RESUMO
Domestic dog breeds exhibit remarkable morphological variations that result from centuries of artificial selection and breeding. Identifying the genetic changes that contribute to these variations could provide critical insights into the molecular basis of tissue and organismal morphogenesis. Bulldogs, French Bulldogs and Boston Terriers share many morphological and disease-predisposition traits, including brachycephalic skull morphology, widely set eyes and short stature. Unlike other brachycephalic dogs, these breeds also exhibit vertebral malformations that result in a truncated, kinked tail (screw tail). Whole genome sequencing of 100 dogs from 21 breeds identified 12.4 million bi-allelic variants that met inclusion criteria. Whole Genome Association of these variants with the breed defining phenotype of screw tail was performed using 10 cases and 84 controls and identified a frameshift mutation in the WNT pathway gene DISHEVELLED 2 (DVL2) (Chr5: 32195043_32195044del, p = 4.37 X 10-37) as the most strongly associated variant in the canine genome. This DVL2 variant was fixed in Bulldogs and French Bulldogs and had a high allele frequency (0.94) in Boston Terriers. The DVL2 variant segregated with thoracic and caudal vertebral column malformations in a recessive manner with incomplete and variable penetrance for thoracic vertebral malformations between different breeds. Importantly, analogous frameshift mutations in the human DVL1 and DVL3 genes cause Robinow syndrome, a congenital disorder characterized by similar craniofacial, limb and vertebral malformations. Analysis of the canine DVL2 variant protein showed that its ability to undergo WNT-induced phosphorylation is reduced, suggesting that altered WNT signaling may contribute to the Robinow-like syndrome in the screwtail breeds.
Assuntos
Anormalidades Craniofaciais/veterinária , Proteínas Desgrenhadas/genética , Doenças do Cão/genética , Cães/genética , Nanismo/veterinária , Deformidades Congênitas dos Membros/veterinária , Anormalidades Urogenitais/veterinária , Sequência de Aminoácidos , Animais , Anormalidades Craniofaciais/genética , Anormalidades Craniofaciais/metabolismo , Proteínas Desgrenhadas/metabolismo , Doenças do Cão/metabolismo , Cães/anatomia & histologia , Cães/classificação , Nanismo/genética , Nanismo/metabolismo , Feminino , Mutação da Fase de Leitura , Variação Genética , Estudo de Associação Genômica Ampla , Humanos , Deformidades Congênitas dos Membros/genética , Deformidades Congênitas dos Membros/metabolismo , Masculino , Compostos de Organossilício , Homologia de Sequência de Aminoácidos , Especificidade da Espécie , Cauda/anatomia & histologia , Anormalidades Urogenitais/genética , Anormalidades Urogenitais/metabolismo , Via de Sinalização Wnt/genéticaRESUMO
OBJECTIVE: To report the signalment, staging, surgical treatment, and survival time of juvenile dogs treated surgically for oral squamous cell carcinoma (OSCC). STUDY DESIGN: Retrospective study. ANIMALS OR SAMPLE POPULATION: Twenty-five dogs, <2 years of age with OSCC treated with surgery. METHODS: Cases were solicited from the Veterinary Society of Surgical Oncology. Data retrieved included sex, breed, age, weight, clinical signs, tumor location, preoperative diagnostics and staging, histopathological diagnosis with margin evaluation, disease-free interval, and date and cause of death. A minimum follow-up time of 3 months was required for inclusion. RESULTS: Eighteen dogs were <12 months of age, and seven were <24 months. Various breeds were represented, with a mean body weight of 22.3 ± 14.4 kg. No dogs had evidence of metastatic disease prior to surgery. All dogs underwent partial maxillectomy or mandibulectomy. Histological margins were complete in 24 dogs and incomplete in one. No dogs had evidence of metastatic disease or tumor recurrence. The median follow-up time was 1556 days (92 to 4234 days). All dogs were alive at the last follow-up except for one documented death, due to dilated cardiomyopathy. Median disease-specific survival time was not reached. CONCLUSION: The prognosis after wide surgical excision of OSCC in juvenile dogs was excellent. CLINICAL SIGNIFICANCE: OSCC in juvenile dogs can be effectively treated with surgery alone.
