christina52388 said:
I was going to post dental questions but I might as well post on here....any idea WHY dental issues can cause high blood sugar? Also, what would a rough estimate be for a dental or procedures recommended from the dental (teeth extractions etc.)...Chocolate seems to have pretty bad breath it's not repulsive but it's strong. Would ya'll recommend taking her for a dental exam if shes 15+ and a high stress kitty?
As was mentioned, cost can vary greatly between different veterinary practices. One thing to ask about, particularly with the cheaper options but good to ask for ALL of them, is what sort of anesthetic monitoring protocol they use and if IV fluids are included. At the clinic I work at all dentals are on IV fluids and there is constant heart rate, blood pressure, resp rate, exhaled CO2 levels, blood oxygen levels, and ECG monitoring for the entire procedure, while I know of other practices in the area that doesn't automatically include fluids and/or doesn't have continuous monitoring of anything other than heart and resp rate. Extraction costs are usually done via how long it takes and while sometimes the vet can determine by looking at the mouth if some teeth need to be removed, usually you can't be sure until you x-ray them, so any estimate for a 15 year old kitty should definitely include radiographs. And I would say a 15+ kitty should definitely have a dental exam - imagine how much your mouth could hurt as a senior if you'd never brushed your teeth or been to a dentist in your life. If she's high stress, having her sedated for a full oral exam would probably be a good idea since it'd be more thorough and a lot easier on her.
As for why dental issues can cause high bg - there's a couple reasons I can think of off the top of my head. One is just the constant infection from gingivitis or periodontal disease. Infections wreak havoc on bg. The second is pain, and the constant physiological stress this puts on the body. We all know how much stress can affect our kitties bg, and dental disease hurts even though cats don't show it much. I recommend ALL animals get their teeth checked and cleaned at least every couple years - my Tizer, who's almost 11, gets his teeth cleaned yearly and, sadly, usually needs at least 1 extraction because he's prone to FORLs. My Wigwam, who's 2 and a half, hasn't had a cleaning yet but she also happens to have no tartar or gingivitis. She gets her mouth checked every year, and as soon as there's tartar, gingivitis, or evidence of a FORL she'll be getting a cleaning.