We have already explored the invisible causes of periodontal disease and identified the subtle signs needed for a proper diagnosis. Now, we turn our attention to the most critical phase: the cure.
While the redness may look like simple inflammation to the untrained eye, we know that Mr. Michael is masking significant discomfort. Here is a deep dive into how we properly treat the biology of a cat's mouth to stop the pain for good.

3. The Treatment (COHAT)
Veterinary dentistry is not just "cleaning"; it is oral surgery. A COHAT (Comprehensive Oral Health Assessment and Treatment) is used.
- Anesthesia is Mandatory: It is impossible to use sharp instruments and ultrasonic scalers on a moving target. Intubation protects the pet’s airway from inhaling bacteria-laden water and ensures they feel zero pain or anxiety.
- Ultrasonic Scaling: The calculus from under the gumline is removed, the area that causes the systemic damage.
- Surgical Extraction: Unlike human dentistry, where the teeth are tried to be saved at all costs with root canals and crowns, the goal in veterinary medicine is a pain-free mouth. If a tooth is loose, resorbing, or abscessed, extracting it provides immediate relief. Pets eat comfortably (often better!) without these painful teeth.