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Comments On - One Clinician’s Experience With a New Treatment For Feline Stomatitis

Ruth, if you cannot afford the cats, you should find someone who can and quickly. The care for stomatitis cats is much more expensive then you are allowing. I spent $250 each month on medicine. And the tooth extration for just the 4 canine teeth was over $2,000. BUT, now he is a completely healthy cat. It is a lot of money, and I make sacrifices to make sure he is cared for properly. If you are not going to do that, you should find someone who can, as these cats are suffering needlessly.
Jessica, Chicago, IL
Posted: 1/4/2012 1:58:11 PM
I can tell you that you HAVE to get the canines removed. Our cat had a severe case. We removed all but the canines and treated with many medicines (prednisone, B12, Covenia, Fluids, etc). But, we had his canines removed in October and he is a completely different cat. He eats now without any hesitation or problem and drinks water freely too. And he has even started grooming himself. I promise that this will make all the difference in your cat.
Jessica, Chicago, IL
Posted: 1/4/2012 1:54:13 PM
Great Article! My 6-1/2 yr old cat has severe stomatitis, her teeth were removed 3 years ago, except her canines. She improved greatly and was back to being a normally, loving and happy cat. Just recently though, she started experiencing the same symptoms - respiratory issues, increased redness in her mouth, not wanting to eat. Is being treated with antibiotics but they are not helping.
Barbara, Manchester, MH
Posted: 12/13/2011 9:53:51 AM
My cat is being treated very successfully for this using a new treatment developed by a veterinary dentist's office in Dallas, TX. There is a clinical trial underway now. My cat was very bad off, not eating and in great pain, and now eats normally and is happy and playful.
The clinic is Dallas Animal Dental. They can be reached at
Rob, Greenville, SC
Posted: 12/12/2011 12:46:51 PM
the article is wonderful, and there are only two issues i have with it, any surgery for a pet is expensive and there are lots of us out here who simply cannot afford it. I get that medical care costs and vets go thru the same training as human docs. but it hurts to treat and treat and then the cat ( i have 2 who have the stomatitis) relapse. Even getting all their teeth pulled would cost me around $400 or more. I wish surgery could be done that is less costly. I will, as it stands, have to put these two to sleep, at some point..and that will be after having already spent $300 on just meds and dr. visits. This surgery also is not available in my area. Wish someday things will be better for those of us who love and care for pets and want them to have good quality lives..but cannot afford this cost per pet.
Ruth, Brenham, TX
Posted: 12/4/2011 12:06:59 PM
Our 1 year old female Cat (Kalea) was diagnosed with Stomatitis yesterday, but the Vet said there is nothing he can do until the disease progresses to the point when all of her teeth need to be removed. He gave no information about pain control or what to feed her in the meantime??
JoAnn, Shell Beach, CA
Posted: 11/30/2011 8:46:45 AM
We have a wonderful cat named Kramer..he has just been diaginoseed with Stomititis. We had never heard of it till now. This is a new condition and he has had it for about six months. We were sent home with no cure except the removal of his teeth(Has already had 1-3 removed. There has to be something we can do!! Is the radio-sugery the only relief? Thank you, Jeanne It was great to hear other people with the same problem!!!
jeanne, belchertown, MA
Posted: 11/14/2011 12:27:49 PM
I have a 7 year old snowshoe cat (Frida) that was from a backyard breeder and I got her at 8 weeks of age along with her mother. Her mother showed borderline stomatitis but with meds her gums cleared up. Frida developed stomatitis around 4 years of age along with another rescued cat in our home. Both cats had all their teeth removed except for Frida, who kept 3 of her canine incisors. Both cats continued to have the "raw hamburg" looking mouth and were still in discomfort. Antibiotics were Rx'd but no luck with their mouths. I moved and changed vets and he put Frida and Mork on transdermal Prednisone to help the inflammation. Frida went on to develop Feline Hyperthesia Syndrome and is now dealing with painful sensations in her body and attacks her tail. She has recently been put on an anti-seizure meds to help her stop attacking her tail. She used to attack it until it bled and had to have a few inches of her tail removed. She still attacks her tail but not to the point of bleeding. I'm not sure what the next step is with Frida. It saddens me to see her still attacking her tail whenever she gets up from sleeping and add to that her forever sore inflammed mouth. My friend forwarded me this article on stomatitis and now it makes me realize that we may be dealing with more of a bone disease than just a dental issue and hyperthesia.
