title: Effect of tooth extraction on stomatitis in cats: 95 cases (2000-2013).
abstract: OBJECTIVE
  To evaluate long-term response of cats with stomatitis to tooth extraction.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  95 cats with stomatitis.
  
  
  METHODS
  Medical records of cats with stomatitis that was treated with tooth extraction during a 14-year period were reviewed. Demographic information and diagnostic results were recorded as well as surgical procedure, including full-mouth extraction (FME) versus partial-mouth extraction (PME), and specifics of medical management. Patients were categorized according to response to treatment.
  
  
  RESULTS
  Median postoperative follow-up time was 231 days (range, 33 to 2,655 days). Of 95 cats, 6 (6.3%) had no improvement and 25 (26.3%) had little improvement in stomatitis following tooth extraction and extended medical management (EMM). Following tooth extraction, 37 (39.0%) cats had substantial clinical improvement and 27 (28.4%) cats had complete resolution of stomatitis; of these 64 cats, 44 (68.8%) required EMM for a finite period to achieve positive outcomes. Extent of tooth extraction (PME vs FME) was not associated with overall response to treatment. At initial recheck examination, a better long-term response to tooth extraction was observed in patients with resolution of abnormal behavior (OR, 7.2), decrease in oral inflammation (OR, 3.5), and lack of need for follow-up medical management with antimicrobials (OR, 3.7).
  
  
  CONCLUSIONS
  Extraction of teeth in areas of oral inflammation provided substantial improvement or complete resolution of stomatitis in more than two-thirds of affected cats. Full-mouth extraction did not appear to provide additional benefit over PME. Most cats with stomatitis may require EMM to achieve substantial clinical improvement or complete resolution.
authors.affiliation: Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Jennings
authors.forename: John R
authors.initials: JR
authors.lastname: Lewis
authors.forename: Maria M
authors.initials: MM
authors.lastname: Soltero-Rivera
authors.forename: Dorothy C
authors.initials: DC
authors.lastname: Brown
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Reiter
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000628:therapy*; D002415:Cats; D005260:Female; D008297:Male; D012189:Retrospective Studies; D013280:Stomatitis / Q000628:therapy / Q000662:veterinary*; D014081:Tooth Extraction / Q000662:veterinary*