Assuntos
Doenças do Cão/cirurgia , Neoplasias de Cabeça e Pescoço/veterinária , Carcinoma de Células Escamosas de Cabeça e Pescoço/veterinária , Fatores Etários , Animais , Doenças do Cão/diagnóstico , Cães , Feminino , Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias de Cabeça e Pescoço/cirurgia , Masculino , Prognóstico , Estudos Retrospectivos , Carcinoma de Células Escamosas de Cabeça e Pescoço/diagnóstico , Carcinoma de Células Escamosas de Cabeça e Pescoço/cirurgia , Resultado do TratamentoRESUMO
Molar apical elongation (MAE) was the leading cause for euthanasia or death in a captive breeding colony of endangered Amargosa voles ( Microtus californicus scirpensis). Clinical signs included ocular discharge, abnormal mastication, dyspnea, abnormal mentation, weight loss, and death. Although the severity varied, all molars in all quadrants were affected. When severe, the overgrown molar reserve crown and apex protruded into the nasal meatuses, the orbit, the calvarial vault and through the ventral margin of the mandible. Overall prevalence in the colony was 63% (92/146 voles) and increased to 77% in aged voles (>1 year). Mean age of onset was 5.3 months (1.7-11.2 months). Progression to extreme severity occurred over 1 to 3 months. Mean survival was 10.9 months (7.1-21.7 months). Histologically, the lesion was characterized by odontogenic hyperplasia and dysplasia. MAE was also documented in museum specimens of 2 other M. californicus subspecies ( M. californicus californicus, M. californicus vallicola) and 3 other Microtus species ( M. montanus, M. pennsylvanicus, M. socialis). In the M. californicus californicus collection, overall prevalence was 35.1% (129/368 skulls) and increased to 77.3% in aged voles (>1 year). A probable genetic influence was identified in the museum collection of M. californicus californicus. The etiopathogenesis of MAE is likely multifactorial, due to (1) inherent continuous odontogenic proliferation, (2) inadequate occlusal attrition, and (3) possible heritable disease susceptibility. In captivity, dietary or other management of occlusal attrition to prevent or delay MAE is a fundamental concern.
Assuntos
Odontodisplasia/veterinária , Doenças dos Roedores/diagnóstico por imagem , Animais , Arvicolinae , Cruzamento , Feminino , Masculino , Dente Molar/diagnóstico por imagem , Dente Molar/patologia , Odontodisplasia/diagnóstico por imagem , Odontodisplasia/patologia , Doenças dos Roedores/patologia , Microtomografia por Raio-X/veterináriaRESUMO
OBJECTIVE: To describe the application of 3-dimensional (3D) printing in advanced oral and maxillofacial surgery (OMFS) and to discuss the benefits of this modality in surgical planning, student and resident training, and client education. STUDY DESIGN: Retrospective case series. ANIMALS: Client-owned dogs (n = 28) and cats (n = 4) with 3D printing models of the skulls. METHODS: The medical records of 32 cases with 3D printing prior to major OMFS were reviewed. RESULTS: Indications for 3D printing included preoperative planning for mandibular reconstruction after mandibulectomy (n = 12 dogs) or defect nonunion fracture (n = 6 dogs, 2 cats), mapping of ostectomy location for temporomandibular joint ankylosis or pseudoankylosis (n = 4 dogs), assessment of palatal defects (n = 2 dogs, 1 cat), improved understanding of complex anatomy in cases of neoplasia located in challenging locations (n = 2 dogs, 1 cat), and in cases of altered anatomy secondary to trauma (n = 2 dogs). CONCLUSION: In the authors' experience, 3D printed models serve as excellent tools for OMFS planning and resident training. Furthermore, 3D printed models are a valuable resource to improve clients' understanding of the pet's disorder and the recommended treatment. CLINICAL RELEVANCE: Three-dimensional printed models should be considered viable tools for surgical planning, resident training, and client education in candidates for complex OMFS.
