Feline tooth resorption in a case-control study based on a subpopulation of 944 dentally examined cats from a Finnish questionnaire survey of over 8000 cats

Tooth resorption (TR) is one of cats most common dental diseases. It is a painful condition characterized by progressive dental destruction, which eventually results in loss of teeth. The aetiology of the TR remains unclear, but associations with old age, breed, other oral and dental diseases, and certain environmental factors have been suspected. In our study, we used part of the data from the extensive feline health and environmental survey of 8115 Finnish cats collected through an online survey targeted at cat owners. We aimed to investigate the characteristics of cats having TR and to study risk factors for TR. Because TR is difficult to detect and, in addition, the feline health survey was very comprehensive and included diagnoses defined by both veterinarians and owners themselves, we limited our study to a subpopulation of cats diagnosed with oral or dental disease by a veterinarian and undergone dental examination or surgery under sedation (n=944). The frequency of veterinary-diagnosed TR was 3.9% in the entire health survey data (316/8115) and increased to 21% in the subpopulation of veterinarian-diagnosed and sedated cats (202/944). We utilized case-control multivariable logistic regression in this subpopulation to determine the risk factors and breed variation of feline TR. The 202 cats diagnosed with TR were defined as TR cases and the 742 cats without TR diagnoses served as controls. Results indicate that the risk of TR increases with age. Dental calculus, gingivitis, and periodontitis were associated with TR. These findings and the interaction of dental calculus with gingivitis and periodontitis might suggest that inflammatory changes caused by dental calculus increase the risk of TR. We found Cornish Rex, European, and Ragdoll at higher risk for TR. Exotic-Persians had lower risk, and Turkish van and Devon Rex had no TR. The observed differences between breeds highlight a genetic contribution. In addition, female cats that had food available constantly had significantly less TR than female cats that had feeding times. The underlying influential reasons for this result remain unexplained in our study.