February is Pet Dental Awareness Month, an issue close to my heart as my own cat suffers from tooth resorption. All my blog posts this month will be dedicated to dental health in cats to highlight the importance of this issue.
* Adapted from katzenworld.co.uk
Skye, an 8-year old cat with a heart murmur, who came into the Bermondsey based clinic for an oral examination, is a typical case of advanced dental issues. Her gums were very inflamed and some of the teeth were broken due to ‘tooth resorption’ where the body’s own cells destroy tooth structure.
Dr. Campbell says: “Tooth resorption is a common dental disease in cats over 4 years of age and this case highlighted how much cat’s hide their pain particularly dental pain. Skye had a very healthy appetite and had no problems with eating or ‘hunting’. Her owner is a wonderfully observant and attentive carer but it is impossible to see this far back in the mouth of even the most malleable cat without a proper oral examination by your vet or nurse.”
Dr. Campbell recommended that Skye come in for a Comprehensive Oral Health Assessment and Treatment (COHAT)*. First, he performed a non-invasive cardiac ultrasound (echocardiography) and chest radiographs (x-rays) to investigate the cause of Skye’s heart murmur and to assess risks prior to a general anaesthetic. She was found to have structural changes in the left side of her heart but was considered to be low risk for an anaesthetic adverse event. Skye’s anaesthetic protocol was tailored to her conditions and designed to keep her heart rate nice and relaxed and lungs well oxygenated. She was placed into an oxygen tent for 30 minutes before her anaesthetic to allow her to take in the very rich oxygenated air.
The clinic’s nurses use a multi-parameter monitor for constant monitoring of the heart rate, body temperature, blood pressure and breathing (capnography) allowing any alterations to be made minute-by-minute. Dental nerve blocks were used, which reduce intra and post-operative pain and the amount of overall general anaesthetic required which is even better for the heart. Full mouth x-rays were taken which are essential to determine disease below the gumline and a dental chart was completed recording all details for every tooth. Skye had four teeth removed in total, and is now making a good recovery.
* Full details about COHAT available here: http://www.thelondoncatclinic.co.uk/cohats-comprehensive-oral-health-assessment-and-treatments/
Happy cats 