A few years ago at AAHA I gave the AVBP dental review. Some questions for those who want to try:

1. Name in order of occurance most common types of oral malignancies in dogs and cats.
    
2. Therapy options for each of above - VERY IMPORTANT!
    
3. Name three types of epuli (there are really three?)
    
4. Therapy options for above.
    
5. What are the indications for using the apical repositioned flap?
    
6. What are the indications for using gingivectomy?
    
7. Name treatment options for base narrow canines - four if possible.
    
8. When performing endodontics on an upper fourth premolar, how many roots should be routinely filled? one? two? three? four?
   
9. What is the difference of apexification and apexigenesis?
    
10. What is the treatment OF CHOICE for a discolored ( pulpitis) tooth?
    
    
    
    
     

ANSWERS

1. &
2. The most common oral malignancy of the cat is the squamous cell
   carcinoma by far (At least,I couldn't find mention of any other common oral tumor).  Treatment is surgical removal plus radiation.
   
   The three most common oral malignancies of the dogs are: 
   
   Fibrosarcoma (treatment =  surgery & possibly cryosurgery or hyperthermia), melanoma (surgery, radiotherapy but nothing is very good as this tumor is very hot) , & squame (same tx as for
   cats above).
   
   Melanoma is the most common.
   
   
   
   
    
3. &
4. The three epulidites are: ossifying, acanthomatous & fibromatous.
   
   Acanthomatous ends to invade more deeply & has the ability to transform to osteosarcoma, fibrosarcoma or squamous cell carinoma.  Excision usually involves excision of jaw bone.  Fibromatous epulis is more benign & more easily removed locally.  I couldn't really find anything about an ossifying epulis except the name.
   
   
   
   
    
5. &
6. Both are treatments for periodontal disease when the periodontal
   pocket is too deep to clean.  The flap is better because it allows the ginviva to potentially reattach to the tooth.  Gingiviectomy is, however, so simple that anyone can do it; you just cut off the unattached gingiva.  It is better to try to reattach gingiva rather than cut it off.
   
   
   
   
    
7. :(  I couldn't find anything about base narrow canines.  Is there another name for this condition?  I think it warrants orthodontic moving of teeth but I'm not sure & it isn't in the books I have (which isn't too many).
   
   
   
   
    
8. When I was at an AAHA dental seminar Tom Mulligan drilled access holes in a dog  skull for me so I could see where all the access holes I might ever want to drill should go. My skull only has two holes in its upper 4th premolars so I'll say two.  NOTE: THE ANSWER IS 3.  ONE HOLE ACTUALLY FILLS 2 ROOTS (mesial & palatal)
   
   
   
   
    
9. Apexification & apexogenesis are endodontic treatments for immature teeth that have open-ended roots.  Apexogenesis is for live teeth & vital pulpotomy is an example.  This allows the tooth to be sealed but, since the tooth is alive, it can still lengthen & grow (& apexify). Apexification is for dead teeth.  This involves sealing the apex only.
   
   
   
   
    
10. I thought that the treatment of choice for discolored teeth was root canal.  Isn't that  right?