cat dental health

Feline Dental Health: Top 10 Questions and Answers

It’s not all too common for cat owners to come in on account of their cat’s mouths. We have theories why.

Cat guardians have less direct contact with their pet’s mouth through chew toys and bouts of tug-of-war (as if a cat could be bothered).

The fact that poking around a cat’s mouth often results in deep puncture wounds (ouch).

Take your pick, add your own, but the majority of cat owners seem largely uninterested in the teeth, gums, lips, and tongue of their feline friend. But when they do ask questions, they’re some of the best, most challenging and interesting inquiries you’ll encounter. Read on; you just may learn something or get a chuckle or two.

1. How many teeth do cats have? I only see two – the fangs.

Cats have 30 adult teeth and 26 baby teeth. That’s far fewer than dogs (42 and 28) and less than humans (32 and 20). Those “fangs” or upper canine teeth often protrude saber-tooth tiger style and lend some cats an intimidating smile.

2. When do cats get their baby and adult teeth?

Observing the eruption or emergence of teeth is a great method for estimating a kitten’s age. This is particularly helpful when faced with a stray kitten. The first teeth to erupt are the tiny front teeth or incisors and the long, pointy canines (“fangs”). The primary (or “baby”) incisors and canines become visible around three to four weeks of age. The teeth immediately behind the canines, the premolars, quickly follow the front teeth. This typically occurs when the kittens are around five to six weeks old. The permanent teeth erupt around 11 to 16 weeks of age, beginning with the incisors followed by the canines at 12 to 20 weeks. The premolars are in place by 16 to 20 weeks of age. The difficult-to-see, way-in-the-back molars emerge around 20 to 24 weeks.

3. Do cats get cavities?

Dental caries, or “cavities”, are rare in cats and dogs. This is due in part to a cat’s relatively low-sugar diet, differences in oral bacteria, and the shape of the teeth. When cavities occur, they can be painful and require similar repair procedures as humans with cavities.

4. Why are cat bites so bad and likely to get infected?

Anyone who’s worked with and handled enough cats knows that when you’re bitten (note the “when”) by a cat, not only does it hurt, but those deep puncture wounds are likely to become infected or abscessed. The first answer lies within the unique anatomy of one of a cat’s main weapons – those long, sharp, pointy canines. Designed similar to hypodermic needles, these teeth excel at penetrating flesh intensely, damaging underlying structures such as arteries and veins. In addition, like that needle, they carry pathogenic bacteria deep inside the body. As the tooth is withdrawn, the narrow puncture wound closes onto itself, trapping behind infection that later becomes an abscess. Making matters worse, a cat’s mouth contains several species of highly pathogenic microorganisms. Don’t take a chance if you’re bitten. Flush the wound thoroughly and seek medical attention.

5. Can cats re-grow their teeth? Do their teeth keep growing their entire lives?

No and no. Sharks are probably the animal you’re thinking of. After a cat gets all 30 permanent teeth in place, that’s it. No more. Lose one and your cat is forever down to 29. Unlike rodents, a cat’s teeth don’t keep on growing.

6. Do cats need braces?

You jest but some cats do, in fact, need braces to correct some very severe oral malformations. The most common reasons for feline brace-face include lance or saber-like canine projections of the upper canines in Persian cats. “Wry bite” is another problem that results when an uneven bite occurs, causing one or both canines to protrude at odd angles, preventing normal eating and drinking. Braces for cats aren’t for cosmetic but literally life-saving conditions.

7. My vet said my cat had some painful tooth problem that may require extraction of several teeth. Is this legit?

Your cat may be one of the millions of cats affected by an unusual, exceptionally common and extremely painful condition known most often as feline ondoclastic resorptive lesions, or FORLs. Most cats with FORLs are over five years old. The most common clinical signs associated with FORLs include excessive salivation, bleeding from the gum line or teeth, and difficulty eating. Cats will suddenly become “picky” and refuse to eat dry kibble. There are many treatments available, but extraction is still the most commonly performed procedure to relieve this excruciating condition. The exact cause of FORLs has yet to be determined, although researchers are actively pursuing several theories.

