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Gingivitis - WHAT DO I DO!! So stressed?



Question:

There my vet said my cat is developing a little gingivitis. I know doesn't sound like a big deal but I just lost one cat due to FIV.

My previous cat always had gingivitis and no vets seemed concerned, they said it was bad but all I could do was give him different food. He ended up dying of FIV and Leukemia. NOt sure if I could have prevented it. So I'm asking for advice as the vets I've seen in the past were not informing me of every possibility.

Cost is not an issue, is it painful to have the teeth pulled? I'm afraid he'll be tramatized or choke or something, He's got low WBC so I'm afraid he can't fight off any infection or become weak. or it will become infected or he won't be able to eat, or it will hurt more. I want to make the right decision for my baby's health!

How often do people bring their cats in for teeth cleaning. Should I just get his teeth cleaned or pull those two big ones that are all red and receeding gums? That's one huge tooth to pull and will be a huge adjustment for him, He won't be able to defend off bad neighbourhood cats or chase mice or birds. What to do?????


Answer:

My cat Jasper just had a dental and had 4 teeth pulled. Definitely do it...if the vet thinks he is strong enough to do so, it should be done. Allowing the gingivitis to fester can cause more diseases and you don't want that to happen. Jasper is an old cat and we got him about a year ago. His former owner let him eat a lot of people food and due to her old age neglected his teeth in the past years before we got him. Even though now he only has his front teeth (fangs!! lol) he is doing just fine. Your cat will likely have to adapt to the change, but with your love im sure he'll be fine. I was TERRIFIED to have the dental done because I didnt want Jasper put under anesthesia. But I knew it was the right thing to do and he is FINE!!!

Gingivitis can be associated with Bartonella infection. Is this an outside cat? Was it ever exposed to fleas? Bartonella is carried by the little buggers - I just did a quick Google and came up with:

The clinical signs of Bartonella sp include: gingivitis, stomatitis, oral ulcerations, submandibular lymphadenopathy, upper respiratory infections, rhinitis, sinusitis, uveitis, chorioretinitis, conjunctivitis, inflammatory bowel disease, fever of unknown origin, hepatic peliosis, bacillary angiomatosis, valvular heart disease. The most common manifestation is gingival and ocular disease. However, any cat with chronic inflammatory disease should be tested for this organism.

The same relation was also observed for the incidence of gingivitis among the 4 cat groups, suggesting that coinfection of B. henselae and FIV may be associated with gingivitis and lymphadenopathy in cats.

My Shamrock had gingivitis at 2 yrs old. Vet cleaned his teeth (none had to be extracted, though) but I have heard it's unusual to see such tarter and red gums at 2 years old. Then again, this type of thing is hereditary. It could also be coincidental that he has allergy problems.

I'd get the bad teeth extracted and then ask about how to keep the rest healthy. There are toothpastes and toothbrushes for cats. How they adjust to letting you brush them is another matter. LOL We're still working on that part.

If you're leery about it in general, or if you have concerns about other aspects of your cat's health - combined with the anesthesia needed for the extractions, you can ask the vet to go do an in-depth explanation of the whys & wherefores & "what-if" scenarios for you. Either in person, or via the phone. As an off-chance, I suppose you might also check into the possibility of a vet who specializes in dentistry in your area, asking for a referral by your vet.

I'd have them done. My cats haven't had gingivitis, but one of my cats needed to have several teeth extracted - 5 at one point when she was about 5 years old, & a few more teeth several years later. Some of the "had to go" teeth were abscessed (infected), and others were on the verge of abscessing. Either way - *not* comfortable (to put it mildly) to have in one's mouth. And not particularly good for one's overall health.

Her recovery time for both sets of extractions was virtually nil; she acted just fine by the time I picked her up from the vets' a few hours after the extractions. Besides a bunch of other teeth, she was eventually missing all of her canines, but it didn't cause a problem. She was an indoor cat (except for access to a screened porch), & she could still eat - incl. dry food - with no problem.

My cats get their teeth checked during their check-ups; if there's minor tartar build-up & the vet can chip it off manually, she does that right then & there. If, OTOH, there's a need for a cleaning, one is scheduled. There's no set every 'x' years for cleanings, just when/if they need it. My present cats have good teeth so far; the older one (13 yr.) may've had a dental cleaning years ago, but I can't remember... The younger cat (6) hasn't needed one yet.


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