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80 Cards in this Set

  • Front
  • Back

Enamel

o Covers crown


o Produced by ameloblasts before eruption


o Hardest substance in body


o 1-2 mm thick


o all form/there before it erupts, not after

Dentin

§ Found beneath enamel, extend to root tip


§ Makes up bulk of tooth


§ Produced by odontoblasts before and aftereruption


o Odontoblast- contains calcium and fluoride.Active all the time


§ Bone-like substance


§ Fills pulp chamber

Types of Dentin

§ Primary dentin- dentin produced before the toothhas erupted.


§ Secondary dentin- darker in color- changes withtime


§ Tertiary dentin- produced when teeth areinjured. To plug up hole- very dark brown


§ Adult- inside of tooth gets filled with secondary dentin


§ Lighter in color after eruption

Pulp cavity

§ Found in center of tooth


§ very big in young animals


§ Divided into two areas: Pulp chamber, Pulp canal/root canal

Pulp canal

§ Contains odontoblasts, connective tissue, bloodvessels, lymph vessels, nerves


§ Where it gets its nutrients


§ Vessels and nerves enter through apical delta(foramen)


§ Apical foramen- large hole at apex of root. Inyoung animals. Hole get smaller as the animal gets older


§ Diameter becomes reduced w/ dentin deposition

Periodontium

Supporting tissue structures that surround thetooth

Gingiva

o Protects tooth from trauma caused by chewing


Protects the neck of the tooth- gingival connectsto dentin. Very sensitive

Gingival margin

edge of free, nonattached gingiva

Gingival sulcus

space between gingival marginand gingival attachment to tooth

Crevicular fluid

contains antibodies to preventcolonization of bacteria. In the sulcus

Cementum

· Bone-like substance that covers tooth root


· Helps to anchor tooth in the bone socket

Periodontal ligaments

o Fibrous structures that insert into attachedgingiva, cementum, and alveolar bone to hold the tooth in place


o Fibers are elastic


Hold the tooth in the socket.

Alveolar bone

o Forms socket in which tooth sits


o Softer than regular bone

Coronal

towards the crown

Apical

towardsthe root/apex of root

Buccal


Labial

towards the cheek


towards the lips


Outside surface or the tooth

Palatal/


Lingual

towards the palate/


towards the tongue

Occlusal

the grinding surface of the tooth.

Mesial

towards the midline of the mouth

Distal

farther from the midline of the mouth

Supragingival

above the gum line

Subgingival

below the gum line

Incisorteeth

· Small, one root


· Occlude w/ opposite incisors


· Used for nibbling, tearing small pieces oftissue, grooming

Canine teeth

· Large, one root


· Override w/ opposite canine


· Used to grasp and tear w/ great force

Premolars

· Wide occlusal surface


· # of roots vary (1-3)


· Interdigitate w/ opposite premolars


· Used for tearing food

Molars

· Wide occlusal surfaces


· # of roots vary (1-3)

Herbivore teeth

·have broad occlusal surfaces forgrinding food


· Herbivore teeth are continuously growing(open-rooted)


Teethwear down as animal chews

Deciduous teeth


Eruption time

Eruptshortly after birth


2-8wks in puppies


2-6wks in kittens


Smallerthan permanent teeth, thinner wall, longer root

Deciduousteeth Dental formula

Dog 2(Di3/3Dc1/1Dp3/3)=28 Cat 2(Di3/3Dc1/1Dp3/2)=26

Permanentteeth eruption

Eruptat 2-7 months of age in dog


Eruptat 3½-6 months of age in cat

Permanentteeth Dentalformula

Dog 2(I3/3C1/1P4/4M2/3)=42 Cat 2(I3/3C1/1P3/2M1/1)=30

Normaldental occlusion in dogs

Scissorbite of the incisor teeth- upper occludes in front of bottom


Interdigitationof canine teeth


Interdigitationof premolar teeth


Mesiobuccalsurface of lower 1st molar occludes with palatal surface ofmaxillary 4th premolar

