A scanning electron microscopic study on surface lesions in fluorosed enamel of roe deer (Capreolus capreolus L.)

Scanning electron microscopy of surface enamel lesions in fluorosed permanent premolars and molars of free-ranging Roe deer revealed two types of pits. Post-eruptive lesions that resulted from mechanical stress on hypomineralized enamel during mastication were characterized by steep walls and a typical honeycomb structure on their bottom, a result of fracture of enamel rods; holes left by fractured rods were surrounded by interrod enamel. Pits of developmental origin (hypoplasias), either as shallow depressions of enamel surfaces or narrow holes running deep into the enamel, were characterized by convex, rounded walls covered by numerous Tomes' process pits. Pits of hypoplastic and post-eruptive origin were often found in the same tooth. Intact enamel surfaces of fluorosed teeth resembled that of controls.     

Development of the Permanent Mandibular Cheek Teeth in Fallow Deer (Dama dama)

The study describes crown and root formation of the permanent mandibular cheek teeth of fallow deer from a gestational age of 22–23 weeks up to a post‐natal age of 33 months. Tooth development was recorded using a scoring scheme based on morphological criteria ranging from crypt formation to completion of root growth. The morphological appearance of the enamel surface during three different stages (secretory‐stage enamel, maturation‐stage enamel and mature enamel) was described, and the approximate age at termination of the secretory stage of amelogenesis in the deciduous and permanent mandibular cheek teeth was determined. The data enable an age estimation of fallow deer up to 3 years of age and provide a basis for assessing the timing of stress episodes that affect tooth crown formation. This information is useful for the management of the species as well as in bioarchaeological and bioindication studies.     

CT FEATURES OF ALVEOLITIS AND SINUSITIS IN HORSES

Sinusitis is a common disorder in horses and may result from trauma, dental diseases, or space-occupying lesions. Radiography can only provide a limited amount of information. Computed tomography (CT) has been documented as an alternative imaging method. Eighteen horses (mostly Warmblood) with signs of chronic sinusitis were examined preoperatively with CT to assist in diagnosis of the underlying cause. There was a group of common CT features in horses with dental disease and sinusitis. The first molar was the most frequently affected maxillary cheek tooth. Hypoattenuation of the cementum, destruction of the enamel, and filling of the infundibular cavity with gas were the most frequent CT findings associated with caries. Gas bubbles within the bulging root area or fragmentation of the root in combination with swelling of the adjacent sinus lining were the most important CT features of dental decay. CT findings associated with sinusitis included excessive thickening of the respiratory epithelium in the rostral maxillary sinus; the caudal maxillary sinus was less often involved. The infraorbital canal, the nasomaxillary duct, and the frontomaxillary aperture were usually involved. The maxillary bone, however, especially the facial crest, was involved in nearly every horse, being characterized by endosteal sclerosis, thickening, periosteal reaction, and deformation leading to facial swelling in chronic infections. CT images allowed identification of involvement of individual teeth more clearly to reveal the diseased one for treatment. Three-dimensional imaging allowed improved understanding of the extent and severity of the pathologic change.     

The granular layer of Tomes in experimental caries in rats

In examination of ground sections of human third maxillary molar teeth, the granular layer of Tomes was shown to consist of expansion of dentinal tubules. The microradiographic density was decreased well inside the layer. It was postulated that the findings were expressions of dentin resorption. The theory was tested experimentally in rats fed a cariogenic diet with low calcium and phosphorus. The morphology of mandibular molar teeth was studied by electron probe microanalysis and by microradiography. It was concluded that the primary event in cariogenesis was an expansion of peripheral dentinal tubules with formation of confluent microcavities and, thus, an unmasking of the granular layer of Tomes, which normally is only potential. A subsequent loss of mineral density in the outer enamel eventually caused breakdown of the outer enamel with caries visible from the surface. The loss of density within the enamel was postulated to result from interruption of the normal flux of nutrients, metabolites and ions between the dentin and enamel. Whereas an increase in dietary calcium and phosphorus delayed and reduced significantly, but did not prevent cariogenesis, it supported the theory that experimental caries in rats is a metabolic disease with the peripheral dentin the primary target.     

