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Mouth Inflammation and Ulcers (Chronic) in Dogs



Underlying diseases will be treated as necessary. Often, dogs that have not been able to eat normally for some time will need nutritional therapy to make up for it. A soft diet with fluid therapy and/or a feeding tube will be put in place immediately if your dog is anorexic, and your veterinarian may also recommend vitamin supplements.


Pets with idiopathic osteomyelitis should have the necrotic bone removed. The gingival flap should be closed and broad-spectrum antibiotics will be prescribed to protect the dog from infection.


Antimicrobials can be used to treat primary and secondary bacterial infections, and may be used intermittently between cleanings for therapeutic assistance, but chronic, or long term use could lead to antibiotic resistance. Anti-inflammatory/immunosuppressive drugs can be used to treat the inflammation, and can make your dog more comfortable in the short term, but there are potential long-term side effects of corticosteroid usage, so your doctor will consider this when deciding on which pain therapy to prescribe. Topical therapy, such as chlorhexidine solution or antibacterial gel may also be used directly on the gums and in the mouth, and your veterinarian may also be able to prescribe a topical pain medication that can be placed on the gums and mouth to lessen the pain.


Living and Management


Dogs with LPS and CUPS should receive dental prophylaxis (preventive treatment) twice a day, or as often as is possible at home to prevent plaque accumulation. Topical antimicrobials may also be applied to your dog's tooth and gingival surfaces. Patients should have their teeth cleaned when diagnosed and they should be frequently scheduled for veterinary dentals (during which they will receive periodontal therapy and extraction of diseased teeth). 



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