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Dental Guinea pig unable to eat solid food

Hatchett04

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Just over a month ago, I noticed my two year old boy jumbo having trouble chewing foods. He still could, though very slowly, to the point that the other pig in the cage, Bumble, had eaten most of his food each mealtime, meaning he was losing weight. We took him in for an operation to pair back his teeth, though after he seems only to have gotten worse, relying almost completely on syringe fed Critical Care. Today he has just had another operation, and has recovered from his sedative, but still has an extremely hard time picking up or chewing anything. I'm just not sure what to do, as I want to try to get him back onto solid foods to help grind down his teeth, but he physically isn't able for them. Thanks for your time.
 
I’m sorry to hear this.
How much pain relief is he being given?
Are you weighing him daily?

There can be several reasons why a piggy won’t eat after a dental - from still being in pain, having lost confidence to eat or the dental having been done incorrectly.

I’m going to tag our dental expert so if she comes online, she may be able to offer further advice
@furryfriends (TEAS)
 
Right now he's on loxicom (I may have gotten the name wrong), 0.25 ml twice a day, and is on emperid appetite medication 0.4 ml twice a day. We weighed him this morning, and he's around 790 grams, though I imagine that weight will go up as the day goes on. His appetite seems ok, as he is sniffing around at any food in the cage, though he is unable to pick it up or chew it.
 
And how much are you managing to syringe feed him per 24 hours?
Is his weight stable at each daily weight check (don’t weigh More than once a day as you just pick up too much fluctuation)?
 
We syringe feed him every 3 hours, so about 5 times a day. Each feed he gets about 18ml of critical care. We usually weigh him around lunchtime, I just wanted to see how he was in the morning today.
 
A few points to consider... sorry for the formatting - I'm just trying to keep my thoughts in order!

Enough syringe food to maintain weight
I had a little sow that wasn't eating and her teeth overgrew as a result. I'll say at this point we think her problems were possibly not dental in origin but maybe some issue with swallowing. Even with a tiny amount of sloppy syringe food she just seemed to chew at it for an age. However the overgrown teeth happened as a result. She survived exclusively on syringe food for about 6 weeks but needed about 45ml each day to maintain her weight... this was the important thing, she wasn't losing any weight although she maintained at 950g by this point rather than the 1.2 kg she'd been in her prime. That was the max volume she could take and we started 6-7 in the am and finished the last feed by 11pm so we didn't go through the night. I added in probiotic (she was on ABs too) and vitC to the mix. Your boys seems very light for 2 years old... could he take more syringe food? Will he eat it from a bowl in the night or will his friend pinch it?! As far as I can tell after 6 or 7 ml they start to get a bit full - Ivy took so long to feed because of the chewing thing that it took about 1 1/2 hours to get 10ml down her. Her healthy cage mate gobbled down any spilt drips though!
*Just seen your last post - he's getting plenty so he's a hungry boy!

Painkiller
If the loxicom is 1.5 mg/ml it's a decent dose but the vet could go higher with no ill effects... but that might not make the difference. If it's the 0.5mg/ml it's pretty low.

Front teeth can obstruct chewing
My girl had her back teeth done as soon as she stopped eating (we obvs thought it was just teeth at first) but not the front ones as they didn't need it. However on a check up a few weeks later a different vet observed that, "this guinea-pig can't close it's mouth!" because the front incisors had grown so long. Of course, with no biting or chewing this is what had happened. I had noticed Ivy trying to bite at wooden things for a few days but didn't put 2 and 2 together. They burred them short (too short actually) w/o general as you just need someone to hold your angry piggy while the vet does the work in a few minutes! If they are too short it's not a disaster as they grow back extremely quickly but if they are too long they can get in the way and piggy can't pick up food. Some pigs on here have had incisors removed completely and adapt very well. Did your vet cut the incisors down too?

Spurs on back teeth can cause ulcers in the mouth
Sometimes pigs develop little (or big!) spurs which stick out to the sides and dig into the soft flesh. The back teeth overgrow and need to be ground back but the spur also needs to be removed or piggy wakes up with his problem still there. Did your vet mention anything like this?

Sloping incisors can point to the problem
Sometimes piggy's front teeth seem to slope to one side... this is a result of pain or problems on one side of the mouth and piggy tries to chew on the other side to compensate. Did you see anything like this before he was done?

