Monday, October 31, 2016

Gingival Pathology, Gingival Hyperplasia, Gingival Neoplasia

Centers for Oral Care
Veterinary Dentistry
2nd Opinion

Animal Dentistry Solutions
No. 4 October 2016---31October2016
A BLOG by DH DeForge, VMD
Fellow of the Academy of Veterinary Dentistry
1-800-838-3368 and

Gingival Pathology
Gingival Hyperplasia
Gingival Neoplasia

Gingival hyperplasia has been defined as enlargement of the gingiva due to an increase in the number of cells and hypertrophy as enlargement due to an increase in the size of the cells. 

Gingival hyperplasia secondary to periodontal disease is frequently seen in patients with unattended oral pathology with no professional care and minimal home care.

Enlargement of the gingiva is common in Boxers, Great  Danes, Collies, and Dalmations and is thought to be a familial trait.

Drug reactions can also cause gingival hypertrophy.  It is very important to keep an exact list of all medicines being used if consulting with an animal dentist because of overgrowth of the gingival tissues.

There are aggressive non-cancerous oral tumors and malignant oral tumors that mimic benign hyperplasia.

It is essential to see your local doctor of veterinary medicine and consider a referral to an animal dentist if you note overgrowth of your pet’s gum tissues.

There are wonderful NEW oral surgery techniques to safely remove the abnormal oral tissues.  At the same time the tissue is removed, it will be sent to an oral pathologist to help define a cause of the hypertrophy.

One technique commonly used to remove hypertrophied gingival is Radiosurgery [4.0 MHz]. The waveform chosen with a specific active electrode allows operative efficiency and minimizes postoperative discomfort.  It prevents seeding of bacteria into the incision site and eliminates scar tissue formation.  Radiosurgery controls hemostasis as it cuts through hyperplastic gingival tissue.

It is very important to radiograph all dentition at or near the site of the hypertrophied gingiva.  The overgrowth of gingiva creates periodontal pockets that can lead to advanced periodontal and/or endodontic pathology.

Pain control is paramount and is accomplished with local infiltration, regional, and/or periodontal ligament never blocks.

The patients are always discharged on pain medicine and antibiotics if there is periodontal pathology present.  The veterinary dentist sets up the proper re-check appointments and counsels on the treatment of other pathology identified at the time of the gingival recontouring.   A report on the oral pathology specimen[s] sent to the histopathologist is made to the client as soon as the report reaches the dentist’s desk.

If you have questions about gingival hyperplasia contact Dr. DeForge at: or call 1-800-838-3368.

Don DeForge, VMD
Fellow of the Academy of Veterinary Dentistry

After graduating from the University of Pennsylvania School of Veterinary Medicine, Dr. DeForge developed a special interest in oral care.  In 1996, he was honored as North East Practitioner of the Year by the American Animal Hospital Association.  That same year he received the Peter Emily Residents Award in Small Animal Dentistry.

Dr. DeForge lectures on small animal dentistry and oral surgery emphasizing practical applications for the general practitioner. His past columns in companion animal dentistry have appeared in DVM Newsmagazine and Veterinary Practice News for over a decade.  Dr. DeForge is co-editor of An Atlas of Veterinary Dental Radiology along with Ben H Colmery III, DVM, DAVDC.

As a Fellow of the Academy of Veterinary Dentistry, he has been honored by human dentistry. Dr. Jeffrey A. Sherman, DDS, Diplomate of the American Board of Oral Electrosurgery and Executive Director of the World Academy of Radiosurgery writes: “Your years of lecturing and writing on the subject of radiosurgery have not gone unnoticed.  I believe your efforts in creating the E-Journal of Radiowave Radiosurgery will help your colleagues and makes us all proud of your efforts.  Your discovery of Indirect Radiowave Radiosurgery Coagulation has brought new insight into the use of radiosurgery in all fields of medicine and should be one of your proudest accomplishments.  It is with honor that I call you colleague and friend.  Please continue all of your fine efforts in the field of radiosurgery and know that sharing your knowledge is the greatest gift you have given to the profession.”

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