My old cat is scheduled for pre-dental bloodwork--need support and encouragement

mackiemac

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Crazy4-- that is GREAT news! I'd bet that as soon as the initial woozy feeling and (unavoidable) inflammation from the actual work wears off, he'll be a whole new cat-- even happier than he was before this whole thing started. Dental issues usually develop over a LONG period of time, and cats are so stoic when something hurts and they don't feel well. Cats aren't very amenable to letting us open their mouths to look very far back in there of a regular basis. My boy is a really good boy about letting me work with his mouth in ordinary times, but even he will only allow so much-- and I did this every day as part of my job. I got to be pretty good at examining cat and d*g mouths.  Nobody should ever feel "inadequate" or "neglectful" for being unable to check their kitty's mouth or physically handle it. There are many reasons why a cat can be mouth-shy: previous dental or other disease that painfully affects the mouth; a natural hesitancy about such close contact (space and trust issues); unfamiliarity with being handled that way; etc.

In a perfect world, we would all be able to brush our cats' teeth with a pet-safe toothpaste like those made by C.E.T. (Virbac), never human toothpaste,  every day. We could open the mouth and look all around, and even floss. But in the real world, this isn't always possible (flossing is NEVER possible, and dental floss should never come anywhere near a cat. So we do the best we can with things that the cat allows. Schrodie allowed tooth brushing since he was little. He ate a dental diet until it became apparent that he loved it a little TOO much. So we rolled it back to a few dental "treats" (same stuff but a lot less of it!) before he developed "rolls" himself, LOL! He is a best-case scenario. But even he developed stomatitis and we stopped the brush and the dental treats because it all hurts too much now. 

When we are able to brush his teeth (clean his mouth), we use a specially formulated cat toothpaste called Petrodex.


It is a toothpaste made specially for pets. It's safe for them to swallow, and contains enzymes that kill mouth bacteria and help loosen plaque and biofilm. It also comes in a few flavors that are really appealing to pets.

This is similar to the one we use, and we use the long handled toothbrush on the small end for brushing. There is a fingerbrush, but I've always had better luck with the long brush. I started off by letting Schrodie taste the toothpaste. It's very palatable and there are several flavors. Some flavors are just labeled with a d*g, but the ingredients are fine for cats-- and cats might find some of those flavors just as tasty. A lot of work must have gone into coming up with a really tasty product, because it has a pretty good acceptance rate in my experience when offered directly from the tube or your finger, without the brush. The way the stuff is designed, even just getting the paste into the mouth will offer some benefit through enzymatic antibacterial and anti-plaque activity. Every little bit helps. So if all your cat does is eat the paste-- he is getting SOME benefit from it. You're doing well.

Next step is to offer the paste (just a little) on the tip on the brush. Let him lick the paste off the bristles and end of the brush.. Move slowly, step by step and slowly introduce the brush a little more. Once he licks the paste from the bristles, try touching the brush to his lips and the side of his mouth on the outside. Don't actively try to brush ir insert the toothbrush into his mouth just yet. Let him investigate the feel of the brush on his lips for a few days. If he chews the brush... that's fine. He's getting a little mechanical action to remove plaque-- more than from simply eating the paste. If you did well getting him to eat the paste-- you are now doing VERY well getting this far. Pat yourself on the back and give kitty lots of kisses! His breath should smell better by now.

Next, while he's chewing on the brush or lip-rubbing it, see if you can put a little gentle wiggle action on it around his whole mouth, whatever you can hit to jiggle even more plaque loose. This part might seem a little weird to your kitty, so just move at his pace. If you are only able to move the brush around for a couple of seconds... great! It's a start. Don't force anything, and if all he wants it to chew the brush or lick the paste-- that's okay. Whatever you can do will definitely help. Purraise yourself and your kitty for doing it.

It's often very HARD to know when Kitty has a dental or mouth problem.So Spottie's mouth will probably soon feel better than it has in years! He will love you for it, Crazy4... at any rate, he'll be a whole lot more loving, because he'll feel better.

Here is a photo of one of my canine dentals. Yes, that is me with a really sweet Dachshund sound asleep under anesthesia-- cleaning with an ultrasonic scaler. That black cord attached to the blue fitting on the air tube is going to an anesthesia (breathing and O2 saturation) monitor. I had already done the gross (coarse) scaling and probing, and all the stuff was charted on the dental chart. Doc had done his exam, and now I was getting the last few teeny picky bits of calculus/tartar before moving on to the antimicrobial treatment and fluoride. Details, details-- but they matter!