Assuntos
Doenças do Gato/cirurgia , Doenças do Cão/cirurgia , Procedimentos de Cirurgia Plástica/veterinária , Impressão Tridimensional , Cirurgia Bucal/métodos , Animais , Anquilose , Gatos , Cães , Estudos Retrospectivos , Transtornos da Articulação TemporomandibularRESUMO
OBJECTIVE: To describe internal fixation for maxillofacial fractures using titanium miniplates and report outcome in 7 dogs. STUDY DESIGN: Prospective case series. ANIMALS: Skeletally mature dogs (n = 7) with maxillofacial fractures. METHODS: After CT evaluation of fracture configuration, using a combination of extraoral and intraoral approaches as needed, non-locking titanium miniplates were contoured to match the normal anatomy of the fractured bones. Plates were secured using non-locking titanium screws and then covered with a soft-tissue envelope followed by routine intraoral and extraoral closure. RESULTS: Fractures healed rapidly after reconstruction with immediate return to normal function and occlusion. Follow-up time of up to 94 months indicated excellent long-term function and general lack of complications. One dog developed nasal aspergillosis 1.5 years after surgery and the miniplates were removed without adverse consequences. CONCLUSION: Internal fixation for maxillofacial reconstruction using titanium miniplates is an excellent solution for the treatment of comminuted and displaced maxillofacial fractures in dogs.
Assuntos
Placas Ósseas/veterinária , Cães/lesões , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Traumatismos Maxilofaciais/veterinária , Animais , Parafusos Ósseos/veterinária , Cães/cirurgia , Feminino , Consolidação da Fratura , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Masculino , Traumatismos Maxilofaciais/diagnóstico por imagem , Traumatismos Maxilofaciais/cirurgia , Estudos Prospectivos , Procedimentos de Cirurgia Plástica/veterinária , Titânio , Tomografia Computadorizada por Raios X/veterináriaRESUMO
OBJECTIVE: To report a staged approach that includes selective dental extractions before definitive double-layer hard palate defect closure in dogs. STUDY DESIGN: Retrospective case series. ANIMALS: Dogs (n = 6) with a palatal defect. METHODS: Dogs had selective maxillary teeth extractions 4-8 weeks before definitive hard palate defect repair by double-layer local full-thickness mucosal flaps. RESULTS: All palatal defects were considered complex. Complete hard palate closure was achieved after initial attempt in 3 dogs; 2 dogs had revision surgery before complete closure, and in 1 dog, closure failed and further treatment was declined. No complications or long-term consequences were associated with selective dental extractions. CONCLUSIONS: Selective dental extractions before definitive surgical repair using mucosal flaps in a double-layer approach is an effective alternative when treating complex hard palate defects in dogs.
Assuntos
Fissura Palatina/veterinária , Doenças do Cão/cirurgia , Retalhos Cirúrgicos/veterinária , Extração Dentária/veterinária , Animais , Fissura Palatina/diagnóstico por imagem , Fissura Palatina/cirurgia , Doenças do Cão/diagnóstico por imagem , Cães , Feminino , Masculino , Palato Duro/cirurgia , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/veterinária , Resultado do TratamentoRESUMO
OBJECTIVE: To evaluate craniomaxillofacial abnormalities in dogs with congenital palatal defects. STUDY DESIGN: Retrospective computed tomography (CT) study. ANIMALS: Dogs with congenital palatal defects (n = 9). METHODS: Medical records and CT reports (1995-2012) were searched for dogs with a diagnosis of cleft palate that had a CT study. Data retrieved were: breed, age, sex, weight, physical examination, and laboratory findings, number of previous palate surgeries, and oral/dental examination findings with the diagnosis of the cleft for each dog. CT studies of the head were reviewed on a structure-by-structure basis. RESULTS: Tympanic bullae were most commonly found to be abnormal (8 dogs), followed by nasal turbinates (6), nasal septum, vomer, cribriform plate (4), frontal sinuses, and lateral ventricles (3). Other abnormalities were related to occlusion, teeth, incisive bones, maxillary bones, mandibles, hyoid apparatus, cranial bones, and nasopharynx. The soft tissue defect of the cleft was always smaller than the bony defect. CONCLUSIONS: Craniomaxillofacial abnormalities in dogs with congenital palatal defects are common and some of these may negatively affect the quality of life. Importantly for surgical planning, the soft tissue component of the cleft may underestimate the extent of the bony defect, especially in failed repairs.
