I am not sure if my comments will still be relevant but I do have a more drastic opinion compared to my colleagues concerning this cats oral health.

104- What is the probe depth? mobile? gingival regression? needs to be monitored

103/102/202/203 - are they mobile? probing depth? might need extraction - pending on visual examination

204- Repeat x ray to include root.  Cannot say if we are dealing with root absorption or is it trabecular bone that covers the roots.

206- TR stage 4c- crown amputation and smoothing of alveolar bone

208- I want to complement you on this excellent exposure! You can see those 3 roots so clearly.

209- if mobile - extract

404- focal radiolucent spot - no clear periapical space - TR 2/3 -  alveolar bone loss - extract -  

407- type 5 TR - smoothen alveolar bone

409- stage 4 TR- crown amputation and mesial root extraction. try to get root material of distal root- will be difficult

304- need to repeat x ray to evaluate TR and bone loss

307- stage 5 TR- smoothen alveolar bone

309- stage 3 TR - extraction

I would not monitor the cat as suggested since TR is a progressive and painful condition. Cats are very good in disguising oral pain and will continue eating and behave normal for a long period of time. I have never seen a cat losing condition because of oral pain.

I hope this cat is on analgesic and soft food.

Kind regards

Claudia

PS I have the Durr radiograph and a dental sensor. If I would buy today a digital dental radiograph again then I would chose only the sensor for private practice .

The Durr has the advantage that it comes in different plate sizes. Unfortunately the software is cumbersome and it takes so much longer to get the radiographs on the screen compared to the sensor.

I end up using only the number one sensor in cats and dogs.

It sounds like the Durr machine rebranded - it's good to know it's easy to use! I would personally want some size 0 sensors as well - I struggle to fit size 2 in cats and small dogs.

Not sure about the Durr or Fire CR readers, our one is branded iM3 and says CR7 on it - not sure about anything beyond that.  Very easy to use, quick - especially if you someone else to process and you can keep taking your views (we have 4 x size 2 plates), slower with dogs as we only have one of the size 4 & 5 plates at the moment.

Nothing really to add to Evelyn's post, sounds as though you've taken a sensible approach.

I assume this is the Durr digital reader you're using. I'm interested to know how you are finding it. I am currently looking into the options for going digital (yes I know I've been saying this for a long time, Evelyn!) and spoke to somebody who sells the Fire CR reader yesterday. He suggested to me that some people find the Durr one difficult to use, and obviously theirs is much more user friendly....is this just salesman's banter?

Thank you Evelyn, very much appreciate your thoughts.. As to equipment, I'm not 100% sure - its very new and provided by iM3 - looking at their website it looks like a Revolution 4DC with CR7 plates/software - lovely to use, still getting the hang of positioning, especially cat upper arcades.  

In relation to this cat, I did exactly as you said with 107, felt the same about 209 but left it as no gingivitis.  I was unsure about 304, I thought the root was resorbing but there were no issues on probing so I warned the owner this tooth may cause a problem in future and left it in place for today, and gave a good subgingival scale as there was a little more gum recession on this side.

No gingivitis over sites of lost 307/407 so left.

309 I felt the extent of root resorption and the moth eaten appearance in the centre  of the tooth justified extraction, which was mainly crown amputation (post extraction rads were taken and looked ok - just not posted here).  409 I didn't think looked quite as bad, I felt the roots were more visible although heading towards resorption, and again no gingivitis or lesions on probing - so like the canine I advised close monitoring, with a warning that this one is likely to cause problems in future.  With hindsight and longer to review rads, maybe this one should have come out today also although surgically unlike the others as still roots to remove.

I wasn't too concerned about movement in the symphysis, only really if one or both of the lower canines needed to come out in future to note it was present before I started the extraction rather than being as a result of it!

I spoke to the owner post rads/pre extractions to explain my plan, in case they were keen to have 304/409 out now to avoid another procedure further down the line but they were happy to monitor those and most of our vaccinated animals take up a free 6 month health check option which is very useful for this purpose.

I'll go first.....

I presume you just got rid of the 107.... "extraction" not applicable, more just a crown amputation (for those who insist on technical descriptions) and a bit of curettage.

108 and 109 look healthy.

208 and 209 I think are healthy.... 9 looks slightly odd, and I can't make out the palatal of 8, so might be resorption but my guess is that it's a quirk of positioning.

Upper canines a bit super-erupted.... no special treatment required.

Lower canine, some bone loss, roots both show resorption, slight or debatable in 404, much much more advanced in what I assume is the 304; which also shows much greater signs of periodontitis (bone loss). Its periodontal state indicates some attention, but I don't consider resorption in these teeth to be an indication for extraction unless and until it peeps out at the gingival margin. As, in this case, I rather think it does. I'd guess that an explorer just under the gum line on the mesial side would drop in to a big crater.

Sites of lost 407 and 307 may both be OK, but especially with 307 the bone looks a bit spikey. You will be able to palpate the bony protuberance at both these sites. If there is any suggestion of a red spot or blob at the 307 site i would make a tiny incision and curette the bone a little bit with a round diamond. (Grand technical term "perform an osteoplasty")

408 looks OK. 409 shows some resorption and distal bone loss. That's probably one to extract but I'd judge that by the physical appearance of the gingiva and also take the cat's habits, diet and lifestyle into account.

308 looks OK. 309 shows rather the same conditions as 409, perhaps slightly less.

Movement in the mandibular symphysis, in itself, is of no consequence in my opinion.

Thoughts for the future in this gallery: it might be an idea if the poster indicates the equipment used (though I am as bored as you are by those tedious and pretentious photographic forums where everybody seems to be compelled to attach stuff like "taken with my £6k Nikon Porsche KZDS 4:3 with retrofit 20-560 f1.4 Yamahahaha at f16.75 and 1/350s with Tonkin ND 2.8 in ultra-grey" )

If you right click and choose save image as it gives you the filename which helps with which side the view is of!