Anteriorcrossbite

Commonin dogs


Oneor more upper incisors occlude caudal to lower incisors

Posterior crossbite

Mandiblewider than normal at level of carnassialteeth


Lowercarnassials occlude buccal to upper ones

Malocclusion of canine teeth

Typicallycaused by the presence of retained deciduous canine teeth when permanentcanines erupt

Mandibularprognathism

Shortenedupper jaw (undershot jaw)


Characteristicof brachycephalic dog breeds Overcrowdingof teeth w/ tooth rotation Prematurewearing of tooth surface possible


Damageof soft tissues in lower jaw by incisors possible

Mandibularbrachygnathism

Shortenedlower jaw (overshot jaw)


Prematurewearing of tooth surfaces possible


Damageof soft tissues in oral cavity possible



Oligodontia

have less the normal amount of teeth

Polyodontia
more than the normal number of teeth

Retaineddeciduous teeth

Geneticabnormality in small dog breeds


Deciduoustooth remains alongside permanent tooth, buccal to it


Mustbe extracted to allow permanent tooth to move into its normal position

Enamelhypoplasia

Partialloss of normal enamel


Enamelis irregular, pitted, thinner than normal


Causedby systemic disturbances during tooth development


Abnormalformation of enamel before eruption


Malnutrition,fever, heavy parasitism, viral infections- can cause enamel defect at a few monthsold

Tetracyclinestaining

Causedby administration of tetracycline antibiotics to pregnant dam or growinganimals


Yellowish discoloration of dentin and enamelspace


Yellowdiscoloration of bones too

Periodontal Disease

Diseasecondition characterized by inflammation and destruction of the periodontaltissue that supports the tooth


Majorcause of tooth loss in dogs


effects85% of dogs and cats over 6 years of age


Periodontal disease is caused by plaque build up!!

Plaque

Plaqueis caused by bacterial attachment and reproduction on the tooth’s surface


1.Bacteria attaches to irregular tooth surface or contact points between teeth/gingiva


2. #of bacteria increase to form a visible, soft, creamy layer of semisolidmaterial over tooth


3.Plaque mineralizes to form hard, brown to yellow deposits called calculus (tartar)

Gingivitis

Stage1

Inflammationof the gum tissue around the crowns


Causedby bacterial toxins, the immune system’s reaction to the bacteria, and themechanical trauma cause by calculus


Clinicalsigns: red gingival margin, edemaof gingival tissue, gingivalbleeding, exudatefrom sulcus, fetidbreath

Periodontits

Stages2-4


Inflammationof subgingival periodontal structures


Firstobserved in animals 4-6 yrs. of age


Causedby extension of plaque buildup and inflammation begun at gingiva


progressivedestruction of periodontal ligaments, cementum, and alveolar bone ensue Resultingdamage may be irreversible

Stage 2

Up to 25% loss of tooth attachment

Initialperiodontal ligament & bone loss


Hyperplasiaand/or recession of gingival tissue


Subgingival/Per-iodontal pocket formation span

Stage3



Upto 50% loss of tooth attachment


Moderatebone loss


Rootsand furcations may be exposed Periodontalpockets deepen; intrabony pockets may form


Teethbecome mobile

Stage4
>50%loss of tooth attachment

Severebone loss


Heavytartar build; sometimes with necrotic tissue, blood, pus, fetid breath


Teeth often lost or need to be extracted

Toothattrition

wearing down of tooth from use

pulpitis

inflammation of the pulp chamber inside the tooth.


When the pulp tissue dies. Itchanged color to a purple grey-ish colored

Gingivalhyperplasia

overgrowth of the gum tissue.


Can be genetic or drug induced

Epulis

localizedswelling/growth on the gum.


Benign

Neoplasia

malignant cancers:


Malignantmelanoma


Squamouscell carcinoma


Fibrosarcoma

Malignantmelanoma

most common dental cancer in dogs.


pigmented

Squamous cell carcinoma

lookslike periodontal disease.


Eats away tissue and bone.


