May Newsletter

 

Chronic Ulcerative Paradental Stomatitis

Chronic ulcerative paradental stomatitis (CUPS) is a form of periodontal disease that causes red, raised, ulcerated lesions in the buccal or labial mucosa where it rests against the teeth. Any area of the buccal or labial mucosa may be involved, however, most of these lesions are found in the area of the maxillary canine and fourth premolar teeth Although the condition is more common in the Maltese, German Shepard and Greyhound, it may be seen in any pure or mixed breed dog.

The cause of CUPS appears to be plaque intolerance where the immune defense system mounts a hyper response to the bacteria involved in periodontal disease. Diagnosis is based upon the characteristic “ulcerated lesions” in the buccal or labial mucosa where it lies in contact with plaque covered teeth. These teeth usually show other signs of attachment loss such as gingival recession, periodontal pockets and alveolar bone loss. Biopsy with histopathological evaluation of the lesions as well as blood counts, blood chemistry panels and urinalysis should be performed to rule out other possible inciting factors.

Treatment consists of thorough periodontal evaluation including radiographs, dental scaling, polishing, periodontal treatment and home care. Antibiotic therapy, pain management and immunosuppressive doses of corticosteriods are usually required to control the disease and provide enough comfort so that the owner can start home care. Home care consists of oral rinses, oral gels and tooth brushing. In refractory cases, tooth extraction will be required to treat CUPS and provide relief for the patient.

Explore posts in the same categories: Uncategorized