I'm sorry that your question wasn't answered in a timely manner. Can you tell me, please, what symptoms you're seeing that suggest her mouth being sore? Does she cry upon opening it to grasp a toy or when she yawns? Are you seeing swelling in her face - cheeks or around her eye(s)? Can you upload a copy of any of Molly's test results to our conversation? I understand that you might not have a copy at home but her vet can give you one which you can scan into your computer and then give me the file link or you can photograph the pages and upload them by using the paperclip icon (if you can see that icon) or by using an external app such as dropbox.com/
My concerns involve problems outside her oral cavity such as masseter muscle myositis, periocular myositis, and polymyositis.
Thank you. There are quite a few considerations for such pain. Masticatory myositis - an autoimmune diesase affecting the muscles of mastication is best understood but we need to also consider the following:
maxillofacial trauma - no history of that
temperomandibular joint disease ("TMJ") - X-rays are necessary to confirm
bone and soft-tissue neoplasia - X-rays and/or CT are necessary
foreign body penetration (caudal to last maxillary molar, tonsillar region, pharyngeal wall, sublingual tissues - I would expect considerable swelling, fever, abscessation
ocular disease and space-occupying orbital/retrobulbar lesions - examination by a specialist veterinary ophthalmologist +/-X-rays, ultrasound suggested
other inflammatory muscle disorders - polymyositis, extraocular myositis, dermatomyositis, laryngeal myositis
It can be a challenge clarifying the etiology of Molly's pain. Please consider having a specialist veterinary internist (please see here: www.acvim.org) involved in Molly's case. Please continue our conversation if you wish.
Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.