Feline Osteoclastic Resorptive Lesions

Feline Osteoclastic Resorptive Lesions (FORLs), also known as feline dental resorption lesions, is a common and painful dental condition seen in cats at the Melbourne Feline Dental Clinic. These lesions involve the progressive destruction of tooth structure, usually starting at or below the gum line. The exact cause of FORLs is not fully understood, but it is believed to involve a combination of factors, including inflammation, genetics, and possibly immune system responses.

 

FORLs are painful for several reasons:

 

Exposure of dentine: As the cat-tooth structure is resorbed, it exposes the sensitive dentin layer, which contains nerve endings. This exposure to the oral environment and contact with food and fluids can cause significant discomfort.

 

Inflammation: The resorption process triggers an inflammatory response in the surrounding tissues, leading to pain and discomfort.

 

Nerve involvement: As the resorption progresses, it can involve nerve endings within the cat-tooth, leading to increased pain sensations.

 

Contact with adjacent teeth: The resorptive lesions can affect neighbouring teeth, causing discomfort and potential damage to other healthy teeth.

 

Treatments by a cat dentist (veterinary dentist):

 

Dental examination and X-rays: A feline veterinary dentist will conduct a thorough cat-dental examination, including dental X-rays, to identify and assess the extent of FORLs. X-rays are needed as they can reveal resorptive lesions below the gumline that are not visible during a regular oral examination.

 

Cat Tooth extraction: In most cases, the treatment for FORLs involves tooth extraction at the feline dentist. This is because the lesions are typically painful and not amenable to traditional dental procedures like fillings. Extraction of the affected teeth is necessary to alleviate pain.

 

Pain management: Before, during, and after dental procedures, the cat dentist will provide appropriate pain management to ensure the cat's comfort and minimise discomfort.

 

Professional dental cleaning: In some cases, cats with FORLs may have plaque and tartar buildup on their teeth. A professional cat vet dental cleaning may be performed to address these issues before or after tooth extractions.

 

Ongoing dental care: After treatment, the cat dentist may recommend regular follow-up dental check-ups and cleanings to maintain oral health and monitor for any new lesions or dental problems.

 

It is important to note that FORLs are a progressive condition, and early detection is critical for a better prognosis. Regular dental check-ups with a veterinarian, especially for cats prone to dental issues, can help identify FORLs and other dental problems at an early stage.

 

In summary, Feline Osteoclastic Resorptive Lesions are painful dental conditions in cats that require prompt attention and treatment from a qualified veterinary cat dentist. Tooth extraction is often necessary to alleviate pain, and ongoing dental care is essential to maintain the cat's oral health and overall well-being