Dental diseases and pain in cats (Felis catus)
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Data
2016
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Resumo
A dor na cavidade oral em gatos, é frequentemente negligenciada. O principal objectivo
do presente trabalho foi avaliar se as doenças dentárias felinas causam dor, e se, a sua
gravidade está correlacionada com a dor sentida. O objectivo secundário consistiu em avaliar se
a Feline Acute Pain Scale (escala de dor) of Colorado State University Veterinary Teaching
Hospital (CSUVTH) é adequada para identificar dor causada por doenças dentárias.
A série foi composta por 53 gatos. Todos foram submetidos a um exame minucioso da
cavidade oral, e a presença de dor foi investigada recorrendo à escala de dor do CSUVTH. Seis
parâmetros dentários primários (reconhecidos em Dentisteria Veterinária pelo American
Veterinary Dental College) e 5 parâmetros dentários secundários (avaliados por observação
visual) foram estatisticamente comparados com os graus de dor.
Todos os parâmetros dentários secundários mostraram estar estatisticamente
correlacionados com graus de dor. O número de dentes visivelmente ausentes foi o único
parâmetro primário estatisticamente correlacionado com graus de dor. Embora não
estatisticamente significativo, observou-se uma tendência na correlação de graus de dor e
reabsorção dentária.
Definitivamente, os gatos com doenças dentárias frequentemente sentem dor, e essa dor
está diretamente correlacionada com a gravidade da doença. Embora mais minuciosa na
avaliação de parâmetros secundários baseados em observações visuais de comportamento, a
presente escala demonstrou ser uma ferramenta adequada.
Oral cavity pain is frequently overlooked in cats. This study aimed primarily to evaluate if feline dental diseases are cause of pain and if their severity correlates to pain. Secondarily evaluating if the Feline Acute Pain Scale of Colorado State University Veterinary Teaching Hospital (CSUVTH) is adequate to identify pain caused by dental diseases. Fifty-three cats composed the studied series. All the cats were submitted to an accurate oral cavity examination and the presence of pain was assessed according to the Colorado feline acute pain scale. Six primary dental parameters (recognized in Veterinary Dentistry by the American Veterinary Dental College) and 5 secondary dental parameters (evaluated by visual observation) were statistically compared to pain grades. All the secondary dental parameters were statistically correlated to pain scores. The number of missing teeth was the only primary parameter statistically correlated to pain grades. Although not statistically significant, a trend was observed regarding higher pain scores and tooth resorption. This work allowed to definitely clarifying that cats with dental disease often feel pain, and that it increases in a disease severity-dependent manner. Although more accurate in detecting pain by visual observations as the secondary parameters, the present scale is a promising, readily available tool in this setting.
Oral cavity pain is frequently overlooked in cats. This study aimed primarily to evaluate if feline dental diseases are cause of pain and if their severity correlates to pain. Secondarily evaluating if the Feline Acute Pain Scale of Colorado State University Veterinary Teaching Hospital (CSUVTH) is adequate to identify pain caused by dental diseases. Fifty-three cats composed the studied series. All the cats were submitted to an accurate oral cavity examination and the presence of pain was assessed according to the Colorado feline acute pain scale. Six primary dental parameters (recognized in Veterinary Dentistry by the American Veterinary Dental College) and 5 secondary dental parameters (evaluated by visual observation) were statistically compared to pain grades. All the secondary dental parameters were statistically correlated to pain scores. The number of missing teeth was the only primary parameter statistically correlated to pain grades. Although not statistically significant, a trend was observed regarding higher pain scores and tooth resorption. This work allowed to definitely clarifying that cats with dental disease often feel pain, and that it increases in a disease severity-dependent manner. Although more accurate in detecting pain by visual observations as the secondary parameters, the present scale is a promising, readily available tool in this setting.
Descrição
Orientação : Joana Tavares de Oliveira ; co-orientação : João Filipe Requicha
Palavras-chave
MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, GATOS, AVALIAÇÃO DA DOR, CATS, PAIN EVALUATION, FELÍDEOS, FELIDS, CAVIDADE ORAL, ORAL CAVITY, DOENÇAS, DISEASES, MEDICINA VETERINÁRIA, VETERINARY MEDICINE