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'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" )