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Cat Forum / Health and Behavior / August 2006

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Will teeth extraction help cure gum inflammation?

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brigitte - 07 Aug 2006 07:45 GMT
Hi all,

My ten year old Leila, a female spay Birman, has been the picture of
health all her life, apart from recurrent tooth problems. Over the
years, her teeth were cleaned 3-4 times and her gums are more or less
chronically inflamed. Antibiotics have little or no effect. I tried
feeding her hypoallergenic food, which she liked the first few days,
but then she vehemently started protesting against the fact she had to
be locked up when the other cats were feeding and since she's a Birman,
that was too nerve wrecking to endure.

Her last teeth cleaning procedure was done 5 months ago, at which time
she was given a Prednisone shot. Four days later she was severely ill:
constant sneezing, unable to breathe through her nose, and - most
distressingly - she fell sideways and was hardly able to walk.

I rushed her to my vet (unfortunately a young and inexperienced one)
who - rather than aleviating my fears - added to them by insisting her
balancing problems could not possibly be the result of her cold, and
that she had either a brain tumour, a heart condition or was simply
suffering from old age.

Fortunately, after huge amounts of antibiotics, nose drops and eye
ointment as well as force-feeding her for days on end, she pulled
through. Another vet I consulted confirmed it must simply have been an
inner-ear infection.

Last week she had her shots and yesterday I had to rush her to the
emergency vet due to a bladder infection.

In other words, my baby's immune system doesn't seem to be as good as
it once was. She doesn't go outside and I adopted my latest addition to
the group seven years ago, so it can't be cat AIDS. My main concern is
that her chronic gum inflammation has left her vulnerable to every bug
she comes across.

My vet's colleague (whom I trust to a certain degree as she's a bit
more experienced than the "brain tumour lady") told me I can have her
remaining molars and incisors extracted. This may or may not stop the
gum inflammation, or so she told me.

The emergency vet I visited yesterday (an older guy with 25 years'
experience) had a look at her gums and also suggested having her teeth
pulled. He seems rather knowledgeable in this area and he also made a
strong case against electronic teeth cleaning as the waterspray the
patient can inhale is infected with bacteria and may very well have
been the cause of Leila's severe illness.

I'm now seriously considering having her teeth extracted once she's
recovered from her bladder infection. Does anyone have experience with
gum inflammation and teeth pulling, and did the cat benefit or not?

Thanks!
Ann - 07 Aug 2006 11:57 GMT
> Hi all,
>
[quoted text clipped - 49 lines]
>
> Thanks!

I'd first have her tested for the contagious feline diseases that can
cause immune system problems. You can't safely assume that she wasn't
exposed before you added the last cat (or, since, during a veterinarian
visit, etc).  

Cats do fine with few teeth so that shouldn't be a concern.  Imo, any
questionable tooth should be removed and it should be a thorough job,
removing roots too.  One vet we took cats to wouldn't consider doing any
tooth work without the cat having taken antibiotics for a few days
beforehand.  It is possible for bacteria to get into the blood stream and
infect the heart.
Indiacat - 07 Aug 2006 17:47 GMT
Ann, have you looked at doing anything to improve Leila's immune system
- especially her gums?  Granted, cats (and every other living being)
must have healthy teeth or it poisons the rest of the body, but what
about improving the gums and going from there?  What does your cat eat?
Are you using Missing Link or any other sort of supplement?  How about
sprinkling Nutritional Yeast on top of her food?  Nutritional Yeast is
a human product which is easy to get in most health food stores or more
"natural" type stores.  You shake it on the food like you would do with
Parmessan cheese and pizza.  You don't need a special shaker or
anything.  It is rich in B complex vitamins,amino acids and protein.
The B's are critical to gum health - for everyone!  Twinlabs makes 3
different varieties - I'm sure that there are other makers available. I
have had a very sick kitty that I have had marvelous response with.  I
just started a blog and don't really know how to do this but you can
navigate to my blog at http://special-kitty-diet.blogspot.com.  This is
a personal site.  I don't have anything to sell or gain.  I am just
starting to chronical information that may be helpful to others.  Good
luck and don't pull Leila's teeth if there are other options!

