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What does cat tooth resorption look like?

Cat tooth resorption often appears as a small pink defect or hole at or below the gum line, though it may be invisible without dental X-rays.

Understanding What Cat Tooth Resorption Looks Like

Cat tooth resorption is a common and frequently painful dental disorder affecting a significant proportion of the feline population. It involves the gradual breakdown and reabsorption of a cat’s tooth structure, frequently going unnoticed without veterinary dental imaging. Recognizing the appearance and signs of this condition is critical for timely diagnosis and treatment. In this article, we explore what tooth resorption looks like, why it occurs, its symptoms, and how it’s diagnosed and treated.

What Does Tooth Resorption Look Like in Cats?

Though subtle and often hidden beneath the gumline, visible lesions indicative of tooth resorption may appear as:

  • Small pinkish or red defects at the gum line
  • Pits or holes in the enamel of the tooth
  • Inflamed or receded gingiva around affected teeth
  • Teeth that appear to have broken off near the gum

These visual signs, however, are not always present. In many cases, especially where only the root is affected, no external evidence is visible, making diagnostic dental radiographs essential.

Types of Tooth Resorption

Tooth resorption in cats is classified radiographically into three categories:

  1. Type 1: Localized lesions with the tooth crown visibly affected while the root remains intact. Often associated with periodontal inflammation.
  2. Type 2: Both crown and root resorb simultaneously. Roots are indistinct, replaced gradually by bone-like tissue. No clear periodontal ligament is visible.
  3. Type 3: A combination of Types 1 and 2 within the same tooth.

How Common Is It?

Studies estimate that 20% to 67% of cats are affected by tooth resorption, depending on their age and the diagnostic methods used. It is particularly common in cats over five years old.

Symptoms of Tooth Resorption

Cats often mask discomfort, making symptoms difficult to detect. Look for the following clinical signs:

  • Drooling or hypersalivation
  • Blood in water or food bowls
  • Chewing on one side of the mouth
  • Jaw trembling or spasms when touched
  • Loss of appetite or preference for soft food
  • Withdrawal or decreased grooming and play

Breed and Other Risk Factors

Several risk factors increase the likelihood of tooth resorption:

  • Increasing age
  • Gingivitis and dental calculus
  • Genetic predisposition (e.g., Cornish Rex, European Shorthair, Ragdoll)
  • Underlying oral conditions like stomatitis
  • Unknown or idiopathic factors

Some breeds like Turkish Van and Persian-Exotic may be less susceptible.

Diagnosis

A definitive diagnosis can only be made through:

  • Complete oral examination under anesthesia
  • Intraoral dental radiographs

This imaging helps identify resorption in the root areas, which are not visible during standard exams.

Treatment Options

Treatment depends on the type and stage of resorption:

  • Type 1: Full tooth extraction, including roots
  • Type 2: Crown amputation if roots are resorbing into bone
  • Monitoring: Only in the mildest, asymptomatic cases

Restorative procedures like fillings are generally ineffective due to the progressive nature of the condition.

Is There Any Prevention?

Currently, there is no proven way to prevent tooth resorption. However, measures to maintain overall dental health include:

  • Regular professional dental cleanings
  • Home dental care like tooth brushing
  • Monitoring for early signs and scheduling routine oral exams

Conclusion

Cat tooth resorption is a multifactorial and largely unpreventable disease that can cause significant pain and tooth loss if left undiagnosed. Since visible signs are rare or subtle, routine dental evaluations including X-rays are essential. With age being a major risk factor, consistent veterinary care and attention to subtle behavioral or eating changes are the best tools we have for early detection and effective treatment.

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