
Feline tooth resorption is a common dental issue in cats, with 60% of cats over 10 years old affected.
The exact cause of feline tooth resorption is still unknown, but research suggests that genetics, diet, and dental trauma may play a role.
Cats with feline tooth resorption often exhibit subtle symptoms, such as difficulty eating or increased salivation, which can be easily overlooked.
A thorough dental examination by a veterinarian is essential for a proper diagnosis, as the symptoms can be similar to other dental issues.
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What Causes Feline Tooth Resorption
Tooth resorption in cats is a complex issue, and researchers have been working to identify its causes.
Studies have shown that cats are more likely to have tooth resorption as they age.
Aging cats are more prone to mineral imbalances, which can contribute to tooth resorption.
Cats that are diagnosed with tooth resorption are more likely to have other teeth affected in the future.
Researchers have also looked into the role of diet in feline tooth resorption, but a straightforward answer has not been found.
The exact cause of tooth resorption in cats remains a mystery, but it's clear that age is a significant risk factor.
Checking for Cat Dental Issues
Tooth resorption can be painful and difficult to detect, but regular check-ups can make a big difference.
Annual, thorough examinations with X-rays are recommended for maintenance of oral health and early detection of disease.
If your cat has tooth resorption, she may show increased salivation, oral bleeding, or difficulty eating.
Tooth resorption was first described in cats in the 1950s, and since then, it has gotten more attention as the field of veterinary science evolves.
Symptoms of tooth resorption in cats can range from increased salivation to oral bleeding, or difficulty eating.
Without radiographic and clinical screening in an anesthetized cat, tooth resorption will often go undetected, and the cat will be in pain in silence.
Tooth resorption is common in cats, with 28.5%-67% of cats diagnosed with one or more tooth resorptive lesion.
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Diagnosis and Treatment
Diagnosis involves a combination of visual inspection, examination under anesthesia with a dental explorer, and intraoral dental radiography. Visual inspection and tactile examination with a dental explorer can only identify end-stage lesions, whereas radiography can also detect lesions localized to the root surfaces within the alveolar bone.
To accurately diagnose tooth resorption, radiography is essential as it allows the appearance and extent of the resorptive process to be identified. Without radiography, it's impossible to know how to best treat the tooth.
The aim of any treatment is to relieve pain, prevent progression of pathology, and restore function. Treatment options include conservative management, tooth extraction, and coronal amputation.
How Vets Diagnose
Diagnosing tooth resorption in cats requires a combination of visual inspection, examination under anesthesia, and intraoral dental radiography.
Visual inspection and tactile examination with a dental explorer can only identify end-stage lesions, which are obvious defects on the crown of the tooth.
Routine radiography is essential for timely diagnosis, as it can detect lesions that are localized to the root surfaces within the alveolar bone.
Radiography allows the appearance and extent of the resorptive process to be identified, enabling the best treatment option to be selected.
Here are the methods used to diagnose tooth resorption:
- Visual inspection;
- Examination under anesthesia with a sharp dental explorer;
- Intraoral dental radiography.
These methods can help identify whether the tooth resorption is an end-stage lesion or a lesion that is localized to the root surfaces within the alveolar bone.
Stages of

To diagnose tooth resorption in cats, veterinarians need to evaluate each tooth to determine the type and stage of the lesion. This helps them understand the extent of the damage and develop an effective treatment plan.
There are five stages of tooth resorption that progress from a small amount of tissue loss to severe tissue loss. The lesions can extend into the tooth until only remnants of dental tissue remain.
Veterinarians closely examine each tooth to identify the stage of resorption, which is essential for determining the best course of treatment.
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Treatment Approaches
Treatment approaches for feline tooth resorption aim to relieve pain, prevent progression of pathology, and restore function. The goal is to make your cat more comfortable.
Conservative management, tooth extraction, and coronal amputation are treatment options available. However, the effectiveness of these methods can vary depending on the individual case.
Tooth extraction is often the gold standard treatment, especially in moderate to severe cases. This is because the teeth become fragile and can crack during extraction, making it a challenging procedure.

