Tooth resorption, formerly termed resorptive lesions, is a phenomenon that results in painful erosions in the surface of the tooth as well as/or bony replacement of the roots. This condition most commonly occurs in feline patients; however, dogs (as well as even humans) are also at risk.
Three out of every four cats over the age of five are affected by Feline Tooth Resorption. The condition is less common in dogs but is certainly not considered rare. Over time, if the crown of the tooth is affected, the dentin, as well as the nerve, can become exposed, resulting in chronic pain as well as infection.
If left untreated for a long enough period, the crown can break resulting in tooth loss. Active research is being conducted; however, the cause of tooth resorption remains unknown. Different mechanisms are suspected.
How is tooth resorption treated?
Once a patient has been diagnosed with tooth resorption, radiographs (X-rays) are necessary to determine treatment. Unfortunately, nothing can be done to stop the resorptive process, as well as fillings tend to fall out.
In some cases, the distinction between the tooth as well as the neighboring bone is very clear (called a type 1 lesion), as well as the tooth can be extracted completely. In other cases, the bone surrounding the root has invaded the tooth, as well as a clear distinction, where the tooth begins as well as the bone ends, is not possible (termed a type 2 lesion). In these cases, a procedure called “crown amputation with intentional root retention” is performed.
Essentially, the painful components of the crown are removed, as well as root remnants are left in place to continue to resorb. Normally root material is not left behind in dental procedures; type 2 tooth resorption lesions are the exception. X-rays are always taken of the site following extraction as well as/or crown amputation to ensure all appropriate tooth material has been removed.
How will my pet do after treatment?
Regardless of treatment options, the vast majority of the patients are going to be sent home with pain medication as well as antibiotics following the procedure. Softened as well as canned food is going to be recommended for 7 days to 10 days following the procedure. Refer to the discharge instructions provided specifically for your pet.
Despite having a dental procedure, most patients recover quickly as well as are back to normal within 24 hours to 48 hours of the procedure; even though, recovery for some patients may take a little longer. Once a patient develops tooth resorption, more teeth are likely to be affected.
To sum it up
As there is no known cure for this disease as well as no known way to prevent it, an annual oral exam, as well as radiographic monitoring of the teeth, are recommended at Veterinary Dental Care to make sure your pet’s mouth remains healthy as well as comfortable. After the healing period of 10-14 days, daily brushing is also recommended to help minimize any inflammation secondary to the influence of periodontal disease. Contact us for further information!
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