Would appreciate opinions on clinical aspect of above full mouth rads in 10 year old FN DLH. One obvious lesion grossly was reason for GA and dental work (107), numbering of files is just one tooth within that view to orientate not a tooth that necessarily has any concern. There was minimal tartar and no gingivitis with exception of 107, no pain on probing. Some recession by 304 and some movement in mandibular symphysis. No issues from owners point of view, normal cat, picked up dental disease on examination for unrelated issue. I think there are a few other issues but would appreciate more experienced opinions and what would you have done!? Many thanks.. Mark
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.