Ellis M Wright, Chad W Lothamer, Constance Fazio, Xiaojuan Zhu, Andrew C Cushing
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This study aimed to describe the frequency and types of dental pathology observed in a cohort of 15 tigers (<i>Panthera tigris</i>) from a sanctuary, determine the interexaminer agreement between a zoological medicine house officer and a board-certified veterinary dentist and identify subgingival lesions via CT imaging and correlate those findings to oral examinations. Abrasions, complicated crown fractures (CCFx), dental calculus, and periodontal pocketing were all observed in more than half of the individuals on dental examination and exhibited moderate or better interexaminer agreement based on statistical analysis. CT scans revealed alveolar bone loss (ABL) and periapical lysis (PL) most commonly in these same cats. PL was significantly positively correlated with CCFx (r = 0.45, P < 0.0001). These findings confirmed that dental trauma is the most common etiology for dental pathology in this population of tigers and that for most types of dental pathology observed, the zoological medicine house officer and veterinary dentist exhibited moderate agreement or better. 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引用次数: 0
摘要
在管理式护理下管理非家庭人口的牙病,对他们的整体健康和福利是不可或缺的。动物园临床医生对牙病的准确评估可以改善病人的护理,并可以影响利用牙科专家协助复杂程序的决定。此外,牙齿疾病经常发生在牙龈下,如果没有牙科x线摄影和/或高级成像技术(如CT)的帮助,就无法发现。本研究旨在描述在一个保护区的15只老虎(Panthera tigris)队列中观察到的牙齿病理的频率和类型,确定动物医学院官员和委员会认证的兽医牙医之间的检查员之间的协议,并通过CT成像识别牙龈下病变,并将这些发现与口腔检查相关联。根据统计分析,半数以上的患者均有磨蚀、复杂牙冠骨折(CCFx)、牙结石和牙周袋,并且在检查人员之间表现出中度或更好的一致性。CT扫描显示牙槽骨丢失(ABL)和根尖周溶解(PL)在这些猫中最常见。PL与CCFx呈显著正相关(r = 0.45, P < 0.0001)。这些发现证实,牙外伤是该老虎种群中最常见的牙齿病理病因,并且对于所观察到的大多数类型的牙齿病理,动物医务室官员和兽医牙医表现出中度或更好的一致性。此外,CT可用于识别牙龈下病变,如ABL和PL,可能是老虎CCFx病例的重要诊断工具。
DENTAL AND ORAL PATHOLOGY IN TIGERS (PANTHERA TIGRIS) BASED ON ORAL EXAMINATION AND COMPUTED TOMOGRAPHY.
Management of dental disease in non-domestic felids under managed care is integral to their overall health and welfare. Accurate evaluation of dental disease by zoo clinicians improves patient care and can influence the decision to utilize dental specialists to assist with complex procedures. Additionally, dental disease frequently occurs subgingivally and cannot be detected without the aid of dental radiography and/or advanced imaging, such as CT. This study aimed to describe the frequency and types of dental pathology observed in a cohort of 15 tigers (Panthera tigris) from a sanctuary, determine the interexaminer agreement between a zoological medicine house officer and a board-certified veterinary dentist and identify subgingival lesions via CT imaging and correlate those findings to oral examinations. Abrasions, complicated crown fractures (CCFx), dental calculus, and periodontal pocketing were all observed in more than half of the individuals on dental examination and exhibited moderate or better interexaminer agreement based on statistical analysis. CT scans revealed alveolar bone loss (ABL) and periapical lysis (PL) most commonly in these same cats. PL was significantly positively correlated with CCFx (r = 0.45, P < 0.0001). These findings confirmed that dental trauma is the most common etiology for dental pathology in this population of tigers and that for most types of dental pathology observed, the zoological medicine house officer and veterinary dentist exhibited moderate agreement or better. Additionally, CT was useful for identifying subgingival lesions such as ABL and PL and may be an important diagnostic tool in cases of CCFx in tigers.
期刊介绍:
The Journal of Zoo and Wildlife Medicine (JZWM) is considered one of the major sources of information on the biology and veterinary aspects in the field. It stems from the founding premise of AAZV to share zoo animal medicine experiences. The Journal evolved from the long history of members producing case reports and the increased publication of free-ranging wildlife papers.
The Journal accepts manuscripts of original research findings, case reports in the field of veterinary medicine dealing with captive and free-ranging wild animals, brief communications regarding clinical or research observations that may warrant publication. It also publishes and encourages submission of relevant editorials, reviews, special reports, clinical challenges, abstracts of selected articles and book reviews. The Journal is published quarterly, is peer reviewed, is indexed by the major abstracting services, and is international in scope and distribution.
Areas of interest include clinical medicine, surgery, anatomy, radiology, physiology, reproduction, nutrition, parasitology, microbiology, immunology, pathology (including infectious diseases and clinical pathology), toxicology, pharmacology, and epidemiology.