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Abordagem terapêutica de doença periodontal avançada associada a gengivoestomatite crônica felina: relato de caso
Therapeutic approach to advanced periodontal disease associated with feline chronic gingivostomatitis: case report
DOI:
https://doi.org/10.15446/rfmvz.v72n3.120941Keywords:
exodontia seletiva, inflamação oral, odontologia felina, radiografia intraoral (pt)feline dentistry, intraoral radiography, oral inflammation, selective extraction (en)
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A gengivoestomatite crônica felina (GECF) é uma condição inflamatória severa que afeta diversos tecidos da cavidade oral dos gatos e frequentemente está associada à doença periodontal avançada e à reabsorção dentária tipo 1. Essas afecções compartilham mecanismos patogênicos comuns, especialmente relacionados à resposta inflamatória do hospedeiro frente à presença de placa bacteriana. Este estudo teve como objetivo relatar a abordagem diagnóstica e terapêutica em mmm caso de GECF associado a lesões periodontais e reabsorções dentárias múltiplas, ressaltando a importância de uma conduta clínica integrada. Um gato doméstico foi atendido com sinais de inflamação oral crônica e submetido a exame clínico detalhado, testes hematológicos, bioquímicos e sorológicos (FIV/FeLV), além de radiografias intraorais. As imagens revelaram lesões de reabsorção compatíveis com tipo 1, guiando a decisão por exodontia seletiva dos dentes acometidos e profilaxia periodontal. O tratamento resultou em melhora clínica significativa no curto prazo. Contudo, não foi possível realizar o acompanhamento em médio e longo prazo devido à ausência de retorno do paciente. Este relato reforça a relevância do diagnóstico completo, com destaque para a radiografia intraoral, como ferramenta essencial para a identificação de alterações dentárias ocultas. A exodontia seletiva, quando bem indicada, pode proporcionar alívio sintomático e controle da inflamação, sendo fundamental o acompanhamento pós-operatório para monitoramento da resposta clínica e prevenção de recidivas.
Feline chronic gingivostomatitis (FCGS) is a severe inflammatory condition affecting various tissues in the oral cavity of cats, often associated with advanced periodontal disease and type 1 tooth resorption. These conditions share common pathogenic mechanisms, particularly related to the host's inflammatory response to the presence of bacterial plaque. This study aimed to report the diagnostic and therapeutic approach in a case of FCGS associated with periodontal lesions and multiple tooth resorptions, highlighting the importance of an integrated clinical approach. A domestic cat presented with signs of chronic oral inflammation and underwent a detailed clinical examination, hematological, biochemical, and serological tests (FIV/FeLV), as well as intraoral radiographs. The images revealed resorptive lesions compatible with type 1, guiding the decision for selective extraction of the affected teeth and periodontal prophylaxis. The treatment resulted in significant clinical improvement in the short term. However, medium- and long-term follow-up was not possible due to the absence of patient return. This case report reinforces the relevance of a complete diagnosis, with an emphasis on intraoral radiography as an essential tool for identifying hidden dental changes. Selective extraction, when well indicated, can provide symptomatic relief and control of inflammation, with postoperative follow-up being essential to monitor clinical response and prevent recurrence.
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Copyright (c) 2025 S. López Paredes, J. Alves da Costa, D. De Marchi Furuya, P. Da silva Rocha, L. J. Ortega Otálora
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