Restoration of the tooth surface has been recommended for accessible lesions that extend into the dentine and do not involve pulp tissue. However, several studies have shown that tooth resorption continues and the restorations are lost.
A veterinarian will typically perform a local nerve block before extracting teeth or doing a crown amputation to reduce the amount of anesthesia needed and ensure your cat wakes up numb and comfortable.
Here are the main treatment approaches for feline tooth resorption:
- Conservative management;
- Tooth extraction;
- Coronal amputation.
It's essential to note that the use of restoration cannot be recommended as a major treatment technique for feline tooth resorption, due to the continued progression of the condition.
Prevention and Management
Brushing your cat's teeth daily or every other day can help decrease plaque and bacteria, slowing down gingivitis and periodontal disease. Regular brushing is a simple yet effective way to prevent tooth resorption.
If your cat becomes painful or resistant to tooth brushing, it may be a sign of oral pain, indicating that tooth resorption is already present. This is a clear warning sign that your cat needs professional help.
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Taking your cat for their yearly wellness exams is crucial for detecting tooth resorption early on. Your veterinarian can perform anesthetic dental exams, cleanings, and dental radiographs to diagnose and treat tooth resorption.
Your veterinarian is your best partner in the diagnosis and treatment of tooth resorption. They can help you identify the underlying causes and develop a plan to manage your cat's condition.
Regular dental exams can help prevent your cat from quietly suffering from tooth resorption. By working closely with your veterinarian, you can ensure your cat receives the care they need to stay healthy and pain-free.
Epidemiology and Aetiology
Tooth resorption is a common issue in domestic cats, with prevalence rates ranging from 28.5-67% in various studies. This variation can be attributed to different populations of cats studied and the methods used to diagnose tooth resorption.
Cats of any age can be affected, but the incidence increases with age. Certain breed susceptibilities have been suggested, but differences in mean age among breed groups make meaningful comparisons difficult.
The type of teeth affected by tooth resorption can vary, but all types of teeth in the feline dentition may be affected. Lesions are more frequent in certain teeth, and a common manifestation is a defect at the cemento-enamel junction, which can often be diagnosed clinically by visual and tactile examination.
Studies that include radiography have demonstrated that resorption can occur anywhere on the root surfaces, not just at the cemento-enamel junction. This means that radiography will detect lesions confined to the root, which clinical methods may miss.
In a study of 228 clinically healthy cats, the incidence of tooth resorption was found to be 52% with a mean of 3.2 lesions per affected cat, highlighting the importance of regular dental examinations.
Types of Causes
Two types of resorption with different aetiologies are currently diagnosed as the same condition. This is supported by a study investigating the radiographic appearance of 543 feline teeth with tooth resorption, which identified two types of roots: type 1 roots had normal root radio-density and an intact periodontal ligament space; type 2 roots were radiolucent and lacked a clear periodontal ligament space.

Type 1 resorption is likely inflammatory and associated with periodontal disease, while type 2 resorption is truly idiopathic. This means that while some tooth resorptions are linked to periodontal disease, many others have no known cause.
The histological lesion of tooth resorption is a non-inflammatory replacement resorption, resulting in ankylosis. This type of resorption is equally common as the PIRR type lesion, which is caused by inflammation of adjacent tissue.
Surface resorptions in the root cementum are common in cats with tooth resorption. These lesions are always below the level of the alveolar crest and are not associated with inflammation in the adjacent periodontal ligament.
A link between raised circulating levels of 25-hydroxyvitamin D and odontoclastic tooth resorption has been reported in one study. However, later studies did not confirm this finding, and increased serum vitamin D levels as a causative factor for root resorption could not be supported.
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Aetiology and Pathogenesis
Tooth resorption in cats is a complex issue, and researchers are still trying to figure out the underlying causes. Studies have shown that at least two different types of resorption exist, with different aetiologies.