Most common in cats

Fibrosarcoma

visiblenodule,


Isolated to one area of the mouth

Gingivostomatitis

Severeinflammation of the soft tissues in the oral cavity of cats


Cat’smouth may be sore/painful


Oftenassociated w/ plaque build up


Seemsto be the result of a: u Hyperresponsiveimmune system, submucosal inflammatory cells present

FelineOdontoclastic Resorptive Lesions (FORL)/cervical line lesions/ neck lesions

Resorptionof cementum, dentin and enamel byodontoclasts


Lesionsoften hidden under gingival tissue or calculus


Buccalsurfaces of premolar and molar teeth most often involved


Treatedby extraction or crown amputation

Wound Healing

Dynamic process designed to restore tissuecontinuity in an injured area of the body

Phases of Wound Healing

1. Inflammatory/Debridementphase


2. Proliferative/Repairphase


3. Maturationphase

Inflammatory/Debridement phase

Beginsimmediately after injury


Initialhemorrhag = vasoconstriction


After 5-10 minutes = vasodilation w/ leakage of clotting proteins


After6 hours =WBC’s leak into the wound

Proliferative/Repair phase

· Usually starts 3-5 days after the injury


· Fibroblasts and new capillaries invade the wound


· Granulation tissue formation proliferating pinkish,granular mass of fibroblasts and capillaries


· New epithelial cells begin to reproduce at theedge of the wound


· At 5-9 days, special fibroblasts in thegranulation tissue pull the wound edges together

Maturation phase

· Begins approximately 4 weeks after the injury · There is remodeling of the fibrous tissue in thescar to increase wound strength

Clean wound

Surgical wounds created under aseptic conditions

Clean-contaminated wound

Minimal contamination; level of contaminationcan be reduced or removed

Contaminated wound

Heavy contamination present-


presence of foreignmaterial

Infected wound

Contaminated wounds colonized by bacteriaexhibiting varying degrees of inflammation, pus formation and necrotic tissue

Debridement

o Removal of adhered debris and dead tissue


o Can be performed with scalpel/scissors or usinggauze sponge bandages (dry-to-dry or wet-to-dry)

Drains

Surgical implant that provides a channel forfluid or gas to drain from the wound

Primary closure

· The wound is suture closed


· Performed on fresh wounds w/ minimal tissuedamage and contamination


Clean or clean-contaminated wounds

Delayed primary closure

· Wound remains open for 1-5 days before closure


· Performed on moderately contaminated ortraumatized wounds


· Closure performed before granulation tissueforms

Second-intention wound healing

· The wound is left open to heal on its own


· Old wounds w/ significant tissue damage/loss orvery dirty and contaminated

Third-intention wound healing/Secondaryclosure

· The wound is sutured closed after a bed ofgranulation tissue has formed (5 or more days after initial wound occurred)


Used in severely contaminated or traumatizedwounds

Factors that affect wound healing

Host Factors


Wound Characteristics


Externalfactors

Immediate open wound care

· Cover open wound w/ clean, dry bandage until itcan be treated


· Desensitize wound by applying lidocaine-soakedgauze for 1-2 minutes


· Clip hair around wound -Keep clipped hair from falling into open wound


· Lavage wound with sterile fluid if necessary


Scrub wound edges for surgical closure

Wound characteristics

· Foreign material-- increasesthe extent of the inflammatory reaction and inhibits the animal’s immune system


· Necrotic tissue-- must be removed from a woundbefore healing can occur


Dead space and fluid accumulation-- impair woundhealing and increase risk of infection

Indications/reason to spay

· Sterilization of the female dog or cat


· Elimination of estrous cycle


· Treatment/Prevention of infections of thereproductive tract


· Treatment/Prevention of cancer


· Traumatic injuries to uterus

Disadvantagesof performing OVH

can’t reproduce


urinary incontinence



Alopeica

Postoperativecare

· Restrict exercise until external sutures areremoved (or 2 wks.)


· Keep pet clean and dry


· Inspect surgical site daily


· Report any abnormalities to the veterinarian