8. Can cats get mouth cancer?

Sadly, yes. Oral tumors in cats are very serious and require immediate and aggressive treatment. Squamous cell carcinomas (SCC) are the most common malignant oral tumor in cats, although many other forms of cancer occur. If you observe any lumps, swelling, or discolored areas in your cats’ mouth, have it seen by your veterinarian at once.

9. My cat has swollen gums and entire mouth seems inflamed. What’s going on?

It’s likely your feline has a condition called stomatitis (more correctly referred to as lymphocytic plasmacytic gingivitis pharangitis syndrome). This condition is also very painful and most cats have problems eating and swallowing, weight loss, and excessive salivation. Treatments vary widely and cats respond differently to an assortment of options. The exact cause is unknown although an underlying immune-mediated disorder is strongly suspected. Be patient and work closely with your veterinarian; cats with stomatitis require extended periods of treatment.

10. I can’t brush my cat’s teeth! Am I a bad pet parent?

If not brushing your cat’s teeth is your worst offense, you’re not the worst. Fear not, you can choose to opt for routine cleaning (typically at least once a year) under anesthesia by your veterinarian. While they are sleeping, your vet may take dental x-rays to ensure there are no hidden problems underneath the gums. You can also give them chew treats approved by the Veterinary Oral Health Council (VOHC) to help reduce tartar in cats.

If your cats can tolerate it, try an oral antimicrobial rinse so they get their “mouth wash” a few times each week. Finally, make it a habit to (carefully) lift the lips of your cat and examine their teeth and gums each week to make sure everything looks healthy. So don’t fret— take your cats to your veterinarian at least once a year, have the teeth cleaned by a professional when needed, conduct routine home mouth checks, and use products proven to help keep your kitty’s mouth healthy.

If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.


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Guide to Brushing Your Pet's Teeth

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If you are not paying attention to your pet’s teeth every day, you are neglecting one of the most critical contributors to their overall well-being: home dental care. Help promote oral health with daily brushing.

One of the best weapons in the fight against pet periodontal disease is actually a very simple tool: a toothbrush. Some pet owners giggle, groan or roll their eyes when their veterinarian tells them they should be brushing their pets' teeth. The idea of sticking a bristled brush into the mouth of a dog or cat does seem kind of comical — or a huge hassle. And daily? Who has the time?

Well, suppose you didn't brush your own teeth for several years. Can you imagine how much plaque and tartar would build up on your teeth? Periodontal disease can lead to pain, tooth loss, and bacteria in the mouth can spread to internal organs, which can spell trouble for your pet's health.

One way to help fend off dental disease is to brush your pet’s teeth on a regular basis. While there are a lot of tricks we can teach our pets, brushing their own teeth is not one of them, so that task falls to owners. Take heart, however, because although it may sound like a daunting task, brushing your pet’s teeth is not as hard as you might think.

First Things First

As a member of your family, your pet deserves to receive the same attention to her teeth as you give to your kids’ teeth. Ideally, then, you want to begin dental care when your pet is a youngster.

Starting with a clean slate is also important. If the plaque that builds up on your pet’s teeth is not removed within about 24 to 36 hours after eating, it can harden into tartar. When that happens, your pet needs professional attention to remove it. Before you begin brushing, ask your veterinarian to examine the condition of your pet’s teeth. If necessary, your veterinarian may recommend a professional dental cleaning.

Just as people do, pets should have regular professional cleanings. However, brushing your pet’s teeth at home can also help keep periodontal disease at bay.

Let the Brushing Begin

Veterinarians recommend brushing your pet’s teeth every day. All you need are a toothbrush and pet-friendly toothpaste. Look for a soft-bristled toothbrush with small-diameter nylon bristles. The toothbrush should also be sized appropriately to fit your pet’s mouth. Toothbrushes can be purchased at pet stores, but some of these can be large. For a pet with a smaller mouth, you might try a human pediatric toothbrush, a finger brush or a toothbrush developed specifically for cats, which also works well for small dogs.

