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Some 50-80% of all cats over the age of four have periodontal disease (infection of the tissues surrounding the teeth). Brushing three times a week is the minimum recommendation to help remove plaque and prevent tartar accumulation. To be successful at brushing your cat's teeth, you must make it a positive experience for both of you. Do not use human toothpaste or baking soda. A list of dental products and diets that have been accepted by the Veterinary Oral Health Counsel can be found at vohc.org.
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Cats have four types of teeth: incisors, canines, premolars, and molars. Skeletal malocclusion results when an abnormal jaw length creates a malalignment of the teeth. Dental malocclusion occurs when the upper and lower jaw lengths are considered normal but one or more teeth are out of normal alignment. This article explains the common forms of skeletal and dental malocclusion seen in cats.
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There are many reasons why your cat might need oral surgery, including dental disease and oral tumors. Your veterinarian may refer your cat to a board-certified dentist, surgeon, or oncologist. Prior to your cat's surgery, blood tests will be performed to prepare an anesthetic protocol suitable for your cat. Most cats recover with minimal discomfort and will need to eat soft food until healing is complete.
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Bad breath (halitosis) is caused by bacteria, plaque, tartar, decomposing food particles, or death of tissue. Treatment of halitosis in cats involves eliminating the cause(s). The teeth need to be thoroughly cleaned and polished under general anesthesia. Teeth affected by advanced periodontal disease or tooth resorption need to be extracted. Reducing the accumulation of plaque, tartar, and resulting halitosis can be achieved by using VOHC-accepted products.
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Plaque prevention gel (brand name Oravet® Plaque Prevention Gel) is applied to a pet’s teeth at home to create an invisible barrier that will help prevent plaque and tartar formation on the exterior parts of the tooth (the crown). It can be used on both dogs and cats.
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When a tooth is broken with the pulp exposed, there are only two choices for treatment: root canal therapy or extraction. Root canal therapy involves removing the pulp from the center of an injured tooth, sterilizing the canal, and replacing the removed pulp with dental materials; this prevents bacteria from penetrating the center of the tooth. Root canal therapy is less invasive than extraction but requires advanced training and specialized equipment.
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Clindamycin is an antibiotic used to treat a range of bacterial infections in dogs and cats. It is often used to treat wounds, pyoderma, abscesses, bone and dental infections, and toxoplasmosis. Its use to treat certain infections, such as toxoplasmosis, is off label or extra-label. Clindamycin is available in oral liquid, tablets, and capsules. It has a very bitter taste, so you may need to disguise the medication in food. It is important to never give a cat a dry pill, if using capsules or tablets, as it can damage the esophagus, the muscular tube that delivers food from the mouth to the stomach (esophagitis). If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.
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Alveolar osteitis, also called expansile osteitis, is a relatively common condition that results from chronic periodontal disease in cats. It is painful and can interfere with grooming and eating. If this disorder is detected early, it may be possible to treat the disease without tooth extraction by performing thorough periodontal therapy (dental cleaning and scaling).
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A tooth root abscess develops when bacteria enter the exposed root canal of the tooth. The abscess may leak directly into the oral cavity or may leak out onto the skin. A tooth root abscess is painful and must be treated as soon as possible. Signs and diagnosis are discussed. Treatment options include root canal therapy or extraction.
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The American Animal Hospital Association and American Veterinary Medical Association have established guidelines to standardize preventive health care for cats, helping them to live longer, healthier lives. This handout provides an overview of the recommendations within these guidelines and why they are so important.