Structure of peripheral cementum of normal equine cheek teeth

The structure of peripheral cementum of mandibular and maxillary cheek teeth was studied by gross observation, light microscopy, and scanning and transmission electron microscopy. Teeth from four horses aged 4, 8, 17, and 30-years-old were examined. The cementum of the occlusal surface was thicker on the buccal aspect when compared with the lingual aspect of mandibular teeth. The cementum of the occlusal surface was thicker on the palatal aspect when compared with the buccal aspect of maxillary teeth. There was no peripheral cementum on the interdental aspects of either mandibular or maxillary cheek teeth. In the adult tooth, cementum covered the crown and root surfaces. The peripheral cementum of the gingival region showed a dramatic increase in thickness compared with cementum covering the alveolar portion of the embedded tooth. At a microscopic level, three layers (primary, secondary, and tertiary) were identified within cementum. The increase in cementum in the gingival region was of tertiary cementum. All three layers contained vital cementocytes. There was a well-developed vascular system within the cementum. Nerve bundles were also present. Three cementoblast profiles were identified at the junction of the cementum with the periodontal ligament. The results reported in this paper show that cementum is a dynamic vital tissue. These findings should contribute to a greater understanding of the etiology and pathogenesis of cemental caries and periodontal disease in the horse.     

The relationship of maxillary cheek tooth development to age in young Friesian cattle.

Radiographs were taken of both the right and left sets of maxillary teeth in 23 Friesian cattle of known age. The stage of development of each permanent tooth was ascertained and the degree of root resorption in the deciduous premolars was noted. All stages in individuals were later than for those of the mandibular cheek teeth except in the case of the first permanent premolar. As with mandibular cheek tooth development stages of formation occurred within certain age limits.     

Temporo-mandibular joint condylectomy and its effect over occlusion in cats: cadaveric study

Objective : To determine the effect of unilateral condylectomy on dental occlusion in cats. Methods : Twelve feline cadaver heads were randomly submitted to either a right or left unilateral condylectomy of the temporo‐mandibular joint. The distance between the mandibular and maxillary canine tooth was measured before (B0) and after the unilateral condylectomy (P0). A right or left latero‐‐lateral standardised force (4 N) was applied to the mandibular mentus area before and after the surgical procedure. These measurements were analysed with a linear model for repeated measures. Results : The comparative analysis between pre‐ and postsurgical values indicated no significant variation in teeth displacement following condylectomy between B0 and P0 measurements. Statistically significant differences were detected after either left or right condylectomy with respect to all measurements after application of the standardised forces. Occlusion changes are significant when comparing bites before and after surgery. Clinical Significance : Unilateral condylectomy causes a significant increase in latero‐lateral amplitude of jaw movement which might clinically affect feline dental occlusion. Clinical studies are required to determine the effect of unilateral condylectomies on mastication and dental occlusion in feline patients.     

Mapping of the radiographic central point of feline dental resorptive lesions

Intraoral dental radiographs of 217 cats presented for dental treatment were examined. Radiographic signs of dental resorptive lesions were identified in 107 cats, and the apparent central point of each lesion was mapped on a diagram of the tooth. Mapping was only possible on maxillary and mandibular canine teeth and on mandibular third premolar, fourth premolar, and first molar teeth. Resorptive lesions were most common on the molar teeth (n = 103) and maxillary canine teeth (n = 96), and least common on fourth premolar teeth (n = 56). Resorptive lesions on premolar and molar teeth were widely scattered, noted more commonly in the coronal portions of the root. Resorptive lesions in canine teeth had a tendency to be located more apically on the roots.     

Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats

The furcation region morphology was evaluated in 103 mature feline carnassial teeth (54 maxillary fourth premolar and 49 mandibular first molar teeth). Patent furcation canals were present in 27.2% of teeth. No significant difference (p = 0.88) in distribution of this anatomical variation was found between maxillary fourth premolar and mandibular first molar teeth. The mean width of these furcation canals was 104.0 microns with two-thirds of the canals having a buccal orientation. The presence of furcation canals could be a factor in the etiopathogenesis of feline dental resorptive lesions, as well as a characteristic to be considered in the diagnosis, prognosis, and treatment of endodontic or periodontic-endodontic lesions in cat teeth.     