Assuntos
Anormalidades Múltiplas/veterinária , Fissura Palatina/veterinária , Doenças do Cão/diagnóstico por imagem , Anormalidades Múltiplas/diagnóstico por imagem , Animais , Fissura Palatina/complicações , Fissura Palatina/diagnóstico por imagem , Fissura Palatina/cirurgia , Doenças do Cão/cirurgia , Cães , Feminino , Masculino , Maxila/anormalidades , Septo Nasal/anormalidades , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/veterináriaRESUMO
OBJECTIVE: To describe a surgical technique using a regenerative approach and internal fixation for reconstruction of critical size bone defect non-union mandibular fractures. STUDY DESIGN: Case series. ANIMALS: Dogs (n = 6) that had internal fixation of defect non-union mandibular fracture. METHODS: In 5 dogs, the repair was staged and extraction of teeth performed during the initial procedure. After 21-98 days (mean, 27 days) pharyngotomy intubation and temporary maxillomandibular fixation were performed. Using an extraoral approach, a locking titanium miniplate was contoured and secured to the mandible. A compression resistant matrix (CRM) infused with rhBMP-2 was implanted in the defect. The implant was then covered with a soft tissue envelope followed by surgical wound closure. RESULTS: All dogs healed with intact gingival covering over the mandibular fracture site defect and had immediate return to normal function and correct occlusion. Hard-tissue formation was observed clinically within 2 weeks and solid cortical bone formation within 3 months. CT findings in 1 dog at 3 months postoperatively demonstrated that the newly regenerated mandibular bone had 92% of the bone density and porosity compared to the contralateral side. Long-term follow-up revealed excellent outcome. CONCLUSION: Mandibular reconstruction using internal fixation and CRM infused with rhBMP-2 is an excellent solution for the treatment of critical size defect non-union fractures in dogs.
Assuntos
Proteína Morfogenética Óssea 2/uso terapêutico , Cães/lesões , Fraturas não Consolidadas/veterinária , Fraturas Mandibulares/veterinária , Fator de Crescimento Transformador beta/uso terapêutico , Animais , Cães/cirurgia , Fixação Interna de Fraturas/veterinária , Consolidação da Fratura , Fraturas não Consolidadas/cirurgia , Técnicas de Fixação da Arcada Osseodentária/veterinária , Fraturas Mandibulares/diagnóstico por imagem , Fraturas Mandibulares/cirurgia , Reconstrução Mandibular/veterinária , Proteínas Recombinantes/uso terapêutico , Procedimentos de Cirurgia Plástica/veterinária , Tomografia Computadorizada por Raios X/veterinária , Resultado do TratamentoRESUMO
OBJECTIVE: To describe a surgical technique using a regenerative approach and internal fixation for immediate reconstruction of critical size bone defects after segmental mandibulectomy in dogs. STUDY DESIGN: Prospective case series. ANIMALS: Dogs (n = 4) that had reconstruction after segmental mandibulectomy for treatment of malignant or benign tumors. METHODS: Using a combination of extraoral and intraoral approaches, a locking titanium plate was contoured to match the native mandible. After segmental mandibulectomy, the plate was secured and a compression resistant matrix (CRM) infused with rhBMP-2, implanted in the defect. The implant was then covered with a soft tissue envelope followed by intraoral and extraoral closure. RESULTS: All dogs that had mandibular reconstruction healed with intact gingival covering over the mandibular defect and had immediate return to normal function and occlusion. Mineralized tissue formation was observed clinically within 2 weeks and solid cortical bone formation within 3 months. CT findings at 3 months showed that the newly regenerated mandibular bone had â¼50% of the bone density and porosity compared to the contralateral side. No significant complications occurred. CONCLUSION: Mandibular reconstruction using internal fixation and CRM infused with rhBMP-2 is an excellent solution for immediate reconstruction of segmental mandibulectomy defects in dogs.
