Friday, November 2, 2018

Cat Stomatitis: A Cure! No. 32
P 1-800-838-3368
Centers for Oral Care
The New York and New England Animal Dental Health Services
Donald H DeForge, VMD
Fellow of the Academy of Veterinary Dentistry
President of the Society for Veterinary Medical Ethics
No. 32

Image result for picture of cat in pain



Attention: Doctors,Veterinary Nurses, and Stomatitis Cat advocates.

Today’s Topic in Animal Dentistry outlines my oral surgery using GBR to cure cats from stomatitis.  It is the only surgery to date that can bring complete resolution without remission.

Questions can be directed to or you can call me at 1-800-838-3368.

 Introduction:  Topic In Animal Dentistry #1

The classic treatment of feline Stomatitis with whole mouth extraction or extraction of the teeth distal to the canine teeth has proven to be non-productive in half of the patients treated.

Any where between 50-65% of these felines have only short term improvement with a return of the oral inflammatory condition in 6 to 18 months.  On the other hand, the alternative surgery, herein described, utilizing Guided Bone Regeneration and radiosurgery to create full thickness mucoperiosteal flaps…… i.e. osseous surgery combined with bone augmentation has proven to be completely successful. 
Guided Tissue Regeneration (GTR) 
Refers to procedures that attempt to regenerate lost periodontal structures, such as bone, periodontal ligament and the connective tissue attachment that support our teeth. This is accomplished using biocompatible membranes, often in combination with bone grafts or tissue stimulating proteins. 

Guided Bone Regeneration (GBR) 
Refers to procedures that attempt to regenerate bone. This is accomplished using bone grafts and biocompatible membranes that keep out tissue and allow the bone to grow. 

In the Journal of Veterinary Dentistry, Vol 14, No. 4-Dec 1997-Evaluation of Bioglass®/PerioGlas™ [Consil®] Synthetic Bone Graft Particulate in the Dog and Cat-DH DeForge, VMD -GBR is described. 
Bioglass® Synthetic Bone Graft Particulate [PerioGlas™/Consil™] was utilized to treat osseous periodontal defects, and in post-extraction sites to maintain the vertical height and width of the alveolar ridge.  In the osseous periodontal defect treatment group, clinical probing depths deceased significantly, and there was an apparent gain in attachment level.  This synthetic bone graft particulate improves the rate of osseous growth while being resorbed and replaced with bone during the healing process.

This original work led to the utilization of Consil®/Bioglass®, synthetic bone graft particulate, in a feline stomatitis surgery technique I developed.
 When implanted in stomatitis felines, a material surface reaction results in the formation of a calcium phosphate layer that is similar in composition and structure to the hydroxyapatite found in bone mineral.  This apatite layer provides the scaffolding onto which the patient’s new bone will grow allowing repair of the bone defects in feline oral stomatitis.  Diseased bone is removed and new bone is created to allow the patient to fully recover from the inflammation and pain caused by the pre-surgical oral pathology.
The hypothesis that the cats affected with stomatitis suffer from a bone disease rather than a dental disease has been confirmed  with this new surgical approach to the disease. The confirmation is the actualization of complete and permanent clinical improvement after GBR surgery in the edentulous patient [i.e. patients having had earlier whole mouth extraction surgery by other surgeons prior to referral to me]. In these felines, where the whole mouth extraction technique had failed, GBR Feline Stomatitis Surgery succeeds confirming the origin of the pathology as a bone-centered pathology.

Before patients can be treated utilizing radiosurgery combined with GBR, comprehensive pre-anesthetic screening must be completed. An incisional biopsy is performed to rule out other causes of oral pathology including oral cancer.  An Esophagostomy tube must be placed two weeks prior to GBR Stomatitis Surgery.

This surgery has been utilized by me for over a decade with ONLY POSITIVE results.  After all of this time, animal oral surgeons are now starting to acknowledge in their lecturing and manuscripts in journals that cat stomatitis may have a bony component. The wheel of surgical change moves slowly!

Contact Dr. DeForge about an in gratis exam!

Dr. Don DeForge
Fellow of the Academy of Veterinary Dentistry
President of the Society for Veterinary Medical Ethics

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