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Dental Botched tooth trim, mouth ulceration, unable to eat

Gigi and Quinn

Junior Guinea Pig
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My sow, Rosie, had her teeth trimmed at the vet on Friday and i’m very concerned with the outcome...

At the beginning of the week I noticed her stools had become rather soft and in some cases flat and she wasn’t herself - a bit fluffed up so obviously in some discomfort. She hadn’t improved by the next morning so I booked her in with the vet. Rosie was taking longer to eat though she wasn’t drooling or moving her mouth in an exaggerated way. Her stools were healthy in texture and smelled normal, her bottom was clean and I couldn’t find any lumps or sore spots on her body. Her front teeth were straight and even length top and bottom and she used them without visible pain but chewing took a long time, which isn’t like her, she loves her food and eats at a hundred miles an hour like most pigs normally. I wasn’t seeing her at the hay rack so I started her on liquid recovery food (I use the light blue Selective sachets).

Took her to the vet on Wednesday. Rosie was examined by a vet I haven’t seen before but I did specifically ask for them to look at her molars/cheek teeth. When the vet came back out they gave me cat loxicom (dosage 0.15 daily) and told me her back teeth were spurred and to phone and book in for some dental work, which I did as soon as I got home and had them book her in for Friday (two days time). They had wanted to put it off for a couple of weeks but I could tell her gut was already slowing down so that would be no good.

When I got her back on Friday after the dental procedure she was drowsy from the anathestic and had loose stools. The vets assured me everything had gone as planned and to keep them updated with her progress. I let her settle in the cage for a bit when we got back then took her out for a feeding as she wasn’t eating on her own. I’ve had pigs for a long time and I’m experienced with syringe feeding (I’ve also read your lovely guide) and I was shocked when the syringe slipped into her mouth from the front, usually you go from the side to bypass the incisors... I assumed I’d missed her mouth but actually it turns out her bottom incisors are gone. They’d been cut to the root. I was shocked and horrified to see this and feared what state the rest of her teeth may be in and was also concerned about a possibility of an abscess. I took her back to the vet the next day (Saturday), they examined her and agreed her incisors had been over trimmed and that she had ulceration in the mouth from where the molars had been causing trouble but that the molars were fine and properly cut. I was told to keep up with the liquid food and loxicom and to contact them again after the weekend.

It’s Monday today and she is still unable to eat properly. Rosie will attempt veggies and watered down kibble cut into very small pieces but takes a long time to eat small quantities. I’m feeding her the recovery food every couple of hours. Her stools are better but still misshapen and small. She cannot eat hay or use her front teeth to bite into food. She takes a long time to chew, which makes me think the molars/ulceration is still an issue and her weight is averaging between 715-750g (I weigh her morning and evening at the same time each day) her norm is around 960g. I spoke to a vet this morning about her lack of progress and plan to have her seen again hopefully tomorrow to see what’s happening in her mouth. I smell her mouth for signs of infection but seems normal but very tender. I avoid touching her face but have checked/can’t feel any lumps or spots that are more tender than anywhere else. She’s clearly hungry and interested in food but can’t eat it!

Any advice from the community would be greatly appreciated! I’ve read so many teeth related threads on here and see that there is an expert up country but at the moment I wouldn’t be able to take her there. I’ve checked with the vets that they knew the teeth need to be trimmed a certain way (did my reading on Guinealynx and various articles) and they say they were cut correctly. I feel it’s likely her teeth need to regrow and be trimmed again more accurately. The bottom incisors are so short it’s where the teeth widen and is cut rough and lumpy, the top are longer so will be uneven when they grow in. My vets isn’t an exotic specialist but have treated various pigs of mine for years and done a good job. I always do my research before a visit so I know what I’m expecting from them and in the past they have referred me if was needed so I trusted they would do the same in this case. What else can I do?
 
can you get Rosie to see Simon Maddock at the Cat and Rabbit Clinic in Northampton. We travel up there with our dental piggie Ted. Simon can do conscious dentals and is the most experienced dental piggie vet in the country. he’ll get her mouth sorted out I’m confident of that, I can highly recommend him
 
Poor girl sounds like she’s been through the wars. Unfortunately I can only agree with Bill&Ted that the only thing you could perhaps do is to get your girl up to Simon. How on earth did they think that trimming the bottom two would be of help?! Poor girl!

How is her weight doing? Is she able to maintain with the syringe feeding? I think some on here suggest cutting the veg into small strips to make it easier for them to eat. Although if her stool is a little soft and loose then I wonder if it would be better to take her off veg. A difficult one because she’s eating so little. I’m sorry you’re in a difficult position. I hope you can figure out what to do soon. Hugs.
 
I am linking in @furryfriends (TEAS) for you. She is our most experienced in this area as she is running The Excellent Adventure Sanctuary for guinea pigs with special needs.

Here is our syringe feeding guide; please step in, if necessary with mushed up pellets right now in order to get enough fibre into her and to firm up the poos and keep her weight.
 
