My cat has painful gingivitis. What are the best solutions?
I'm very sorry to hear about Taiga, this is a horrible condition.
With the combination of gingivitis extending into the pharynx, it sounds like your vet has diagnosed what we would know as gingivostomatitis in the UK. Which basically means the mouth as well as the gums gets horribly inflamed, ulcerated and sore.
It is a tricky condition to treat but very much needs to be tackled head on as it is so painful. It would be a great idea to get your vet to run bloods first as a general health check for possible complicating factors thsy could effect treatment options, also an FIV FELV panel would be useful.
Regarding treatment the key is to reduce the bacteria in the mouth and try and suppress the immune system. Various drugs combined with oral rinsing can help to achieve this, however results can be unsatisfactory and any benefit is temporary. You could certainly try and see how well Taiga responds.
The other option for severe gingivostomatitis is full extraction of the teeth as you mention. Although it sounds extreme once the teeth are fully removed the mouth heals and there is no more inflammation as the source is gone. I would strongly recommend approaching a vet with extensive experience in feline dentistry as it is imperative that all teeth are removed fully.
This may end up being the best option, but in the mean time bloods and meds will help.
I hope you find a comfortable solution for Taiga.
Updated on September 23rd, 2025