Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

If a resorptive lesion is not extracted on a tooth, will the…

Customer Question
Hi - if a resorptive...
Hi - if a resorptive lesion is not extracted on a tooth, will the tooth simply fall out? or will it simply be absorbed by the gum?
Submitted: 2 years ago.Category: Cat Veterinary
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 12 minutes by:
1/19/2016
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 35,536
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
Verified

The tooth is eventually lost if resorption involves the tooth root(s) which then can't anchor the tooth in the gum any longer. It's not unusual for the crown to crumble away and leave retained roots, however. The resorptive process isn't fully understood. There are compelling histologic studies showing that the very early tooth resorption in cats in noninflammatory which is quite different from caries (cavities) in us.

Most important is that resorptive teeth are quite painful and need to be extracted as soon as possible. Full mouth dental X-rays are essential because much of the resorption can occur under the gum line invisible to the naked eye. Please respond with further questions or concerns if you wish.

Ask Your Own Cat Veterinary Question
Customer reply replied 2 years ago
I don't mean to sound hard hearted but could they just take care of themselves. I've taken other cats in for dental work in the past and it seems like all the stress combined with the anasthesia and medication leaves them with more issues than they came in with. In some cases with elevated kidney values after.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

I'll have to leave that decision to you. I understand that I'm anthropomorphizing but when I have a painful tooth I want it taken care of as soon as possible. Please continue our conversation if you wish.

Ask Your Own Cat Veterinary Question
Customer reply replied 2 years ago
Okay just a couple of last questions, how long does it take for a tooth to be re-absorbed and just become bone? And his last bloodwork in late November showed a BUN of 11.1 mmol/l. The range is 5.0 to 12.9. Should this be a concern for his kidneys? Also the BUN/Creatinine ratio is 71, but there isn't a normal range listed. Do you know if that is normal? Thank you.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

Allow me to clarify what occurs: Feline teeth may appear clinically healthy but they often show histologic and radiographic changes of periodontal and dental tissues such as periodontal ligament degeneration, hypercementosis, and hyperosteoidosis. Narrowing of the periodontal space may result in ankylotic fusion (dentoaveolar ankylosis) between the tooth and alveolar bone. These findings demonstrate events that occur before obvious tooth resorption and suggest that the very early lesion is probably noninflammatory. Ankylosed roots are at risk of being incorporated into the normal bone remodeling process resulting in gradual resorption of the root and replacement by bone. This is a gradual process occurring over years.

I need a bit more information to be more accurate. When evaluating the kidneys a complete urinalysis is necessary; in particular, the specific gravity and degree of proteinuria (protein loss through the urine) needs to be known. BUN, creatinine, serum phosphorus, and hematocrit/packed cell volume round out the values I need to see. Can you upload a copy of all of his test results to our conversation? I understand that you might not have a copy at home but his vet can give you one which you can scan into your computer and then give me file link or you can photograph the pages and upload them by using the paperclip icon above your message box (if you can see the icon) or by using an external app such as dropbox.com/

The BUN/creatinine ratio is simply a calculation of convenience that might suggest one renal disorder over another - in particular, why an elevated BUN was found. It's normally quoted as 4-33.

You're welcome.

Ask Your Own Cat Veterinary Question
Customer reply replied 2 years ago
Thanks for all that info. So if it is probably non-inflammatory, does that mean less pain? and if it is a gradual process over years - is it painful over the whole duration of years? Perhaps not a good example, but I have had cavities and I didn't even know I had a cavity.I am attaching the bloodwork file for your review.
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

Unfortunately, no. The pain results from nerve exposure and increases as the nerve is more and more exposed as tooth continues to crumble away.

Thank you for the bloodwork. Nicely normal. No indication of renal insufficiency.

Ask Your Own Cat Veterinary Question
Customer reply replied 2 years ago
the 11.1 BUN which is pretty close to the 12.9 threshold is no reason for concern? The reason I ask is because it seems with kidney failure by the time they pass the upper limit they have already lost 70% of their kidneys
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago

The BUN is too volatile to make any kind of assessment from one value. For example, eating within 4 hours of a blood draw can double the BUN. The creatinine is a better value to monitor over the long term. You're correct, it often takes over 75% of normal functioning nephrons to be be lost before the BUN and creatinine elevate over high normal.

Ask Your Own Cat Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a cat veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 35,536
35,536 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience.

