Currently set to Index
Currently set to Follow

Veterinary Dentistry Dental Case

Veterinary Dentistry Today July 2014



This 11 year-old Cocker Spaniel has a history of hyperadrenocorticism, hypertension, and mitral valve degeneration.  What medications might be responsible for the condition presented in the image above?


  • Click for the Answer

     Drugs that inhibit calcium influx across cell membranes have been associated with gingival hyperplasia in some canine and feline patients.  The patient in the image has been receiving amlodipine for high blood pressure for the previous 12 months.


    Diagnostics must include full mouth intraoral radiography and periodontal probing to assess for current periodontal disease. Drug-induced gingival enlargements create pseudopockets that may progress into periodontal pockets. Treatment for this case involved several extractions for severe periodontal bone loss and a combination of surgical excision and gingivoplasty with a #12 fluted bur on a water-cooled high-speed handpiece.


    Assessment 10 days postoperatively demonstrated mild gingival inflammation consistent with progressive healing.  Amlodipine was replaced by hydralazine by the referring veterinarian to avoid recurrence. However, not all patients receiving amlodipine develop gingival enlargement and changing classes of antihypertensive medications must be weighed against the overall systemic benefit to the patient as various classes of antihypertensive drugs work via different mechanisms.


    For a detailed discussion of gingival hyperplasia and more on drugs that can induce this condition download this .pdf

    Gingival Hyperplasia

Veterinary Dental On-Demand Online Courses

The Canine Dentistry Online Course
Comprehensive Feline Dentistry Online Course
Complete 7 Part Extraction Series Online Course
Comprehensive Veterinary Dental Radiongraphic Interpretation Course
Veterinary Dentistry for the Veterinary Technician Online Course



"I can’t thank Dr. Beckman enough for his mentorship and devotion to developing our dentistry skills. I never thought I’d be able to do the procedures that I have, and in a remote community, it’s a joy to see my patients benefit from that.”
Nicole Baran, DVM
Sudbury Regional Cat Hospital (Owner)
Ontario, Canada
“Hey Brett, Your passion for teaching veterinary dentistry, and the lessons I learned from you, gave me the knowledge and confidence to educate and provide my clients the best oral care for their pets. Now, as an educator, my clients are DVM students, and everyday I get to pass on lessons I learned from you.”
Greg Wolfus, DVM
Tufts University
"Attending Dr. Beckman’s canine dental wet lab was the single most valuable CE I had experienced in my then 10 years as a veterinarian.”

“I was already doing fairly good dentistry, was using dental x-rays and had good technicians, but Dr. Beckman taught me how to utilize those tools to be a better practitioner and to be more profitable.”
Dr. Geoffrey Adams
Pasco Animal Hospital
New Port Richey, Florida
“Dr. Beckman’s Canine and Feline Dentistry seminars include relevant, practical and engaging lectures, interspersed with hands-on experience performing full-mouth extractions in dogs and cats.”

“Dr. Beckman’s team is friendly, fun, and extremely knowledgeable. Annie Mills LVT, VTS (Dentistry) does a stellar job organizing the events, making for a smooth and enjoyable learning experience.”
Erin V. Abrahams, DVM
Angell Animal Medical
Center Boston, MA
More Vet Reviews More Tech Reviews
Back to Top ▲