Feline Stomatitis: Treatments

sick looking cat
Cats rarely display their pain, but cats with feline stomatitis are often the exception. If your cat appears to have mouth pain, is reluctant to eat, doesn't want to groom, is drooling, and doesn't want you to open its mouth, it may be suffering from this debilitating, degenerative oral condition, and prompt treatment is a must.

Stomatitis refers to an inflammation of the oral mucosa, the mucous membranes that line a cat's mouth. This layer of cells can become inflamed for a variety of reasons. The more frequent causes of inflammation are gingivitis and periodontal disease. In the case of stomatitis, the exact cause isn't known, but it is suspected to be an immune-mediated disease. Depending on the extent of lesions, this condition is also called faucitis and caudal mucositis, if the areas in the back of the mouth behind the teeth are affected. Stomatitis affects all breeds of cats, and can occur in any age.

Treatment for oral inflammation depends on the severity of the disease. Milder cases can be treated by having a dental prophylaxis under anesthesia. Once the teeth are cleaned, you may be asked to apply a chlorhexidene gel to help keep the bacteria under control. Taking dental X-rays is important in all these cases as a degeneration of the tooth termed resorption, may occur in the crown or root of the tooth. This resorption can cause pain and inflammation.

More advanced cases of feline stomatitis generally call for extraction of all or a majority of the affected teeth. While this approach might sound extreme, it can also be highly effective at curing the stomatitis altogether, instead of merely keeping it in check. If extractions of the molars and pre-molars doesn't resolve the problem, further extractions of the canines and incisors very well might. Some cat owners decide to spare their cats a possible future surgery by having these teeth removed with the others. X-rays of the teeth during extraction are critical because any piece of a tooth is left behind, the inflammation will persist.

Your cat's stomatitis may also involve the bone surrounding the teeth, leading to a condition called osteomyelitis. This is a serious infection of the bone surrounding the teeth which is treated by removing the diseased bone and then allowing healthy tissue to regenerate in its place.


Sources:

Deforge, D. H., VMD, "One Clinician’s Experience With A New Treatment For Feline Stomatitis," Veterinary Practice News

Kirby, Naomi, DVM, MS, "Managing Feline Stomatitis," IVC Journal.

Lews, John, VMD, FAVD, DIPL. AVDC., "Why Teeth Removal is Best When Your Patient Has Feline Stomatitis," Veterinary Practice News.

Merck Veterinary Manuals, "Oral Inflammatory and Ulcerative Disease in Small Animals."

Location

Find us on the map

Office Hours

Monday:

8 a.m.-5 p.m.

Tuesday:

8 a.m.-5 p.m.

Wednesday:

8 a.m.-5 p.m.

Thursday:

8 a.m.-5 p.m.

Friday:

8 a.m.-5 p.m.

Saturday:

Closed

Sunday:

Closed

Testimonials

Feedback from our clients

  • "Thank you so much for always being there for my pets. The Vets are amazing and the office staff is always friendly and compassionate. I am so thankful to have been able to have my animals treated by such a wonderful staff."
  • "My Chocolate Lab was attacked by 2 Pit Bulls and I didn't think He would survive. I got Him in the car, bleeding profusely, called Pacific Crest and Laura said "bring Him in". The poor dog had tubes in places I wouldn't dream of. His ears were torn in pieces and I had little hope for survival. Many more tales with both dogs and I would never think of going else where."
  • "Thank you for checking on my Baby love the staff very friendly Dr. Kelly is amazing too."
  • "Thank you for taking such good care of our Cleo!"
  • "I cannot say enough good things sbout the staff here. Took my 11 year old kitty in today for a severely infected abcess and they worked hard fixing him up. Everybody is so incredibly sweet and helpful! The price after treatment was very reasonable as well. Beautiful facility with the most caring and professional staff you'll ever encounter. My new vet clinic for all of my fur babies from now on"
  • "My kitties love Pacific Crest! We appreciate the TLC and especially the guidance when we've had to make end-of-life decisions for our pets. It's always tough but it helps when you have a vet who understands and loves cats as much as you do."
  • "Not only are they amazing with horses...they are awesome with your small, four legged friends. So caring and compassionate. I wouldn't take my pets anywhere else!"
    Tammy