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Writer's pictureDr. Gaffud

10 Common Types of Dental Problems in Cats


A cat looking up with mouth open

Dental health is equally vital for feline companions as it is for humans. Many cat owners are unaware that their pets are vulnerable to various dental issues, which result in significant health complications if not addressed.


This article examines ten common dental problems in cats, including gingivitis, periodontal disease, tooth resorption, and others. It outlines the causes, symptoms, and treatment options for each condition, providing valuable insights to help ensure that a cat's oral health remains optimal and pain-free.


The Importance of Dental Care for Cats

A clinician doing cat dental cleaning

Dental care is essential for maintaining the overall cat's health, directly influencing their oral health, preventing dental issues, and enhancing their quality of life.


The connection between oral health and systemic well-being is significant; untreated dental disease results in pain, and infection, and even impacts vital organs such as the heart and kidneys.


Preventive care is critical, as many dental issues in felines escalate gradually without noticeable symptoms until they reach a severe stage.


Regular veterinary check-ups facilitate the early detection of common problems like gingivitis and the need for tooth extractions, thereby ensuring that cats eat, play, and enjoy their lives to the fullest.


Incorporating dental-friendly treats and toys into a cat’s routine substantially reduces plaque buildup, promoting a healthier lifestyle for these cherished pets.


10 Common Types of Dental Problems in Cats

An owner showing the the cat's clean teeth

Cats are prone to various dental issues that affect their overall health if not addressed. Below are ten common dental problems in cats.


1. Periodontal Disease


Periodontal disease is the most common dental issue in cats, characterized by inflammation and infection of the structures supporting the teeth, including the gums (gingiva), ligaments, and bone (Thengchaisri, N., et al.,2017). It typically begins with plaque buildup that hardens into tartar, which irritates the gums and leads to gingivitis.


If untreated, it progresses to periodontitis, where the infection damages deeper tissues and bone. Symptoms include bad breath, red or swollen gums, drooling, and difficulty eating. Risks include tooth loss and systemic health problems like kidney or heart disease. Preventing periodontal disease involves regular brushing, professional cleanings, and a dental-friendly diet. Treatment includes dental scaling, root planing, and sometimes tooth extraction in advanced cases.


2. Tooth Resorption


Tooth resorption (TR) affects over half of adult cats, causing the tooth structure to be gradually broken down and absorbed by the body (Whyte, A., et al., 2020). The exact cause is unknown but is suspected to involve chronic inflammation or immune responses. Cats with TR show symptoms like difficulty eating, drooling, or pawing at their mouths.


Lesions form at the gumline, and the affected teeth become weakened and painful. If untreated, tooth resorption leads to fractured teeth and severe pain. Prevention is challenging due to its unclear cause, but regular dental exams are essential for early detection. Treatment often involves extracting the affected teeth to alleviate pain.


3. Stomatitis


Feline chronic gingivostomatitis (FCGS) is a severe and painful inflammation of the mouth and gums, often linked to immune system abnormalities, viral infections (like feline calicivirus or feline immunodeficiency virus), or chronic periodontal disease. FCGS is immune-mediated in nature and likely associated with a chronic viral infection in patients with higher alpha diversity of their subgingival microbiome (Soltero-Rivera, M., Goldschmidt, S., & Arzi, B., 2023).


Symptoms include severe oral pain, drooling, refusal to eat, and extensive red or ulcerated areas in the mouth. Stomatitis is difficult to manage, and affected cats are at risk of malnutrition due to pain when eating. Prevention is challenging due to its immune-mediated nature, but maintaining good oral hygiene helps. Treatment often involves a combination of extractions, pain management, anti-inflammatory medications, and sometimes immunosuppressants.


4. Gingivitis


Gingivitis is inflammation of the gums, often an early stage of periodontal disease. Plaque buildup irritates the gums, causing redness, swelling, and bleeding. Factors contributing to gingivitis include poor oral hygiene, diet, and sometimes immune-mediated diseases.


Affected cats exhibit bad breath, difficulty chewing, and gum bleeding. If untreated, gingivitis progresses to periodontitis and tooth loss. Preventive care includes regular tooth brushing, dental diets, and professional cleanings. Treatment in the early stages involves cleaning and removing plaque buildup, but in advanced cases, antibiotics or extractions are needed.