Type 1 resorption is associated with periodontal disease, while type 2 resorption is truly idiopathic. The study on 543 feline teeth with tooth resorption identified two types of roots: type 1 roots had normal root radio-density and an intact periodontal ligament space, while type 2 roots were radiolucent and lacked a clear periodontal ligament space.
It's been assumed that tooth resorption is a PIRR type of lesion, but research has shown that it's actually a non-inflammatory replacement resorption, resulting in ankylosis, and not associated with periodontal disease. This type of resorption is as common as the PIRR type.
The cause of the non-inflammatory replacement resorption is still unknown, but researchers have found that surface resorptions in the root cementum are common, and are not associated with inflammation in the adjacent periodontal ligament. They are also not linked to the cemento-enamel junction or the cervical part of the root.
Some studies have investigated calcium homeostasis in cats with and without tooth resorption, but the results are mixed. One study found a link between raised circulating levels of 25-hydroxyvitamin D and odontoclastic tooth resorption, but later studies did not confirm this finding.
Researchers have looked into various factors to identify the cause of feline tooth resorption, including diets, mineral imbalances, periodontal diseases, and vitamin D status, but a straightforward answer has not been found.
Epidemiology Basics

Tooth resorption is a common issue in domestic cats, with prevalence rates ranging from 28.5-67% reported in various studies.
The incidence of tooth resorption increases with age, making it more likely to occur in older cats.
Prevalence rates can vary significantly depending on the population of cats studied, with higher rates reported in cats presented for dental examination or treatment.
A study of a mixed population of cats in Australia found that 52% of cats were affected, with a mean of 3.2 lesions per affected cat.
All types of teeth in the feline dentition can be affected by tooth resorption, but lesions seem to be more frequent in certain teeth.
Clinical methods can only detect lesions that involve the crown, while radiography can also detect lesions confined to the root, resulting in higher reported prevalence rates in studies that include radiography.
Tooth resorption can occur anywhere on the root surfaces, not just at the cemento-enamel junction.
General Information
Tooth resorption is a common issue in domestic cats, with studies showing that between 28.5% and 67% of cats are diagnosed with one or more tooth resorptive lesion.
The process starts on the root surfaces and can extend to involve the crown, often becoming visible in the crown as defects at the cemento-enamel junction.
This is a late-stage lesion, and in the absence of routine radiography, the lesions may not be detected until they become obvious in the crown.
Diagnosis and treatment require radiography to determine the extent of the lesion.
The goal of treatment is to relieve discomfort or pain, and in most cases, extraction of the affected tooth or coronal amputation are the preferred treatment options.
Successful extraction and healing require close clinical and radiographic monitoring.
Tooth resorption has not been shown to be related to bacteria in the mouth, and researchers continue to investigate the underlying cause of this condition.
Cat Health and Behavior
Tooth resorption is a common issue in cats, affecting between 28.5% and 67% of felines.
It's essential to catch this condition early, as cats often hide their pain. Tooth resorption can be painful and may manifest as muscular spasms or trembling of the jaw when touched.
Increased salivation, oral bleeding, or difficulty eating can be signs of tooth resorption in cats. In many cases, this condition goes undetected without radiographic and clinical screening.
As cats age, they're more likely to develop tooth resorption, and if they have it, they're more likely to have other teeth affected in the future.
Cats may show no signs of pain or change in behavior at home, but there are subtle signs to look out for. Difficulty eating is a common symptom, where your cat may turn their head to the side, drop food out of their mouth, or chew slowly and cautiously.
Some cats may stop eating when their owners and other pets are present, as they don't want to show signs of pain. Observe your cat while they eat to notice any changes in behavior or eating habits.
Annual, thorough examinations with X-rays are recommended for maintenance of oral health and early detection of disease.
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