【Dr. Chen Talks About Teeth and Oral Cavity - New Approach to Treating Feline Chronic Gingivostomatitis (FCGS): Mucogingival Replacement Surgery (MGRS)】

Current veterinary dental treatments for Feline Chronic Gingivostomatitis (FCGS) primarily focus on symptom control, including:
★Internal medications: Steroids, antibiotics, analgesics, immunosuppressants (such as cyclosporine), lactoferrin, interferon ω, 1-TDC (1-tetradecanol complex), and more.
★Surgical procedures: Current surgical approaches for FCGS often involve partial or full mouth extraction.

These methods share a common goal: attempting to improve inflamed and swollen gingiva and oral mucosa. However, they encounter various challenges, such as individual variations in drug effectiveness, development of drug tolerance with prolonged use, and medication side effects. The commonly used surgical method, tooth extraction, proves ineffective in about 20-30% of cats. Even if symptoms improve, incomplete mouth closure resulting from tooth extraction can lead to insufficient saliva moisture in the oral cavity, creating conditions that may trigger a recurrence of gingivitis. Therefore, I believe that when existing methods face difficulties, a change in treatment approach is necessary for a chance at overcoming these challenges.

I employ an innovative approach called “Mucogingival Replacement Surgery (MGRS)”, which differs conceptually from current internal medicine approaches. This method, drawing on techniques from both veterinary and human dental surgery, reverts to surgery as the primary treatment for FCGS: removing inflamed gingiva and oral mucosa to allow healthy tissue to regrow. The entire process involves repeated use of:

●Gingivectomy

●Ablation Therapy

●Periodontal Flap Surgery

By employing these surgical techniques, inflamed overgrown gingiva and oral mucosa are removed, allowing new tissue to cover the affected area. This is accompanied by the use of antibiotics and pain relievers to control infection and pain. The entire treatment may take several months to over half a year, during which adjustments are made based on individual differences and treatment progress. Once the course is completed, the cat's gingiva and oral mucosa will no longer be inflamed or ulcerated, and there will be no need for prolonged administration of various medications.

After completing MGRS, it is recommended that owners continue daily tooth brushing for their cats, schedule regular dental scaling and check-ups, and maintain overall oral hygiene. Ongoing regular care is crucial to ensuring the cat maintains a high quality of life.

After undergoing 7 months of Mucogingival Replacement Surgery (MGRS) performed by Dr. Chung-Wei Chen on October 12, 2019, the oral inflammation and swelling in the cat's mouth have nearly completely disappeared. There is no longer a need for any analgesics or antibiotics. We continue to monitor the cat's progress.

HelloPeter Veterinary Hospital
Director ｜Dr. Chung-Wei Chen (Dr. Richard Chen)
Column: 【Dr. Chen Talks About Teeth and Oral Cavity】www.hellopeter.com.tw/contents-3.html

（04）2472-8828

Address: No. 29, Sec. 2, Dongxing Rd., Nantun Dist., Taichung City 408, Taiwan

Official Website: www.hellopeter.com.tw

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