Assuntos
Proteína Morfogenética Óssea 2/uso terapêutico , Mandíbula/fisiologia , Osteotomia Mandibular/veterinária , Fator de Crescimento Transformador beta/uso terapêutico , Animais , Placas Ósseas/veterinária , Regeneração Óssea , Substitutos Ósseos , Doenças do Cão/cirurgia , Cães , Humanos , Mandíbula/cirurgia , Doenças Mandibulares/cirurgia , Doenças Mandibulares/veterinária , Reconstrução Mandibular/veterinária , Estudos Prospectivos , Proteínas Recombinantes/uso terapêutico , Procedimentos de Cirurgia Plástica/veterináriaRESUMO
Museum skull specimens from 224 Arctic foxes (Vulpes lagopus) were examined macroscopically using an established protocol for examination of mammalian skull specimens. Foxes were collected from coastal and island regions of Alaska, USA, except for two individuals. Collection years ranged from 1931 to 2016 with most specimens collected during the 1950s and 1960s. The study population comprised more females (n = 134, 59.8%) than males (n = 83, 37.0%) and individuals of unknown sex (n = 7, 3.1%). There were 108 (48.2%) young adults, 115 (51.3%) adults, and one (0.4%) individual of unknown age. A total of 8,891 teeth (94.5%) were available for examination. The most common types of pathology observed were periodontitis (n = 222, 99.1%), dental fractures (n = 175, 78.1%) and attrition/abrasion (n = 198, 88.4%). Periapical lesions (n = 12, 5.3%), temporomandibular joint (TMJ) osteoarthritis (n = 3, 1.3%) and root number variation (n = 5, 2.2%) were less common. Enamel hypoplasia was noted in eight foxes (3.6%), all of which were discovered on St. Matthew Island, Alaska, in 1963. As in other canid species, periodontitis, attrition/abrasion and tooth fractures are common in the Arctic fox, while TMJ pathology is rare. Loss of tooth crown substance probably reflects the influence of diet, interspecific and conspecific aggression and oral trauma due to trapping and hunting methods. The high prevalence of periodontitis is probably also due to the combined effects of diet, genetics and host immune reaction to oral bacteria.
Assuntos
Periodontite , Transtornos da Articulação Temporomandibular , Dente , Feminino , Masculino , Animais , Raposas , Articulação Temporomandibular/patologia , Dente/patologia , Periodontite/epidemiologia , Periodontite/patologia , Periodontite/veterinária , Transtornos da Articulação Temporomandibular/veterináriaRESUMO
BACKGROUND/AIM: A feline inductive odontogenic tumor (FIOT) is a rare type of tumor that is unique to young cats. CASE REPORT: Herein, we report on three cats (aged 6 months to 2.5 years) that had a bulging mass on the maxilla. On diagnostic imaging, cases 1 and 3 had bone expansion in the affected area, and all three cats were diagnosed with FIOT by histological examination. Maxillectomy and/or incisivectomy techniques were performed according to the tumor site with an intended surgical margin of 5 mm. To increase both precision and safety, a piezoelectric surgical instrument was used. The local advancement flaps were used to repair the surgical sites. The surgical outcomes were excellent, and there were no major complications related to the surgery or tumor recurrences during long-term follow-up (3-5 years) for any of the cats. CONCLUSION: The results from this study were excellent, which may have been due in part to the choice of the surgical instrument that allowed for the implementation of precise and accurate surgical excision and the tension-free flap method for preventing dehiscence of the surgical site.
Assuntos
Recidiva Local de Neoplasia , Tumores Odontogênicos , Gatos , Animais , Tumores Odontogênicos/diagnóstico por imagem , Tumores Odontogênicos/cirurgia , Maxila/diagnóstico por imagem , Maxila/cirurgia , Maxila/patologia , Retalhos Cirúrgicos/patologia , Resultado do TratamentoRESUMO
Museum skull specimens from 318 island foxes (Urocyon littoralis) were examined macroscopically according to predefined criteria. The study population included males (n = 129, 40.6%), females (n = 93, 29.3%) and animals of unknown sex (n = 96, 30.2%), and comprised 182 (57.2%) adults, 118 (37.1%) young adults and 18 (5.7%) individuals of unknown age, with juveniles and neonates excluded. The number of teeth present for examination was 11,438 (85.6%) with 1918 (14.4%) absent artefactually, 4 (0.03%) absent congenitally and 243 (1.82%) lost ante mortem through acquired tooth loss. There were seven persistent deciduous teeth (0.05%) in three specimens and 11 supernumerary teeth (0.08%) in 10 specimens. Teeth with extra roots were found in 38 skulls (11.9%) with 0.48% of all teeth affected. Two (0.63%) specimens had one tooth with an abnormal form. Fifty-eight (18.2%) specimens had bone fenestrations. Of the alveoli examined, 5361 (46.9%) displayed bony changes suggestive of periodontitis, with 315 (99.1%) of skulls affected. Of the teeth available for examination in 310 specimens (97.5%), most (n = 6,040, 52.8%) had some degree of attrition or abrasion. Fractures affected 1217 (11.0%) of the teeth present in 266 specimens (83.6%). Twenty-three periapical lesions (0.20%) were present in 16 skulls (5.03%). Evidence of temporomandibular joint osteoarthritis was found in seven specimens (0.02%) on either the mandibular head of the condylar process or on the mandibular fossa of the temporal bone.
