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Discussion Starter #1
Anyone ever heard of this or have a dog with it?

One of the IMOM ladies has a dog with it. http://www.petplace.com/dogs/epulis/page1.aspx

He's had to have his teeth removed. He is a Dalmatian. They grow, need to be removed, then grow back, bigger. I believe that they are hopeful that the removal will help.

She's hoping to hear from people whose dogs have had it or know of someone who has.

http://www.peteducation.com/article.cfm?c=2+2089&aid=3057

GEEEEEEEEZ. I don't want to know about this stuff. Wow.
 

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Jean I take it from your post that it is the Acanthomatous epulis from my reading.
Originally Posted By: PetPalceAcanthomatous epulis. Because of the aggressiveness of these tumors, a wider surgical excision is recommended, and depending on its location, may necessitate removal of the lower jaw (partial mandibulectomy) or upper jaw (maxillectomy).
If that is the case they might need to look at doing a bit more envasive (removal of part of the jaw bone).

I have never heard of this before.

Val
 

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did NOT realize this was a canine disease!It is quite serious in humans but if caught early is curable.NOT caught early can be a big problem.kinda RARE in skinpeople.
 

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Discussion Starter #8
MMM??? Masticatory Muscle Myostitis? Epulis

Masticatory Muscle Myostitis?

Thanks for the information-I passed it on. Bella also had one little one a few years ago and it was removed and nothing (KW). Like Val said it sounds like it's the bad one.
They are going to UPenn and are trying to get him in FAST because she is now wondering if he has Masticatory Muscle Myostitis.

http://www.petplace.com/dogs/masticatory-muscle-myositis/page1.aspx

His jaw isn't sore but it looks like his head is caving in.
http://upload.wikimedia.org/wikipedia/commons/a/a7/Masticatory_Muscle_Myositis_dog.jpg

Thanks for any help for this Dalmatian boy. Back to work.
 

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Re: MMM??? Masticatory Muscle Myostitis? Epulis

is it possible the head issues could be due to tumor spread/metastisis ?sure hope not.
 

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Re: MMM??? Masticatory Muscle Myostitis? Epulis

Hey Jean, (just seeing this)... we used to see some of these when I worked in the human dental world. Nothing too serious.

Of course, Her Majesty Zamboni had one. (What haven't my dogs had? Never mind. Don't answer that!) Our vet -- who had gone on to get all fancy and board certified in dentistry -- said we should wait for a little while and watch.

Sometimes, they stop growing. If they don't impede eating and drinking, you can just leave them be. If the growth is slow, the dentist can go in -- in literally a 15 or so minute procedure (I LOVE quick anesthesia!) and just slice off the part above the surface. This allows us to biopsy it, which is always nice.

It may grow back in 6-12-18 months, and you can do it again. But it may not grow back. Depending on the dog's age and the size of the epipulus, it may best to manage it this way.

If it's a fast grower, then you have to go in and do invasive surgery, including tooth removal and possibly some bone removal. And it may grow back anyhow. That's why aggressive treatment isn't necessarily the best course of action in this sort of situation.

Zamboni's growth slowed almost completely, so I never had to deal with it anymore. But fast growth shouldn't be assumed to be metastasis. Apparently, these things can be benign and have a life of their own.
 

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Discussion Starter #14
Re: MMM??? Masticatory Muscle Myostitis? Epulis

Thank you! http://www.imom.org/community/index.php?showtopic=6081 I forgot she posted pictures. This is something else. Kind of ucky to look at warning.

So they went to UPenn yesterday.

The MMM is likely the result of the pred. Even though pred is the treatment, it can also be the cause. He is tapering now so they will just let it go.

The Epulis was probably caused by his meds. He is on amlodipine for Protein-losing nephropathy. They are going to go every 4 weeks to determine if he can be taken off of that.

It's like a crazy circle or something.

Thanks for all of your help for a spotted friend!
 

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Re: MMM??? Masticatory Muscle Myostitis? Epulis

Son of a gun! Zamboni was on Norvasc!

Lisa, do you have a good link for that? I'd like to forward it to my regular vet and especially vet dentist. I think they just assumed the epulis was due to her advanced age and never considered drug side effects.

I surfed around a bit and didn't find anything that was particularly specific.
 

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Re: MMM??? Masticatory Muscle Myostitis? Epulis

Lori, mostly anecdotal stuff is what I found, which won't do you any good. I don't think I found a link that will completely convince someone....

This one mentions gingival enlargement with calcium channel blockers: http://www.perio.org/resources-products/pdf/45-gingivalenlarge.pdf

This link has a pic of gingival enlargement associated with amlodipine, which sure looks like it could grow into an epulis, it's how Max's started:
http://medical-dictionary.thefreedictionary.com/drug-influenced+gingival+enlargement

A little over 1/2 way down of this gross PP presentation talks about drug-induced gum swelling, with pics (ick). If drugs can do that stuff (ick again), I don't see how an epulis can be excluded:
http://www.scribd.com/doc/21477482/1024-Swellings
http://ccnmtl.columbia.edu/broadcast/hs/dental/firstyearpg/2007/1024swellings.pdf
 

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Tumors of the periodontal ligament are very serious. We had a cat (I know this is not a cat board but please hear me out) that had it. She was diagnosed by Purdue University Vetrinarians in June. They had heard of it in cats but never seen it. There is nothing even in the medical books about it on cats. It is very aggressive and can speard to the other side ( and did in our cat). At that point there was nothing anyone could do except the humane thing and that was to put her to sleep. She could not eat or drink and she was basically dying. So please, take this seriously.
 
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