A rapid screening technique for feline odontoclastic resorptive lesions

The feline odontoclastic resorptive lesion (FORL) status (presence or absence of odontoclastic resorptive lesions) of 423 clinically healthy cats was determined based on radiographic findings in a series of full mouth radiographs (eight views). This status was compared with the FORL status based on evaluation of only two views, namely the right and left mandibular premolar and molar views. Using the FORL status of the right and left third mandibular premolars (307 and 407) alone correctly predicted overall FORL status in 93.4 per cent of cats. The sensitivity of the new technique (FORL cases correctly diagnosed as positive by the test) was 78.5 per cent, while the negative predictive value (negative FORL cases correctly diagnosed by the test) was 91.3 per cent. Overall FORL status can therefore be confidently diagnosed in nine out of 10 cats by assessing FORL status in just two teeth (307 and 407) using two films, which has benefits for the cat (less anaesthetic time and reduced exposure to radiation) and the owner (reduced cost of screening).     

Feline odontoclastic resorptive lesions: unveiling the early lesion

The purpose of this study was to increase understanding of the factors initiating feline odontoclastic resorptive lesions (FORLs). Fifty-six teeth (clinically and radiographically unaffected by ORLs) were harvested. Of these, 43 were from cats that had ORLs in other teeth (group A) and 13 were from cats with no clinical or radiographic evidence of ORLs in any teeth (group B). Twenty-six teeth in group A and one tooth in group B showed histological evidence of external root resorption (surface resorption and replacement resorption resulting in ankylosis). Some teeth in group B showed healed cementum resorption. It has previously been assumed that FORLs were similar to lesions associated with peripheral inflammatory root resorption, and were associated with periodontal disease. These histological findings suggest instead that a FORL is a non-inflammatory replacement resorption, resulting in ankylosis. The periodontal ligament of resorbing teeth lacked normal fibrous architecture, but was not inflamed. Resorption was not identified in cervical cementum. However, the histological appearance of the cervical cementum differed between the two groups. Several aetiopathogenetic explanatory models which arise from these observations are discussed.     

Prevalence of dental and mandibular disorders in culled sheep in Spain

At the slaughterhouse, 1465 culled sheep heads were studied in order to identify disorders of the mandibular cheek teeth. Of these, 227 (15.5%) had evidence of osteomyelitis. The lesional profile showed that the mandible was affected in a similar proportion on both sides (46.7% on the right side vs 50.7% on the left side), mainly in the middle region (55.3%) and with most of the lesions closed without fistulisation (89.4%). In addition, swelling was palpable, with an increase in thickness in the area of the affected body (2.65 ± 0.065 cm vs 1.74 ± 0.030 cm). In 78.6% of the animals, the regional lymph nodes were enlarged. Concerning the mandibular cheek teeth, more than half of the animals lacked at least one tooth (57.0%), with the first premolar being the most frequently missing tooth (34.8%) and the third molar the least (8.2%). The impaction of food around the teeth was very common with the posterior molars being more frequently affected. In the knowledge of the authors, this is the first study that analyses the prevalence of mandibular molar and premolar disorders in sheep, and these are revealed as an important condition affecting culled sheep.     

Endodontic disease of the mandibular first molar tooth secondary to caudal crossbite in a young Shetland sheepdog

A six month-old intact female Shetland sheepdog was referred to the University of Illinois Veterinary Dental Clinic with a left-sided mandibular deviation and a thickened left ventral mandible in the region of the first molar tooth. On oral examination, left caudal crossbite was diagnosed. Dental radiographs revealed endodontic disease of the mandibular first molar tooth involved in the crossbite. Because of the difficulty of treating caudal crossbite and the potential of a pathological mandibular fracture, the endodontically affected tooth was extracted. Ten months following the extraction, mandibular deviation and alveolar bone lysis were resolved, but alveolar ridge resorption was present. The abnormal occlusal relationship caused by the caudal crossbite may have led to movement of the tooth, resorption of the tooth alveolus, and irreversible pulpal damage. Although not employed in this case, use of alveolar ridge preservation techniques can prevent mandibular bone loss after extractions.     

Complications of mandibular brachygnathism in a North African leopard

A 9-year-old, male North African leopard (Panhtera pardus) presented with mandibular brachygnathism and lingually displaced mandibular canine teeth causing a large left oronasal fistula, rhinitis and nasal discharge, and a right orocutaneous fistula. Surgical closure of the left oronasal defect, bilateral mandibular canine tooth crown reduction, and root canal therapy resulted in a positive clinical outcome. A small recurrent left oronasal fistula and the right orocutaneous fistula healed spontaneously after alleviating the occlusal contact with the mandibular canine teeth. At 12-months postoperatively, clinical signs of oral and dental disease had resolved.     

