ASK THE VET: Cat dental X-rays can rule out pain as reason for odd chewing habit

2021-12-23 07:49:58 By : Mr. Joy Kenix

Q: Penny, my middle-aged indoor cat, chews her dental treats only on the left side of her mouth. Is this normal?

A: I confess that I've never observed my cats or dogs closely enough to know whether they chew on one or both sides of the mouth. Nor have I heard this topic discussed at veterinary conferences. So, I consulted two renowned veterinary dentists.

Both said that no research has been published on whether pets without oral pain chew on only one side of the mouth, so neither veterinary dentist could answer your question.

It's certainly possible Penny is chewing on her left because she has pain on the right side of her mouth, perhaps from tooth resorption, a fractured tooth or a tooth root abscess. To find out, I recommend you make an appointment for dental radiographs, sometimes called X-rays.

Since they will require anesthesia, your veterinarian can clean and polish Penny's teeth at the same time. If she has a dental problem, your vet can treat it while Penny is anesthetized.

I often find myself chewing on the left side of my mouth, even though the right side doesn't hurt. So, I looked into your question as it relates to humans, thinking it might help me understand pets' chewing behavior.

A study published in the Journal of Oral Rehabilitation showed that many humans chew on one side of the mouth, the side with the weaker, less stable temporomandibular joint, or TMJ. Sure enough, my left TMJ has always popped and clicked, though it causes me no discomfort.

Of course, the human mandible is capable of vertical and horizontal movement, while cats and dogs chew vertically, so perhaps their TMJs are inherently more stable than ours. Until research answers your question, it's best to rule out mouth pain as a reason for Penny's one-sided chewing behavior.

Q: My shih tzu Luna has a red mass at the inner corner of one eye. Her groomer called it a cherry eye and recommended she see her veterinarian for surgery. What is a cherry eye?

A: Cherry eye, known formally as prolapsed gland of the nictitans, is a round, red mass that appears suddenly at the lower inner corner of a dog's eye. The condition is not painful.

The nictitans, also called the nictitating membrane or third eyelid, protects the eye and holds a tear gland that produces one-third of the eye's tears. You've probably noticed Luna's nictitans slide up over her eyeball as she gets sleepy, before her outer eyelids close.

In some dogs, the tear gland is poorly anchored on the nictitans, so it prolapses, or pops up and out of its normal hiding place. This exposes it to the air and compromises its blood supply, causing the gland to become inflamed and look like a cherry.

Predisposed breeds include the beagle, bloodhound, Boston terrier, cocker spaniel, English bulldog, French bulldog, Lhasa apso, Pekingese and shih tzu. Most affected dogs are less than 2 years old.

The most effective treatment is surgical replacement of the gland back into its proper position. Ask your veterinarian not to cut off the tear gland, because that procedure often causes dry eye, a painful condition marked by decreased tear production that threatens vision and requires lifelong medication.

Untreated cherry eye can lead to the inability to completely close the eyes, dry eye, chronic inflammation and secondary bacterial infection. So, consult your veterinarian soon about surgical repair.

Lee Pickett, VMD, practices companion animal medicine in North Carolina. Contact her at

Print Headline: One-side chewer needs X-ray for an explanation

Copyright © 2021, Northwest Arkansas Newspapers LLC. (NWA Media)

This document may not be reprinted without the express written permission of Northwest Arkansas Newspapers LLC. Please read our Terms of Use or contact us.

Material from the Associated Press is Copyright © 2021, Associated Press and may not be published, broadcast, rewritten, or redistributed. Associated Press text, photo, graphic, audio and/or video material shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium. Neither these AP materials nor any portion thereof may be stored in a computer except for personal and noncommercial use. The AP will not be held liable for any delays, inaccuracies, errors or omissions therefrom or in the transmission or delivery of all or any part thereof or for any damages arising from any of the foregoing. All rights reserved.