Piekos Karolina Maria, Freeman Alix, Fleming Kathryn, Bell Cynthia
Department of Dentistry, The Ralph Veterinary Referral Centre, Marlow, United Kingdom.
Department of Dentistry, Oral and Maxillofacial Surgery, Eastcott Veterinary Referrals, Part of Linnaeus Veterinary Limited, Swindon, United Kingdom.
Front Vet Sci. 2024 Nov 4;11:1473390. doi: 10.3389/fvets.2024.1473390. eCollection 2024.
This case report details the diagnosis and treatment of dentinogenesis imperfecta in a 6-year-old neutered male Labrador, presenting without concurrent osteogenesis imperfecta. Diagnostic modalities, including radiographs, CT imaging, and histopathological examination, are reviewed in conjunction with the latest literature on canine dentinogenesis imperfecta. This patient presented at a more advanced age than typically reported cases. The clinical history, as provided by referring veterinarians, documented fractured deciduous teeth with delayed exfoliation. By 10 months of age, the patient's permanent dentition exhibited a translucent appearance and structural anomalies. Upon presentation to Eastcott Referrals the patient was experiencing significant oral pain and exhibited generalised coronal wear with yellow/brown intrinsic discolouration. CT imaging revealed that all teeth had endodontic disease and associated apical periodontitis, with varied root canal widths indicating that teeth succumbed to endodontic disease at different time points. The treatment protocol involved staged full-mouth extractions, resulting in the complete resolution of clinical symptoms. This case underscores the importance of early diagnosis and intervention in managing dentinogenesis imperfecta in dogs.
本病例报告详细介绍了一只6岁绝育雄性拉布拉多犬牙本质生成不全的诊断和治疗情况,该犬未并发成骨不全。结合关于犬牙本质生成不全的最新文献,对包括X光片、CT成像和组织病理学检查在内的诊断方法进行了综述。该患者就诊时的年龄比典型报道病例更大。转诊兽医提供的临床病史记录显示,乳牙出现骨折且脱落延迟。到10个月大时,该患者的恒牙列呈现半透明外观和结构异常。就诊于伊斯特科特转诊中心时,该患者正经历严重的口腔疼痛,表现为全牙冠磨损并伴有黄/棕色的内部变色。CT成像显示所有牙齿均患有牙髓病及相关根尖周炎,根管宽度各异,表明牙齿在不同时间点患上牙髓病。治疗方案包括分阶段进行全口拔牙,临床症状得以完全缓解。本病例强调了早期诊断和干预对治疗犬牙本质生成不全的重要性。