【2023.08.09新增】沒有拔牙，以牙齦黏膜置換手術(MGRS)治癒3歲口炎公橘貓
[Added on August 09, 2023] No extraction, Mucogingival Replacement Surgery (MGRS) heals 3-year-old orange tabby male cat with chronic feline chronic gingivostomatitis (FCGS).

椪椪是一隻已節育的混種公橘貓，患有嚴重的貓慢性齒齦口炎 (FCGS)，飼主帶貓來本院接受陳重威獸醫師獨創的牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS) 進行口炎 (FCGS)治療，開始治療時貓咪是2歲，牙齦黏膜置換手術 (MGRS) 療程結束時3歲。
 
椪椪的口炎 (FCGS) 紅腫範圍從頰側的牙齦及口腔黏膜一路延伸到後口，這導致他的口腔非常疼痛，吞嚥困難，食慾嚴重受到影響。
 
經過1年的牙齦黏膜置換手術 (MGRS) 治療後，椪椪的口炎 (FCGS) 完全治癒，陳重威獸醫師成功保住椪椪所有的牙齒，椪椪在治療完成後3個月追蹤，食慾維持良好，精神活力極佳，體重從4.5kg上升至5.2kg，正常生活即可，不需要打針吃藥。
 
雖然椪椪口炎 (FCGS) 順利治癒了，但還是需要每天刷牙及定期洗牙，保持良好的口腔衛生，才能確保口腔的健康，避免牙周病的發生。
 
在有些接受牙齦黏膜置換手術(MGRS)治療的患貓中，會發現同一隻貓在新癒合完畢的組織，包括牙齦、口腔黏膜及疤痕組織，會出現一些新的色素沉澱，這會導致治療前後照片，色素沉澱區域有一些不同。
 
陳重威醫師研發的牙齦黏膜置換手術的基礎理論，就是讓疤痕組織及膠原蛋白取代原本貓咪口炎的紅腫部位，陳重威醫師擁有豐富的臨床經驗及獨特的醫療技術，可以讓疤痕組織不會出現延展困難的問題，因此治癒好的口炎貓咪得以維持完好的口腔功能，且完全治癒口炎。
 
貓咪慢性齒齦口炎(FCGS)是常見的貓咪口腔疾病之一，常見的症狀為：
1.     牙齦及口腔黏膜紅腫，甚至潰瘍或增生，口腔所有軟組織，包含牙齦、兩頰舌頭兩側、舌頭下方、嘴角至咽喉部的口腔黏膜都會有紅腫潰瘍或增生。
2.     貓咪會因為口腔疼痛會減少進食，甚至不願意進食，或是吃飯喝水會不斷甩頭、使用前腳撥動嘴巴。
3.     口水因潰瘍多半都有異味，甚至帶有腐肉味。
 
目前普遍的治療多為施打長效型類固醇針劑或是口服類固醇藥劑，搭配抗生素，以及拔牙，但個體治療效果落差較大，且拔牙容易使貓咪口腔塌陷、齒槽骨萎縮，貓咪需要終生服用藥物，無法斷藥。
 
陳重威獸醫師獨創的牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS)便是希望可以克服上述口炎治療的後遺症及困境，讓患有FCGS的貓咪痊癒後不必長期吃藥，可以恢復病前的正常生活。
 
想看更多本院以牙齦黏膜置換手術 (Mucogingival Replacement Surgery, MGRS) 治癒好的貓咪個案，請參考官網的【MGRS治療貓口炎個案】專區(www.hellopeter.com.tw/contents-4.html)或FB粉專專屬相簿【牙齦黏膜置換手術(MGRS)治癒口炎貓狗個案】(https://reurl.cc/jlAQAZ)
 
[Added on August 09, 2023] No extraction, Mucogingival Replacement Surgery (MGRS) heals 3-year-old orange tabby male cat with chronic feline chronic gingivostomatitis (FCGS).
 
Peng-Peng is a neutered mixed-breed orange male cat suffering from severe feline chronic gingivostomatitis (FCGS). His owner brought him to our hospital to undergo Dr. Chung-Wei Chen (Richard Chen)'s innovative MGRS for FCGS treatment. At the beginning of the treatment, Pang-Pang was 2 years old, and upon completion of the MGRS, he turned 3 years old.
 
Peng-Peng's FCGS caused severe redness and swelling in his gingiva and oral mucosa, extending all the way to the posterior part of his mouth. This led to significant pain, difficulty swallowing, and a severe impact on his appetite.
 
After one year of MGRS treatment, Peng-Peng's FCGS was completely cured, and Dr. Chung-Wei Chen (Richard Chen) successfully preserved all of his teeth. Three months after completing the treatment, Peng-Peng maintained a good appetite, had excellent mental vigor, and his weight increased from 4.5kg to 5.2kg. He could resume a normal life without the need for injections or medication.
 
Although Peng-Peng's FCGS was successfully treated, he still requires daily tooth brushing and regular scaling to maintain good oral hygiene, ensuring his oral health and preventing periodontal disease.
 
In some cats treated with MGRS, one might observe some new pigment deposition in the newly healed tissues, including gingiva, oral mucosa, and scar tissue, resulting in some differences in the pigment deposition areas between before and after treatment photographs.
 
Dr. Chung-Wei Chen (Richard Chen)'s Mucogingival Replacement Surgery (MGRS) is based on the principle of replacing scar tissue and collagen proteins in the inflamed area of the cat's mouth. With Dr. Chung-Wei Chen (Richard Chen)'s extensive clinical experience and unique medical techniques, he ensures that the scar tissue does not present any challenging extension issues. Consequently, the cats with cured FCGS can maintain excellent oral functionality and experience complete healing.
 
Feline chronic gingivostomatitis (FCGS) is one of the common oral diseases in cats. The main symptoms are:
1.     The gingiva and oral mucosa are red, swollen, ulcers or hyperplasia. All soft tissues in the mouth, including the gingiva and all parts of the oral mucosa (including buccal, lingual, sublingual and oropharynx, etc.), will have redness, ulceration or hyperplasia.
2.     Cats will lose their appetite or even refuse to eat because of mouth pain, or they will keep shaking their heads and scratching their mouths with their front feet when eating and drinking.
3.     The patient's saliva usually has a peculiar smell, even putrefactive odor, due to ulcers.
 
At present, the most common treatments are long-acting steroid injections or oral steroids, combined with antibiotics, and tooth extraction, etc., but the effect of individual treatment varies greatly, furthermore, tooth extraction will likely cause the cat's oral cavity to collapse and alveolar bone loss. They need lifelong medication and can't stop it.

Dr. Chung-Wei Chen's original Mucogingival Replacement Surgery (MGRS) aims to solve the above-mentioned sequelae and difficulties in the treatment of stomatitis, and make cats with FCGS no longer need to take medicine for a long time after recovery, and return to the normal life they had before the illness.
 
If you want to see more cat patients cured by MGRS in our hospital, please refer to our official website (www.hellopeter.com.tw/contents-4. html) or Facebook fan page album (https://reurl.cc/jlAQAZ).
 
 
哈囉彼得動物醫院 ｜HelloPeter Veterinary Hospital
院長 陳重威獸醫師 ｜Dr. Richard Chen
YouTube頻道：【阿威獸醫師的開口啟齒】www.youtube.com/@DrRichardChen_vet
（04）2472-8828
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
醫院官網Website: www.hellopeter.com.tw
門診時間：週一至週五10:00~13:00、15:00~20:30（門診為預約制），週六可接受預約門診及手術，週日公休。
 
 
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