FIND OUT WHY
This is a 7 1/2 year old spayed female toy poodle who presented for a COHAT. My first question is regarding the lesions on each side of the tongue base. Are these typical for a particular lesion? Salivary duct inflammation? They appear to be contacting the lingual surface of 309 and 409 which had some tartar but not dramatically so. I'm inclined to biopsy but didn't want to do so if this is a typical presentation for some kind of reaction to tartar or something.
In addition – I see that needed extractions are 101, 102, 103, 201, 209, 309, 410. On 309 do you think that looks like the start of an apical abscess? I'm also worried about 409- distal root has a little lucency, and the caudal aspect of the proximal root looked like the periodontal ligament space is pretty wide. I didn't get permission for ANYTHING at this visit- just “clean and polish” but will send them with photos, rads, recommendations.
Sorry about the circles if that obscures your evaluation. It was easiest to upload the photos I'd marked up for the client. I can upload the unmarked photos if you prefer.
Any advise, corrections, or additions welcome.