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牙齦黏膜置換手術(MGRS)治療貓狗口炎個案
【2021.03.17沒拔牙個案追蹤】9歲6個月的賓士公貓個案的體重已上升至7.25公斤,無拔牙、無使用藥物控制、口炎無復發
2021-03-17
【2021.03.17個案追蹤】9歲6個月的賓士公貓個案的體重已上升至7.25公斤,無拔牙、無使用藥物控制、口炎無復發
黑白賓士公貓,療程前體重約5.35公斤,初次來院年齡約7歲。

2018年09月03日
此貓慢性齒齦口炎(FCGS)個案來本院前已做過許多內科治療皆效果不彰,全口牙齦(gingiva)與齒槽黏膜(alveolar mucosa)仍持續嚴重紅腫,甚至出血,口臭非常嚴重,被家裡其他貓咪排擠霸凌,生活品質極差。
在飼主希望能保留賓士貓牙齒的前提下,陳重威院長為賓士公貓施行了本院獨創的貓口炎牙齦黏膜置換手術(Mucogingival Replacement Surgery,簡稱MGRS),療程持續一年半,中間有因肝指數過高暫停一個月治療,肝指數下降後又開始後續治療,整個MGRS療程沒有拔除該貓咪任何一顆牙齒,亦無使用類固醇及免疫抑制劑等藥物。

2020年03月18日
MGRS療程結束且停用抗生素及止痛藥,賓士貓口腔的紅腫幾乎消失,沒有口臭,體重持續上升至6.65公斤,毛色變得更有光澤,口炎已治癒。
2021年03月17日
MGRS療程結束後,滿一年追蹤,目前9歲6個月的賓士公貓個案的體重已上升至7.25公斤,無拔牙、無使用藥物控制、口炎無復發。


獸醫牙科(或稱動物牙科、寵物牙科)須更新的觀念有:
牙科就是外科
※ 拔牙是最後不得已的選項,盡可能保留動物的牙齒,拔牙須由獸醫師判斷
※ 經過牙齦黏膜置換手術(MGRS)的貓咪更要注意牙齒口腔清潔,一定要刷牙
希望能有更多口炎貓咪參與本院的《口炎貓臨床治療研究計畫》(https://hellopeter.com.tw/content-81.html)


此賓士公貓的治療歷程,請看【沒拔牙】MGRS治療成功的口炎黑白賓士貓個案 https://hellopeter.com.tw/content-33.html

本院院長陳重威獸醫師以結合人類牙醫及獸醫牙科所獨創的「牙齦黏膜置換手術」(MGRS)所治癒的貓咪個案:
2021.02.03又一隻以牙齦黏膜置換手術(MGRS)治癒口炎的橘貓個案 https://hellopeter.com.tw/content-85.html
【個案追蹤】已被半口拔牙的虎斑公貓接受MGRS療程結束後11個月追蹤,口炎無復發 https://hellopeter.com.tw/content-75.html
牙齦黏膜置換手術(MGRS)治癒貓口炎的白底虎斑米克斯母貓個案
https://hellopeter.com.tw/content-64.html
全口拔牙後牙齦仍紅腫,經MGRS治療後痊癒的橘貓個案

https://hellopeter.com.tw/content-6.html

[The patient follow-up after 1 year] The black and white male cat weighed about 5.35 kg before the treatment and was about 7 years old when he first came to our hospital.

September 03, 2018
This chronic gingival stomatitis (FCGS) patient has tried many medical treatments before coming to our hospital, but the effect is not good. The whole gingiva and alveolar mucosa continue to be severely red, swollen and bleeding, and bad breath is very serious.  The patient is bullied by other cats in the family, the quality of life is extremely poor.

The owner hopes to retain the teeth of the cat, Dr. Chung-Wei Chen performed the unique Mucogingival Replacement Surgery (MGRS) for the patient. The treatment lasted for one and a half years. The treatment was suspended for one month due to the abnormal liver function, and subsequent treatments were started after the liver function returned to normal. The patient did not remove any teeth, use steroids and immunosuppressive drugs during the MGRS treatment.


March 18, 2020
After the MGRS treatment was over and antibiotics and analgesic drugs were stopped, the redness and swelling of the cat's mouth almost disappeared, there was no bad breath, the weight continued to rise to 6.65 kg, the color of the coat became more shiny, and the FCGS was cured.

March 17, 2021
After one year of the end of the MGRS treatment, the weight of the 9.5 years old black and white male cat has risen to 7.25 kg, without tooth extraction, no medication control, and no recurrence of FCGS.

Veterinary dentistry (or animal dentistry, pet dentistry) must update the concepts:
※ Dentistry is surgery
※ Tooth extraction is the last option. Save the patient's teeth as much as possible. Tooth extraction must be judged by the veterinarian
※ Cats who have undergone MGRS should pay more attention to the cleaning of their teeth and oral cavity, and brush their teeth


哈囉彼得動物醫院 HelloPeter Veterinary Hospital(04)2472-8828
醫院官網Website:www.hellopeter.com.tw
看診時間:週一到週五10:00-13:00、15:00-21:00(牙科門診採預約制),週六可預約看診及安排手術



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