Thengchaisri Naris, Steiner Jörg M, Suchodolski Jan S, Sattasathuchana Panpicha
Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Bangkok, Thailand (Thengchaisri, Sattasathuchana); Gastrointestinal Laboratory, Department of Veterinary Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA (Steiner, Suchodolski).
Can J Vet Res. 2017 Jan;81(1):46-52.
Periodontal disease is the most common oral disease in cats. The objectives of this study were to determine the relationships between gingivitis and dental calculus thickness (DCT), or dental calculus coverage (DCC); determine the association of gingivitis scores and types of oral bacteria; and to evaluate bacterial co-infection in cats with periodontal disease. Twelve cats that were not infected with feline leukemia or feline immunodeficiency viruses were enrolled in the study. Gingivitis, DCT, and DCC were scored and recorded. A Kruskal-Wallis test was used to compare scores among canine, 2nd premolar, 3rd premolar, 4th premolar, and 1st molar teeth. The relationship between gingivitis and DCT or DCC scores was determined using the Spearman rank sum test (ρ). Subgingival bacteria were cultured and the association between bacterial species and gingivitis score was evaluated using a Fisher's exact test. The average gingivitis, DCT, and DCC scores for the caudal maxillary teeth were higher for the caudal mandibular teeth and more severe for the 3rd premolar, 4th premolar, and 1st molar teeth than for the canine teeth. A strong relationship between average DCT or DCC score and average gingivitis score was found (ρ = 0.96 and 1, respectively). Aerobic and anaerobic bacterial infections were identified in a large number of cats with periodontal disease (71.1% and 28.9%, respectively). In conclusion, severe gingivitis scores were associated with anaerobic bacterial infection. The caudal teeth are affected with more severe gingivitis, DCT, and DCC than the other teeth. Antibiotic prophylaxis should be prescribed in cats with periodontal disease.
牙周病是猫最常见的口腔疾病。本研究的目的是确定牙龈炎与牙石厚度(DCT)或牙石覆盖范围(DCC)之间的关系;确定牙龈炎评分与口腔细菌类型之间的关联;并评估患有牙周病的猫的细菌合并感染情况。12只未感染猫白血病或猫免疫缺陷病毒的猫被纳入该研究。对牙龈炎、DCT和DCC进行评分并记录。使用Kruskal-Wallis检验比较犬齿、第二前磨牙、第三前磨牙、第四前磨牙和第一磨牙之间的评分。使用Spearman秩和检验(ρ)确定牙龈炎与DCT或DCC评分之间的关系。对龈下细菌进行培养,并使用Fisher精确检验评估细菌种类与牙龈炎评分之间的关联。上颌后牙的平均牙龈炎、DCT和DCC评分高于下颌后牙,第三前磨牙、第四前磨牙和第一磨牙的情况比犬齿更严重。发现平均DCT或DCC评分与平均牙龈炎评分之间存在很强的关系(分别为ρ = 0.96和1)。在大量患有牙周病的猫中发现了需氧菌和厌氧菌感染(分别为71.1%和28.9%)。总之,严重的牙龈炎评分与厌氧菌感染有关。后牙比其他牙齿受更严重的牙龈炎、DCT和DCC影响。对于患有牙周病的猫应开具抗生素预防性用药。