21/08/2024
Stomatitis in a 4 year old cat.
✒️Gingivitis is a medical term that refers to inflammation of the gingiva (gums). Gingivitis is the earliest and only reversible stage of periodontal disease (disease of the support structures surrounding the teeth). Stomatitis refers to a more generalized inflammation of the mucous membranes within the mouth and may involve the gums, tongue, inner surfaces of the lips, and/or the floor and roof of the mouth. In some cases, it can even extend down the throat.
•The cause of stomatitis is unknown. It may be caused by a hyperimmune response of the oral tissues to bacterial plaque (an overreaction by the immune system). Other immune system triggers and certain viral infections that affect the immune system, such as feline immunodeficiency virus and feline leukemia virus, may also play a role.
•Stomatitis is often very painful, causing a decreased appetite or difficulty eating. Weight loss may occur. Often it will be too painful for the cat to self-groom, causing the haircoat to appear unkempt.
•The deposits of plaque and tartar are removed with ultrasonic scaling followed by polishing of the tooth surfaces. It is important to clean the tissues beneath the gum line carefully to remove any accumulated plaque or tartar. After the cleaning, the gingivitis can subside. Some cats need this done regularly to maintain their oral health. The treatment of stomatitis involves treating the underlying cause of the problem, if one can be identified. Most often, no specific cause is determined. Affected cats will require frequent dental cleanings with extractions as well as home treatment, including tooth brushing and the use of chlorhexidine rinses or gels to manage the disease. Pain medications, broad-spectrum antibiotics, and/or anti-inflammatory medications may be prescribed. Extraction of some or all teeth is often recommended as this is proven to have the greatest effect on stomatitis; however, some (refractory) cases won’t fully resolve after extraction and still need medical management as described above.