Assuntos
Transtornos da Articulação Temporomandibular , Doenças Dentárias , Dente , Feminino , Masculino , Animais , Raposas , Doenças Dentárias/veterinária , Doenças Dentárias/patologia , Articulação Temporomandibular/patologia , Dente/patologia , Transtornos da Articulação Temporomandibular/veterináriaRESUMO
Skulls from 305 red foxes (Vulpes vulpes) were examined using predefined criteria to assess for the presence and severity of dental and temporomandibular joint (TMJ) pathology. Of the 305 specimens examined, 131 were male (42.9%), 103 were female (33.4%), 71 were of unknown sex (23.3%), 238 were adults (78.03%) and 67 were young adults (21.97%), with juveniles excluded from the study. Of a maximum of 12,810 possible teeth, 12,355 (96.5%) were present for examination, 72 (0.6%) were absent congenitally, 97 (0.8%) were acquired tooth loss and 280 (2.2%) were absent artefactually. Eight teeth (0.06%) in five specimens (1.6%) had abnormal tooth form and four (0.03%) supernumerary teeth were present across four (1.3%) specimens. Ten persistent deciduous teeth were present in seven (2.3%) specimens and six (0.05%) unerupted teeth were found in four (1.1%) specimens. Root number variation was present in 51 (0.4%) teeth, predominantly premolar teeth. Twenty-one (6.9%) specimens had lesions consistent with enamel hypoplasia and 42 (13.8%) showed root fenestrations in the maxillary alveolar bone. Periodontitis and attrition/abrasion were present in most specimens (56.7% and 96.1%, respectively). Three-hundred and eighty (3.1%) teeth were fractured, with the most common fracture type being root fractures. Eleven periapical lesions were found in nine (0.03%) specimens. Six-hundred and eight TMJs were evaluated and many specimens (11.5%) had evidence of low-grade TMJ osteoarthritis. Overall, these red foxes share similar dental pathology to other foxes, but had a higher prevalence of congenital tooth absence, persistent deciduous teeth, TMJ pathology and enamel hypoplasia.
Assuntos
Hipoplasia do Esmalte Dentário , Doenças Dentárias , Dente , Feminino , Masculino , Animais , Raposas , Hipoplasia do Esmalte Dentário/patologia , Hipoplasia do Esmalte Dentário/veterinária , Doenças Dentárias/epidemiologia , Doenças Dentárias/veterinária , Doenças Dentárias/patologia , Articulação Temporomandibular/patologia , Dente/patologiaRESUMO
Management of complications of fracture fixation in the oromaxillofacial (OMF) region may present a diagnostic and therapeutic challenge. While titanium and stainless steel implants have been utilized in successful fracture fixation in the OMF region, the use of titanium implants is preferred due to the superior intrinsic properties of titanium. Nonetheless, stainless steel materials are still used due to their availability and familiarity. In the present methods report, we describe our approach to the management of failed stainless steel plates and screws used to treat traumatic injuries in the OMF region. Furthermore, we exemplify our approach with five dogs that exhibited complications of stainless steel implants in the OMF region and their subsequent management. In those cases, all failed implants were removed. Reconstruction with a combination of recombinant human bone morphogenetic protein-2 (rhBMP-2) and titanium implants was utilized in two cases while a mandibulectomy was performed in one case. Three cases required removal of the stainless-steel implant with no additional surgical therapy. We conclude that the success of treatment of failed stainless steel implants depends on the use of advanced imaging findings, appropriate antimicrobial therapy, as well as potentially regenerative reconstructive surgery.
RESUMO
Museum skull specimens represent a non-invasive, informative, and readily available means to study temporomandibular joint (TMJ) lesions, dental pathology, and anatomic variations in many mammalian species. Studying the teeth and jaws of an array of species can present a challenge requiring attention to detail and understanding of a species' normal anatomy. In the present article, a systematic and precise protocol for examining skull specimens is discussed that has been applied to a variety of mammals to define characteristic diseases in the oromaxillofacial region. The procedure outlined is simultaneously precise, repeatable, and adaptable to the highly differing skull and tooth shapes and anatomy across species. Specifically, specimens are examined for missing teeth, periodontal disease, endodontal disease, TMJ pathology, and anatomical variations. Results gleaned from research on museum specimens may reflect the natural history, health, and disease status of individuals and species. Furthermore, these data can inform ecological and conservation research efforts, as well as the care of captive individuals.
