DENTISTRY
Figure 5B . Gingivitis affecting the right mandibular third premolar in a cat .
Gingival bleeding Bleeding on probing is indicative of an inflammatory process in the connective tissue adjacent to the junctional epithelium . If the sulcular lining is intact and healthy , no bleeding will occur . However , if periodontal disease is present , bleeding will usually occur . For localized and generalized bleeding on probing without loss of tooth support , local antibiotics such as clindamycin hydrochloride can be injected into the pocket after cleaning to help reduce the bacterial load to help reduce the inflammation ( Figures 6 and 7A-7C ).
Figure 7B . Application of clindamycin
Figure 7B . Application of clindamycin
Figure 6 . Gingival bleeding .
Gingival enlargement Gingival hyperplasia and hypertrophy are histologic terms used to describe the clinical appearance of gingival enlargement , an increase in the size or thickness of the gingiva . Hyperplasia refers to an increased number of normal cells in a normal arrangement , and hypertrophy refers to an increase in the size of individual cells . Both of these conditions can only be accurately diagnosed microscopically . When viewed clinically without histologic confirmation , the condition is correctly called gingival enlargement .
There may be a genetic predisposition in boxers , rottweilers and Golden retrievers . Gingival hyperplasia may also occur secondary to medication administration , including cyclosporine . ( Figures 8A-8D ).
Figure 7A . Bleeding on probing .
Issue 02 | APRIL 2017 30