07/16/2026
Dr. James recently performed a dental procedure that perfectly illustrates why we always recommend dental radiographs (x-rays) as part of every anesthetized dental cleaning.
Swipe through the photos:
Photo 1: The tooth appears fairly normal during the oral exam.
Photo 2: The dental x-ray reveals a hidden problem beneath the gum line.
Photo 3: Now with the gum tissue removed, we can see the dental lesion.
This condition, called feline odontoclastic resorptive lesions (FORLs), is one of the most common and painful dental diseases in cats. During tooth resorption, the body begins breaking down and absorbing the tooth from the inside out. In many cases, the damage is hidden below or at the gum line, meaning the tooth may look completely normal during a routine awake exam.
Cats are experts at hiding pain, but affected pets may show signs such as:
- Difficulty eating or chewing
- Increased drooling
- Oral bleeding
- Chattering or jaw spasms when eating
- Pawing at the mouth
Some cats will show no signs at all.
Because so much of the damage occurs below the surface, the only way to fully evaluate every tooth and detect these painful lesions is to perform a thorough oral examination under anesthesia combined with dental radiographs.
Unlike cavities in people, tooth resorption cannot be repaired with a filling. Once a tooth is affected, the only way to eliminate the source of pain is to remove the diseased portion of the tooth through extraction or, in appropriate cases, a crown amputation.
At Ina Road Animal Hospital, dental radiographs are an essential part of every dental procedure. They allow us to diagnose painful conditions that simply can't be seen with the naked eye. Our goal is not only to clean your pet's teeth but also to identify and treat hidden dental disease so they can live happier, healthier, and pain-free lives.