Vetnuus | August 2024 41 Regulars I Dental Column Abscessation of the 104 (Figure 3), 106, 107, 204, 304 and 404 were found. Full-thickness mucoperiosteal flaps with alveolotomies were performed to visualize the roots of the canines. The 104 was extracted. Due to root resorption and ankylosis of 204, 304 and 404, coronectomies (crown amputations) were performed proximal to the abscesses (no periapical evidence of infection was present). Soft tissue and bone samples were collected from the maxilla and mandible for both histopathology and bacterial culture with antimicrobial sensitivity. Both mandibular third pre-molar teeth also had resorption (307, 407) and coronectomies were performed. The extraction and coronectomy sites were curetted and rinsed with saline. The mucoperiosteal flaps were closed with 5/0 Monocryl using a simple interrupted pattern. The patient received intra-operative cefazolin intravenously at a dose of 20 mg/kg, morphine intramuscularly at a dose of 0.2mg/ kg and meloxicam at a dose of 0.1mg/kg subcutaneously. The patient recovered uneventfully from the anaesthetic and was discharged the same day with meloxicam and cephalexin oral suspension for the time being awaiting culture results. Mycoplasma spp was isolated in moderate growth from the samples submitted. Haemophilus as well as Veillonella spp was also isolated. Antimicrobial therapy with either macrolides or fluoroquinolones was advised. The patient was started on azithromycin at 8mg/kg PO Q24h for 4 weeks. Histopathological findings were consistent with moderate ulcerative and lymphoplasmacytic to pyogranulomatous gingivitis with osteomyelitis. A conscious oral examination was performed 3 weeks after the extractions. The surgical sites healed well, with very little inflammation still present on the right maxilla at the levels of 104 and 106. The owner reported that the patient was doing well at home, eating well and that they did not observe any signs of pain. The swelling on the right maxilla was not noticeable anymore. In cats, periodontitis (especially around canine teeth) often leads to bone expansion. These lesions may be small with only 1-2 mm periodontal pockets as a consequence, or they can be large expansile lesions as was seen in this case. A thorough work-up is needed to distinguish these cases from the all too familiar oral squamous cell carcinomas. As was shown in this case, when these lesions are not caused by SCC, the outcome can be favourable with the correct treatment. v Veterinary Dentistry and Maxillofacial Surgery Referrals Veterinary Dentistry and Maxillofacial Clinic, Private Bag X04, Onderstepoort, 0110 Veterinary Dentistry and Maxillofacial Clinic, Onderstepoort Veterinary Academic Hospital, Faculty of Veterinary Science, University of Pretoria, Old Soutpan Road (M35), Onderstepoort, South Africa Tel: +27 (0)12 529 8276, Fax: +27 (0) 12 529 8479, e-mail: sadent@mweb.co.za, website: www.vetdentsa.co.za, Facebook: Vetdent SA Email: assistant@sava.co.za ADVERTISE IN VETNEWS MAGAZINE
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