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Chan OSK, Bradley KCF, Grioni A, Lau SKP, Li WT, Magouras I, Naing T, Padula A, To EMW, Tun HM, Tutt C, Woo PCY, Bloch R, Mauroo NF. Veterinary Experiences can Inform One Health Strategies for Animal Coronaviruses. Ecohealth 2021; 18:301-314. [PMID: 34542794 PMCID: PMC8450722 DOI: 10.1007/s10393-021-01545-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 05/24/2021] [Accepted: 07/12/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Olivia S K Chan
- LKS Faculty of Medicine, School of Public Health, Patrick Manson Building, The University of Hong Kong, Pokfulam, Hong Kong.
| | - Katriona C F Bradley
- Tai Wai Small Animal and Exotic Hospital, G/F, Lap Wo Building, 69-75 Chik Shun St, Tai Wai, NT, Hong Kong
| | - Alessandro Grioni
- Fauna Conservation Department, Kadoorie Farm and Botanic Garden, Lam Kam Road, Tai Po, NT, Hong Kong
| | - Susanna K P Lau
- Department of Microbiology, The University of Hong Kong, Room 26, 19/F, Block T, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong
| | - Wen-Ta Li
- Department of Pathology, Pangolin International Biomedical Consultant Ltd., Keelung, Taiwan
| | - Ioannis Magouras
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon, Hong Kong
| | - Tint Naing
- Soares Avenue Paws and Claws Clinic, G/F No 29 - 33 Soares Avenue, Kowloon, Hong Kong
| | - Andrew Padula
- Australian Venom Research Unit, Department of Pharmacology, Faculty of Medicine, University of Melbourne, Parkville, VIC, 3010, Australia
| | - Esther M W To
- Agriculture, Fisheries and Conservation Department, The Government of Hong Kong Special Administrative Region, Room 509, Cheung Sha Wan Government Offices, 303 Cheung Sha Wan Road, Sham Shui Po, Kowloon, Hong Kong
| | - Hein Min Tun
- LKS Faculty of Medicine, School of Public Health, Patrick Manson Building, The University of Hong Kong, Pokfulam, Hong Kong
| | - Cedric Tutt
- Cape Animal Dentistry Service, 78 Rosmead Avenue, Kenilworth, Cape Town, 7708, South Africa
| | - Patrick C Y Woo
- Department of Microbiology, The University of Hong Kong, Room 26, 19/F, Block T, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, Hong Kong
| | - Rebecca Bloch
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Nathalie F Mauroo
- Hong Kong Wildlife Health Foundation, GPO Box 12585, Hong Kong, Hong Kong
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Niemiec B, Gawor J, Nemec A, Clarke D, McLeod K, Tutt C, Gioso M, Steagall PV, Chandler M, Morgenegg G, Jouppi R. World Small Animal Veterinary Association Global Dental Guidelines. J Small Anim Pract 2020; 61:E36-E161. [PMID: 32715504 DOI: 10.1111/jsap.13132] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Dental, oral, and maxillofacial diseases are some of the most common problems in small animal veterinary practice. These conditions create significant pain as well as localized and potentially systemic infection. As such, the World Small Animal Veterinary Association (WSAVA) believes that un- and under treated oral and dental diseases pose a significant animal welfare concern. Dentistry is an area of veterinary medicine which is still widely ignored and is subject to many myths and misconceptions. Effective teaching of veterinary dentistry in the veterinary school is the key to progression in this field of veterinary medicine, and to the improvement of welfare for all our patients globally. These guidelines were developed to provide veterinarians with the information required to understand best practices for dental therapy and create realistic minimum standards of care. Using the three-tiered continuing education system of WSAVA, the guidelines make global equipment and therapeutic recommendations and highlight the anaesthetic and welfare requirements for small animal patients. This document contains information on common oral and dental pathologies, diagnostic procedures (an easily implementable and repeatable scoring system for dental health, dental radiography and radiology) and treatments (periodontal therapy, extractions). Further, there are sections on anaesthesia and pain management for dental procedures, home dental care, nutritional information, and recommendations on the role of the universities in improving veterinary dentistry. A discussion of the deleterious effects of anaesthesia free dentistry (AFD) is included, as this procedure is ineffective at best and damaging at worst. Throughout the document the negative effects of undiagnosed and/or treated dental disease on the health and well-being of our patients, and how this equates to an animal welfare issue, is discussed.
