RESUMO
Many feline resorptive lesions are easily diagnosed by clinical oral examination, whereas others require dental radiographs. Radiographs can reveal the presence of resorption, and often the nature of the resorptive process as well. Removal of affected teeth when they cause discomfort, or of the portion of the tooth causing the discomfort, remains the only treatment that provides long-term resolution. Until we understand the etiology of the inciting causes and of the factors contributing to the progression of resorptive lesions, reliable prevention cannot be offered.
Assuntos
Doenças do Gato/diagnóstico por imagem , Extração Dentária/veterinária , Reabsorção de Dente/veterinária , Animais , Doenças do Gato/patologia , Doenças do Gato/cirurgia , Gatos , Radiografia Dentária/métodos , Radiografia Dentária/veterinária , Índice de Gravidade de Doença , Extração Dentária/métodos , Reabsorção de Dente/diagnóstico por imagem , Reabsorção de Dente/patologia , Reabsorção de Dente/cirurgiaRESUMO
Cat teeth with resorptive lesions and periodontitis may have a distinctly different clinical and radiographic appearance compared with teeth that have focal, lesion-associated gingivitis. A retrospective, case-controlled study was performed to determine the occurrence of root replacement in cats with resorptive lesions and associated periodontitis. Of 543 teeth evaluated with resorptive lesions, radiographic and/or clinical signs of periodontitis were identified in 236 (43.5%) teeth. Periodontitis was present in 43 of 275 (15.6%) teeth with root replacement and 193 of 268 (72.0%) teeth that had normal radiodensity and maintenance of the periodontal ligament. There was a significantly lower occurrence of root replacement in cat teeth with resorptive lesions and periodontitis.