It is important to use toothpaste made specifically for animals. Human toothpaste can contain xylitol, a sugar substitute that is toxic to dogs. Even if your toothpaste isn't sugar-free, it can contain foaming agents that can cause stomach upset if swallowed. Plus, you’ll find that toothpaste for pets comes in flavors that appeal to animals, such as beef or chicken.

Teaching your pet to accept toothbrushing should be a gradual process. You may want to start by letting your pet lick the toothpaste off your finger and then graduate to sliding your finger with the toothpaste into your pet’s mouth. Next, substitute a toothbrush for your finger and repeat the same procedure. Each step can be performed on a different day. Make sure to praise your pet at each step, so they associate toothbrushing with a positive experience.

Don't Give Up

Brushing your pet’s teeth may seem like a challenge at first. However, after a few weeks of working with your pet, you will find that brushing their teeth becomes as routine as brushing your own. In the end, helping to protect your pet’s health is worth it.


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Pet Dental Care for Cats and Dogs

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Your pet’s teeth should be checked at least once a year by your veterinarian for early signs of a problem and to keep your pet’s mouth healthy.

Symptoms of Dental Health Issues

Have your pet’s teeth checked sooner if you observe any of the following problems.

  • bad breath

  • broken or loose teeth

  • extra teeth or retained baby teeth

  • teeth that are discolored or covered in tartar

  • abnormal chewing, drooling, or dropping food from the mouth

  • reduced appetite or refusal to eat

  • pain in or around the mouth

  • bleeding from the mouth

  • swelling in the areas surrounding the mouth

Some pets become irritable when they have dental problems, and any changes in your pet’s behavior should prompt a visit to your veterinarian. Always be careful when evaluating your pet’s mouth, because a painful animal may bite.

 

Causes of pet dental problems

Although cavities are less common in pets than in people, they can have many of the same dental problems that people can develop:

  • broken teeth and roots

  • periodontal disease

  • abscesses or infected teeth

  • cysts or tumors in the mouth

  • malocclusion, or misalignment of the teeth and bite

  • broken (fractured) jaw

  • palate defects (such as cleft palate)

Periodontal disease is the most common dental condition found in cats and dogs. Early evidence of periodontal disease begin by the pet is around 3 years old. If effective preventive measures aren't taken, the disease will worsen. Early detection and treatment are critical. Advanced periodontal disease can cause severe problems and pain that extend beyond your pet's mouth—including in association with the kidneys, liver, and heart muscle changes.

 

Why does animal dentistry require anesthesia?

When you go to the dentist, you know that what’s being done is meant to help you and keep your mouth healthy. Your dentist uses techniques to minimize pain and discomfort and can ask you how you are feeling, so you accept the procedures and do your best to keep still. Your pet does not understand the benefit of dental procedures, and he or she reacts by moving, trying to escape, or even biting.

Anesthesia makes it possible to perform dental procedures with less stress and pain for your pet. In addition, anesthesia allows for a better cleaning because your pet is not moving around and risking injury from the dental equipment. If radiographs (x-rays) are needed, your pet needs to be very still in order to get good images, and this is unlikely without heavy sedation or anesthesia.

Although anesthesia will always have risks, it’s safer now than ever and continues to improve so that the risks are very low and are far outweighed by the benefits. Most pets can go home the same day of the procedure, although they might seem a little groggy for the rest of the day.

 

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Test yourself.

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What can I do at home for my pet’s oral health?

Prevention of the most common oral disease in pets consists of frequent removal of the dental plaque and tartar that forms on teeth that are not kept clean. Regularly brushing your pet’s teeth is the single most effective thing you can do to keep their teeth healthy between dental cleanings, and may reduce the frequency or even eliminate the need for periodic dental cleaning by your veterinarian. Daily brushing is best, but it’s not always possible and brushing several times a week can be effective. Most dogs accept brushing, but cats can be a bit more resistant – patience and training are important.

There are many pet products marketed with claims that they improve dental health, but not all of them are effective. Talk with your veterinarian about any dental products, treats, or dental-specific diets you’re considering for your pet, or ask your veterinarian for their recommendation.


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