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Estudo prospetivo da avaliação de dor oral em gatos com doenças dentárias
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Authors
Advisor(s)
Abstract(s)
As doenças que afetam a cavidade oral são muito comuns na prática clínica. No entanto, a maioria destas doenças podem ter poucos ou quase nenhuns sinais clínicos evidentes. O presente estudo teve como objetivo avaliar o nível de dor oral em contexto clínico, num grupo de gatos consultados num centro de atendimento médico veterinário, observar e reportar os comportamentos mais reconhecidos pelos detentores e verificar se a terapêutica instituída em cada caso permitiu uma redução nos níveis de dor oral. A metodologia incluiu o preenchimento da escala COPS-F, escala composta de dor oral e maxilofacial para gatos, tanto pelo detentor como pelo médico-veterinário, em 2 momentos - na primeira consulta e na consulta de reavaliação, e a recolha do diagnóstico e terapêutica instituída em cada animal. Com o modelo de regressão linear, verificou-se que o nível de dor é explicado pela idade, estadios da doença periodontal, lesões de reabsorção dentária e gengivo-estomatite crónica, sendo esta a doença que mais contribui para explicar o nível de dor. Apurou-se ainda que o número de dentes afetados se relaciona com o grau de dor experienciado pelo doente (91%). A alteração comportamental mais significativa relaciona-se com o comportamento alimentar, nomeadamente deixar cair comida, vocalizar enquanto mastiga ou comer maioritariamente com um dos lados da boca. Outros sinais clínicos predominantes incluíram a halitose e evitar ser tocado em redor da boca e nariz. Verificou-se que os níveis de dor reduziram significativamente após o tratamento, observáveis através da diminuição ou ausência dos comportamentos anteriormente reportados pelos detentores. Em conclusão, a avaliação da dor oral com recurso a uma escala validada permite maior consciência dos comportamentos de dor por parte dos detentores, ajudando no reconhecimento eficaz da resposta terapêutica. Consiste, portanto, numa ferramenta eficaz na comunicação clínica em consulta
ABSTRACT - PROSPECTIVE STUDY OF ORAL PAIN ASSESSMENT IN CATS WITH DENTAL DISEASES - Oral diseases are common in clinical practice. However, most of these conditions may have little or no clinical signs. The present study aimed to evaluate the level of oral pain in a clinical context for a group of cats consulted at a veterinary medical care center, observe and report the behaviors most recognized by owners, and verify whether the therapy in each case allowed a reduction in oral pain levels. The methodology included filling out the COPS-F scale, composite oral and maxillofacial pain scale – feline, both by the owner and the veterinarian, in 2 moments - in the first appointment and its revaluation, the collection of the diagnosis and established therapy for each animal. With the linear regression model, it was verified that the level of pain can be explained by age, stages of periodontal disease, tooth resorption lesions, and chronic gingivostomatitis, being this the disease that most contributes to explain pain. It was also found that the number of affected teeth is related to the degree of pain experienced by the cat (91%). The most significant behavioral change is related to eating behavior, namely dropping food, vocalizing while chewing, or mostly eating with one side of the mouth. Other predominant clinical signs included halitosis and avoiding being touched around mouth and nose. There is evidence that pain levels significantly reduced after treatment, observable through the decrease or absence of the behaviors previously reported by the owners. In conclusion, oral pain evaluation using a validated scale allows owners to be more aware of pain behaviors, helping to recognize the therapeutic response effectively. Therefore, it is an effective tool for clinical communication in veterinarian appointment
ABSTRACT - PROSPECTIVE STUDY OF ORAL PAIN ASSESSMENT IN CATS WITH DENTAL DISEASES - Oral diseases are common in clinical practice. However, most of these conditions may have little or no clinical signs. The present study aimed to evaluate the level of oral pain in a clinical context for a group of cats consulted at a veterinary medical care center, observe and report the behaviors most recognized by owners, and verify whether the therapy in each case allowed a reduction in oral pain levels. The methodology included filling out the COPS-F scale, composite oral and maxillofacial pain scale – feline, both by the owner and the veterinarian, in 2 moments - in the first appointment and its revaluation, the collection of the diagnosis and established therapy for each animal. With the linear regression model, it was verified that the level of pain can be explained by age, stages of periodontal disease, tooth resorption lesions, and chronic gingivostomatitis, being this the disease that most contributes to explain pain. It was also found that the number of affected teeth is related to the degree of pain experienced by the cat (91%). The most significant behavioral change is related to eating behavior, namely dropping food, vocalizing while chewing, or mostly eating with one side of the mouth. Other predominant clinical signs included halitosis and avoiding being touched around mouth and nose. There is evidence that pain levels significantly reduced after treatment, observable through the decrease or absence of the behaviors previously reported by the owners. In conclusion, oral pain evaluation using a validated scale allows owners to be more aware of pain behaviors, helping to recognize the therapeutic response effectively. Therefore, it is an effective tool for clinical communication in veterinarian appointment
Description
Dissertação de Mestrado Integrado em Medicina Veterinária, área científica de Clínica
Keywords
Dor oral Gato Comportamento Escala COPS-F Avaliação da dor Oral pain Cat Behavior COPS-F scale Pain assessement
Pedagogical Context
Citation
Lopes IAS. 2023. Estudo prospetivo da avaliação de dor oral em gatos com doenças dentárias [dissertação de mestrado]. Lisboa: FMV-Universidade de Lisboa
Publisher
Universidade de Lisboa, Faculdade de Medicina Veterinária