七仔是一隻11歲的母瑪爾濟斯犬，在本院接受全口洗牙時，發現狗的雙側下顎第一至第三前臼齒(305~307、405~407)有牙齦增生(gingival hyperplasia)以及齒列不正(malocclusion)的狀況，牙齒被增生的牙齦過度包覆，經本院以牙齦整形術(gingivoplasty)治療後才讓被牙肉包覆的牙齒得以重見天日。
牙齦增生在狗是常見的口腔病變之一，會導致牙菌斑容易在增生的牙齦溝(gingival sulcus)中堆積，進而產生牙齦炎或牙周病，需要以牙齦整形術、牙齦切除術(gingivectomy)等外科手術進行治療，治療後仍需定期追蹤，評估是否有再度增生的情形。
在本病例中，患犬同時患有齒列不正以及牙齦增生，這會造成牙菌斑容易在牙齦溝與牙縫中堆積，增加牙周病發生的機率，除了每天刷牙及定期洗牙外，建議後續需搭配牙齦整形術、齒列矯正、序列性拔牙(serial extraction)等治療，才能有效預防牙周病、維持口腔健康。
更多本院牙科和口腔外科治癒的案例分享，請按：https://www.hellopeter.com.tw/contents-2.html
哈囉彼得動物醫院 HelloPeter Veterinary Hospital
（04）2472-8828
YouTube頻道：【阿威獸醫師的開口啟齒】https://www.youtube.com/@DrRichardChen_vet
FB粉絲專頁: https://www.facebook.com/vet.dentistry.oral.medicine
地址：台灣台中市南屯區東興路二段29號
No. 29, Sec. 2, Dongxing Rd., Nantun Dist., Taichung City 408, Taiwan
看診時間：週一到週五10:00-20:30，
週六可預約看診開刀，週日公休
“Qi-Zai” is an 11-year-old female Maltese dog.
During scaling, we found that the bilateral mandibular first to third premolars (305~307, 405~407) of the patient had gingival hyperplasia and malocclusion, and the teeth were over-covered by gingiva, after gingivoplasty at our hospital, these teeth of the patient can be seen again.
Gingival hyperplasia is one of the common oral lesions in dogs. It will cause plaque to easily accumulate in the hyperplastic sulcus, leading to gingivitis or periodontal disease, surgery (such as gingivectomy) is required, and regular follow-up is required after treatment , confirm whether gingival hyperplasia recurs again.
In this patient, she suffers from malocclusion and gingival hyperplasia at the same time, which will cause plaque to easily accumulate in the gingival sulcus and the gaps between the teeth, which will increase the probability of periodontal disease, in addition to daily tooth brushing and regular scaling, it is recommended to follow up treatments, such as gingivoplasty, orthodontics, and serial extraction, so as to effectively prevent periodontal disease and maintain good oral health.
You can visit the following website to see more dental and oral surgery patients cured by our hospital:
https://www.hellopeter.com.tw/contents-2.html
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