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Old August 31st, 2010, 07:49 PM
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Dr Lee Dr Lee is offline
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Join Date: Jun 2007
Location: East Coast
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Quote:
Originally Posted by oceanslily View Post
We feel we've given him ten great years. At the same time, we don't want to rush to "that" decision if we feel that we can improve his quality of life without causing him more suffering and us to go broke.

I guess I'm just looking for thoughts, anecdotes, or opinions.
Stomatitis is indeed a difficult, painful and frustrating disease! Luckily our goal for most cats is to make it to 20, so at 10, he will be happy to know that he is still a young man. Or at least middle aged.

There have been many things tried. However for cases that are refractive to conservative treatments, surgical extraction of all teeth behind the canines is usually recommended. Most all of these guys do very, very well. I have had a couple cases that additionally had laser treatments, but that is not the majority of the cases.

Here is a Client Handout on Stomatitis from our VIN network (written by Dr. Jan Bellows):
"Feline Stomatitis

Cats can also be affected by inflammation of the entire mouth called stomatitis or lymphocytic plasmacytic syndrome (LPS). An immune related cause is suspected due to the large amount of plasma cells encountered on microscopic examination of the inflamed tissues. Many cats affected by (LPS) will be unable to eat, develop weight loss, and excess salivation. Oral examination often reveals a cobble stone-like redness in the throat area and severe inflammation where the tooth and gums meet. The premolar and molar areas are usually affected more than the canines and incisors. Intraoral x-rays often reveal moderate to severe periodontal disease. In addition to generalized inflammation, all stages of feline oral resorptive lesions may be present.

In the past, therapy options for feline stomatitis included thorough teeth cleaning and polishing, fluoride, corticosteroids, gold therapy, antibiotics, lasers and strict daily brushing . In most cases cats were only temporarily helped with these therapies.

Newer treatment options include general cleaning, polishing, application of fluoride, and extraction of those teeth affected by FORLs or severe periodontal disease. In addition, a home care program is begun. The client is instructed how to brush their cat's teeth daily followed by irrigation with .2% chlorhexidine. If the initial treatment does not succeed within 2 months, then all remaining teeth are removed behind the canines. Although somewhat radical, in most cases this will provide long term success.

Dr. Jan Bellows is a board-certified veterinary dentist. His office, Hometown Animal Hospital and Dental Clinic, is located at 17100 Royal Palm Boulevard in Weston, Florida.

Date Published: 6/17/2002 5:49:00 PM
Date Reviewed/Revised: 4/5/2007"
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Christopher A. Lee, DVM, MPH, Diplomate ACVPM
Preventive Medicine Specialist With a Focus on Immunology and Infectious Disease
myvetzone.com
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