Dental caries in the dog

The dental records of 435 dogs seen in a dental referral practice were reviewed. Twenty-three dogs (5.3%) had one or more caries lesions. Of the 47 caries lesions, 19 (40%) were pit and fissure caries, 17 (36%) were smooth surface caries, and 11 (23%) were root caries. Twelve dogs had symmetrical lesions. The teeth most commonly involved were the fourth premolar and first and second molar teeth. Twenty affected teeth were extracted and 17 were treated by cavity preparation and restoration with composite or glass ionomer materials. Ten restorations in four dogs were examined one year or more following treatment; all of the restorations were intact and there was no progression of the caries.     

Disseminated tuberculosis caused by Mycobacterium avium in a cat

A 5-year-old neutered male Siamese cat was examined by a veterinarian because of a recent decrease in appetite and a large lymph node in the left mandibular area. Clinical findings included fever, icterus, leukopenia, and progressive anemia. Despite various treatments, the cat died approximately 3 weeks after initial examination. The main necropsy findings included necrotizing and granulomatous lymphadenitis of the left mandibular lymph node, multifocal necrotizing hepatitis, and interstitial pneumonia. Acid-fast bacilli were detected in lesions of the mandibular lymph node, liver, lung, spleen, and bone marrow. Mycobacterium avium was isolated from the liver. Avian tuberculosis in cats has been reported rarely.     

Hemisection and partial retention of carnassial teeth in client-owned dogs

Nine client-owned dogs presented with periodontally and/or endodontically involved mandibular or maxillary carnassial teeth that were either individually affected or adjacent to a jaw fracture. A total of 10 teeth were hemisected (8 mandibular first molar teeth and 2 maxillary fourth premolar teeth), and one crown-root segment was extracted for each tooth. Gingival tissues were approximated and sutured over the extraction sites, and the retained tooth portions were treated by means of standard root canal therapy or vital pulp therapy followed by standard root canal therapy. Retained crown-root segments of 2 of the 10 hemisected teeth were extracted following short- and long-term postoperative examinations due to continued periodontal complications. It was concluded that resection of a portion of a tooth can be a useful treatment for periodontally and/or endodontically involved carnassial teeth that are affected individually or located adjacent to a jaw fracture in dogs.     

Development, growth and eruption of permanent incisor teeth in Romney sheep

The development of permanent incisor teeth of sheep was followed from the age of six weeks to 116 weeks. The teeth were observed through the bud, cap and bell stages, and the development of enamel and dentine. At the same time that amelogenesis started, the papillary layer developed from the intermediate layer and the outer dental epithelium began to form the cell rests of Malassez. The ameloblasts went through secretory, transitional and maturational phases, and in due course disappeared, after which cementum was laid down over the enamel surface. Initially the connective tissue of the follicle surrounding the growing tooth was very loose, but was replaced from the crown end as the tooth developed, by more dense connective tissue. Around the time of eruption, melanocytes were found on the lingual surface of the coronal end of the follicle. The root was formed under the influence of Hertwig's epithelium, and the cell rests of Malassez appeared to continue to develop from the outer enamel epithelium. Odontoblasts, which arose from the pulp connective tissue, were initially cuboidal but became fusiform as the tooth matured. At the time of eruption, amelogenesis was almost complete and cementum covered the majority of the tooth surface. The cell rests and melanocytes of the tootth follicle appeared to migrate with the tooth as it erupted. The deciduous tooth was resorbed from the lingual surface. The junctional epithelium of the erupted permanent tooth may have arisen from the cell rests, remnants of the dental lamina or gingival epithelium, depending on the presence or absence of inflammation.     

Dens invaginatus of the mandibular first molars in a dog

A 6-year-old dog was presented for draining tracts associated with both mandibular first molar teeth. Radiographs of the affected teeth showed periapical bone lysis. Surgical tooth extractions were performed and the tooth segments were submitted for histopathologic examination. Microscopic evaluation of the teeth showed in folding of the enamel and dentin consistent with a diagnosis of dens invaginatus. Examination performed 13-months following the extraction procedures indicated uncomplicated healing at the extraction sites and no other visible evidence of endodontic disease.