Dental X-rays, infection or neoplasia

RE: Dental X-rays, infection or neoplasia

Arlo Guthrie — Wed, 22 Jan 2020 12:39:25 GMT

[quote userid="13893" url="~/001/veterinary-clinical/small-animal/dentistry/f/discussions/28817/dental-x-rays-infection-or-neoplasia/218879"]Don't know to change my profile name and had it long before I joined this group![/quote]

Alix Freeman I've done it for you. I hope that's OK. It would be worth completing your profile, too (because it gives the provenance for your posts). Profile details will be a requirement for referral practitioners participating in our Expert Forums.

[quote userid="9440" url="~/001/veterinary-clinical/small-animal/dentistry/f/discussions/28817/dental-x-rays-infection-or-neoplasia/218891"]It will not let me load radiographs , sorry think they are too big but no option to send them as smaller files[/quote]

janine redman Let me look into this, but you could in the meantime email one to support@vetsurgeon.org and I will post for you.

RE: Dental X-rays, infection or neoplasia

Rachel Perry — Mon, 20 Jan 2020 15:54:58 GMT

Let's try and clinical problem solve. What are the radiographic signs of neoplasia, both benign and malignant?

With regard to infection, we need to be specific about where we think the infection may be- do you mean periodontal, endodontic or bone infection?

RE: Dental X-rays, infection or neoplasia

janine redman — Sat, 18 Jan 2020 21:44:27 GMT

It will not let me load radiographs , sorry think they are too big but no option to send them as smaller files

RE: Dental X-rays, infection or neoplasia

Evelyn Barbour-Hill — Sat, 18 Jan 2020 19:24:08 GMT

I don't think you can with absolute certainty from the radiographic appearance alone.

There are clues, of course – for instance, if there is a lesion that is purely expansile, it's far more probably neoplastic or a cyst than infection.

However, when you come back to the real world and put together all the history, gross appearance, symptoms and clinical signs, you can usually get near enough to certainty to determine what to do next.

RE: Dental X-rays, infection or neoplasia

janine redman — Sat, 18 Jan 2020 15:43:02 GMT

Trying to load xrays , thought I had

RE: Dental X-rays, infection or neoplasia

Alix Freeman — Sat, 18 Jan 2020 13:16:59 GMT

Hi Bob. Alix Freeman EVDC resident in dentistry and oral surgery @ Eastcott and BVDA secretary. Don't know to change my profile name and had it long before I joined this group! Not very technologically advanced unfortunately. There aren't many Alix's so assumed most people would work out who I was or easily track me down!

RE: Dental X-rays, infection or neoplasia

Bob Partridge — Sat, 18 Jan 2020 12:49:28 GMT

Who is Vetalix?

Why be anonymous?

RE: Dental X-rays, infection or neoplasia

Alix Freeman — Sat, 18 Jan 2020 12:32:13 GMT

Cat or dog? Do you have any radiographs-these can help guide your biopsy and diagnosis? We commonly get asked whether changes seen in cats in the mandibular bone around their canine teeth afftected by TR is infection/inflammation/neoplasia. Unfortunately biopsies are the only way of knowing this. Where you have widespread tooth resorption in cats, particularly replacement resorption (type II), you can get a lot of reactive change of the surrounding mandible or maxilla. There are very few indications for antibiotics in dentistry. If you have a patient with osteomyelitis then they are likely to require at least 4-8 weeks treatment with antibiotics based on c+s. If you can post some photos +/- radiographs we can probably help a bit more?

RE: Dental X-rays, infection or neoplasia

Kate Richardson — Sat, 18 Jan 2020 12:19:45 GMT

Guess it's not impossible, but no something I've ever heard discussed with respect to dental xray changes

RE: Dental X-rays, infection or neoplasia

Sarah Keir — Sat, 18 Jan 2020 11:44:08 GMT

Unless concerned about TB?

RE: Dental X-rays, infection or neoplasia

Kate Richardson — Sat, 18 Jan 2020 09:57:18 GMT

Or response to antibiotics