Exotic cat with eosinophilic granuloma and wry bite (mandibular asynchrony)

This cat presented for lingual floor trauma secondary to the left maxillary canine tooth.  A proliferative ulcerative lesion was present in the left caudal mucosa unassociated with the malocclusion.  A biopsy confirmed eosinophilic granuloma.  Prednisone at 1 mg/kg BID was initiated.  The patient is scheduled for reevaluation in April and orthodontic appliance application to move the canine caudally.   A bite block will be required to allow caudal movement.

Eosinophilic Granuloma001 Exotic cat with eosinophilic granuloma and wry bite (mandibular asynchrony)Eosinophilic Granuloma002 Exotic cat with eosinophilic granuloma and wry bite (mandibular asynchrony)Eosinophilic Granuloma003 Exotic cat with eosinophilic granuloma and wry bite (mandibular asynchrony)

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6 Responses to Exotic cat with eosinophilic granuloma and wry bite (mandibular asynchrony)

  1. Molly May DVM says:

    Hi Brett,

    How old is this cat? And how will its age ie adult vs kitten, effect the likelihood of being able to move 204 into anatomical position?

    thanks

    MM

    • Brett says:

      Hi Molly,
      Providing the kitty tolerates the device it should do well. 1 1/2 years old. We will place a composite button on the canine one on PM 3 and 4 a massel chain in between and a bite block on 108, 409.
      I will update pics when we complete it April 20-22.
      Brett

  2. Barden Greenfield says:

    Hi Brett,
    Had a very similar case in an older cat that ended up being a SCC!
    Your website rocks!
    Barden

    • Brett says:

      Hi Barden,
      That was on the rule out list. Will see this guy back next month. Started pred this week so will get some followup pics.
      Brett

  3. Lisa says:

    What is a “bite block”?

    • Brett says:

      Hi Lisa,
      Sorry for the late response I have been on vacation and a busy week seeing cases in Atlanta. A bite block prevents the patient from closing its mouth so that teeth can be moved past other teeth that are otherwise preventing the movement. It is usually made of acrylic or composite material and placed between incisors or molars and premolars.
      Brett

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