Are the teeth roots elongated on this X-ray?

[Mara]

Hello!
My rabbit has a poor appetite for 2 months already; I supplement her diet with syringe-fed Critical Care.
The cause is still a mystery, all her tests and X-rays are normal. On Monday, we have done dental work (she had tiny spurs/hooks and somewhat elongated teeth) and X-rays. So far, it doesn't look like the procedure helped.

The doctor told me during our last talk that since everything looks normal including X-rays, and we have ruled out physical problems, the cause might be just psychological ("stress") and I should work on decreasing her stress levels.
Then, I asked to send me the radiographs; I took a look and... To me, they don't look normal! I think the teeth roots on the upper jaw are seriously elongated. I'm not sure in my skills of reading radiographs, though. Could I ask anyone here to confirm that they are seeing what I'm seeing? I want to compare before talking to the medical professionals because in the past, the hospital workers were getting very annoyed if I asked questions that could be perceived as "questioning" their expertise and authority.
Here is one of the pictures: Flickr

If her teeth roots are too long, she might suffer from a real physical health problem and not just psychological issues.
Can long teeth roots cause pain and be the cause why the rabbit isn't eating?
Thank you.

 

[bunny momma]

I cannot help you regarding the reading of the X-ray, yet it would bother me if a vet became annoyed or was evasive when I asked a question.
You are right that elongated tooth roots, if any, could cause a rabbit pain when eating.
Though it makes me wonder why you saw no difference in eating, including softer foods like greens, when your bunny was on pain meds.
Lastly, based on my past experience with a couple dental bunnies, some bunnies will require several days after a dental to eat better. On top of the effects of anesthesia, dentals require the jaw to be held open wider than normal eating and any cheek/gum/tongue irritation takes at least a few days to heal.

Sending more vibes you can find a solution for your Bunnys fussy eating.

 

[Mara]

She wasn't on pain medications. She was taking GI mobility drugs (for 3 weeks in total) and antibiotics (2 weeks). Doctors assumed that she isn't in pain because she was very active and playful, acted lively even during examinations, let the doctors palpate her.
Also, we moved to the theory about the teeth problems only after we have ruled out other theories and have tried to treat her for the mild blockage, GI stasis, dysbiosis.

She grooms a lot since the problem started, this might be a sign that she feels some discomfort and tries to comfort herself.
Maybe we should try giving her pain meds and see what happens. If that changes something, that will at least give us some info to work with.

I'm also thinking of giving her a dewormer. Not sure if that has any sense, though. The rabbit doctor told me pinworms can't cause serious symptoms like my rabbit has. She has tested negatively for worms, but I collected her poop for the test not perfectly (for 8 hours instead of 24). Last winter she had a severe pinworm infestation, and she started pooping out worms right when she had her first episode of appetite loss! We dewormed her very fast, but her appetite restored only a month later.
Weirdly, all rabbits whom I tested later had negative tests, as if no one contacted worms from her. How is it even possible? I start doubting if worm tests are reliable.

 

[a reader of books]

I can't help with the x-ray, either, as I don't know how to read them, but like bunny momma said, elongated tooth roots can definitely cause pain. My Casper has elongated roots and he's on daily pain medication for them and even then there are things he can't eat. I find it very odd that the vets haven't tried any pain medication all this time, as it should be common knowledge among them how good bunnies are at hiding pain, and pain is such a common cause of having trouble eating. Often the trouble eating is the only sign of pain they show. And grooming a lot, or overgrooming, can be a sign of pain as well, like you suspect. I would try pain medication, if the vets are willing to prescribe it, if in a couple of days the dental doesn't seem to have helped. I share bunny momma's concern about veterinary staff who become annoyed when you ask them questions.

I don't have much experience with worms, so hopefully someone else can answer your question.

Sending your bunny more vibes

 

[bunny momma]

If tooth roots/dental issues are causing pain when she eats, she may not be in pain when she is not eating which is when the vet sees her.
I would request a trial of pain meds to see if it makes any difference in her eating.
Also, if she ate better after getting a dewormer last year, could she have had a different parasite or EC along with pinworms last year?