I wish I still had the BEFORE photo... this poor kid's mouth was a mess. HEAVY, heavy tartar and general yuk. He was lethargic and not feeling playful, and was not eating really well. We cleaned off the tartar above and below the gum line and probed every corner of every tooth. He did have some moderate recession in some teeth, but it wasn't to the point of being irreversible. The gingiva would come back down over time now that the teeth were clean, and that's exactly what happened over the next few weeks and months. Amazingly, though, the teeth themselves were okay, no caries so no extractions were needed. But he did have some significant gingivitis, as you can see by the somewhat swollen gums and areas of recession. We used an antimicrobial to treat bacterial infection in the "pockets" and sent home clindamycin to give for about a week. The kiddo was already on an NSAID for arthritis, so that would help with the post-dental ache. Usually we would send home a little something.

Then we applied a pet safe fluoride foam treatment to help reduce sensitivity and strengthen enamel-- like the foam fluoride your dentist uses. Finally, we applied a wax-like sealer to form a barrier for the gums, to slow the re-entry of bacteria into the clean subgingival region.

But now, the teeth just really LOOK better, in addition to being really clean, and they were smooth-- a clean slate to start a good home regimen. The contrast between the BEFORE and the AFTER was incredible! We showed the client, who was somewhat skeptical about the whole deal, but reluctantly agreed. When she saw the side by side comparison-- she was hooked. She wanted to keep that "fresh from the dentist" clean mouth for as long as possible. She did the tooth brushing and dental diet, the water additives... even the OraVet wax sealant. Her baby became the clinic "poster child" for dental health!

This is SUCH happy news! 
 
 
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crazy4strays

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I do brush both of my cats' teeth every day. I started back around the end of August, beginning of September. I use a bristle cat toothbrush and cat toothpaste. I use the malt flavored toothpaste by Sentry Perodex. I also use the Sentry Perodex dental spray as well, as a brushing supplement.

I adopted Spottie (the cat that got the dental cleaning today) when he was 14 years old, so his mouth was already beyond the point of preventative maintenance. At least I kept it from getting worse, though. The vet and vet tech were very happy that Spottie's newly clean teeth were going to be maintained with a home regimen. I was told to wait for a week to resume brushing his teeth, after his extraction, though.
 
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crazy4strays

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The fear is awful. She'll be six. It really should be done. She is in good shape and taking some care now will make her old age better. For all of us.

How is Spottie feeling ? Did they give antibiotics, pain meds ?
They told me that they gave him a shot that should last for about 24 hours. That's probably pain meds, I assume.
 

mackiemac

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I do brush both of my cats' teeth every day. I started back around the end of August, beginning of September. I use a bristle cat toothbrush and cat toothpaste. I use the malt flavored toothpaste by Sentry Perodex. I also use the Sentry Perodex dental spray as well, as a brushing supplement.

I adopted Spottie (the cat that got the dental cleaning today) when he was 14 years old, so his mouth was already beyond the point of preventative maintenance. At least I kept it from getting worse, though. The vet and vet tech were very happy that Spottie's newly clean teeth were going to be maintained with a home regimen. I was told to wait for a week to resume brushing his teeth, after his extraction, though.
Excellent job, and a gold star for you! Sounds like Spottie's in wonderful hands and even if it was late in life for him-- it's especially important for seniors to have careful attention to their mouths. Better late than never certainly applies, and you have done a great job to help make his golden days as happy and healthy as possible.

Sounds like you're on a great road and got good care, andyes-- probably something for the discomfort. If I knew the name of the medicine they gave, I can tell you more. Is it listed on the invoice, by chance?. All the best for a speedy recovery... sweet purry kisses coming your way!

~Mackie
 

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That is brilliant news @Crazy4Strays  .  I hope Spottie makes a speedy and full recovery back to his usual self and is fine once the pain relief wears off.   Most of all that you see that painful gingivitis clear up as you continue with his oral care routine.  


Mouse is really liking the change we've made (following tip here on TCS) over to using the largest size of Interdental brush as he doesn't have his jaws opened at all when he is chewing on it, and can lick away at the little bristles very happily.    He gets a bit of toothpaste from my finger one day and the little brush the next and that seems to be keeping his mouth in good condition.  Mind you, we will be due an annual check up at the vet in a few weeks time so hopefully they won't find any issues escaping my inexperienced eyes.
 
