dental extraction for older cat, complications

Hi,

Our cat had six teeth extracted yesterday, and apparently there is now a hole from his jaw to his nasal cavity that may require more surgery. This is painful to think about, both for him and our pocket books. Has anyone been through this with their cat?

Advice sought…

I’m sorry to hear that… I just went through an extensive dental extraction with my older rescue cat; he had all but 3 teeth pulled, though there were no complications that I know of. The vet had me give him oral antibiotics for 2 days before and a week after the procedure… Between the antibiotics and the surgery, my bill was pushing $1k. :eek: He’s super-friendly and a great little mouser though; I couldn’t NOT do it.

Is your vet hoping to give it a few days to see if that hole closes up on its own? Could be that now that the old/rotted teeth are out, he will be able to heal better with the right medication.

jingles for kitty.

My old ladies both had extensive extractions. This last one the bone quality was so poor even the vet was shocked. The bone seam at the front of the lower jaw was so loose that she could slide it back and forth. Kitty came out of anesthesia very poorly and we were very worried about infection because of the gum disease and bone issues but religiously kept up with the antibiotics and food regime. She didn’t even need pain killers on day two and bounced back remarkably well. In both cases, they were so relieved to have the bad teeth out they were so drastically improved in a week it made it all worth while.

Keep the water fresh and follow feeding and medication advice and I hope your kitty will feel so much better. Good luck.

There’s a good chance it will fill/granulate in on its own and not require additional surgery. they’re often left open at time of extraction because the tissue is so damaged and won’t hold suture well

Sending jingles and well wishes for kitty. Poor thing! Sorry both of you are going through this.

In cats with significant bone absorption this can happen. Often they granulate in and don’t have long term problems. Every once in awhile a communication remains that can lead to chronic URI infections and in worse case scenarios aspiration pneumonia (having said that I have never seen that actually happen in almost 15 years of practice).

Give her time to heal before worrying.

Hi all, thanks! The kitty is doing pretty darn well, four days later. On a related subject, our vet recommended annual dental cleaning for cats. We’ll definitely do it for this cat but I’m wondering about our other cat who is roughly the same age but with no symptoms? None of my cat owning friends have their cats’ teeth cleaned annually… Any home methods?

There is no substitute for professional dental cleaning. Each animal needs dental care on their own timeline. The build up of tartar is based on the individual’s mouth, oral bacteria, food, etc. Only your vet can determine if a cleaning is needed.

Jingles for a full and uneventful recovery for your dear cat ~

Good update ~

Jingles & AO continue for a full and uneventful recovery for your dear cat ~

[QUOTE=staceyk;8101351]
Hi all, thanks! The kitty is doing pretty darn well, four days later. On a related subject, our vet recommended annual dental cleaning for cats. We’ll definitely do it for this cat but I’m wondering about our other cat who is roughly the same age but with no symptoms? None of my cat owning friends have their cats’ teeth cleaned annually… Any home methods?[/QUOTE]

No, just suck it up and pay for it… for dogs and cats. I’m dealing with a middle aged Maine Coon with feline stomatitis. My vet recommended adding Proden PlaqueOff to their food. He’s still comfortable eating so we are doing whatever we can to stave off the (inevitable) full mouth extraction and keep inflammation at bay. So he gets PlaqueOff and lysine powder in his food and EFAC gel on his gums every day. And 1-2X year annual cleaning.

So yeah, I would recommend annual cleaning as opposed to the alternatives!

But Proden PlaqueOff is available on Amazon, and the medium jar (180 gr) for about $35 and will last you forever.