Dr. Michael Salkin is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,959 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,835 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,656 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,944 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,076 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,960 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
Have you ever heard about the Healthymouth water addictive
Have you ever heard about the Healthymouth water addictive for cats. Are they safe or even good for anything? I don't know whether this will decrease the plaque but they sure loveeee to drink this wat… read more
Dr. Emily
Dr. Emily
Associate Veterinarian
Doctorate of Veterinary Medicine
756 satisfied customers
Went to the vet and I got extremely bad news- one tooth has
Went to the vet and I got extremely bad news- one tooth has a dental resorption on one tooth. My cat is 3 years old ( will be three in September) and has already dental disease We never brushed or did… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
3,226 satisfied customers
Thanks I have a cat that has very bad breath she druels at
Hi and thanks I have a cat that has very bad breath she druels at times to she has a black growth under her chin and some times when she eats she crys in pain the runs away what can be wrong … read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,983 satisfied customers
Rachel (I sub to this site),I have another problem
Hello Rachel (I sub to this site), I have another problem cat - "Groucho". Castrated male over 7 yrs old. Thrown away as a kitten, adopted, thrown away a few years later when injured (probably mistrea… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,944 satisfied customers
I have an American short hair that is 8 years old. He has recently
I have an American short hair that is 8 years old. He has recently lost 3 teeth. I was wanting to know is this normal for his age? Is it his cat food? If it is his food and/or his age, what should I d… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
my 7 yr old female cat has tartar on her teeth and a red spot
my 7 yr old female cat has tartar on her teeth and a red spot near the gum line that seens to hurt when I touch it. she has some red along her gum lines , it feels like a cavity; she has food allergie… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
35,536 satisfied customers
My 12 year old cat has resorptive tooth disorder. The vet has
My 12 year old cat has resorptive tooth disorder. The vet has pointed the teeth out and said I needed to pay $1000 plus to have them extracted, but they fell out naturally and the gums look good now. … read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
TJ..the left side of his head seems to be senitive to touch;
TJ..the left side of his head seems to be senitive to touch; however he will get me to hold a knuckle or finger along the outside of his mouth, then he will do a chewing motion that reminds me of nurs… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
35,536 satisfied customers
My 20 yr old cat was diagnose having kidney disease 3 mo ago.I
My 20 yr old cat was diagnose having kidney disease 3 mo ago.I give her 100cc subcutaneous fluids once a week. Also give her azodyl capsules twice a day.She don"t eat any low protein food so i let her… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,053 satisfied customers
My veternarian said that my cats upper canines need to be
My veternarian said that my cat's upper canines need to be extracted. The gums are red and there is evidence of the teeth being pushed out (like fangs) due to the inflammation. Should an antibiotic be… read more
Dr. Joey
Dr. Joey
Veterinarian
Post-Doctoral Degree
1,712 satisfied customers
I just noticed that our cat (apx 5 yr.old) is missing her right
I just noticed that our cat (apx 5 yr.old) is missing her right upper canine tooth. I thought it may have broken off, but in looking at the area it looks like there is a small hole where the tooth wou… read more
Dr. Matt
Dr. Matt
Veterinarian
Doctoral Degree
3,555 satisfied customers
cat: s teeth and indicated that they had rotted from the inside due
My son's cat just came back from the vet in L.A. They pulled 3 of the cat's teeth and indicated that they had "rotted from the inside" due to a dental disease. I can't find anything on the internet th… read more
Pet Doc
Pet Doc
Senior Small Animal Veterinarian
BVSc
2,782 satisfied customers
cat: milk..I took him to the vets on friday..biscuits..wet food
My male cat who will be 6 next month has developed a tremor in the jaw after eating or drinking his cat milk. I took him to the vets on Friday who found nothing wrong with him and said I should change… read more
Dr. Joey
Dr. Joey
Veterinarian
Post-Doctoral Degree
1,712 satisfied customers
I have a feral cat which is a domestic short-hair male roughly 9 yrs old and around 15 lib
I have a feral cat which is a domestic short-hair male roughly 9 yrs old and around 15 libs. Friendly, excellent heath, lots of energy, and no obvious issues with eating. Last Friday, I discovered tha… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,053 satisfied customers
my cat (11 years, indoor) has a red tooth in the top front
my cat (11 years, indoor) has a red tooth in the top front teeth and this is new - she is still eating, what could be the cause?… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
my cat has been diagnosed with reabsorbing teeth, and the vet
my cat has been diagnosed with reabsorbing teeth, and the vet says this is probably painful and they should be extracted.. do you agree ?… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,053 satisfied customers
cat: that i am fostering, she has abceses on her gums
i have a cat that i am fostering, she has abceses on her gums and they bleed and she seems to be in much pain....the vet has given her anti-buy-autics and they work for a little while and then bomb th… read more
Dr. Scarlett
Dr. Scarlett
Veterinarian
Doctoral Degree
2,225 satisfied customers
my cat has lost a lot of weight in the last couple of months.
my cat has lost a lot of weight in the last couple of months. She has had blood tests and her liver, kidney and thyroid are fine. She has some slight soreness on her gums but my vet said this would no… read more
Dr. Scarlett
Dr. Scarlett
Veterinarian
Doctoral Degree
2,225 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x