Reptile dentition tends to be relatively uniform with a simple, conical shape. Most reptile teeth are loosely attached with the dental attachment most superficial in acrodontic species. Tooth loss and replacement is a normal occurrence in reptile species with pleurodont dentition, which includes snakes, and many lizards. Take special care when handling reptiles with acrodont dentition as teeth will not be replaced when infected or fractured. Additionally, periodontal disease is common in captive lizards with acrodont dentition such as bearded dragons and chameleons. Periodontal disease is an insidious condition. As plaque formation builds and gingivitis worsens, many reptiles will continue to eat. The owner may not observe problems until disease is quite advanced. Feeding lizards an unnatural, soft diet is believed to promote plaque development and the development of periodontal disease.
Stomatitis, also known as “mouth rot”, ulcerative stomatitis, necrotic stomatitis, and/or periodontal disease is a common problem in snakes and lizards. Stomatitis is less common in chelonians and crocodilians, and often presents as a stomatitis-rhinitis complex in tortoises. This presenting problem article explores the pertinent anatomy involved, key points of urgent care, as well as tips for case management.