I laughed when I opened it - I swear, it is Source micronutrients for cat/dog mouth! And just like when I bought Source when I was a kid … ooooh we wanted it so bad, it was the NEW BEST THING EVER… but soooo expensive… until you opened the tub and saw how small the scoop was and realized that shit was going to last forever. PlaquOff is just like that. Tiniest spoon I have ever seen. It’s not a pinch, it’s a smidgeon of a pinch. So all three cats and the dogs get it on their breakfast. Nobody notices, nobody turns their nose up at it, and I think that $30 may supply all four animals for a year (but I have 3 cats and a corgi, so they are all 1 scoopers or less)

My Pooter (20 years old this June) just had $1200 worth of dental surgery. She had inflammatory tissue in her mouth next to a bad molar. The only way I knew she was in pain is she started pawing at her mouth. While Rosemary (RIP) was an awesome patient that you could do a full oral exam on, Pooter has to be done under anesthesia as she may be small but she is feisty! The inflammatory tissue came back 3 weeks later so her very last molar (which was a good one) had to be pulled and lazering of the inflammatory tissue so it won’t come back. With elderly pets, vet bills are just a fact of life and a healthy mouth is critical in old age. Even if that means 3 teeth left, they have to be good, well taken care of teeth. Hugs to you and kitty.

[QUOTE=DMK;8102161]
No, just suck it up and pay for it… for dogs and cats. I’m dealing with a middle aged Maine Coon with feline stomatitis. My vet recommended adding Proden PlaqueOff to their food. He’s still comfortable eating so we are doing whatever we can to stave off the (inevitable) full mouth extraction and keep inflammation at bay. So he gets PlaqueOff and lysine powder in his food and EFAC gel on his gums every day. And 1-2X year annual cleaning.

So yeah, I would recommend annual cleaning as opposed to the alternatives!

But Proden PlaqueOff is available on Amazon, and the medium jar (180 gr) for about $35 and will last you forever.

I laughed when I opened it - I swear, it is Source micronutrients for cat/dog mouth! And just like when I bought Source when I was a kid … ooooh we wanted it so bad, it was the NEW BEST THING EVER… but soooo expensive… until you opened the tub and saw how small the scoop was and realized that shit was going to last forever. PlaquOff is just like that. Tiniest spoon I have ever seen. It’s not a pinch, it’s a smidgeon of a pinch. So all three cats and the dogs get it on their breakfast. Nobody notices, nobody turns their nose up at it, and I think that $30 may supply all four animals for a year (but I have 3 cats and a corgi, so they are all 1 scoopers or less)[/QUOTE]

Not to derail this thread, but I have had a few kitty patients that for one reason or another (additional medical issues, cost, etc) full mouth extractions were not a viable option (as well as a percentage of cats that continue to have stomatitis despite full mouth extractions). One thing we have used in my practice with good results is Cerenia. It is labeled as an anti-nauseau medication but also has great anti-inflammatory benefits. Ask your vet about maybe getting a single injection as a trial. If it works you can get the oral version.

In really refractory cases I have also used cyclosporin compounded liquid form with good success.

Thanks Blume, I will totally pass that on for our f/u visit in early May!

We are trying to postpone/avoid full mouth extraction for eactly that reason - the disturbing 20% who do not respond to full mouth extractions, and the fact he is happily eating his food and crunching on his oral treats right now. He spent a good long time on zeniquin before and after his last cleaning, so between cleaning, lysine, EFAC & plaque off, I think we have used all the bullets in the gun (except for virbagen whic his helpfully not available in the US). So far I think the jury is out, but at best it may be stabilized, at worst, all of the above isn’t doing much to slow the progress. It sure hasn’t turned it around and “cured” it.

Was: Dental extraction, now ear polyp in older cat

Short story and question – has anyone had ear polyps removed from their cat’s ear? And older cat? Tell me your experience!

Our poor 14 year old rescue cat had six teeth extracted early this spring.

He has been shaking his head and slightly tilting it. The vet found an ear polyp that apparently needs to be removed. Because of the head tilt it may extend below the ear canal into the throat area. If this is the case, the chances are good that it will grow back. Our choices:

  1. Spend more money on diagnostics (CT scan, radiograph of head, ultrasound) to see where the polyp originates. A more invasive, risky surgery is indicated if the polyp originates in the throat. Probably 2K cost and higher risk, but more permanent solution.
  2. Go conservative, remove the poly in the ear canal, and hope it does not grow back. Probably 1K cost.

We are getting a second opinion but I want to hear from owners. Thanks!