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crazy4strays

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He is doing great today. He seems totally back to normal. I certainly have less fear of a cat dental cleaning now that I've been through one. 

From what I understand, old age does not, in and of itself increase anesthesia risk. Kidney and liver problems (which are more commonly seen in older cats) increase the risks of anesthesia. If an older cat is in great health, they should be able to tolerate the anesthesia just as well as a younger cat.

This is important to realize, because often the cats who need the dental procedures most, are the older cats. As one vet put it, many people don't schedule a dental cleaning for their older cats, for fear of anesthesia, Then, awhile up the road, the cat gets rushed to the emergency vet for an abscessed tooth and has to have anesthesia anyway. I would rather have the cat do the dental as an elective procedure, that way I can take precautions such as bloodwork, beforehand. If it's an emergency abscess, I wouldn't have any choice, but to put him under immediately and have it taken care of.

My Spottie has pretty awesome health and his liver and kidneys are in great shape. I want to keep his kidneys in good shape and one key to that, is avoiding periodontal disease complications. Cats can go into renal failure from oral disease. 

Overall, I'm thrilled with the outcome and happy that I made this choice for him. It's going to be so rewarding brushing his newly clean teeth. 
 
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crazy4strays

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I'm very pleased with the results of the dental. Previously when I brushed his teeth, his gums would bleed a lot and there were obvious signs of gingivitis. Now his gums are great and there's no bleeding or signs of irritation when I brush his teeth. I'm very pleased with the positive improvement!
 

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I'm very pleased with the results of the dental. Previously when I brushed his teeth, his gums would bleed a lot and there were obvious signs of gingivitis. Now his gums are great and there's no bleeding or signs of irritation when I brush his teeth. I'm very pleased with the positive improvement!
The bit of redness is gone on Mooks back gums. I have to think it feels better.  Did you opt for the sealant ?
 

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I think you're great! To sacrifice for a cat is an honor that isn't always appreciated by anyone but cat folks and cats! I'm so glad things are looking up.Prayers for you and Kitcat !:wavey::wavey::wavey:clap:
 

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I feel you-in NYC we are estimated at 1200-1300 for the extractions etc. That's AFTER a $450 vet visit. I have no other options than to do it-I can't stand to see her in pain with these bad teeth and gums. 
 

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I had a cat in his teens get his teeth cleaned as well.  Not sure if you have had it done yet but I would ask about the following...When my cat went in they of course told me the risks of putting under an old cat like mine.  That alone is a potential risk but like you stated to give them a good quality of life going forward they need to be able to eat pain free so its a necessary risk if their dental is bad enough.  While my cat was under they did provide him with fluids, he also got antibiotics BEFORE the procedure and after to help him stay as healthy as possible for his upcoming cleaning/extractions. 

So I would perhaps ask about any antibiotics/fluids your cat may need as well.  Also once my cat got his teeth cleaned the rest that he was able to keep (just a few) fell out on their own as he got older.  Hes still around and doing just fine eating soft food. 
 
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crazy4strays

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Ironically, Spottie was diagnosed with chronic renal failure, 3 months after the dental. His kidneys were probably already going bad at the time of the dental, but the vet says that CRF takes awhile to show up on bloodwork. I've heard that anesthesia can possibly accelerate CRF, but I had no way of knowing that he had it, since it didn't show up on bloodwork.
 

haleboppz

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Ironically, Spottie was diagnosed with chronic renal failure, 3 months after the dental. His kidneys were probably already going bad at the time of the dental, but the vet says that CRF takes awhile to show up on bloodwork. I've heard that anesthesia can possibly accelerate CRF, but I had no way of knowing that he had it, since it didn't show up on bloodwork.
I am so sorry to hear that. 
 My baby is 9 years old and she's had pretty bad gingivitis for at least a couple years. I've had her since I was a young teen and I had no idea how important dental care for cats is until about a year ago. I recently took her to the vet for a bad case of feline acne and the doc wants to do a dental cleaning at some point as well. I haven't gotten a price quote yet, but since I just spent $500 there for some tests, antibiotics, and topical medications I'm afraid of what the dental will cost. I had her bloodwork done as well and the results came back good, but now I'm worried that a similar situation could happen to me. I would feel awful if having her teeth cleaned had a negative impact on her. There's just no way to know.
 
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