Barb, Thedford, ON
Posted: 8/12/2011 12:59:22 PM
I am a loving pet owner of a 1 year old male cat w/ stomatitis. I wouild give anything to relieve the pain he is in and return him to the playful, mischievous and loving character he should be for his age. I thank you for this article as it gives me hope for a solution. I know, and have known that drugs are not the answer to this problem, not is tooth extraction. I will print this article and give it to my vet for her edification. Thank you, thank you, thank you. Where can I find a veterinary dental surgeon capable of this type of surgery?? I live in NC. Please help me find one.
Cynthia, Forest City, NC
Posted: 8/5/2011 6:56:37 AM
Given that the first comment to this piece occurred on "11/18/2008 11:18:47 AM," I assume that vet dentist's would be using the technique had it ever been peer reviewed, as Dave pointed out below.
Kate, Tampa, FL
Posted: 7/15/2011 10:36:33 PM
I too have a kitty with severe stomatitis. It is a HORRIBLE disease and I am so very frustrated. We have just had all of her back teeth removed and have done 10 laser treatments but have not noticed any significant improvement. When she was first diagnosed, she did well with Depo shots every 6 weeks but they started losing effectiveness and started only lasting a week.
It was then that we made the decision to go with the to be used with laser therapy. Almost $3,000 later, she is still in pain. I don't want to upset anyone or be a downer but I really don't think there is anything out there that helps cats with this awful disease. I am at the point where I am having to consider euthanizing her; as much as the thought of it is killing me! I don't want to see her in anymore pain. I know how much it hurts to just have a toothache. Imagine how that feels to our babies, all day, every day?
Roxanne, Welland, ON
Posted: 5/10/2011 11:38:10 AM
As a veterinarian who only perform dentistry, I have asked veterinary dental specialists about this therapy and they have stated in print that, "David. I would be very skeptical of anything written by that author. He has made a habit of making very wild and unsubstantiated claims. He says he has a "cure" yet he has never published or shared his tehcnique, he has no data to support his claims, he makes use of impressive-sounding terms (such as >>> FSRWRS <<<) which actually mean little or nothing and he markets his services in a manner that many would (and do) consider downright unprofessional. After years of his nonsense, I and several others have lost patience with him. If he has a valuable treatment option to offer, let him publish it in a peer-reviewed publication. Until then, I feel he is just blowing smoke.

Now, more specifically. Of course chronic oral inflammatory disease or feline stomatitis (what ever you want to call it) is a disease of the bone! It is also a disease of the teeth and the gingiva and the oral mucosa and sometimes the pharyngeal mucosa... It is a destructive inflammatory disease that ravages all the tissues around the teeth. The article proposes that this is a new and important way of looking at this disease but anyone who has ever radiographed one of these unfortunate cats knows it affects the bones.

We are all looking for the magic bullet and the simple answer is that most cats respond to full mouth extractions but they must be performed meticulously utilizing dental x-ray (which only 10% of veterinarians have) and the individual must be experienced or a specialist. About 10 % +/- do not respond and about 10% +/- respond but have relapses that respond to medical therapy.
Dave, Asheville, NC
Posted: 1/26/2011 3:21:14 PM
Can you tell me where in Europe this kind of treatment is possible to get done? I am desperate to find it out. My 2,5 yo kitty got this after vaccination. Unfortunally in Lithuania it is impossible to do. They don't have a clue what RWRS is.
Odeta, Vilnius, IL
Posted: 1/25/2011 3:07:39 PM
To Dave at WPB. We also live in the area with a similar situation. Our cat has undergone extractions last year due to FS, and here we are again with the problem resurrected. Our doctor who did the first diagnosis and extractions was Dr. Maria at Chasewood Animal Hospital in Jupiter (sorry, don't have her number off hand). She did an excellent job. Good luck to you!
