Veterinarian, dentist collaborate to help cat through unique dental procedure

A Siamese-mix cat named Darryl is recuperating well after receiving a metal prosthesis to correct a palate injury in his mouth, thanks to a unique collaborative dental procedure performed Oct. 29 at the
The procedure involved affixing a metal prosthesis to the roof of Darryl鈥檚 mouth to close a gaping hole between his oral and his nasal cavities. Fong Wong, D.D.S., an associate professor of prosthodontics and maxillofacial prosthetics in , conducted the procedure and was assisted by , a clinical assistant professor in .
This is a procedure Wong routinely performs in human patients with cleft palates or defects after cancer surgery.
鈥淭his was a different approach than has ever been done before,鈥 said Stone, who also serves as chief of the veterinary college鈥檚 primary care and dentistry service. 鈥淲e have not had an exact procedure for palate issues that is entirely successful for every species, and Darryl鈥檚 problem was one likely caused, or at least exacerbated, by injury. There were also other complications, so his situation required something a bit different.鈥
Added Wong, 鈥淯sually medical procedures are first tried in animals, and then, when successful, used in human patients. In this case, it was the animal that benefited from a procedure that is routine in humans but has not been part of routine veterinary medicine.鈥
Darryl was originally rescued from Alachua County Animal Services, where he had been slated for euthanasia, by the Alachua County Humane Society. Even though the massive hole in his hard palate was obvious, Darryl quickly became a staff favorite, said , a professor of who fostered Darryl and later adopted him.
鈥淓very bite of food he took was painful, and he had constant nasal infections,鈥 Levy said. 鈥淒espite struggling to eat and being extremely messy with his food, he was always affectionate and craved attention from staff and volunteers.鈥
But his condition made adoption impossible, so Darryl became a long-term resident of the Humane Society. Levy meanwhile began investigating solutions to his palate problem and transferred the cat to the .
Various specialists at UF examined Darryl. , a former UF shelter medicine resident, performed an examination in February. Then an associate professor of small animal oncology, conducted a biopsy of an oral lesion to rule out cancer. A feeding tube was inserted a few months later, allowing Darryl to gain weight and for his mouth to heal without the trauma of eating and drinking.
By April, Levy had taken Darryl into her home as her foster pet in order to provide the intensive care she knew was needed to bring him back to health. Various specialists weighed in, or attempted to heal Darryl鈥檚 palate defect. Soon after Levy contacted UF鈥檚 College of Dentistry seeking assistance, Wong got involved.
After performing a separate examination, she proposed a prosthodontic solution. In August, she made a cast of Darryl鈥檚 mouth and crafted a custom acrylic appliance to cover the defect. The appliance was sutured into place on a trial basis to see if the approach would work in a cat.
The approach was successful, and on Oct. 29, Darryl鈥檚 permanent metal prosthesis was installed. His feeding tube was removed two days after the procedure and he was able to eat normally for the first time in more than a year.
鈥淗e is doing great,鈥 Levy said. 鈥淢any thanks to the entire team who pitched in to help this lovely cat.鈥
About the author
