Veterinary Dentistry Dental Cases

Here is my first post; woo-hoo!

Here is my first post; woo-hoo! Saw an 8 year old SF calico today workup for a second opinion. She had been having trouble eating for several months and weight loss (3#'s in 8 months). Blood work was unremarkable, but it was noted that she had dental disease. Another hospital (owner thought our dental estimate was too expensive) performed the dental on 11/7 and removed 104 and 108. Radiographs noted resorptive lesions of 407 and 307. The cat never returned to normalcy in terms of eating and drinking and further workup included: SQ fluids, Convenia, an enema (owner noted pet was not having consistent bowel movements). Fast forward to Saturday, owner brought the cat back to us with a foul odor to breath, focal areas of mild gingivitis were all that were noted and the alveolar bone on 104 was still budge/bulbous (alveolar osteitis?). No significant other signs of gingivitis or stomatitis. Buprenex, convenia and a sedated full mouth exam/radiographs scheduled for Monday. I didn't even get to the radiographs when I found this.

The left side of the tongue extending from dorsal midline to the lateral aspect and nearly the entire width from just caudal to the molars is swollen and the frenulum appears adhered to the ventral aspect of the tongue with a small granulomatous mass at the most rostral aspect.

I've never biopsied a tongue before (don't even know which area to get a diagnostic sample), so I am looking at referring to a surgeon, but anyone have any thoughts? The photos are of the left and right sides of the tongue for comparison.

The tonsils were also moderately inflamed as well.

You can see extraction site 104 with the bulbous alveolar bone and mild gingivitis, but I think this cat has bigger fish to fry.

I hope I have not neglected any information.

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