باطنة محاضرة 1

السلام عليكم ورحمة الله وبركاته


اولي محاضرات الباطنة

د هاني يوسف


pit animal


digestie system
orall cavity.....cheilitis,stomatitis,....




Severe gingovo stomatitis



Juvenile Periodontitis in a young cat!



Simba 6 mos DSH with Juvenile periodontitis
and early stomatitis.




Simba; 10 months after treatment.
Gingivectomy, gingivoplasty, scaling,
polishing, periodontal probing, dental
radiography of the entire dentition
were provided initially. 4 months later
this treatment was repeated without
gingival surgery!



Simba at 18 months with daily teeth brushing
and professional care at 4 month intervals.
Simba was fed T/D diet.

Adult periodontitis and stomatitis.



Catrena 6 yrs with adult periodontitis
and stomatitis.



Catrena's Left side. Severe Inflammation and very bad breath and not eating well.



Catrena's right side. Her throat (oropharynx) was extremely inflamed and bleeding.

What is faucitis?

Faucitis is a term that has been used to describeinflammation of the tissues behind the teeth in the back of the oralcavity (see images below). Some veterinary dentists prefer the term"caudal stomatitis" or inflammation of the "lateral pharyngeal walls".
Others call it stomatitis with faucitis. The fauces are the "lateralpharyngeal walls" (of the throat). This is a life threateningcondition and these cats are frequently very painful, eating poorly andchronically loosing weight. They are often at risk of developing"fatty liver" or hepatic lipidosis from chronic malnutrition.

What is LPGS or Lymphocytic Plasmacytic Stomatitis?

When biopsies are taken of these inflamed oral tissues, the pathologistwill often describe the condition as lymphocytic, plasmacyticgingivostomatitis. Lymphocytes and plasma cells are white blood cellscommonly observed with severe inflammation. The condition is oftenabbreviated as LPGS.



Sophia has severe stomatitis (the right upper dental arcade shown above).





Sophia's stomatitis (view of the left upper dental arcade).




Sophia's stomatitis (view of the upper incisor area).



Sophia's lateral pharyngeal walls very swollen and painful. Noticethat these inflamed tissues have folded "crypts" that allow bacteriaand viruses to hide. This stimulates the immune system to propagatecontinued inflammation. Chronic inflammation is painful, reducesappetite and overall quality of life.








Some cases require combined surgical, medical and homeopathic therapies for long-term control of feline stomatitis.



Sophia; this view was taken intraoperatively, immediately after allof the teeth were removed. Notice that the inflammed soft tissues(upper left side) were widely excised and sutured closed. (4-0 clearMonocryl was used.)



Sophia; intraoperative view of the lower jaw. Inflamed tissueswere widely excised and meticulously sutured closed using 4-0 clearMonocryl.

Sophia was anorexic for approximately ten days prior to surgicaltreatment for her stomatitis. She ate soft food four hours after oralsurgery without assistance. Sophia is not an exceptional case with aremarkable recovery from surgical therapy for stomatitis. The majorityof cats experience near immediate relief from their chronic (long-term)pain. Owners typically report that their cats are happier than theyhave been for months and even years after oral surgery for stomatitis. Most owners are amazed that their cats will go back to eating hardkibble even though they have few or no teeth. The transformation inthe quality of the lives of cats treated surgically for stomatitis ispersonally and professionally rewarding!

Feline stomatitis post surgical photos demonstrating widedebridement of the inflammed soft tissue and 4-0 Monocryl sutureclosure of the surgical defect.











The lower incisors were removed because
two were fractured with subgingival root
remnants.




Ulceration of a cat's
pharynx due to feline
stomatitis




Resolution of ulcers
two weeks
after extraction of
cheek teeth



Ulceration of a cat's pharynx due
to feline stomatitis





esophogease


gastritis