Difference between revisions of "Feline Odontoclastic Resorptive Lesions"
| Line 44: | Line 44: | ||
Classifying the lesions allows a logical treatment regime to be implemented. It can bt based on the severity of the resorptive lesions. | Classifying the lesions allows a logical treatment regime to be implemented. It can bt based on the severity of the resorptive lesions. | ||
| − | '''Stage 1''' - Enamel only | + | *'''Stage 1''' - Enamel only |
| − | '''Stage 2''' - Enamel and dentine | + | *'''Stage 2''' - Enamel and dentine |
| − | '''Stage 3''' - Pulp exposure | + | *'''Stage 3''' - Pulp exposure |
| − | '''Stage 4''' - Extensive structural damage | + | *'''Stage 4''' - Extensive structural damage |
| − | '''Stage 5a''' - Crown is resorbed but the roots are retained | + | *'''Stage 5a''' - Crown is resorbed but the roots are retained |
| − | '''Stage 5b''' - Crown is intact but the root is resorbed | + | *'''Stage 5b''' - Crown is intact but the root is resorbed |
==Treatment== | ==Treatment== | ||
Revision as of 12:11, 12 August 2009
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This article is still under construction. |
Typical Signalment
- There are no sex or breed predispositions
- Becomes more prevalent with increasing age
Description
Feline odontoclastic resorptive lesions (FORLs) are the most commonly seen dental lesions in cats. On examination, there is a loss of dental tissue on the crown or at the neck of the teeth. The crown may be completely resorbed with the remaining root covered with gingiva.
The aetiology and pathogenesis of FORLs has not yet been demonstrated but is almost certainly multifactorial. Possible hypotheses that have been suggested include:
- Diet texture
- Abnormal calcium regulation
- Hypervitaminosis A
- Mechanical stress
- Anatomical abnormalities of the teeth
- Viral infection
- Plaque bacteria and periodontal disease
Diagnosis
Clinical Signs
- Pain on contact
- Anorexia
- Drooling
- Lethargy
Oral Examination
Visual Examination - identification of the lesions or inflammed gingiva that overlies the remaining root.
Probe - lesions that are subgingival may be identified using a dental probe.
Diagnostic Imaging
Radiographic signs of FORLs include:
- Erosion of alveolar bone at the cementoenamel junction
- Root resorption
- Root ankylosis and subsequent periodontal space loss
- Resorption of the dental dental crown
Classifying the Lesions
Classifying the lesions allows a logical treatment regime to be implemented. It can bt based on the severity of the resorptive lesions.
- Stage 1 - Enamel only
- Stage 2 - Enamel and dentine
- Stage 3 - Pulp exposure
- Stage 4 - Extensive structural damage
- Stage 5a - Crown is resorbed but the roots are retained
- Stage 5b - Crown is intact but the root is resorbed
Treatment
There are various treatment options available for the different stages of disease.
- Stage 1-2
- Scale and polish
- Fluoride treatment
- Pit and fissure sealant
- Stage 2
- Scale and polish
- Restoration of the tooth using glass ionomer, compomer or composite (High failure rate)
- Stage 2-4
- Extraction
- Crown amputation whilst retaining root
- Stage 5a
- Extraction
- Root retention
- Stage 5b
- Crown amputation
References
- Tutt, C., Deeprose, J. and Crossley, D. (2007) BSAVA Manual of Canine and Feline Dentistry (3rd Edition) BSAVA
- Merck & Co (2008) The Merck Veterinary Manual