Dental Feature: Full Mouth Extraction

 

Breed: Domestic Short Hair

Condition:
Feline Oropharyngeal Inflammation



Oropharyngeal inflammation in cats is due to a hypersensitive response to plaque. Cats don't often show overt signs of oropharyngeal inflammation until the disease is severe. At that point, the cat may stop grooming, drop food when eating and/or drool. This patient was affected with inflammation around the teeth and halitosis.

Palatal view

Left maxillary view

Right maxillary view

Removal of the affected teeth is the treatment of choice because it eliminates plaque accumulation. Fortunately, cats and dogs do not need their teeth to eat. But they do need a non-inflamed mouth to stay healthy.

Treatment:

After a clinical tooth-by-tooth examination and intraoral x-rays, a full mouth extraction was performed to bring relief to the cat.

The oral cavity was disinfected with chlorhexidine rinse and the gingival attachment was incised circumferentially around each tooth to be extracted. Next, multi-rooted teeth were sectioned into single-rooted segments using a crosscut fissure bur on a water-cooled, high-speed dental drill. A sharp wing tipped elevator was used to loosen the single rooted segments prior to removal from the oral cavity.

After extraction, an alveoplasty was performed to smooth the alveolar margin. The surgical sites were closed with fine dissolvable sutures.

Palatal view three weeks after surgery

Left maxillary view three weeks after surgery

Right maxillary view three weeks after surgery

The patient's recovery went well. Her inflammation and pain are now gone and her breath smells much better.

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