Removing complex teeth safely and with minimal impact.
Regular oral examinations often uncover swellings or masses in our furry companions’ mouths. Sometimes, pet owners bring their pets to us after detecting an oral mass at home or following a referral from another veterinarian. Identifying these masses isn’t always straightforward—some are benign and require minimal intervention, while others necessitate more complex diagnosis and treatment.
The importance of early detection & treatment
The primary concern with oral masses is the potential for cancer, though such cases are rare. When they do occur, swift identification is crucial for effective management. Since distinguishing between benign and problematic masses isn’t always possible externally, a cautious approach is essential, treating all oral masses as potentially serious and warranting thorough evaluation.
A biopsy is recommended for most oral masses, prioritising diagnosis over immediate curative surgery. These masses typically fall into two categories: benign, with limited effects, and malignant, which can spread locally or beyond. Treatment strategies vary accordingly, with malignancies often requiring more aggressive intervention.
Treatment Approaches for Benign & Malignant Oral Masses
We typically manage benign masses with simple removal, guided by dental radiographs that reveal its impact on underlying bone and help in planning a targeted approach.
In contrast, malignant masses require more extensive surgeries that include areas beyond the visibly affected tissue.
The concept of margins is crucial here, as additional tissue removal aims to ensure that malignant cells do not spread into surrounding normal tissue. In the oral cavity, this may involve removing portions of the jaw.
For smaller masses, an excisional biopsy is often used, similar to the surgery for benign masses. If the pathology report confirms the mass as benign, the initial surgery might be curative. For malignancies, a second, more extensive surgery is typically planned.
Balancing Approaches to Oral Mass Management
Finding the right balance, particularly with the size of the mass, often involves performing an excisional biopsy with an added margin, guided by visual inspection and dental X-rays or CT. This approach, which may be curative for some malignancies, needs confirmation through pathology examination of the removed margins.
A measured approach is crucial in managing oral masses, starting with a biopsy and recognising the potential need for additional surgeries. Managing oral masses in veterinary dentistry is complex due to the nuanced treatment paths required for benign versus malignant masses.
