.1111/vru.12475. Epub 2017 Jan 29.
Maxillary incisor pseudo-odontomas are common in pet prairie dogs and can cause progressive respiratory obstruction, while mandibular pseudo-odontomas are rarely clinically significant. The aim of this retrospective cross-sectional study was to describe CT features of maxillary and mandibular incisor pseudo-odontomas vs. normal incisors in a group of pet prairie dogs. All pet prairie dogs with head CT scans acquired during the period of 2013-2015 were included. A veterinary radiologist who was aware of final diagnosis reviewed CT scans and recorded qualitative features of affected and normal incisors. Mean density values for the pulp cavity and palatal and buccal dentin were also recorded. A total of 16 prairie dogs were sampled (12 normal maxillary incisors, 20 confirmed maxillary incisor pseudo-odontomas, 20 normal mandibular incisors, 12 presumed mandibular incisor pseudo-odontomas). Maxillary incisors with confirmed pseudo-odontomas had a significantly hyperattenuating pulp and dentin in the reserve crown and apical zone, when compared to normal maxillary incisors. Pseudo-odontomas appeared as enlargements of the apical zone with a globular/multilobular hyperattenuating mass formation haphazardly arranged, encroaching on midline and growing caudally and ventrally. Presumed mandibular incisor pseudo-odontomas had similar CT characteristics. In 60% of prairie dogs with maxillary incisor pseudo-odontomas, the hard palate was deformed and the mass bulged into the oral cavity causing loss of the palatine bone. The common nasal meatus was partially or totally obliterated in 81.8% of prairie dogs with maxillary pseudo-odontomas. Findings supported the use of CT for characterizing extent of involvement and surgical planning in prairie dogs with pseudo-odontomas.
上颌切牙假性牙瘤在宠物草原犬鼠中很常见,可导致进行性呼吸道阻塞,而下颌假性牙瘤在临床上很少有显著意义。这项回顾性横断面研究的目的是描述一组宠物草原犬鼠上颌和下颌切牙假性牙瘤与正常切牙的CT特征。纳入了2013年至2015年期间进行头部CT扫描的所有宠物草原犬鼠。一位知晓最终诊断结果的兽医放射科医生对CT扫描进行了评估,并记录了患牙和正常切牙的定性特征。还记录了牙髓腔、腭侧和颊侧牙本质的平均密度值。总共对16只草原犬鼠进行了采样(12颗正常上颌切牙、20颗确诊的上颌切牙假性牙瘤、20颗正常下颌切牙、12颗疑似下颌切牙假性牙瘤)。与正常上颌切牙相比,确诊为假性牙瘤的上颌切牙在储备冠和根尖区的牙髓和牙本质明显呈高密度影。假性牙瘤表现为根尖区扩大,有不规则排列的球状/多叶状高密度肿块形成,向中线侵犯并向尾侧和腹侧生长。疑似下颌切牙假性牙瘤具有相似的CT特征。在60%患有上颌切牙假性牙瘤的草原犬鼠中,硬腭变形,肿块突入口腔导致腭骨缺失。在81.8%患有上颌假性牙瘤的草原犬鼠中,总鼻道部分或完全闭塞。这些发现支持了CT在评估假性牙瘤草原犬鼠的病变范围和手术规划中的应用。