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History and Physical Examination Findings

A 9-year-old 14-kg (30.8-lb) spayed female mixed-breed dog was presented to a veterinary hospital for oral examination, dental radiography, and routine periodontal treatment. The dog had undergone complete annual physical and oral examinations during 2 consecutive years prior to this visit. At the initial visit, serum biochemical analysis revealed hypercalcemia and hypophosphatemia (Appendix). Other examination and clinicopathologic test results were unremarkable. Cervical ultrasonography revealed a right parathyroid gland nodule. Thoracic and abdominal radiography and abdominal ultrasonography findings were unremarkable. A diagnosis of primary hyperparathyroidism was made; referral for parathyroidectomy was recommended but declined

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in Journal of the American Veterinary Medical Association

Periodontal disease is the most common disease identified in dogs and cats. 1 Local severity and the impact on the rest of the body are reasons that all companion animal patients should receive an oral examination every time they are at a veterinary facility. 2,3

Veterinary dentistry has progressed from the dental or prophylactic procedures of the 20th century, which often involved an injection of a short-acting tranquilizer or anesthetic and a few minutes spent removing supragingival calculus, to the current comprehensive treatment of periodontal and other dental diseases that require general anesthesia. The days of clean-and-pull or watchful

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in Journal of the American Veterinary Medical Association