Sorry I broke off, someone at the door!
It all reads to me the same problems I have had with incompetent vets down here in Cornwall. Over a two year period I have had two Anaesthetic dentals performed by local vets, one an exotic. Both have been a total disaster and have rendered my Ted actually worse than he was before the operation. I have been taking my Ted Since the first op to the above vet who is absolutely amazing for two years on a 6-8 week regular basis. Ted has never had a problem eating and this vet actually knows what he is doing. I recently in lock down had to take Ted to a local exotics vet after he stopped eating very suddenly in Mid April, again another disaster, same problems incisors cut too short, poor and uneven molars and pre molars, ulceration, laceration of the tongue, he could not eat at all. We Took him up to Northampton and he was eating again that day of the conscious dental Simon had performed. He is lodging @furryfriends (TEAS) At the moment until mouth is back pre the local dental, it’s been such a mess that he is having extra dentals so Debbie has kindly offered to look after him until he recoveries properly.
Hope you can go there, he is amazing!
 
The only advice I can give you is to get an appointment with Simon Maddock at the Cat and Rabbit Care Clinic, in Northampton. I know it's going to be a bit of a journey, but you won't regret it. Simon is so experienced and works wonders with guinea pigs, with dental issues, from all over the UK. Your experience is so common, with other vets, who just don't seem to have any experience with anything dental related. Most piggies are eating, before even leaving the practice, when the teeth have been filed by Simon.
 
Unfortunately it’s just too far. I’m also a carer for a relative full time due to lockdown and couldn’t bring/leave them or have anyone else do it whilst I made the 400+ mile trip. I need a Tardis!

I’ve read that there is a vet named Jess at Dart Vale vets in Brixham? In a thread it says she does conscious dental work and was trained by Simon, is that true? I agree with you all in that I think the teeth haven’t been tended to right. Maybe I could contact her tomorrow as well. Thanks for all your thoughts and prompt responses.
 
Sorry to hear what a tough time you and Rosie are having. Maybe if you could speak to Simon's practice by phone or email would be able to confirm if Jess is someone he has worked with before and/or if they can recommend anyone that is closer to you?
 
Unfortunately it’s just too far. I’m also a carer for a relative full time due to lockdown and couldn’t bring/leave them or have anyone else do it whilst I made the 400+ mile trip. I need a Tardis!

I’ve read that there is a vet named Jess at Dart Vale vets in Brixham? In a thread it says she does conscious dental work and was trained by Simon, is that true? I agree with you all in that I think the teeth haven’t been tended to right. Maybe I could contact her tomorrow as well. Thanks for all your thoughts and prompt responses.
If you can’t travel then I would try get an appointment with her. She can do conscious dentals, her experience is more limited but she has all the equipment from Simon. She has not been formally trained by Simon as far as I know but she has been in contact his Simon for advice. She works part time at the Brixton practice and made a beautiful job of shaping my Bill’s overgrown broken incisor and is certainly quite knowledgeable
 
Ok, I’ll make some inquiries in the morning. I think if they’ve botched the back teeth as bad as the front I’m not surprised she’s struggling. I had a filling last year that was rough and it was very painful. Poor Rosie, she’s very unimpressed with the syringe feeding but we’re doing it and she is very slowly eating tiny mushed down kibble in the cage. Fingers crossed this Jess may be able to help us.
 
We took my piggy Meg on a 300 mile round trip to see Simon and Kim as Meg was losing weight (for 8 and my (otherwise very good) vet could find nothing wrong. Turns out Meg had toothspurs which were lacerating her tongue. Kim sorted her teeth out and within 3 days of being back home (once her tongue had started to heal) she was back to eating for herself.
 
Ok, I’ll make some inquiries in the morning. I think if they’ve botched the back teeth as bad as the front I’m not surprised she’s struggling. I had a filling last year that was rough and it was very painful. Poor Rosie, she’s very unimpressed with the syringe feeding but we’re doing it and she is very slowly eating tiny mushed down kibble in the cage. Fingers crossed this Jess may be able to help us.
She will be able to have a good look inside as she has all the right equipment and she will be able to smooth any rough teeth hopefully. She won’t be able to do anything about the incisors but hopefully they should grow back pretty quickly, why do they always cut the incisors so short?😕
 
The frustrating part is the incisors were absolutely fine before!

I’ve just got home from the emergency vet as Rosie was having trouble swallowing this evening and has lost 15g over the course of the day despite multiple feedings. They checked her mouth and there’s not any ulceration or swelling but they believe the molars could still be too long and overlapping the tongue a bit. She’s been given a gut stimulant and confirmed she’s on the correct loxicom dose. I’ll be phoning vets in the morning to try to find the best person to tend to Rosie’s teeth.
 
The frustrating part is the incisors were absolutely fine before!