Assuntos
Transtornos da Articulação Temporomandibular , Dente , Animais , Humanos , Mamíferos , Crânio , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular/patologiaRESUMO
The successful excision of a locally invasive tumor such as canine acanthomatous ameloblastoma (CAA) typically results in a mandibular contour-derforming, critical-size defect that alters the jaw kinematics, and may affect the patient's quality of life. In this case series, we describe our experience using the regenerative approach of a titanium locking plate and compression resistant matrix infused with rhBMP-2 for the immediate or delayed reconstruction following mandibulectomy for the excision of mandibular CAA in 11 dogs. Surgical planning included computed tomography (CT), with and without contrast, in all cases, and 3D-printed models in four cases. Tumor-free surgical margins were achieved in all dogs. Clinical and diagnostic imaging follow-up (mean, 23.1 months) were performed in-person (11 cases) and with CT/cone-beam computed tomography in most cases, with standard radiography (3 cases) and telemedicine being utilized in 5 cases. At 2 weeks postoperatively, hard tissue was palpable at the defect. Follow-up imaging at 1 month postoperatively revealed evidence of bridging new bone with a heterogeneous appearance, that remodeled over 3-6 months to bone of a similar size, shape and trabecular pattern as native bone. Histological evaluation of regenerated bone was available in two cases, and was supportive of our clinical and imaging findings of normal remodeled bone. Clinically, all dogs returned to a normal lifestyle, rapidly resumed eating and drinking, and exhibited normal occlusion. Complications included wound dehiscence in one dog and self-limiting exuberant bone formation in two dogs. Tumor regrowth, failure of the implant or fracture of the regenerated bone were not observed. We conclude that the mandibular reconstruction using a regenerative approach is safe, feasible, and results in restoration of mandibular contour in dogs following segmental and bilateral rostral mandibulectomy for benign but invasive oral tumors such as CAA.
RESUMO
OBJECTIVE: To evaluate the radiographic outcome of root canal treatment (RCT) in dogs and compare outcomes with those reported for a previous study performed at the same institution in 2002. ANIMALS: 204 dogs representing 281 teeth that underwent RCT. PROCEDURES: The medical record database of a veterinary teaching hospital was searched to identify dogs that underwent RCT between 2001 and 2018. Only dogs that had undergone at least 1 radiographic recheck appointment a minimum of 50 days after RCT were included in the study. Dental radiographs were reviewed. Treatment was considered successful if the periapical periodontal ligament space was within reference limits and preexisting external inflammatory root resorption (EIRR), if present, had stabilized. Treatment was considered to show no evidence of failure (NEF) if preoperative EIRR had stabilized and any preoperative periapical lucency (PAL) remained the same or had decreased in size but had not completely resolved. Treatment was considered to have failed if EIRR or a PAL developed after RCT, if a preoperative PAL increased in size, or if preexisting EIRR progressed. RESULTS: Follow-up time ranged from 52 to 3,245 days (mean, 437 days). RCT was classified as successful for 199 (71%) teeth, NEF for 71 (25%) teeth, and failed for 11 (4%) teeth. CONCLUSIONS AND CLINICAL RELEVANCE: Results showed that almost 2 decades after RCT outcome in dogs was first evaluated, during which time numerous advances in dental materials and techniques had been made, the success rate of RCT was virtually unchanged.
Assuntos
Cavidade Pulpar , Tratamento do Canal Radicular , Animais , Cães , Tratamento do Canal Radicular/veterinária , Resultado do TratamentoRESUMO
Skulls from 112 Steller sea lions (Eumetopias jubatus) were examined according to predefined criteria. Of the specimens, 73 (65.2%) were from males, 29 (25.9%) from females and 10 (8.9%) were of unknown sex, with 50 adults (44.6%), 61 young adults (54.5%) and one of unknown age (0.9%). The number of teeth evaluated was 3,521. Adults had more acquired tooth loss than young adults (P <0.0001). A total of 1,660 teeth (47.1%) from 111 specimens (99.1%) had evidence of attrition or abrasion. Adults displayed more attrition or abrasion than young adults (P <0.0001). A total of 241 teeth (6.8%) from 47 specimens (42%) had tooth fractures. Adults had more fractured teeth than young adults (P <0.0001). Bony changes consistent with periodontitis affected 36.7% of teeth. Adults had more teeth affected by periodontitis than young adults (P <0.0001). Temporomandibular joint osteoarthritis lesions were found in 54 specimens (48.2%) with more in adults than in young adults (P <0.0001). Although the significance of our findings is unknown, the occurrence and severity of these lesions may play an important role in the morbidity and mortality of Steller sea lions.
