feline dental health

Feline Dental Health: Top 10 Questions and Answers

It’s not all too common for cat owners to come in on account of their cat’s mouths. We have theories why.

Cat guardians have less direct contact with their pet’s mouth through chew toys and bouts of tug-of-war (as if a cat could be bothered).

The fact that poking around a cat’s mouth often results in deep puncture wounds (ouch).

Take your pick, add your own, but the majority of cat owners seem largely uninterested in the teeth, gums, lips, and tongue of their feline friend. But when they do ask questions, they’re some of the best, most challenging and interesting inquiries you’ll encounter. Read on; you just may learn something or get a chuckle or two.

1. How many teeth do cats have? I only see two – the fangs.

Cats have 30 adult teeth and 26 baby teeth. That’s far fewer than dogs (42 and 28) and less than humans (32 and 20). Those “fangs” or upper canine teeth often protrude saber-tooth tiger style and lend some cats an intimidating smile.

2. When do cats get their baby and adult teeth?

Observing the eruption or emergence of teeth is a great method for estimating a kitten’s age. This is particularly helpful when faced with a stray kitten. The first teeth to erupt are the tiny front teeth or incisors and the long, pointy canines (“fangs”). The primary (or “baby”) incisors and canines become visible around three to four weeks of age. The teeth immediately behind the canines, the premolars, quickly follow the front teeth. This typically occurs when the kittens are around five to six weeks old. The permanent teeth erupt around 11 to 16 weeks of age, beginning with the incisors followed by the canines at 12 to 20 weeks. The premolars are in place by 16 to 20 weeks of age. The difficult-to-see, way-in-the-back molars emerge around 20 to 24 weeks.

3. Do cats get cavities?

Dental caries, or “cavities”, are rare in cats and dogs. This is due in part to a cat’s relatively low-sugar diet, differences in oral bacteria, and the shape of the teeth. When cavities occur, they can be painful and require similar repair procedures as humans with cavities.

4. Why are cat bites so bad and likely to get infected?

Anyone who’s worked with and handled enough cats knows that when you’re bitten (note the “when”) by a cat, not only does it hurt, but those deep puncture wounds are likely to become infected or abscessed. The first answer lies within the unique anatomy of one of a cat’s main weapons – those long, sharp, pointy canines. Designed similar to hypodermic needles, these teeth excel at penetrating flesh intensely, damaging underlying structures such as arteries and veins. In addition, like that needle, they carry pathogenic bacteria deep inside the body. As the tooth is withdrawn, the narrow puncture wound closes onto itself, trapping behind infection that later becomes an abscess. Making matters worse, a cat’s mouth contains several species of highly pathogenic microorganisms. Don’t take a chance if you’re bitten. Flush the wound thoroughly and seek medical attention.

5. Can cats re-grow their teeth? Do their teeth keep growing their entire lives?

No and no. Sharks are probably the animal you’re thinking of. After a cat gets all 30 permanent teeth in place, that’s it. No more. Lose one and your cat is forever down to 29. Unlike rodents, a cat’s teeth don’t keep on growing.

6. Do cats need braces?

You jest but some cats do, in fact, need braces to correct some very severe oral malformations. The most common reasons for feline brace-face include lance or saber-like canine projections of the upper canines in Persian cats. “Wry bite” is another problem that results when an uneven bite occurs, causing one or both canines to protrude at odd angles, preventing normal eating and drinking. Braces for cats aren’t for cosmetic but literally life-saving conditions.

7. My vet said my cat had some painful tooth problem that may require extraction of several teeth. Is this legit?

Your cat may be one of the millions of cats affected by an unusual, exceptionally common and extremely painful condition known most often as feline ondoclastic resorptive lesions, or FORLs. Most cats with FORLs are over five years old. The most common clinical signs associated with FORLs include excessive salivation, bleeding from the gum line or teeth, and difficulty eating. Cats will suddenly become “picky” and refuse to eat dry kibble. There are many treatments available, but extraction is still the most commonly performed procedure to relieve this excruciating condition. The exact cause of FORLs has yet to be determined, although researchers are actively pursuing several theories.

8. Can cats get mouth cancer?

Sadly, yes. Oral tumors in cats are very serious and require immediate and aggressive treatment. Squamous cell carcinomas (SCC) are the most common malignant oral tumor in cats, although many other forms of cancer occur. If you observe any lumps, swelling, or discolored areas in your cats’ mouth, have it seen by your veterinarian at once.

9. My cat has swollen gums and entire mouth seems inflamed. What’s going on?

It’s likely your feline has a condition called stomatitis (more correctly referred to as lymphocytic plasmacytic gingivitis pharangitis syndrome). This condition is also very painful and most cats have problems eating and swallowing, weight loss, and excessive salivation. Treatments vary widely and cats respond differently to an assortment of options. The exact cause is unknown although an underlying immune-mediated disorder is strongly suspected. Be patient and work closely with your veterinarian; cats with stomatitis require extended periods of treatment.

10. I can’t brush my cat’s teeth! Am I a bad pet parent?

If not brushing your cat’s teeth is your worst offense, you’re not the worst. Fear not, you can choose to opt for routine cleaning (typically at least once a year) under anesthesia by your veterinarian. While they are sleeping, your vet may take dental x-rays to ensure there are no hidden problems underneath the gums. You can also give them chew treats approved by the Veterinary Oral Health Council (VOHC) to help reduce tartar in cats.

If your cats can tolerate it, try an oral antimicrobial rinse so they get their “mouth wash” a few times each week. Finally, make it a habit to (carefully) lift the lips of your cat and examine their teeth and gums each week to make sure everything looks healthy. So don’t fret— take your cats to your veterinarian at least once a year, have the teeth cleaned by a professional when needed, conduct routine home mouth checks, and use products proven to help keep your kitty’s mouth healthy.

If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.


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Brushing Your Cat's Teeth

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Follow this four-week training program to get your cat comfortable with daily brushing.

You will need:

  • A cat toothbrush

  • Feline toothpaste (human toothpaste is not safe for cats)

  • Rewards (either an edible treat or a drink from their favorite water faucet)

Week 1:

Let your cat become familiar with the smell of the toothpaste. Leave the brush and toothpaste out where the cat can inspect them. Every day, put a dab on your finger, and let them smell and lick it. If your cat is shy about tasting it, put a tiny dab near their mouth so they can lick it off. Give a reward when your cat licks the toothpaste so they associate the toothpaste with an enjoyable experience.

Week 2:

Get your cat used to the taste of the toothpaste. Apply a dab of toothpaste to one of their canine teeth every day, followed by a reward.

Week 3:

Get your cat used to the toothbrush. Put a small amount of toothpaste on the brush and let him or her lick it off. If he or she is shy about licking it, apply a dab near the mouth. Follow with a reward.

Week 4:

Gently stretch your cat's lips far enough to insert the brush gently between the lips and gums. Place the bristles at a 45 degree angle to the teeth, aiming for the narrow crevice between teeth and gums. Brush around gently, and work around the upper and lower teeth. It’s only necessary to brush the outside surfaces, as the cat’s own tongue cleans the inside surfaces well.


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