這個案例是一隻叫旦旦7歲的米克斯黑色公貓，因口炎導致食慾不佳、精神活力減退、嚴重口臭、體重從8kg一路下滑至6.7kg，來本院治療之前已經在他院長期使用多種藥物進行控制，可效果不佳，貓咪仍因為疼痛而食慾不振。
2021.02.27初次進行牙齦黏膜置換手術(MGRS)治療時。
該個案的雙側嘴角、舌下、後牙區牙齦及咽喉部皆可見到大範圍的牙齦黏膜紅腫與潰瘍，其中下顎雙側的兩顆前臼齒(307、407)因為有嚴重的齒吸收，殘餘的牙齒在治療當中已自行脫落。
2021.07.19 MGRS療程持續五個月後結束，一共進行了六次治療。
原本紅腫潰瘍部位的牙齦及口腔黏膜皆已癒合、紅腫消退、口臭消失，不需要再使用藥物控制症狀。整個MGRS 療程中，陳重威獸醫師沒有拔除該個案的任何一顆牙齒，口炎已痊癒，該貓咪的體重也從6.7kg一路回升至7.9kg。根據飼主的回報，現在旦旦不但精神活力變得很好，會欺負家中其他貓咪。本院將持續為追蹤預後後續。
This patient is a 7-year-old black male mixed cat named Dan-Dan. Stomatitis caused his poor appetite and spirit, severe bad breath, and the body weight has reduced from 8kg to 6.7kg. He has been treated in other hospitals before coming to our hospital, long-term use of a variety of medicines for control, but the effect is not good, the patient still has poor appetite due to pain.
2021.02.27 The patient's first mucogingival replacement surgery (MGRS) treatment.
Before the first MGRS treatment, severe swelling and ulcers in the gingiva and oral mucosa can be seen in maxillary and mandibular buccal, sublingual, and oropharyngeal side in the patient’s oral cavity. Among them, the two premolars (307, 407) on both sides of the mandibular had severe tooth absorption, the remaining teeth have fallen out on their own during the treatment.
2021.07.19 The MGRS course lasted for five months and then ended, a total of six treatments were performed. The gingiva and oral mucosa of the oral cavity have completely healed, no more redness or swelling, and the bad breath disappeared. The patient’s stomatitis has healed, he does not need to use any medicines to control stomatitis, and Dr. Chung-Wei Chen did not perform any tooth extraction during the MGRS treatment. The patient's body weight increased from 6.7kg to 7.9kg. According to the owner's reply, now Dan-Dan not only has good spirit and mobility, but also bullies other cats in the house. We will continue to follow up the patient.
【徵求口炎貓咪】快加入陳重威獸醫師與高醫大的口炎貓口腔治療研究計畫，至2021年8月底截止~
詳情請參閱：https://hellopeter.com.tw/content-81.html
#陳重威獸醫師 #動物牙科推薦 #寵物牙科推薦 #mgrs #牙齦黏膜置換手術 #mucogingivalreplacementsurgery #動物口腔外科
#貓 #口炎 #口炎貓 #口炎貓口腔治療研究計畫 #台中動物醫院 #台中動物醫院推薦 #台中獸醫院
#台北醫學大學 #RootPlaning #scaler #curette #GTR #GBR #AmericanAcademyofPeriodontology #牙周病診治健康照護手冊 #衛生福利部 #牙結石清除術