Assuntos
Periodontite , Leões-Marinhos , Transtornos da Articulação Temporomandibular , Dente , Animais , Feminino , Masculino , Periodontite/patologia , Periodontite/veterinária , Articulação Temporomandibular/patologia , Transtornos da Articulação Temporomandibular/patologia , Transtornos da Articulação Temporomandibular/veterinária , Dente/patologiaRESUMO
Treatment of craniomaxillofacial (CMF) trauma in dogs often requires a multidisciplinary approach and a thorough understanding of the CMF anatomical structures involved. This retrospective study aimed to utilize computed tomography (CT) studies of immature dogs evaluated for CMF trauma and to describe common fracture locations, treatment modalities, and complications, as well as the fracture healing outcomes. The medical records and CT studies of 94 dogs under 1 year of age over a 13-year period were evaluated. The skeletal location of CMF fractures, as well as the severity of displacement and fragmentation of each fracture, was recorded. Case demographic data and trauma etiology were also recorded. Animal bites accounted for the majority of trauma (71.0%). The most likely bone or region to be fractured was the maxillary bones, followed by the molar region of the mandibles. Up to 37 bones or specific regions were fractured in any given patient, with an average of 8.8 ± 3.1 fractured bones or regions per dog. Rostral mandibular trauma was associated with intra-articular fractures of the temporomandibular joint (p = 0.016). Patients sustained concomitant injuries in 32% of the cases. Muzzle therapy was the main treatment performed for most dogs (53.2%), followed by soft tissue closure (47.9%) and selective dental extractions (27.6%). Healing complications were recorded in 71.6% of the dogs, with malocclusion being the most reported complication (55.2%), and associated with dentate mandibular jaw fractures (p = 0.05). The average number of complications per dog was 2.4. No statistically significant association was found between treatment modality and healing outcome. There was a positive correlation between the severity of fracture fragmentation and displacement and a negative healing outcome (all rho >0.7). Further treatment was required in 55.6% of the dogs. Additional dental extractions were performed in 77.7% of patients. Healing complications were common in the immature CMF trauma case. Thus, the need for a comprehensive assessment of the entire CMF region during the initial visit, as well as follow-up, preferably using CT or cone beam CT, is underscored.
RESUMO
OBJECTIVE: To evaluate the biomechanical properties of the mandibles of cats with experimentally created osteotomies simulating oblique ramus fractures, which were stabilized with malleable L-miniplates with either locking screws [locking construct (LC)] or nonlocking screws [nonlocking construct (NLC)], compared with those for intact mandibles. SAMPLES: 20 mandibles from 10 adult cat cadavers. PROCEDURES: A block study design was adopted to allocate the mandibles of each cadaver to 2 of the 3 test groups (LC, NLC, or intact mandible). Mandibles within each cadaver were allocated systematically to a test group. For mandibles assigned to an LC and an NLC, a complete oblique osteotomy was performed from the mid rostral aspect of the ramus in a caudoventral direction. All mandibles were loaded in a single-load-to-failure test through cantilever bending. Load and actuator displacement were recorded simultaneously. Mode of failure and radiographic evidence of damage to tooth roots and the mandibular canal were evaluated. Biomechanical properties were compared among the groups. RESULTS: No iatrogenic tooth root damage was evident, but all mandibles with an LC and an NLC had evidence of screw invasion into the mandibular canal. Plated mandibles had significantly less stiffness and bending moment than intact mandibles. Stiffness was not significantly different between the LC and the NLC; the NLC had a greater bending moment at failure than the LC. The pre-yield stiffness of plated mandibles decreased when the number of screw holes overlapping the mandibular canal increased. CLINICAL RELEVANCE: The use of a malleable L-miniplate in a caudal mandibular fracture model is feasible. Both the LC and the NLC were inferior mechanically to intact mandibles. Type of construct used did not affect the construct stiffness significantly in tested mandibles.