Feline minor salivary gland adenocarcinoma: retrospective case series and literature review.

CASE SERIES SUMMARY: Salivary gland adenocarcinoma, of major or minor salivary gland origin, is an uncommon tumor in cats. This article describes the clinical features, morbidity and survival rates of four cats with salivary gland adenocarcinoma arising from minor salivary gland tissue. Medical records from a private multicenter dentistry and oral surgery practice were reviewed for the period between 2007 and 2021. Four cats were included in this retrospective case series study, with oral masses on either the right or left caudal mandibular labial buccal mucosa. The inclusion criteria included a diagnosis of salivary gland adenocarcinoma in an anatomical location with lack of involvement of a major salivary gland, complete medical history and a follow-up of at least 6 months. The age range of the cats was 9-15 years; three of the cats were castrated males and one was a spayed female. Curative intent surgery was performed in three cats, whereas palliative surgery (debulking) owing to extensive soft tissue invasion was performed in one cat. Survival times were in the range of 210-1730 (mean 787) days. All four cats were euthanized owing to local recurrence and decreased quality of life, regardless of treatment modality. RELEVANCE AND NOVEL INFORMATION: There are limited documented studies reporting the prevalence of salivary gland neoplasia affecting minor disseminated glands in the oral cavity of feline patients. Salivary gland adenocarcinoma should be a differential in cats presenting with caudal labial masses. Surgical resection has been the recommended treatment for salivary gland neoplasia of major salivary gland origin. According to this current case series, we propose that early aggressive surgical treatment with wide surgical margins should be performed for cats with salivary gland adenocarcinoma of minor salivary gland origin. Surgery increased the quality and duration of life; however, each patient was euthanized owing to local recurrence and morbidity.

Correlation Between Radiographic and Histopathologic Findings Associated with Unerupted Teeth in Dogs.

An association between unerupted teeth and dentigerous cysts is well known,1- 4 however little is known about the presence of disease and histopathologic changes in unerupted teeth without radiographic evidence of cyst formation. Forty-two dogs representing 25 breeds, ranging in age from 5 months to 12 years were selected based on radiographic evidence of an unerupted tooth or teeth, either as a primary complaint or incidental finding. Dogs meeting the study criteria were presented to a private dental referral practice within a period of eighteen months from December 2016 through May 2018. Patients were treated with conservative en bloc resection of the unerupted tooth and overlying bone as well as debridement of any cystic structure and biopsy of the samples collected. Radiographs were evaluated using criteria previously established to assess for evidence of a cyst.1, 5- 7 A total of 68 unerupted teeth were identified; 63 (92.7%) were mandibular first premolar teeth. Of the 63 unerupted mandibular first premolar teeth, 28 (44.4%) had radiographic evidence of a cystic structure. Histopathology revealed that 21 of 28 (75.0%) had evidence of non-keratinizing stratified squamous epithelium consistent with a cyst lining. Of the remaining 35 of 63 (55.6%) mandibular first premolar teeth with no radiographic evidence of a cyst, 27 (77.1%) had no histologic evidence of epithelium associated with the impacted tooth. Notably however, the remaining 8 of 35 (22.9%) unerupted teeth without radiographic evidence of a cyst did have histologic evidence of non-keratinizing stratified squamous epithelium associated with the impacted tooth.

Generalized Dentin Dysplasia in a Four-Year-old dog.

Dentin dysplasia is an autosomal-dominant genetic abnormality that occurs in humans and results in diffuse radiographic dental abnormalities and variable tooth discoloration due to an underlying defect in secondary dentinogenesis. This case report presents distinctive radiographic and histopathologic dental abnormalities in a dog that are consistent with generalized dentin dysplasia. These findings are similar to but not completely analogous to any specific clinical type of dentin dysplasia in humans. Grossly, the majority of the teeth in this case were discolored and most were determined to be vital. Dentin dysplasia should be included in the list of differential diagnoses of discolored teeth and notably this form of discoloration does not necessarily indicate loss of vitality.

Management of Mesioverted Maxillary Canine Teeth and Linguoverted Mandibular Canine Teeth.

Mesioverted maxillary canine teeth in combination with linguoverted mandibular canine teeth are a common ramification of persistent deciduous maxillary and mandibular canine teeth. Without the physical presence of the mandibular canine teeth, the maxillary third incisor and canine teeth diastemata are frequently narrowed. The creation of normal occlusion requires treatment of all 4 canine teeth; the mandibular canine teeth must be tipped labially and the maxillary canine teeth must be tipped and/or partially translated distally. This case report discusses the novel integration of 2 well-described orthodontic techniques to simultaneously treat both mesioverted maxillary canine teeth and linguoverted mandibular canine teeth, achieving a comfortable, functional occlusion.

Oral osteoma in 6 dogs.

Medical records of patients with a histopathological diagnosis of oral osteoma were reviewed for information on signalment, body weight, history, clinical signs, physical examination and diagnostic imaging findings, surgical procedure performed, and histopathologic characteristics. Clinical signs related to the mass were noted in 2 dogs. One mass was documented to have been present for > 3-years, 3 of the masses were noted on physical examination, and 2 masses were noted during professional scaling and survey intraoral radiographs. All six masses had radiographic signs of bone proliferation without bone lysis. One case had radiographic root resorption of adjacent dentition. Four of the masses were classified as central osteoma and 2 were classified as peripheral osteoma based on clinical and radiographic findings. Four masses were treated with excisional biopsy that consisted of wide excision (rostral maxillectomy) [n = 1] and 3 had marginal excisions (en bloc resection) [n = 3]. Two of the masses were debulked with subsequent biopsy. There was no indication of recurrence in the cases with excisional biopsy and minimal progression in the cases that had lesions debulked > 5.5-months following surgery.