Visual Guide to Feline Chronic Gingivostomatitis

FIGURE 1 Significant alveolar and labial/buccal mucositis, likely associated with advanced periodontal disease, in a 5-year-old neutered male domestic shorthair cat. Radiographs are recommended to evaluate for any changes (eg, tooth resorption).

FIGURE 2 Caudal mouth from the patient in Figure 1 showing no inflammation. The patient either has periodontal disease or less advanced feline chronic gingivostomatitis.

FIGURE 3 Caudal mucositis in a 2-year-old neutered male domestic medium-hair cat. Caudal mucositis is indicative of more advanced feline chronic gingivostomatitis and carries a more guarded prognosis. At minimum, caudal mouth extractions should be performed.

FIGURE 4 Caudal mouth extractions (left mandible) with gingival flaps, sectioning of teeth, and removal of all premolars and molars in the patient in Figure 3

FIGURE 5 Radiograph of left mandible with extensive bone loss in the patient in Figures 3 and 4

FIGURE 6 In addition to complete extractions, all inflamed soft and osseous tissues must be debrided via alveoloplasty with a diamond bur.

FIGURE 7 Radiograph of left mandible of the patient in Figures 3-5 after extractions and alveoloplasty