Maggie, Jupiter, FL
Posted: 1/25/2011 9:17:17 AM
I just found out my 10 year old female cat has FS. I wanted to know if this disease is contractable to my other cats in my home. I have a large Drinkwell fountain that they all use. Is is contageous to humans? I was also told that the laser lite treatments are a very good option for this kind of disease.
Can you also tell me what kind of cost are we talking about with this FWRWRS radio surgery? The laser treatments are in my price range and buget. Maybe you can shed some light on as to the cost of this kind of surgery.
Johanna Gyuro
Johanna, brooklyn, NY
Posted: 1/22/2011 1:31:58 PM
I have a 5 year old Maine Coon with an incredible personality. She has been suffering from FS since her first year. She has had cleanings and each time more teeth have been pulled. She is eating fairly well (both dry and soft) but I can see the pain she is in. Her breath is terrible and I can see the pain is getting worse. She needs treatment and relief now before other complications set in. I have been to three vets and the last one we have been going to accidentally put a cat to sleep last year so we will not go back there. I am in West Palm Beach and need to find a veterinarian who can handle my cat's situation. Does anyone have a recommendation where I can get this described treatment or at least competent attention for my cat's situation?
Dave, West Palm Beach, FL
Posted: 1/7/2011 3:08:49 AM
I need to know a vet in my area that will do this to my cat. Diagnosed at almost 3 with LPGS. I being a student, did a research paper on the disease, and opted after only a couple of medrol injections to have all teeth pulled except the canines. My baby, is much better but still has to take 1/4 medrol mixed in her food every 3 to 4 days. I don't want to lose her any earlier than I have to. I need to know of a vet in the Athens, Georgia area that will do this. Domino (ragdoll) is pretty much back to herself these days, but I do not like having to give her even a quarter of a steroid a couple to three times a week. If you know of any vets in my area...please email me
Kim, Winder, GA
Posted: 12/28/2010 9:19:54 PM
There is help. I have been working on my cat for 4 years. I started out having to puree his food with kitten milk and it took over an hour to get him to eat it. Now, I put the food in a bowl, and he goes at it and it fine. Here are his current treatments: Covenia (antibiotic) and B12 injection every 2 weeks. 200cc fluids every Mon/Wed/Sat. 2.5mg Prednisone every other day. Interferon (Immune system booster) 7 days on/7 days off. Bupenorphine, once daily. Daily mouth cleaning using gauze and Hexachloride. Had 8 laser treatments. It took a lot of trial and error (including a 2 week ICU stay due to losing too much weight), but we are on the right track now and he is as happy as can be. And he is starting to act like my other cat (grooming himself, playing, etc.)
Jessica, Chicago, IL
Posted: 11/29/2010 2:40:48 PM
I had a 17 year old domestic longhaired male, Uhuru, who developed severe stomatitis and was then diagnosed with renal insufficiency (or failure, depending on which vet was treating him). In a desperate effort to to avoid removing all his teeth. for about 2 years his dentist and I went through frequent debrading and excision of diseased tissue, home tooth brushing, oral cleaning and antibiotics. Pain relief was limited relief at best -- but quality of life was deteriorating for both Uhuru and me due to daily battles with the tooth brush. It was no use, however. Finally I agreed to full extraction. Uhuru came home the next day, and within about a week was joyfully gobbling down soft canned food, a happy kitty. Restored to his favorite past time (eating), Uhuru graced my life until he passed at age 23.
Liz, Sacramento, CA
Posted: 11/15/2010 10:32:43 AM
We are working on a three part solution for this. The new solution uses 5nm particles that kill bacteria on a cellular level. Total teeth extraction should not be needed in most cases. As Dr. Deforge believes we also think this is a bacterial condition. This solution works systemically on the cat to kill off the bacteria over a few weeks. Our active ingredient is classified by FDA in human medicine as a medical device. Look for the product introduction in Veterinary Practice News in the coming months.