5. Oral Ulceration


Oral ulceration in cats refers to painful sores in the mouth, often caused by viral infections (like feline calicivirus or herpesvirus), autoimmune diseases, or dental issues. Symptoms include excessive drooling, bad breath, difficulty eating, and visible sores.


Untreated, these ulcers lead to severe pain, malnutrition, and secondary infections, especially in cats with weakened immune systems. Preventing oral ulcers involves regular veterinary checkups, dental care, and vaccinations. Treatment varies based on the cause: supportive care for viral ulcers, anti-inflammatory drugs for severe cases, and dental cleaning or extractions for ulcers related to dental disease, possibly accompanied by antibiotics.


6. Tooth Fractures


Tooth fractures in cats typically occur due to trauma, such as falls, accidents, or biting hard objects. These fractures expose the sensitive inner part of the tooth (pulp), leading to pain, infection, and sometimes abscesses. Cats with fractured teeth show signs of pain, including refusal to eat, drooling, and pawing at the mouth. If left untreated, the pulp becomes infected, leading to further complications like tooth loss or the spread of infection.


Preventing fractures involves monitoring the environment and avoiding giving cats hard objects to chew. Treatment usually involves extraction of the fractured tooth or root canal therapy in some cases.


7. Feline Odontoclastic Resorptive Lesions (FORLs)


FORL is a specific form of tooth resorption, where the tooth's dentin is destroyed by cells called odontoclasts. Approximately one-third of all domestic cats develop FORLs during their lifespan, and the risk increases with age (Reiter, A., & Mendoza, K., 2002). The cause of FORL is unknown, though it is thought to involve diet, inflammation, or immune system issues. Affected teeth become brittle and prone to fractures.


Symptoms include difficulty chewing, hypersalivation, and pawing at the mouth. Lesions are often found at the gumline, and the condition is painful. Prevention is difficult due to the unclear cause, but regular dental checkups are crucial. Treatment typically involves extracting the affected teeth to relieve pain and prevent further damage.


8. Tartar Buildup


Tartar (also called calculus) forms when plaque hardens on a cat’s teeth, usually near the gumline. This hard, mineralized layer promotes further plaque accumulation and increases the risk of gingivitis and periodontal disease. Tartar buildup is more common in older cats or those with poor dental hygiene (Gengler, W., Dubielzig, R., & Ramer, J., 1995).


Symptoms include yellow or brown discoloration on the teeth, bad breath, and gum inflammation. Preventive measures include regular tooth brushing, dental treats, and professional cleanings. Treatment involves scaling and polishing during a veterinary dental cleaning to remove the tartar and prevent further progression of dental disease.


9. Oral Tumors


Oral tumors in cats, such as squamous cell carcinoma, are serious dental issues that cause swelling, drooling, difficulty eating, and oral bleeding. The exact cause is not well understood, but risk factors include age, environmental exposures, and possibly diet. Symptoms include visible masses, bad breath, and weight loss due to pain while eating.


Early detection is critical for a better prognosis, as these tumors become aggressive and have a high death rate due to late diagnosis and severe debility (Moore, A., 2009). Treatment typically involves surgical removal of the tumor, and in some cases, chemotherapy or radiation therapy.


10. Malocclusion


Malocclusions occur when a cat's teeth are improperly aligned, leading to bite issues that cause difficulty in chewing and predispose cats to other dental problems like gingivitis or fractured teeth. Malocclusions are either congenital or develop later due to injury or dental disease. Cats with malocclusions have abnormal wear on teeth or experience mouth pain.


In some cases, malocclusion leads to food impaction and plaque buildup. Preventive care includes early dental monitoring in kittens and treatment involves orthodontic intervention or tooth extraction if the misalignment causes significant problems. Caudal malocclusions in cats result in various soft tissue lesions, and treatment options include odontoplasty or extraction, with successful soft tissue lesion resolution in most instances (Hamilton, M., & Hiscox, L., 2023).


Routine dental care is crucial for preventing and managing these common feline dental problems. Regular check-ups, home dental care, and professional cleanings significantly improve a cat’s oral health, preventing complications and ensuring a better quality of life.


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