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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Why Do Some Cats Eat Plastic?

It’s in a cat’s nature to chew, but chewing on plastic can be dangerous.

Many cats find joy in non-toy objects. We have all probably heard that cats love to play in paper bags, and if you are reading this, you have undoubtedly seen photos shared on social media sites with cats curled up in cardboard boxes. A bit less predictable and a little more esoteric, however: eating plastic.

The real danger here is many cats end up eating the plastic and getting blocked along their GI tract, requiring surgery. If your cat does eat any plastic, we would recommend taking this behavior seriously and attempting to address it quickly.

Cat’s Drive for Plastic: A Compulsive Disorder?

You may be familiar with the medical term pica: the eating of non-food objects.

Sometimes it is believed the pet is attempting to fill a nutritional void, but in cases where the pet relentlessly seeks one particular type of object, it may be an obsession and not a nutrition deficit. Pica in cats can be caused by a number of conditions, including gut disease, feline leukemia virus (FeLV), feline immunodeficiency virus (FIV), anemia, obsessive compulsive disorder, dental disease, and hyperthyroidism to name a few. A vet visit is always a wise place to start.

Eating plastic doesn’t automatically qualify as a compulsive behavior in some cats because they seem to like the way the plastic tastes or feels more than that they “need” to be doing this. For this reason, jumping to behavior-modifying drugs is not typically recommending for cats that seem to be strongly driven to explore and chew specific tastes and textures.

If your veterinarian explores the potential cause for plastic-seeking behavior and believes it points to a compulsive disorder, behavior-modifying drugs such as fluoxetine (generic Prozac) may be a consideration.

Non-Medical Therapy for Plastic Eating Cats

Providing multiple opportunities for hunting and play games, cat manipulation toys with food stuffed inside for foraging and eating, feeding both canned food and unique orally stimulating food, and offering dog chew toys as an alternative may help. Chew items such as rawhide chews, Nylabones, cat grass, and softer dead animal parts that are available as chews for dogs (e.g. lambs’ ears) can help. Make sure that there is also adequate aerobic play to keep the inquisitive cat busy and reward-based training to help satiate intelligent cats.

Ultimately, if the problem continues, the most extremely-affected plastic-seeking cats may need to be confined or housed in a cat-proofed room at times when supervision is not possible to protect them from foreign object ingestion.

Some cats just like to eat plastic. Cats have liked stranger things; bleach? New shoes? Your hair?

Has your cat ever eaten something strange? Leave us a comment below.


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7 Ways to Make the Holidays Safer for Pets: Holiday Pet Safety Crash Course

​Nothing can spoil holiday cheer like an emergency visit to a veterinary clinic. These seven tips can help prevent a holiday disaster with your pets.

7 Ways to Make The Holidays Safer for Pets

  1. Keep people food out of the reach of your pet, and ask your guests to do the same.

  2. Make sure your pet doesn't have any access to treats, especially those containing chocolate, xylitol, grapes/raisins, onions or other toxic foods.

  3. Don't leave your pet alone in the room with lit candles, a decorated tree or potpourri.

  4. Keep holiday plants (especially holly, mistletoe and lillies) out of reach of pets.

  5. Consider leaving the tinsel off your tree if you have a cat.

  6. Secure your Christmas tree to keep it from falling over if your dog bumps it or your cat climbs it. Hanging lemon-scented car air fresheners in the tree may deter your cat from climbing it.

  7. Provide a safe place for your pet to escape the excitement (such as a kennel, crate, perching place, scratching post shelf or hiding place) if you’re entertaining guests. If your pet is excitable or scared, consider putting your pet in another room with some toys and a comfortable bed.

Plan in advance

Make sure you know how to get to your 24/7 emergency veterinary clinic before there's an emergency. Talk with your veterinarian in advance to find out where you would need to take your pet, and plan your travel route so you're not trying to find your way when stressed. Always keep these numbers posted in an easy-to-find location in case of emergencies:

  • Your veterinarian's clinic phone number

  • 24/7 emergency veterinary clinic

  • ASPCA Poison Control Hotline: 1-888-426-4435 (A fee may apply.)

