Understanding and Treating Periodontal Disease in Cats: A Comprehensive Guide

A brown and black striped cat with green eyes that does not display any symptoms of periodontal disease in cats.

Understanding and Treating Periodontal Disease in Cats: A Comprehensive Guide

Periodontal disease is a common yet often overlooked issue in cats. It affects the structures that surround and support the teeth, including the gums, periodontal ligament, and alveolar bone. Left untreated, it can lead to tooth loss, pain, and systemic health issues. Early diagnosis and treatment are key to managing this condition and ensuring your cat’s overall well-being.

 

What is Periodontal Disease?

Periodontal disease in cats is typically caused by the accumulation of plaque and tartar on the teeth. This buildup creates an environment where harmful bacteria thrive, leading to inflammation and infection of the gums. As the disease progresses, it can cause the destruction of the periodontal ligament and alveolar bone, which ultimately results in tooth loss.
There are four stages of periodontal disease:
  1. Stage 1: Gingivitis – Inflammation of the gums without bone loss.
  2. Stage 2: Early Periodontitis – Mild bone loss and deeper gum pockets.
  3. Stage 3: Moderate Periodontitis – More significant bone loss and gum recession.
  4. Stage 4: Advanced Periodontitis – Severe bone loss, loose teeth, and pain.

 

Symptoms of Periodontal Disease in Cats

Cats are masters at hiding discomfort, so it’s crucial for pet owners to recognize the subtle signs of periodontal disease, including:
  • Bad breath (halitosis)
  • Drooling or excessive salivation
  • Difficulty eating or chewing on one side of the mouth
  • Swollen, red, or bleeding gums
  • Tooth discoloration or visible tartar buildup
  • Facial swelling or discharge from the nose
  • Weight loss due to decreased appetite

 

Diagnosis of Periodontal Disease: The Role of Dental Radiographs and Conebeam CT

A thorough oral examination by a veterinary dentist is essential for diagnosing periodontal disease in cats. However, many of the changes associated with the disease occur below the gum line and are not visible during a routine examination. This is where advanced imaging techniques, such as dental radiographs and Conebeam Computed Tomography (CBCT), play a crucial role. Dental radiographs are similar to the bitewing x-rays your dentist does.
CBCT is a specialized 3D imaging technology that provides detailed views of the oral and dental structures. Unlike traditional X-rays, CBCT captures comprehensive images of the teeth, bone, and soft tissues from multiple angles, allowing for a more accurate assessment of the extent of periodontal disease. This technology is particularly useful in identifying areas of bone loss, tooth root abscesses, and other hidden issues that might otherwise go undetected.

 

Treatment Options for Periodontal Disease in Cats

The treatment of periodontal disease in cats depends on the stage of the disease and the extent of damage. Here’s a breakdown of the treatment options:
  1. Professional Dental Cleaning: In the early stages of periodontal disease, a professional dental cleaning under anesthesia is often sufficient. This procedure involves the removal of plaque and tartar from the teeth, both above and below the gum line, followed by polishing to smooth the tooth surfaces.
  2. Scaling and Root Planing: For more advanced cases, scaling and root planing may be necessary. This deep-cleaning procedure targets the areas beneath the gum line to remove bacterial deposits and smooth the root surfaces, which helps the gums reattach to the teeth.
  3. Tooth Extraction: In severe cases where there is significant bone loss, loose teeth, or extensive infection, tooth extraction may be the best option to alleviate pain and prevent further complications.
  4. Home Care and Maintenance: Following treatment, it’s important to maintain your cat’s oral health through regular brushing, the use of veterinary-recommended dental products, and routine check-ups with your veterinary dentist. Your veterinarian may also recommend a prescription diet designed to promote dental health.

 

The Importance of Early Detection and Prevention

Preventing periodontal disease is always better than treating it. Regular veterinary check-ups, combined with good home dental care, can significantly reduce the risk of your cat developing this painful condition. Early detection through routine examinations and advanced diagnostic tools like dental radiographs and CBCT allows for timely intervention, potentially saving your cat from unnecessary pain and tooth loss.
In conclusion, periodontal disease is a serious condition that can have lasting effects on your cat’s health. With proper diagnosis, including the use of Conebeam CT, and appropriate treatment, you can help your cat maintain a healthy mouth. If you suspect your cat may have periodontal disease, don’t hesitate to contact a veterinary dentist for a comprehensive evaluation.