Leigh, Raleigh, NC
Posted: 11/4/2010 7:17:22 AM
I have a 15 year old solid black short hair who got stomatitus when he was 10. We tried all the medicine available and took him to 5 vets. One vet gave him steroid shots, that at first lasted 2 months, and with time graduated to lasting 1 day and then it did nothing Many treatments did nothing, antibiotics helped just a little. In the end, all the vets told me they were sorry but there was nothing they could do. My main vet felt that removing all the teeth really didn't work. Putting him to sleep was the only thing left as he was losing weight. Mickey drank water with no problem. I had an idea. I mixed his canned food with water and thinned it almost to water consistency. I wet a saucer and spread the liquid. Over time I made it thicker. I used a blender. During hurricanes like Katrina when we lost power, I mixed it by hand. Now Mickey eats solid canned food and sometimes dry food, and kitty milk. I know he's not cured, and I don't know whats really going on, just that he eats well and sleeps well.
David, New Orleans, LA
Posted: 9/4/2010 11:38:47 AM
Hi I am still looking for help. My cat is in terrible shape with this disease. although I did not want her teeth removed, the vet did it anyway without my approval. I was very upset, but she does eat well, so I guess it had to be done. My cat is also diabetic, further complicating things. she drools constantly and the drool dries on her fur on her legs, it's so sad. as for the cost, 1500.00 for that surgery, but I live in a high cost area, still a shock. I tried a homeopathic vet, but I am still not convinced. I think the coloidal silver helped the diarrheah though. she is almost 14 and was in great shape before all this occurred even though there have been diabetic instances requiring emergency vet treatment. total cost for my complicated case? around 10 grand, which is currantly on credit cards......your case could be much less since mine involves diabetes which has been very costly. even though I hated it, it seems the teeth removal at least allows them to eat.
Kerri, dallas, TX
Posted: 8/1/2010 11:29:44 AM
hi i have a 6 year old female who w has this nasty disease and would love to have this done for her could you tell me if there is any place in upstate ny where i can have this done for her .. thank you so much ...
lisa, sheds, NY
Posted: 7/15/2010 10:29:28 AM
Dr. DeForge welcomes questions on Feline Stomatitis-Write to him directly at with all of your questions on Cat Stomatitis and any other problems in oral medicine or oral surgery in the dog and the cat. Don't miss Dr. DeForge on his radio program-ANIMAL ER the Animal Kingdom-Honoring the Human-Animal Bond-LIVE Sundays at 9 PM EST at or podcasts of The Best of Animal ER at
Donald Deforge, Milford, CT
Posted: 7/3/2010 8:46:28 AM

I have a 12 year old American Short Hair that has been treated with steriods, cyclosporin and antibiotics with no success. I am at the point where I am being directed to full mount extraction or lasers and I am not a fan of either. Could you please direct me to someone in the Atlanta, GA area that performs this procedure (or University og GA)? Also if you could give me an idea of cost?

Thank you very much
Kathleen Donald, Atlanta, GA
Posted: 6/8/2010 2:13:59 AM
This sounds very promising. I have a very sweet cat named Guenther who has FS. He has had all of his teeth extracted except for the canines. He found slight relief but still experiences very painful symptoms. He is having steroid injections each month, but I know he won't be able to take them forever. Is there any place that would perform this surgery near Louisville, KY? I am willing to travel also, though. What is the cost of the surgery,and what is the recovery time? Any information is very much appreciated. Thank you.
Ashley, Louisville, KY
Posted: 4/20/2010 5:23:24 PM
I have two cats, now, with this problem. These cats are not related to each other. They have lived together in our home for six or seven years. Our vet says there is some suspicion that maybe it is viral. We have three other cats who currently have no symptoms -- and we'd like to keep it that way! Is there any research being done where maybe our experience would be useful?
Melinda, Pasadena, CA
Posted: 1/10/2010 8:23:34 PM
I have a 10 month old kitten who has been diagnosed with FS. She is being treated with Depo Medrol and antibiotic injections, but her gums are still red and painful, and her appetite has greatly decreased. She is so sweet, and I love her so much. I want her to be healthy and live a long happy life, and will do anything in my power to help her....I just don't know what to do. I am going to try a homeopathic veterinarian, and pray that will help her. I am heartsick that she is ill. This article is interesting, and I will look into the treatment.
