Case Description: Smokey, 11.5 year old, female spayed Manx, presented to the Cornell University Hospital for Animals for treatment of a three year history of gingivostomatitis (GS). She had previously undergone multiple dental prophies and extractions by her referring veterinarian. At presentation, she was being maintained on prednisolone, but her oral inflammation and discomfort persisted. Clinical Findings: Oral examination revealed moderate inflammation and ulceration in her upper and lower arcades and along her glossopalatine arches. Smokey's mandibular canines had associated gingival inflammation and supereruption. Dental radiographs found numerous retained root tips.
Treatment and Outcome: To attempt to resolve Smokey's GS, it was necessary to incise into all quadrants to remove the root tips. In addition, her lower mandibular canines were determined to be unhealthy and subsequently removed. Alveoloplasty, to eliminate sharp bony margins and reshape crestal bone, followed extractions. She was treated with a course of Clavamox and presently requires alternate day dosing of prednisolone. Her comfort and activity level have improved remarkably. Clinical Relevance: This Senior Seminar discusses the clinical features, pathogenesis, diagnosis, and treatment options for GS. Emphasis is made on the importance of removing root tips when performing dental extractions.