Recognizing the Symptoms of Cat Tooth Infection
If you've ever wondered how to tell if your cat has a tooth infection, you're not alone. Dental issues are common in cats but often go unnoticed because cats tend to hide pain. Still, there are clear signs and symptoms that can help you spot a problem early.
Common Signs of Tooth Infection in Cats
A tooth abscess—an inflammatory reaction caused by infection—often develops when bacteria enter through a dead or fractured tooth. This leads to bone destruction and pain around the affected area. It's important to watch for these symptoms:
- Facial swelling, especially under the eye or along the jawline
- Dropping food while eating or having trouble picking up food
- Preferring soft food or avoiding dry kibble altogether
- Bad breath with a foul, rotten odor
- Reluctance to eat or changes in eating habits (like chewing only on one side)
- Excessive drooling, sometimes tinged with blood
- Pawing at the mouth or rubbing the face against objects
- Swelling below the eye (can indicate a root abscess)
- Bleeding from the mouth—look for it around the gumline or on toys and bedding
- Discharge or pus from the mouth or facial area
- Loss of appetite and possible weight loss
- Lethargy or decreased grooming (leading to an unkempt coat)
Cats are experts at masking discomfort. Sometimes, an abscess will burst and drain on the skin near the chin or face. If you notice any of these signs—especially facial swelling or discharge—it’s time to call your veterinarian.
Why Do Tooth Infections Happen?
The main culprit is bacteria entering through cracks, chips, or severe gum disease. Thin enamel makes cat teeth more vulnerable to fractures and infection. The canine teeth are most commonly affected, followed by upper premolars and molars.
- Fractured/broken teeth exposing pulp tissue
- Periodontal (gum) disease allowing bacteria to reach the root
- Chewing hard objects like bones or toys
Cats can also develop other painful dental disorders: tooth resorption (where tooth structure breaks down below the gumline), gingivitis, periodontal disease, and stomatitis (severe inflammation/ulceration of oral tissues).
The Importance of Early Detection
You might not always see obvious signs right away. Cats often hide dental pain until it becomes severe. Subtle changes—like eating less enthusiastically, grooming less often, favoring one side while chewing—can be early clues. Severe swelling, difficulty breathing, fever, vomiting, extreme lethargy: these are emergencies that need immediate veterinary attention.
How Are Tooth Infections Diagnosed?
Your vet will start with a physical exam: looking for fractured/discolored teeth and checking for swelling or discharge. Dental X-rays under anesthesia are crucial—they reveal problems hidden below the gumline such as root infections and bone destruction. Sometimes tissue sampling helps confirm an abscess.
Treatment Options for Cat Tooth Infections
- The most common solution is tooth extraction under anesthesia.
- Pain medications help keep your cat comfortable during recovery.
- Your vet may prescribe antibiotics to control infection.
Nerve blocks and stitches support healing after extraction. Occasionally (if damage isn’t too extensive), root canal therapy may be suggested—but extraction is usually preferred when there’s significant bone loss.
Caring for Your Cat After Treatment
- Avoid hard food/treats/chew toys for about two weeks post-surgery.
- A soft diet helps protect healing areas and stitches.
Cats generally recover well after treatment; however, if multiple teeth are lost you might notice lasting changes in eating habits.
Preventing Future Dental Problems in Cats
- Schedule routine veterinary dental exams and annual professional cleanings under anesthesia.
- Brush your cat’s teeth regularly at home—removing plaque before it hardens makes a big difference.
- Avoid giving hard objects that could fracture teeth.
If left untreated, a tooth abscess can lead to sepsis—a dangerous systemic infection—and cause damage to major organs like kidneys and heart. Home remedies aren’t enough; only veterinary care can resolve a true tooth infection in cats.
The Takeaway for Cat Owners
- Cats hide dental pain well—watch closely for subtle behavioral changes.
- If you see swelling, bleeding, pus/discharge around your cat’s mouth or face—or sudden changes in appetite/grooming—seek veterinary care promptly.
- Treating dental issues early preserves quality of life and long-term health for your feline friend.