Dental abscesses a hidden problem
These come up time and again on the forum for persistent tooth issues. I haven't had this experience myself - as far as I know! When Ivy first stopped eating the vet felt carefully round the jaw for swelling, tenderness, points of pain etc that might indicate an abscess but found nothing. She was prescribed antibiotics anyway but for her they made no effect. However, dental root abscesses can be very resistant to treatment and some ABs are better than others. Did your vet check for these and have you had any antibiotics at any point anyway? Ivy got hers on the off chance there was some hidden infection we couldn't spot.

Teeth are a tricky thing to get right
It's what no-one wants to hear but it's very true... there are people who have posted on here and ended up going to a different vet (possibly a specialist they had to travel to get to) to finally identify the problem.

'Feel' how he is chewing
When you give him some syringe food rest your fingers lightly behind his ears on the bald patches. You should feel the vibrations as he chews and it should feel smooth, even and very fast. When Ivy's incisors were too long her chewing action was slow and interrupted as the front teeth got in the way. The 'grind' felt rough and intermittent. After she had them burred she came home (absolutely furious) and chewed fast, even, and smooth - I was so happy when I felt the difference - I felt sure tomorrow would be the turning point but unfortunately it didn't help her to swallow and the feeding times didn't speed up.
Here is a little gif of my other piggy Zara. She had a cracked bottom incisor that hurt her and she stopped eating - there was actually nothing wrong at the back. This is from when I was syringing her before her vet appt and you can see how she pushes her jaw forward so the painful bottom tooth is kept out of the way. Her chewing is irregular and she chews with her mouth open... have you seen anything like this?
Zara before dental.gif
 
Hi, thanks so much for such a comprehensive reply. I'm sorry but I probably should given some more detail in my original post. From his lastvet check (where they did an x-ray of his skull) the problem seems to be that the roots of his molars are uneven and too long. As well as this, his bottom right incisor is rotten and looks loose enough to fall off soon. This is probably what's causing most of his pain, since his molars were shaved back so that his tongue isn't blocked. As well as this, his incisors were adjusted and lined up a bit more. All this being said, he still can pick up any kind of food other than extremely soft food like banana and watermelon.
 
Molar roots I don't know... @furryfriends (TEAS) has the most experience of dental pigs.

I hope that incisor does fall out soon - it could be getting in the way of picking up food. Zara could only slurp up small pieces of cucumbers soft middle which helped cheer her up but wasn't nutritious. In the end she had to have the tooth removed and my poor girl didn't survive the op - which actually went quickly and without complication - but she couldn't recover from the GA and died a day or so later. They are wary of extracting incisors because the jaw at the bottom is very fragile and if it fractures... well the vet said to pts while she was under would be the kindest thing. They also said that they didn't extract piggy molars because they couldn't really manage without them grinding against each other - it's not like cats or dogs that can afford to lose quite a lot of teeth.

The vet's first try for Zara was simply to trim a few mm off her bad tooth to make it shorter. This way she could chew and the bad tooth didn't catch. It was done without GA and worked for a few days at least and she came home and tucked into grass, veg and some hay straight away! (see below) But after a few days you could tell she was slowing again. She had antibiotics... but we ended up having to go for the op. This was her after just trimming a few mm from the bad tooth.
nom2.gif

This was the tooth when we pulled back the gum pocket - I've never seen anything like it. She was ferocious and had charged at the cage bars to frighten her neighbour (my poor gentle George!) some months before so might have damaged it then. I miss my fighty, bitey girl. I hope you have a better outcome x
zara incisor root.webp
 
I'm sorry to hear about Zara, she sounded like a lovely girl. I'm hoping the incisor does fall out and regrow because I can't really see any other way that he can return to eating solids.
 
Maybe query the vet about the effectiveness of trimming the bad one down? It's a quick procedure... we weren't 'clipped' but burred with something akin to a very tiny circular saw! The other one - the good one - should be enough to keep the pressure off it and stop the top ones growing too long. My vet said that actually one opposing incisor is effective enough to keep teeth normal - although you have to keep an eye on them just in case. At least you might then have a clue as to whether this front tooth issue is the key problem or whether the molar roots are the main thing for him.

Well done on all you are doing for him. It can be a long haul with a dental piggy. If you search the forum for threads about gaining weight you might find something about dry oats or grated sweet potato (I think?) that he might be able to have a go at. We also soaked some normal food pellets in water for Zara so she could slurp one or two up herself... messy, but she had a go.
 
Yeah, we've texted the vet to see if we could come in to get that incisor removed, fingers crossed he starts to chew a bit better after this op
 
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