Animals are often times neglected when it comes to dental care, and that could lead to a variety of issues with the gums and teeth. When there is something severe, a variety of different issues could end up becoming a problem. Surgery can help fix several problems when they arise, which is why it’s imperative to bring your pet in when something is wrong with their teeth. At Atlas Animal Hospital we can help diagnose and treat the issue, we can help get your pet back on track with dental issues. Finding out what’s bothering your pet is our #1 concern, that is why we are the number one choice of vets in Vancouver.
Dogs – Dental prophylaxis is commonly performed to remove tartar and treat periodontal disease. This procedure is usually performed under anesthesia. Other common procedures include extraction of abscessed or broken teeth, extraction of deciduous teeth, root canals, and removal of gingival hyperplasia and epulides.
Cats – Dental prophylaxis as described above for the dog and treatment and extraction of teeth with feline odontoclastic resorptive lesions (FORLs)
Is major Oral Surgery the right option for my pet? It depends, if it is life saving due to an accident or major trauma, then yes. If the pet has oral and maxillofacial tumors then it is also a life saving operation. The correct evaluation is paramount, that is why at Atlas Animal Hospital we use the latest technology to assess your pet and all of the diagnostic testing in completed on site so that we may determine the best course of action for your four pawed friend.
We then work with you to make the difficult decisions easier.
Different Oral Surgeries:
Chronic Ulcerative Paradental Stomatitis (CUPS) or Contact Mucositis: is seen on the buccal mucosa that overlie the teeth, especially in the area of the maxillary canine tooth, fourth premolar and the lateral edge of the tongue. Severe ulceration can occur together with gingival recession.
Feline Lymphoplasmacytic Gingivitis Stomatitis Complex: Feline lymphoplasmacytic gingivitis stomatitis complex is a poorly understood condition. It presents as erythematous, ulcerative lesions of the gingiva, buccal mucosa, lips, palatoglossal folds and the lateral pharyngeal walls. No clear aetiology has yet been discovered but many different causes of the condition have been proposed. These include hypersensitivity to oral antigens and bacterial infections including those caused by Porphyromonas sp and Haemobartonella henselae.
Jaw Fracture: In healthy cats and dogs, a large force (trauma) is required to fracture the mandible (lower jaw). A fracture is a break in the bone and can range in severity from a greenstick (incomplete crack) fracture to severe comminution (many pieces). Vehicular trauma is the most common cause of mandibular fractures. Due to the intensity of trauma associated with mandibular (lower jaw), maxillary (upper jaw), or skull fractures, the injuries may not be limited to the facial region and pets often require treatment for other injuries before the fracture is definitively addressed. Your primary care veterinarian may recommend radiographs of other parts of the body before focusing on the mandible. Thoracic (chest) injuries often occur concomitantly and may manifest as pulmonary contusions (bruising of the lungs), pneumothorax (punctured lung), diaphragmatic hernia, and traumatic myocarditis (bruising of the heart causing arrhythmias). It is very important to assess the whole body first as these other injuries could be life threatening.
Oral Tumors: Tumors in the mouth are common in dogs and cats, but may not be initially obvious to the owner. Tumors are classified as benign or malignant. There are also other causes of swelling of tissues in the mouth – gingival hyperplasia (generalized overgrowth of the gum tissue) is common in dogs and occasionally cats, and is not a tumor. Other non-tumorous causes of swelling of oral tissues include local infection or collection of saliva from a damaged salivary gland. Benign tumors do not spread to other parts of the body, and generally grow more slowly than malignant tumors. Malignant tumors (cancer) invade the tissues adjacent to the tumor and may spread to other parts of the body. Sometimes even aggressive treatment is not successful.
Temporomandibular joint (TMJ) Ankylosis is characterized by difficulty or inability to open the mouth. The ankylosis may be articular (‘true’) or extra-articular (‘false’). Clinical signs, radiographic studies, treatment and follow-up are presented in a retrospective study involving five cats and five dogs. The findings were compared with TMJ ankylosis in humans. CT imaging with three-dimensional reconstruction proved to be of great value in determining the extent of the abnormalities and helped with preoperative planning. Articular TMJ ankylosis occurred in six animals and extra-articular TMJ ankylosis was found in the other four cases. In three cats and in three dogs, the TMJ ankylosis was trauma related; the remaining patients were diagnosed with a tumour. Resection of ankylosing tissue in false ankylosis or gap arthroplasty in true ankylosis was successful in all of the trauma induced cases. In the two cats, with tumour related ankylosis, the ankylosis was caused by an osteoma and resection had a good prognosis, whereas the two dogs had to be euthanatized.
Dentigerous Cysts: are an infrequently occurring cancer-like lesion arising from the cellular components of the developing dental follicle. It is often associated with the crown of an unerupted permanent tooth. Dentigerous cysts arise from the epithelial remnants of the enamel organ or the reduced enamel epithelium that surrounds the crown during odontogenesis. They subsequently enclose the crown of the unerupted tooth and are attached to the tooth at the cemento-enamel junction. Dentigerous cysts are usually a developmental problem due to a physical barrier (impacted tooth) or a lack of eruptive forces (embedded tooth). Rare iatrogenic cases have been reported following the extraction of a deciduous tooth.