stomatitis and full mouth extraction

Raika's Mom

Iggy and Kitty Mom
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#1
Riley is at the vet today for a dental cleaning and the vet called me to let me know he was waking up and doing fine. He has stomatitis (chronic mouth sores) so I've been spending loads trying to keep his little mouth healthy. The vet is now suggesting full mouth extraction. She said that it will make his life a lot more comfortable and it's the only way to cure the stomatitis, not to mention saving me some money in the long run. I'm not so much concerned about the money so much as the effect of taking his teeth out. Has anyone had any experience with this? He already had to have 9 pulled right after I got him, and he recovered well, but he can still eat hard food. We're going to see a dental specialist for a consultation so I'll probably get a lot more answers then, just wondered if anyone had any insight or similar stories.
Thanks!
 

smkie

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#2
WOw i have no insight to offer but will be very interested in the replies. I did want to say how sorry i am and glad that you are so dedicated. DId they say why your dog has this? Is it an immune issue?
 

Raika's Mom

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#3
From what I've read, a lot of IG's have problems with their mouths-not necessarily stomatitis, but dental issues in general. The vet said Riley's issue is that his immune system overreacts to plaque and then the sores form...so basically his body is attacking itself. My poor guy. The vet said the sores were all over his tongue, gums, and on the his upper bridge. She said 'imagine your worst canker sore and multiply that by 10'...I can't even imagine!!
 
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#5
Has anyone had any experience with this? He already had to have 9 pulled right after I got him, and he recovered well, but he can still eat hard food. We're going to see a dental specialist for a consultation so I'll probably get a lot more answers then, just wondered if anyone had any insight or similar stories.
Oh gosh, yes! Not with a dog but a cat ... same thing, chronic stomatitis as an auto-immune disorder. She was tested for everything imaginable ...FIV, FLV, diabetes, adrenal and kidney disease, bacterial cultures, etc., etc. All negative and no underlying cause or contributing factor was ever found.

We tried the multiple dental cleanings by the vet and home maintenance with twice-daily tooth brushings and clorhexidine spray. But in her case it wasn't plaque she was reacting to ... turned out her body was actually rejecting the very tooth structures themselves. We tried the more conservative approach for the same reason you're talking about ... initially we were uncomfortable with the idea of full-mouth extractions.

Even if it is plaque though, doubtful tooth-brushings and clorhexidine will work long-term ... and this is not a problem that can be solved by feeding raw bones either. It's because if they are reacting to plaque then even if the very tiniest plaque spot goes unchecked it starts the whole inflammatory process all over again ... and brushings and raw bones can't reach plaque under the gum line. :(

The ONLY thing that resolved it for our cat was full-mouth extractions. She recovered fully and was still able to eat hard foods ... and crunch too!! So sorry you're going through this ... chronic stomatitis is extremely painful for the animal. :( Also a frustrating problem for owners and yes, it's terribly expensive to treat. When all was said and done, Peanut ended up being the $2700 stray cat! But there was nothing else to do ... gotta take care of them.

EDIT: Just another thought ... but make sure they do multiple radiographs during the procedure to be sure they get all the tooth structure out ... root tips are easy to miss. Also that they put the dog on antibiotics as preventative after surgery ... for at least 21 days. Not good to wait and see if an after-surgery infection develops before starting antibiotics because oral surgery after stomatitis has danger of going into osteomylitis ... bone infection ... you don't want to deal with that.
Your vet most likely will do all this anyway ... just letting you know what to expect & ask about. Again, sorry your poor baby's going through this. :(
 
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Mum2mutts

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#6
Yup

My dog had/has stomatitis- very familiar. We battled with cleaning, and return of foul mouth in couple of months etc. My dog did not get the ulcers, but severe recession of the gums, at an alarming rate- the roots were becoming visible.

My vet did a cleaning and reccommended pulling ALL her teeth while she was under- In my dogs case i did not feel it was justified, as I didnt think ALL her teeth were affected (Do a search on this topic and learn ALL you can)- I told them to just remove the worst teeth, but the vet had given her a barbituate pre anesthetic, which dropped her heart rate too low to continue anesth.

So in the following months I took her for several opinions- I got answers ranging from take them ALL out, to take NONE out- and use a water pik (WTF on that one)

Any way- I ended up going to a Board certified Dentist (who was also Board certified in surgery). He did a careful exam, and felt that he could selectivly remove teeth, and would also use the further aid of digital x rays once she was under. I was also concerned about the heart rate too- rhw vet came into the waiting room before our appt to say hi, and petted my dog , and took her HR while she was relaxed- and determined she had a very low HR to begin withand should NOT be given any drug that dropped her HR

Long story short- she had 18 or so teeth taken, up and bouncing around very soon after (it took her couple days to be normal again after the first place)

This was 9-10 months ago- NO smell in mouth , very clean and healthy- I think she is very very happy, no more pain, but still has some teeth (he did warn me- she may not have them forever) It was important to me (having teeth) as she is still a young dog. It WAS NOT cheap- but this dog is very special to me, and combined with her anesthetic problem- I HAD to find someone trustworthy.......................big difference from regular vet
She is happy, and we are competing in obedience- and doing WAYYYYY better than before- so I know she must have been in pain

If you can afford to I would STRONGLY recommend a Board Certified dentist- there IS one in Indiana
I will try to look up some articles that I found useful

Good luck- keep us updated
 

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