> > Hi all,
> >
[quoted text clipped - 61 lines]
> beforehand.  It is possible for bacteria to get into the blood stream and
> infect the heart.
Indiacat - 07 Aug 2006 17:51 GMT
Oops, I meant to address my reply to Brigitte.  So sorry!  >^..^<
> Ann, have you looked at doing anything to improve Leila's immune system
> - especially her gums?  Granted, cats (and every other living being)
[quoted text clipped - 80 lines]
> > beforehand.  It is possible for bacteria to get into the blood stream and
> > infect the heart.
brigitte - 07 Aug 2006 20:04 GMT
That's OK Indiacat :)
Leila has been on Hills T/D for the past two to three years, before
that I gave her Hills Oral Care. No food supplements of any kind and
the only thing that has been done were repeated courses of antibiotics
combined with cleaning. Last time she was checked I asked whether she
was suffering from paradontitis, which can lead to heart problems and
other nasty side-effects, but I was told this is not the case. However,
she's had too many infections for comfort these last months.

I'm pretty confident she's OK in the infectious diseases department, as
I had the latest arrival checked for Aids and FIP before I took him in.
My other cats are pedigree cats, testing is required prior to breeding
and the breeders all complied. Unless my vet was very sloppy with blood
and infected needles, I can't really imagine how she could have
contracted anything there. Nevertheless, it never hurts to check.

Food supplements like the kind you mentioned could be a problem as I
live in Holland. However, nothing's too much trouble of course, even
ordering stuff from the US.

You have given me some food for thought!
Ann - 08 Aug 2006 00:18 GMT
> That's OK Indiacat :)
> Leila has been on Hills T/D for the past two to three years, before
[quoted text clipped - 11 lines]
> and infected needles, I can't really imagine how she could have
> contracted anything there. Nevertheless, it never hurts to check.

Afaik feline Aids (FIV) is primarily spread by blood, but not all such
diseases are.  Agreed it's unlikely but your cat seems young to have
immune problems without an underlying cause.

> Food supplements like the kind you mentioned could be a problem as I
> live in Holland. However, nothing's too much trouble of course, even
> ordering stuff from the US.
>
> You have given me some food for thought!
pah41071@yahoo.com - 21 Aug 2006 10:17 GMT
Brigitte,

I have a cat who had infected gums on and off for two years. After
trying lots of things, we decided to give it one more try with a
long-term (30 days) course of azithromycin. It worked absolute wonders
and she has been symptom free for three years now.

Extraction of all remaining teeth is a valid option if other
traditional treatment does not work. A friend's 12-year old cat who had
chronic gingivitis has had all his teeth pulled and he is no worse for
the wear! He was on blended food for a while after the surgery, but now
eats dry food like everyone else, and best of all, absolutely no more
infections.

Good luck!
yngver - 21 Aug 2006 17:18 GMT
> That's OK Indiacat :)
> Leila has been on Hills T/D for the past two to three years, before
[quoted text clipped - 17 lines]
>
> You have given me some food for thought!

This sounds like stomatitis to me. I agree with you, with a purebred
cat from a responsible breeder I doubt she would have contracted FeLV
or FIP. She may have been exposed to the feline coronavirus early in
life but the great majority of cats that have been never develop FIP.
Most responsible breeders attempt to keep their cats from even
contracting the coronavirus and so if never exposed, the cat cannot
develop FIP.

Cortisteroids are a standard treatment for stomatitis/chronic
gingivitis but as you have seen, they also depress the immune system.
Extraction of the teeth is also a reasonable treatment with chronic
gingivitis, but I agree, I'd first want to have the vet check further
on what might be causing your cat's immune system to be compromised. I
agree it's not likely to be FeLV, FIV or FIP but there may be something
else going on.
shalom - 21 Aug 2006 00:01 GMT
Hi
I have a 13 yr old cat who was plagued with tooth problems.  He was miserable.
Every three months he was getting a shot of the P stuff and it would help for
ahile but you couldnt give him any oral medicine because he would not open
his mouth for anything.  One time he lost so much weight the vet was gooing
to hospitalize him,  He developed a heart murmur from the infections going
into his system.  In Feb we got all off his teeth out except the 4 front ones
and he has had the best summer in years.  I would encourage you to make this
move and get your pet healthy and happy again

>Hi all,
>
[quoted text clipped - 49 lines]
>
>Thanks!

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