Surgical outcomes in canine lymphoplasmacytic stomatitis: a retrospective study of 42 dogs (2012-2022)

Early human evidence such as case series or small samples is exploring possible benefits.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Lymphoplasmacytic oral mucosal inflammation (stomatitis) in canine patients is common and non-specific. Contact lesions (CL) secondary to periodontal disease are particularly common. Dogs with CL may or may not have canine chronic ulcerative stomatitis (CCUS), yet clinicians are often faced with making treatment decisions without a clear diagnosis. Some may expect canine patients to be treated similarly to feline chronic gingivostomatitis patients, for whom partial- to full-mouth extractions remain the primary intervention. Because this assumption may lead to inappropriate care, clear recommendations for surgical management are needed for canine patients. This retrospective review (2012-2022) evaluated 42 dogs with lymphoplasmacytic stomatitis treated surgically at a dental specialty service. We hypothesized that only a minority of these patients require full-mouth exodontia. Patients were initially stratified as CL or CCUS based on lesion distribution and radiographic findings and reclassified based on treatment response. Clinical outcomes were categorized as complete, partial, or absent response to treatment(s), including COHAT, salvage exodontia, rescue medical management, chronic immunosuppression, and home oral hygiene. Associations between demographic and clinical variables with surgical and clinical endpoints were evaluated using descriptive statistics and chi-square ana

Evidence level

Early human evidence such as case series or small samples is exploring possible benefits.

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