If you’re a client of ours at River Landings Animal Clinic, additional numbers to make note of are:

  • Animal ER - (941) 355-2884

  • Vet Care Express Animal Ambulance - (941) 592-5131

  • 24/7 Pet Poison Control Center - (855) 764-7661


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How to Stop a Cat From Biting

When you think of a cat, your initial image may be of a soft, peaceful animal purring quietly in your lap like a little furry engine of contentment. Unfortunately though, cats can pack a painful bite. Hopefully your cat keeps to biting only toys and food, but if your cat starts biting you, there’s usually a reason for it.

Why Do Cats Bite?

Cats need daily predatory play, which includes the opportunity to grab, pounce, and sink their teeth into something to simulate killing. A happy cat is one that thinks they've killed something every day. Because of this, movement triggers a predatory instinct and can cause a cat to pounce on an ankle or foot.

Another common reason cats bite is that the behavior was unintentionally reinforced when they were kittens. When cats are kittens, their job is to sharpen their hunting skills. Those skills include movements called the “pounce and bite” and the “grab and bite.” To practice those skills, a kitten needs something to bite, and it shouldn’t be your hand. While a kitten’s nip may not draw blood, their teeth will get bigger and their jaws will get stronger. If cats don’t learn that it’s inappropriate to bite people while playing as kittens, it’s only natural they’ll keep biting as cats.

While cats are very expressive creatures, they can’t come right out and tell you in that they’ve got a toothache or that arthritis is making their back hurt, so their biting could also be a way of letting you know there’s a medical issue. Cats are very good at hiding when they’re in pain, so when they finally do bite, things may have gotten pretty painful. If your cat suddenly starts biting you, take them to a vet.

Some cats also bite because of something called redirected aggression, which can occur in humans too. A human may have a bad day at work then come home and yell at their wife, while a cat may see another cat outside through the window, which can be very upsetting to them, and they take it out on whoever’s near them.

Owners are likely to describe it as biting out of the blue as they had not seen the episode that originally upset the cat, only the cat’s delayed reaction to it. If your cat does bite, take the wound seriously. More than with dog bites, the bacteria in cats’ mouths can lead to difficult-to-treat infections.


How to Stop a Cat from Biting (And Train a Kitten Not to)

If your vet has ruled out any medical explanation for biting, make sure your cat has a daily outlet for predatory playing. Every human should play with their cat for ten minutes every day with a feather or cat nip toy so they can ‘kill’ it". This daily play therapy will let your cat express that innate drive to kill.

Experts agree that playing appropriately with kittens using toys will help prevent them from biting people as adult cats. Kittens will naturally try to bite you while playing and when they do, don’t reprimand them, simply turn away and stop playing with them. This mimics what a mother cat would do if play got too aggressive. You’re teaching them social boundaries that if they play too hard, you’ll get up and walk away.


This action is a lot like giving your kitten a “time out,” as you might do with a child. The technique also works for adult cats, as they’ll quickly realize that if they bite, their favorite person (you) will disappear. Leave the room, if only for a few seconds, then return to your cat.

Don’t reprimand your cat by squirting it with water or using a shock mat, as those things may make the situation even worse.


Negative reinforcement may raise the anxiety level even more and cats remember things very well and they can link the bad experience, like being squirted with water—with you. They’ll think you are the one creating painful and awful things and act even more out of fear and aggression, or they’ll just hide from you all the time.

When a cat bites, they’ve often tried to warn the person they’ve bitten that they’re about to do so. You usually can tell that a cat is agitated by their body language. Behavior that says “back off” includes tail thrashing, pinned-back ears, dilated pupils, and hissing and growling. Hair standing up on their back and whiskers facing forward can also be signs of agitation.

If your cat bites you aggressively and your vet finds no pain trigger for the behavior, a veterinarian who specializes in feline behavior may try treating the cat with supplements, medication, a change in diet or a combination of all three. The treatment will hopefully reduce anxiety that may be causing your cat to bite, and then he or she can return to strictly chomping toys and treats — not people.


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Possible Causes for Your Cat Vomiting Clear Liquid

Vomiting is not normal in cats, and when your cat vomits clear liquid, it can be a sign of a serious illness. Vomiting itself is what is considered to be a nonspecific symptom. It could be associated with an array of health concerns. Some of these can include things like hairballs, internal obstructions, pancreatitis, eating too quickly, constipation, indigestion, parasitic infections, poisoning, stress, depression, or even anxiety.

