Dental Care, The Feline Purrspective

In Part 1 of Brushing Your Cat’s Teeth: Why and How, we learned that brushing your cat’s teeth with a pet toothpaste such as the PetSmile or Virbac CET brands can help reduce the bacteria in your cat’s mouth and improve her dental health. But how do you convince your cat to let you brush her teeth?

The answer is to find something she likes (a Greenies dental treat? head rubs?) that you can use as a reward and break the tooth brushing into small steps that she can master while she becomes accustomed to the process.

brushing your cat’s teeth: Step by Step

To brush your cat’s teeth, your cat needs to

sit still and have her head held
accept the toothpaste
allow you to apply some toothpaste onto to her upper cheek teeth with your finger
allow you to gently brush her teeth

Step One

It is important to watch your cat’s body language and proceed at her pace. Break these steps up into smaller ones if you need to. For example, it will be helpful if your cat knows to sit on cue reliably before asking her to let you hold her head.

step two

In step two, we will offer her the toothpaste. Cat toothpaste is available in several flavors including chicken and seafood. Choose the flavor you think she’ll like best. Offer her the toothpaste on your finger and then on the toothbrush.

step three

Once she indicates which toothpaste she likes, move to step three: put some tooth paste on your finger and try gently rubbing her teeth.

step four

Go slowly with the toothbrush and use a very light touch. Remember, when you brush your own teeth, you can feel how hard you are pressing – you don’t have this feedback when brushing your cat’s teeth. The first few sessions will be short – try to end on a positive note, before she starts to struggle or wants to leave.

Make sure to reward her after each step. It may seem counter productive to give her a dental treat – after all, you just brushed her teeth! However, you have disturbed the biofilm with brushing and the saliva now contains the toothpaste with its antibacterial components.

It may take your cat several weeks to master all these steps. Above all, go at your cat’s pace. Don’t move to the next step until she has mastered the step before.

To see how it’s done, check out the two-part video series, “Brushing Your Cat’s Teeth: Why and How” in the video gallery at www.felinepurrspective.com. Part 2 features video of cats having their teeth brushed.

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Cat with Human toothbrush — Human toothbrushes are not designed for cats’ smaller mouths.

Good dental care for people centers on regular dental cleanings once or twice a year. This is supplemented by home dental care – twice daily brushing and daily (or more) flossing. Our cats should have periodic professional cleanings done under anesthesia but what about home dental care? How about brushing your cat’s teeth?

Brushing your cat’s teeth

The Veterinary Oral Health Council (VOHC) has a list of accepted products for cats. On this list are several dental diets including the over-the-counter Hills Oral Care, a water additive, oral spray and oral gel made by HealthyMouth, in addition to Greenies treats. The list is a bit outdated with the most recent entries dated 2012. Nowhere are toothbrushes or toothpaste.

Having tried the diets, the water additive, and brushing teeth, I have found that hands-down brushing your cat’s teeth is the most effective. Tartar accumulates most frequently on the outside of the cat’s upper premolars and those are the teeth we can target.

The benefits? Brushing reduces the amount of bacteria in the mouth more effectively than water additives and sprays. Cats are prone to developing tooth resorption which is similar in some ways to human cavities. However, where filling cavities works in human teeth, these feline resorptive lesions just get bigger and bigger once they start and filling them does not work – they need to be extracted.

While we don’t really know why tooth resorption occurs in cats, bacteria is thought to play a major role. (“Microbiome analysis of feline odontoclastic resorptive lesions (FORL) and feline oral health”, Thomas et al., J Med Microbiol. 2021; 70(4): 001353.)

For dogs, VOHC recommends the PetSmile brand of toothpaste, that works by dissolving the biofilm that forms on the teeth using hydrogen peroxide. The PetSmile website indicates that this toothpaste can be used for cats also.

Virbac makes the CET brand of dog and cat toothpastes. CET toothpaste contains lactoperoxidase and is designed to boost a naturally occurring anti-bacterial process in the cat’s saliva. Watanabe and colleagues measured bacterial counts on dogs’ teeth and found that simply applying the toothpaste to the teeth reduced bacteria, although not as much as brushing with the toothpaste. (J Vet Med Sci. 2016 Jul; 78(7): 1205–1208. “Inhibitory effect for proliferation of oral bacteria in dogs by tooth brushing and application of toothpaste”)

So, consider brushing your cat’s teeth. To learn more, check out the two-part video series, “Brushing Your Cat’s Teeth: Why and How” in the video gallery at www.felinepurrspective.com. Start with Part 1 to find out which teeth you need to brush, what you need to do this, and a strategy to encourage your cat to accept the toothbrush.