FELINE STOMATITIS
Feline stomatitis is one of the most painful oral conditions we see in cats.
It causes severe inflammation of the gums and tissues within the mouth, often extending far beyond the teeth themselves. Cats may continue eating despite significant pain, which can make the condition easy to underestimate.
Many affected cats experience chronic discomfort that interferes with eating, grooming, sleep, and overall quality of life.
Does This Sound Familiar?
You may have noticed:
- Bad breath
- Drooling
- Lack of interest in their toys
- Difficulty eating
- Weight loss
- Reluctance to groom
- Red or inflamed gums
- Bleeding from the mouth
- Hiding or reduced interaction
Many cats with stomatitis continue eating despite severe oral pain.
Cats are remarkably good at hiding discomfort, so the absence of obvious signs does not necessarily mean the mouth is comfortable. In fact, these cats often undergo a very obvious transformation in their personalities once this issue is addressed.
What Is Feline Gingivostomatitis?
Feline gingivostomatitis is a complex inflammatory condition affecting the mouth. The exact cause is not fully understood, but it is thought to involve an abnormal inflammatory response to plaque, bacteria, viruses, or other triggers in susceptible cats.
Inflammation doesn’t only affect the gums but also the tissues at the back of the mouth, and throat.
Why It Matters
Chronic oral inflammation is an overtly painful condition and can have a major impact on a cat's wellbeing.
Untreated or poorly controlled stomatitis may lead to:
• Persistent pain
• Difficulty eating
• Weight loss
• Poor coat condition
• Reduced grooming
• Behavioural changes
• Decreased quality of life
How We Assess Stomatitis
Every cat is different.
Assessment typically includes:
Oral examination
Dental radiographs
Evaluation of tooth health
Assessment of the extent of inflammation
Review of previous treatments and medical history
This helps us determine which teeth may be contributing to the disease and which treatment options are appropriate.
A diagnosis is most often made with a thorough visual examination.
Treatment Options
There is no single treatment that works for every cat. Management is tailored to the individual patient.
Combination Anti-Viral - Anti-Inflammatory - Antibiotic Therapy
Groundbreaking new medical therapies now offer hope to these cats where previously full mouth extractions have been the only option. We are so excited this is now available to our patients and have had many cats respond wonderfully to the treatment, allowing them to keep their teeth and live happier, more comfortable lives.
The medication is a paste which is smeared on the gums twice daily.
A full dental assessment and treatment, including cleaning and extraction of unsalvageable teeth, is performed first.
Full Mouth Extractions
This is the traditional therapy for feline stomatitis. It must be performed meticulously by experienced practitioners, as these teeth are incredibly fragile and any broken remnants that are left behind can be enough to continue the inflammation.
Usually all teeth behind the canines (fangs) are removed, but in some cases the canines and incisors must also be removed.
There is a percentage of cats that, despite full mouth extractions, may still require lifelong anti-viral or immune-modulating medications.
Whilst this approach has traditionally offered a pain-free mouth, the success of recent anti-viral combination therapy may see this now become an outdated treatment option. However, medical therapy is very new and long-term results remain unknown.
A full dental assessment and treatment, including cleaning and extraction of unsalvageable teeth, is performed first.
Sophie's Story
Sophie was a young rescue cat diagnosed with severe gingivostomatitis.
After targeted dental treatment and newer medical therapy, skinny little Sophie began stacking on weight, blossomed into her wonderful personality, and was able to keep many of her teeth comfortably.
Read Here
Frequently Asked Questions
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Will my cat need all of their teeth removed?
Not necessarily. The recommendation depends on the severity and distribution of disease, the condition of individual teeth, and how the cat responds to treatment. Wherever possible, new combination therapy is our treatment of preference as it allows our cats to maintain their teeth.
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Is stomatitis painful?
Yes. Stomatitis is extremely painful even when cats continue eating. Personality changes following treatment are very common - renewed interest in toys, playfulness and reduce anxiety.
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Can the condition be cured?
Some cats achieve excellent long-term control after treatment, while others require ongoing management. It depends very much on the patient. The long term prognosis for remission in cats treated with newer antiviral combination therapy remains to be seen.
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Can cats eat without teeth?
Yes. Cats generally adapt remarkably well after extractions when those extractions relieve pain. Many cats will even continue to eat their kibble!
However, teeth have a wider function than just eating; they are especially important in play as well as grooming. Preserving healthy teeth helps our cats express healthy natural behaviours. -
When should my cat be assessed?
If you notice chronic bad breath, mouth redness, drooling, weight loss, difficulty eating, or signs of oral discomfort, a dental assessment is recommended.

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