Cat struggles to eat dry food, food falls out, not a tooth problem?
Given the symptoms described, gum inflammation ([gingivitis](https://www.petcoach.co/cat/condition/gingivitis-and-stomatitis)) or other [dental disease](https://www.petcoach.co/cat/condition/dental-disease-1/) may be the underlying cause(s). Both are very common in cats and may cause pain, especially when eating hard/dry food. Any[ treatment](https://www.petcoach.co/article/4-ways-to-treat-dental-disease-in-pets) will depend on the diagnosis but may include a [dental cleaning](https://www.petcoach.co/article/your-pets-dental-cleaning-what-to-expect), extractions, antibiotics, pain management and brushing her teeth at home. Consider a second opinion with a veterinary dentist if necessary.
A dental cleaning and extractions (if necessary) will likely resolve the issue. To treat severe gingivitis, the last resort is total teeth extraction, which solves the problem for most cats. [Cats can eat without teeth](https://www.petcoach.co/article/5-things-every-cat-owner-should-know-about-dental-care/) and the appetite may actually increase due to there being no more pain. If your cat eats wet food without any problem, I would probably advise to just keep her on wet food as a full mouth extraction is a major surgical procedure.
Updated on September 23rd, 2025