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Niemiec B, Gawor J, Nemec A, Clarke D, McLeod K, Tutt C, Gioso M, Steagall PV, Chandler M, Morgenegg G, Jouppi R, McLeod K. World Small Animal Veterinary Association Global Dental Guidelines. J Small Anim Pract 2020; 61:395-403. [DOI: 10.1111/jsap.13113] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Revised: 12/17/2019] [Accepted: 12/19/2019] [Indexed: 12/26/2022]
Affiliation(s)
- B. Niemiec
- Veterinary Dental Specialties & Oral Surgery San Diego CA USA
| | - J. Gawor
- Klinika Weterynaryjna Arka Kraków Poland
| | - A. Nemec
- Veterinary Faculty, Small Animal Clinic, University of LjubljanaLjubljanaSlovenia
| | - D. Clarke
- David Clarke Dental Care for Pets MelbourneAustralia
| | - K. McLeod
- The Veterinary Dentist Cape Town South Africa
| | - C. Tutt
- The Veterinary Dentist Cape Town South Africa
| | - M. Gioso
- Department of SurgeryUniversity of São Paulo São Paulo Brazil
| | - P. V. Steagall
- Department of Clinical Sciences, Faculty of Veterinary MedicineUniversité de Montréal Saint‐Hyacinthe QC Canada
| | | | | | - R. Jouppi
- Laurentian University Sudbury ON Canada
| | - K. McLeod
- Conundrum Consulting Toronto ON Canada
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Rejec A, Benoit J, Tutt C, Crossley D, Butinar J, Hren NI. Evaluation of an Accelerated Chemoradiotherapy Protocol for Oropharyngeal Squamous Cell Carcinoma in 5 Cats and 3 Dogs. J Vet Dent 2016; 32:212-21. [PMID: 27012058 DOI: 10.1177/089875641503200401] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Accelerated radiation therapy protocols address the specific biology of aggressive oropharyngeal squamous cell carcinoma and this approach was applied in 5 feline and 3 canine oropharyngeal squamous cell carcinoma patients where surgery was not possible (4/5 feline and 2/3 canine cases) or was declined (1/5 feline and 1/3 canine cases). A protocol using 14 fractions of 3.5 Gy over 9-days, combined with carboplatin chemotherapy as a radiosensitiser (total dose 180 mg/m2 in feline and 300 mg/m2 in canine cases) resulted in a complete tumor response in most cases (4/5 feline and 3/3 canine cases) with acceptable acute and long-term side effects. Results achieved in feline cases correspond with published data where these specific radiotherapy protocols were employed. A complete response and long-term survival (> 2-years) was achieved in all canine patients. Although no standardized chemoradiotherapy protocols currently exist, this therapeutic approach can be a useful addition for the management of oropharyngeal squamous cell carcinoma of cats and dogs when the goals of treatment include maximizing tumor control while maintaining function and quality of life.
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Abstract
Practical relevance: Periodontal disease is commonly encountered in feline practice. Gingivitis, followed by inflammation of the rest of the periodontal tissues, can lead to chronic oral infection, bacteraemia, pain and ultimately tooth loss. Given adequate plaque control and thorough, consistent dental home care, gingivitis is a reversible and controllable condition. Periodontitis, however, is an essentially irreversible and progressive condition. Treatment aims to control tissue inflammation, returning the gingiva to clinical health and preventing destruction of the periodontium in other parts of the mouth. Clinical challenges: Diagnosis must be established using a combination of oral examination under anaesthesia and dental radiography. Periodontitis leads to tooth attachment loss, and given the short length of most cat teeth, probing depths of 1 mm or more should alert the clinician to the presence of periodontitis. The decision of whether to extract or preserve affected teeth needs careful consideration. In practice, as periodontitis is often associated with type 1 tooth resorption, extraction is often required, but the slender and delicate nature of feline tooth roots, compounded by the destructive nature of tooth resorption, can frustrate extraction attempts. As highlighted in this article, iatrogenic damage to teeth is also a real risk if periodontal therapy procedures (including scaling and polishing) are not performed carefully. The challenges of providing home care in the cat are additionally discussed. Evidence base: The authors have drawn upon, wherever possible, an evidence base relating strictly to the feline patient. Where there is a lack of published research, evidence from canine and human studies is assessed.
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Affiliation(s)
- Rachel Perry
- Perrydental Vet Ltd, Grove Lodge Veterinary Hospital, Upper Brighton Road, Worthing, West Sussex, BN14 9DL, UK
| | - Cedric Tutt
- Cape Animal Dentistry Service, 78 Rosmead Avenue, Kenilworth, 7708, Cape Town, South Africa
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