I’ve just got home from the emergency vet as Rosie was having trouble swallowing this evening and has lost 15g over the course of the day despite multiple feedings. They checked her mouth and there’s not any ulceration or swelling but they believe the molars could still be too long and overlapping the tongue a bit. She’s been given a gut stimulant and confirmed she’s on the correct loxicom dose. I’ll be phoning vets in the morning to try to find the best person to tend to Rosie’s teeth.
Hope you can get her sorted x
 
Went to see Jess in Brixham this morning and she had a thorough look in Rosies mouth (even took photos for me to see). The back teeth are bridging a little but not trapping the tongue, no ulcer, no swelling. We’re now trying her on an increased dose of the loxicom pain relief as it could be pain that’s stopping her from eating. Rosie has a follow up appointment booked so Jess can assess how fast the molars are growing and look after the poor incisors that were butchered.
 
Went to see Jess in Brixham this morning and she had a thorough look in Rosies mouth (even took photos for me to see). The back teeth are bridging a little but not trapping the tongue, no ulcer, no swelling. We’re now trying her on an increased dose of the loxicom pain relief as it could be pain that’s stopping her from eating. Rosie has a follow up appointment booked so Jess can assess how fast the molars are growing and look after the poor incisors that were butchered.

Guinea pig teeth grow around 1.3 mm per week - because they and their cousins, the capybaras have evolved on eating grass/hay, their teeth have had to adapt against the very abrasive silica in it. They have pretty much the fastest growing teeth of all rodents, which is why dental issues become a real crisis very quickly.

All the best!
 
That’s great you managed to see her. I was quite Impressed with Jess when I went with Bill. Hope she get your little piggies mouth sorted x
 
Sadly Rosie still hasn’t improved. Still feeding her every couple of hours and she can eat soft veggies cut into tiny mouthfuls but no hay and very slowly. At times she seems to struggle with swallowing but takes water ok. I’m thinking maybe we try antibiotics next as the pain relief isn’t making any obvious difference, she still is uncomfortable and sleeping more. I’m not giving up because she‘s interested in food and asks for it (yells when she hears veggies being chopped).
I have asked for dental x-ray but was told unlikely they would see anything. Thoughts on this and trying antibiotics?
 
Sadly Rosie still hasn’t improved. Still feeding her every couple of hours and she can eat soft veggies cut into tiny mouthfuls but no hay and very slowly. At times she seems to struggle with swallowing but takes water ok. I’m thinking maybe we try antibiotics next as the pain relief isn’t making any obvious difference, she still is uncomfortable and sleeping more. I’m not giving up because she‘s interested in food and asks for it (yells when she hears veggies being chopped).
I have asked for dental x-ray but was told unlikely they would see anything. Thoughts on this and trying antibiotics?
I would keep on with the syringe feeding top ups and try encourage her to eat plenty. Weigh her daily so you know if she is getting enough to eat and not loosing too much weight. Offer softened pellets or porridge oats too. Grated carrot or sweet potato? beetroot sticks out of salad bags etc. I try lots of different hard and soft veggies, cut differently. When is your next appointment with Jess, is she going to file the back molars that are slightly bridging her tongue. Sometimes it takes a while for piggies to gain confidence eating again, once her incisors have grown more that should help too x
 
Sadly Rosie still hasn’t improved. Still feeding her every couple of hours and she can eat soft veggies cut into tiny mouthfuls but no hay and very slowly. At times she seems to struggle with swallowing but takes water ok. I’m thinking maybe we try antibiotics next as the pain relief isn’t making any obvious difference, she still is uncomfortable and sleeping more. I’m not giving up because she‘s interested in food and asks for it (yells when she hears veggies being chopped).
I have asked for dental x-ray but was told unlikely they would see anything. Thoughts on this and trying antibiotics?
I've got a guinea pig boarding with me, at the moment, who despite teeth not looking too bad at all, was still unable to eat. Although there was no obvious sign of oral thrush, we decided to try a course of Itrafungol. After the second dose, he started to eat and is now eating well!
 
Rosie’s appointment with Jess is Tuesday but I’m struggling to maintain her weight it’s dropping by a couple of grams a day even though I’m syringing every couple of hours and soft veg and kibble inbetween. Her incisors have grown so wonder if her back teeth have too and could be causing trouble?
That’s interesting, I’m going to look into oral thrush. Also hopefully getting some probiotic tomorrow. She’s on a gut stim and going regularly but they are smaller and misshapen still.
 
How much are you managing to get into her (syringe) over 24 hours? Sorry to hear she’s still struggling ☹️
 
Probably around 60ml today. She takes 5-9 syringes a feeding and 2 water. She’s resistant but gladly accepts water, is that a symptom of something?
 
I’m not sure to be honest. If I remember correctly 60ml is the lower limit of how much they need to be taking on board. Are you doing it in the night as well?
 
Whenever I have a piggy that has dental problems that doesn't eat at all, I usually feed thim/her 15mls of CC every 3-4 hours. So in a day, the piggy usually would have 100-120mls. Hubby and I would have shifts in feeding the piggy. He takes the morning shift (from 7am usually) and I do the midday and night shift (until as late as 3am if I can).
 
Unfortunately there’s no one else that can manage feeding her other than me. She is very resistant and it’s awkward because of her messed up incisors, I have to be extra careful how it goes in, but she’s maintained her weight today. I just really need to work out why this is happening and fix it! Poor piggy.
 
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