2019 AAHA Dental Care Guidelines for Dogs and Cats*

Bellows, Jan; Berg, Mary L; Dennis, Sonnya; Harvey, Ralph C.; Lobprise, Heidi B.; Snyder, Christopher J.; Stone, Amy E.S.; Wetering, Andrea G Van de

doi:10.5326/jaaha-ms-6933

Cited by 89 publications

(138 citation statements)

References 51 publications

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“…Oral disease is often observed in veterinary medicine (1). Our laboratory revealed that cats with severe oral disease requiring multiple tooth extractions had specific pain-induced behaviors, higher pain scores, changes in serum inflammatory cytokines, and lower food intake when compared with cats with no/minimal oral disease (2,3).…”

Section: Introductionmentioning

confidence: 83%

Inter-Rater Reliability of the Feline Grimace Scale in Cats Undergoing Dental Extractions

et al. 2020

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This study aimed to evaluate the inter-rater reliability of the Feline Grimace Scale (FGS) in cats undergoing dental extractions and the effects of the caregiver's presence on the FGS scores. Twenty-four cats (6 ± 3.3 years old; 4.9 ± 1.7 kg) undergoing oral treatment were included in a prospective, blinded, randomized, clinical study. They underwent treatment under general anesthesia (acepromazine-hydromorphone-propofol-isoflurane-meloxicam-local anesthetic blocks) at day 1 and were discharged at day 6. Images of cat faces were captured from video recordings with or without the caregiver's presence at 6 h postoperatively (day 1), day 6, and before and after rescue analgesia. Images were randomized and independently evaluated by four raters using the FGS [five action units (AU): ear position, orbital tightening, muzzle tension, whiskers change, and head position; score 0-2 for each]. Inter-rater reliability and the effects of the caregiver's presence were analyzed with intraclass correlation coefficient [single measures (95% confidence interval)] and the Wilcoxon signed-rank test, respectively (p < 0.05). A total of 91 images were scored. Total FGS scores showed good inter-rater reliability [0.84 (0.77-0.89)]. Reliability for each AU was: ears [0.68 (0.55-0.78)], orbital tightening [0.76 (0.65-0.84)], muzzle [0.56 (0.43-0.69)], whiskers [0.64 (0.50-0.76)], and head position [0.74 (0.63-0.82)]. The FGS scores were not different with [0.075 (0-0.325)] or without [0.088 (0-0.525)] the caregivers' presence (p = 0.12). The FGS is a reliable tool for pain assessment in cats undergoing dental extractions. The caregiver's presence did not affect FGS scores.

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Section: Introductionmentioning

confidence: 83%

Inter-Rater Reliability of the Feline Grimace Scale in Cats Undergoing Dental Extractions

et al. 2020

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“…An additional motivation to investigate the prevalence of dental and non-dental disease in red foxes in Lithuania is to explore an association between dental disease and overall systemic health (Bellows et al 2019). Affected animals with dental problems demonstrate changes in diet selectivity, behaviour, and often decrease food intake (Andrade et al 2015).…”

Section: Dental and Skull Bone Pathologies Of The Red Fox (Vulpes Vulmentioning

confidence: 99%

Dental and skull bone pathologies of the red fox (Vulpes vulpes) in Lithuania

Jurgelėnas

Zakienė

Daugnora

2020

Journal of Vertebrate Biology

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“…The study conformed to American Animal Hospital Association Guidelines for Dental Care. [12] Client consent forms were discussed and signed. Prospectively, the University of California, Davis IACUC counseled that since samples were obtained as part of dental treatment, an IACUC protocol was not required.…”

Section: Ethical Statementmentioning

confidence: 99%

Immunopathogenesis of canine chronic ulcerative stomatitis

et al. 2020

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Canine Chronic Ulcerative Stomatitis is a spontaneously occurring inflammatory disease of the oral mucosa. An immune-mediated pathogenesis is suspected though not yet proven. We have recently reported on the clinical and histologic features, and identification of select leukocyte cell populations within the lesion. A clinical and histologic similarity to oral lichen planus of people was proposed. In the present study, these initial observations are extended by examining lesions from 24 dogs with clinical evidence of chronic ulcerative stomatitis. Because dogs with chronic ulcerative stomatitis often have concurrent periodontal disease, we wondered if dental plaque/biofilm may be a common instigator of inflammation in both lesions. We hypothesized that dogs with chronic ulcerative stomatitis would exhibit a spectrum of pathologic changes and phenotype of infiltrating leukocytes that would inform lesion pathogenesis and that these changes would differ from inflammatory phenotypes in periodontitis. Previously we identified chronic ulcerative stomatitis lesions to be rich in FoxP3+ and IL17+ cells. As such, we suspect that these leukocytes play an important role in lesion pathogenesis. The current study confirms the presence of moderate to large numbers of FoxP3+ T cells and IL17+ cells in all ulcerative stomatitis lesions using confocal immunofluorescence. Interestingly, the majority of IL17+ cells were determined to be non-T cells and IL17+ cell frequencies were negatively correlated with severity on the clinical scoring system. Three histologic subtypes of ulcerative stomatitis were determined; lichenoid, deep stomatitis and granulomatous. Periodontitis lesions, like stomatitis lesions, were B cell and plasma cell rich, but otherwise differed from the stomatitis lesions. Direct immunofluorescence results did not support an autoantibody-mediated autoimmune disease process. This investigation contributes to the body of literature regarding leukocyte involvement in canine idiopathic inflammatory disease pathogenesis.

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2019 AAHA Dental Care Guidelines for Dogs and Cats*

Cited by 89 publications

References 51 publications

Inter-Rater Reliability of the Feline Grimace Scale in Cats Undergoing Dental Extractions

Inter-Rater Reliability of the Feline Grimace Scale in Cats Undergoing Dental Extractions

Dental and skull bone pathologies of the red fox (Vulpes vulpes) in Lithuania

Immunopathogenesis of canine chronic ulcerative stomatitis

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