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50  Diseases of the Oral Cavity and Salivary Glands  535

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               Figure 50.1  (a) Photograph of a 15‐year‐old Pomeranian, showing severe calculus and plaque accumulation along with multiple missing
               teeth. (b) Intraoral radiographs of the same patient showing severe alveolar bone loss with extension into the endodontic system as
               evidenced by the formation of periapical lucencies (arrows). Copyright 2015 Alexander M. Reiter.


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               Figure 50.2  (a) Photograph of a 2‐year‐old Abyssinian, showing severe gingivitis and gingival enlargement along with multiple missing
               incisors. (b) Intraoral radiographs of the same patient showing moderate alveolar bone loss (†) and type I tooth resorption (*). Copyright
               2015 Alexander M. Reiter.

               disease. Miniature schnauzers and greyhounds have a   juvenile  periodontitis.  Single  amino  acid  variations
               propensity to localized juvenile periodontitis and refrac­  because of mutation in interleukin (IL)‐6, IL‐10, and
               tory rapidly progressing periodontitis.            lactoferrin genes may result in a change in their func­
                 In humans, periodontitis has been associated with   tionality which could play a role in the development of
               abnormal phagocytic activity as well as immunosup­  disease. However, this has yet to be confirmed in pets.
               pressive states. Hypoplasia of root cementum has also   Periodontal disease treatment has the goal of cleaning
               been implicated as a cause specifically in human cases of   and eliminating deep pockets with closed or open
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