Caroline, Ft. Walton Beach, FL
Posted: 9/11/2009 10:57:00 AM
The article is very interesting, since we have two Persian females, one age 14 and the other age 12, both diagnosed with FS/Bartonella. The 14-year old has been on Azithromycin for months, and seems to be holding her own, but I am very nervous about continuing an antibiotic for so long, because of immunity issues, etc. The other 12 year old is being treated with Depo injections and antibiotic injections every 6 months or so. I don't like her having the steroids either. But don't know what to do, since we live in a small town and have tried all the vets in the area. They all seem to recommend the same treatments.
Sylvia, Woodville, TX
Posted: 8/1/2009 12:35:39 PM
Thanks for the article. We have a 2 1/2 year cat recently diagnosed with stomatitis. What is the cost of FSRWRS and is there a facility closer to WV that is qualified? Thanks again.
Tina, Wheeling, WV
Posted: 7/26/2009 10:10:01 AM
We have had a very positive reaction with homeopathy. There is no pain, she is eating well, quality of life is great. Only leftover symptom is swollen lips and drooling. You should never use suppressive treatments, like cortisone, as they will push the disease deeper into the body, and you'll end up with organ disease. Seek a homeopathic vet or look into Don Hamilton of New Mexico.
lynne, san diego, CA
Posted: 5/26/2009 11:27:25 PM
it is very interesting, i have a cat with this serious problem, he is young and it is very painful, what is the cost of having something like that done, he had lazer that in itself was more painful than the disease never will i do that again. does zithromax really work and have some relief?
thanks barbara
barbara, ormond beach, FL
Posted: 3/22/2009 3:30:49 AM
It's good to see people are trying to find better ways to deal with this disease. It would be better to find a way to stop this from ever occurring in cats. It is very sad to think people would put their pets to sleep because they do not have the finances available for their cats to live a good quality life.
Jackie, Walworth, WI
Posted: 2/14/2009 10:02:01 AM
Most cats given full extractions distal to the canines along with Feline Omega Interferon (using the latest protocol from Scotland) are totally cured. It worked for my cat, who was not cured by extractions alone, as well as for every subsequent cat treated by my vet dentist. It is tricky to get in the USA, but you can do it.
Kristen, Denver, CO
Posted: 1/19/2009 3:34:21 PM
This is what we have been searching for. My cat Autumn has severe FS (all of her teeth including the canines were removed over a year ans 1/2 ago). She still has severe redness, drooling and pain. Acupuncture, herbal treatments and a grain free & chicken fee diet have done nothing. I called the vet today to inquire about putting her to sleep and decided to search once more for help. Please provide information on anyone doing this procedure in Western NY.
jay, Blasdell, NY
Posted: 12/16/2008 11:16:35 AM
I just read the comment from Krystal, NC, and I could have written it. I took my little 2 1/2 year old cat to the oral surgeon yesterday and was told that he needs two surgeries to have all of his teeth, including his canines, removed. I was also told that in his case, this would probably not cure the inflammation and he would need to remain on some type of steroid. Please let me know right away about this treatment. My Little Guy is quickly becoming anorexic and I need to help him NOW. I do not want to have his teeth removed, especially if it is not going to resolve the issue.Please let me know about the availability and prevalence of this treatment and I will look into my options. Thank you very much!
Tara, Fairfax, VA
Posted: 11/25/2008 12:06:03 PM
My 2 yr old persian was suffering from severe stomatitis and had a full tooth extraction on Nov. 6th. She is doing wonderful and is even eating dry food. I was very worried about putting her through this and what the results would be, but I can tell you I am very pleased with the results so far.
Deb, Lake View, IA
Posted: 11/22/2008 1:25:03 PM
Krystal, you can e-mail Dr. DeForge at
Marilyn, Costa Mesa, CA
Posted: 11/20/2008 4:31:09 PM
I really like the idea of this treatment. I just learned this morning from my cat's vet that she "has" to have all of her teeth extracted in order to "cure" her stomatitis. Is this treatment still in the experimental stages, or is this something that I should refer my vet to? I would love if she could keep her teeth...she's only 2 years old! Please let me know about the availability and prevalence of this treatment and I will look into my options. Thank you very much!
Krystal, Charlotte, NC
Posted: 11/18/2008 11:18:47 AM
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