Possible Causes for Your Cat Vomiting Clear Liquid

Hairballs

Cats are naturally meticulously clean animals and groom themselves for a large part of their day. As your cat grooms themselves, tiny hook-like structures on their tongue catch loose and dead hair, which is then swallowed. The majority of the hair passes all the way through the digestive tract with no problems, but sometimes the hair stays in the stomach and forms a hairball.

Commonly, cats will vomit up clear liquid prior to a hairball. Although, a cat vomiting up clear liquid with a hairball occasionally can be normal and not a concern, it is important to note that hairballs should not be frequent, painful, or difficult for your cat to pass. Some commercial cat diets and treats are formulated to help prevent formation of hairballs. Adopting a regular brushing schedule and getting your cat comfortable with brushing can also help get rid of any loose fur in your cat's coat that they may otherwise ingest when grooming themselves.

Food and Dietary Changes

When there is a change in your cats feeding schedule, if your cat misses a meal or eats later than normal, your cat may vomit up clear liquid.


In addition, you may have switched your cat’s food too quickly. When changing your cat to a new diet, it is recommended to do it gradually over a one to two-week period gradually decreasing the amount of current cat food while increasing the amount of new cat food.

Your cat may eat too quickly, and this can cause clear vomit or clear vomit with food present. If you cat is a habitual 'scarf and barf' cat or if they have intestinal sensitivities, that may be causing them to vomit up partially digested or undigested food. If your vet has ruled out other medical issues and thinks that what your cat is vomiting up is actually food, they may want you to try a food for sensitive stomachs with your cat. If your cat is still struggling with vomiting food on this special diet, they may then want to put your cat on a strict, hydrolyzed protein diet.

Your vet may also suggest food puzzles for your cat. Food puzzles are a great source of both play and enrichment for your cat. There are more and more manufactured food puzzles available on the market that stimulate both of your cat's predatory and foraging instincts. The added benefit of food puzzles for a cat that chronically vomits their food, though, is that it slows down the chow time so that a cat cannot eat too quickly and then get sick from it.

Indigestion

Just like in people, a cat's stomach produces various gastric juices as well as hydrochloric acid to digest their food. If, however, a cat skips a meal for some reason, or if they are not fed on time, that buildup of juice and acid can irritate the stomach and cause your cat to vomit. Cats with indigestion may vomit yellow foam in addition to white foam. If you and your vet suspect your cat's vomiting is from indigestion, your vet may suggest feeding small, frequent meals at the same time throughout the day so as to alleviate any buildup of stomach acid.

Gastritis

If your cat is one to get into things they shouldn't, it is possible that they have irritated their stomach with something that they have eaten. When this happens, you may see vomiting clear liquid in addition to vomiting blood and/or bile. Your cat may also be exhibiting a decrease in appetite, a depressed attitude, lethargy, or dehydration. Your vet will know just what to do if your cat is vomiting because of gastritis.

Some other causes can include:

  • Parasites

  • Constipation

  • An obstruction of foreign material in the intestinal tract

  • Ingesting a toxin

  • Metabolic disorders such as diabetes, kidney disease, and hyperthyroidism

What Should I Do if My Cat Is Vomiting Clear Liquid?

Some cat owners may describe their cat as 'puke-y' but it should be noted that frequent vomiting is never normal for a cat. Vomiting more than once a week is definitely a sign of issues. If your cat is vomiting clear liquid several times and/or in conjunction with other symptoms such as lack of appetite, weight loss, lethargy, or diarrhea, you should make an appointment with your vet right away. Your vet will want to start with a physical exam, checking your cat's vital signs and palpating your cat's abdomen. After a thorough examination, your vet may also want to run some tests, including blood work and x-rays. Blood work will check your cat's organ function, making sure that there are no signs of liver disease or kidney disease, as well as your cat's red blood cell and platelet levels. An x-ray study will check for any fluid in the abdomen that could potentially be blood and it may also show intestinal gas patterns that could be indicative of a blockage.

Depending on what your doctor finds, your cat may require hospitalization for fluid therapy and supportive care, or they may just need outpatient treatments and oral medications to go home on. If your vet suspects your cat has an intestinal blockage your cat may require surgery to remove whatever the blockage is.


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