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Advanced Dental Disease & Infected Molars - Proceed with surgery or Humanely Euthanize?

melias

Junior Guinea Pig
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Location
Arizona, USA
Hello, I have a Guinea pig who has been diagnosed with dental disease/Malocclusion. She will be 5 years old this April 1st. This is her first time with dental issues (and experience for me as well as a GP owner). I am located in Arizona USA, and I use a Veterinarian that specializes only in exotics.

2 weeks ago, I realized there was something wrong with my girl when she would try to eat and then drop her food and she also had a runny right eyes. Took her to the vet, Dr. said her back molars are overgrown and will need to trim down the molars to fix the issue, under anesthesia. But before that happens, we needed to fix her URI as she was showing signs such as constant sneezing and watery/crusty eye (right side only).

My girl has had pneumonia in the past and has reoccurring URI’s.

Doctor put her on TMS (The pink stuff) and Meloxicam. She said as soon as her URI clears, she could do X-rays and fix her back molars under anesthesia.

3-4 days later, my girl ended up going from seeing minor signs of URI to super congested, and having thick cloudy white mucus discharge that was pretty stinky coming out of her right nostril.

Took her back, Dr. added Doxycycline for extra coverage. And at home i started nebulizing treatments with saline and gentamicin.

Her mucus seemed to clear after a few days doing the nebulizer.

Throughout out this whole time, my guinea pig has been eating 60-100ml of CC and she would eat soft veggies as long as I cut them very small and hand fed them to her.

She officially stopped eating any veggies I fed her 3 days ago.

Yesterday, February 11th…Seemed like her breathing/congestion was improving…when again…the thick stinky mucus on her right nostril came back. I was feeding her CC when I saw white stinky residue on her upper right cheek…between her eye and nose. Then I realized she had an abscess that burst. It was late at night so I cleaned it myself as best as possible and used antiseptic to clean the area. I’ve had guinea pigs with abscess before and normally they are visible so I know what they look like…but with this GP, I never noticed the abscess. She didn’t appear to have a bump in that area which is why I didn’t notice it, or the doctor.

Today I took her back to the vet so they can clean her abscess…but the Dr. suggested an X-ray to see what’s going on.

After viewing the X-rays she said that her dental disease is more advanced than she had thought. My girl was showing a root infection on her right side (2 molars) that has caused the abscess and erupted into her nasal cavity…and of course outside her cheek. That explained the sticky mucus coming out of her nostril. Dr. Also said that her molars are very overgrown to the point where trimming them may be difficult (but not impossible) and that she will always need to get routine molar trimming post-surgery for the rest of her life (that’s a possibility).

She suggested to change her antibiotics to Azithromycin to clear the infection on her molar and abscess. In addition to trimming down the molars, it’s possible that 2 molars will need to be extracted as last resort…but is not 100% certain until she’s under anesthesia to take a close look.

But based on the stage she is with her dental disease she said I have 2 options.

1. Proceed with trimming her back molars (possible molar extraction as a last resort based on the condition once she’s under or if the molars are loose). But being aware that she may not make it through the surgery and or post-surgery… as surgery is risky and there may be complications. Also that involves daily feeding of CC and most likely future trimmings for the rest of her life (if she survives)…not to mention the cost.

2. Humanely euthanize

My girl is no longer able to eat hay, pellets or veggies on her own and is fully dependent on CC. Yes she did loose weight overall.

Although My girl has dental disease, she is still able to clean herself, she’s mobile, walks around her cage, goes to the pellet bowl and I see her interested in trying to eat pellets…and hay. But she can’t. Her poops are slightly smaller but are improving each day. She LOVES critical care. I syringe feed her and she will eat 60-100ml throughout the day with no issues. Shows interest in eating. She’s also gained weight since our first vet visit 2 weeks ago.

Anywho, I need to make a decision as soon as possible before her condition progresses, but I’m torn.

Has anyone experienced something similar? What was the outcome? Positive or negative? I don’t want to give up on my girl but I also don’t want her to be in pain. Would this be a situation where euthanasia is the kindest thing I can do for her?

I do have other Guinea pigs I care for, I have dogs, and work full-time. But thankfully I work from home which allows me the flexibility to care for my animals. I know ultimately the decision is mine, but I am wondering if I could get some advice or hear from someone whose been in a similar situation.

Thank you!
 
I haven't been in this situation myself being fairly new to piggies. I wish you confort and peace of mind with whichever choice you make. I am interested to know whether a guinea pig can be kept healthy on mainly a diet of critical care if it transpires that her molar(s) are removed. It is a dilemma. Losing hay from her diet possibly means a remaining life time of tooth trimming. The infection might not clear without tooth extraction, but it might clear or clear enough for her to start eating hay and grass and possibly needing fewer tooth trims. Would she have enough molar teeth to start eating at least some hay and grass. Not an easy dilemma. I hope some people with experience come along. 🙏
 
Hello. I’m so sorry your piggy is so poorly.

I have experience of a piggy with a tooth root abscess. It was on his lower incisor and the large lump was under his chin.

He was only about 3 years old. He had the abscess drained and stitched open to drain. He was on a 6 week course of Zithromax. It completely stopped his appetite so he was completely syringe fed for about 8 weeks. He did make it though. His incisor did fall out a few weeks later as an abscess can damage the tooth.

Obviously your piggys abscess sounds a lot more serious than this. Also as it’s a molar that is infected, if it falls out, or is removed, the advice is that the other tooth that needs to grind against it will over grow and need further treatments.

I’m sorry I can’t help you make your decision. Sending you massive hugs. Maybe speak to your vet again about her quality of life.

I’m sorry. ❤️
 
I'm sorry, it's aa real humdinger you have there.

My rule of thumb is if they are clearly not happy more often than not, it's time to euthanise. That *usually* means not being able to do pig things: pootle, eat hay, enjoy veggies etc...

However, it sounds like Pig is doing really well on the emergency feeding. She clearly has aa zest for life and is motivated to keep going. It may be that she is well enough in spirit to take the surgery and recover. I haven't had experience of dental surgery of that intensity, so can't advise there. I think @furryfriends (TEAS) has the most experience of this of anyone and may have input.

If she and you are enjoying your time together, it is good to make the most of it, whatever the plan is. Hand feeding a compliant and content pig is a joy.

I would be tempted to switch to a critical care/ pellet mash blend (with probiotics if you aren't already) for a longer term feed. I find the pellets go through the digestive tract slower and help with weight sustainment.
 
I'm sorry your piggy has this difficult health problem.
If you haven't already, I would definitely start her on Azithromycin, it really is the best single thing for abscesses. It might take time, but it's better than other usual antibiotics, though it can affect the appetite so probiotics are a good thing to add to the diet to mitigate that.

The cost of surgery has become pretty horrendous here in the UK, it must be even worse in the US, so I don't think anyone here would criticise you if you opted for palliative care and/or euthanasia partly due to the cost of surgery. If you did decide on surgery though, while she is still eating well etc, and it didn't work out, you would have given her the chance, and also spared her from suffering later.

It's a difficult decision to make but neither is wrong if it is made out of love and with her best interests in mind. :hug:
 
I haven't been in this situation myself being fairly new to piggies. I wish you confort and peace of mind with whichever choice you make. I am interested to know whether a guinea pig can be kept healthy on mainly a diet of critical care if it transpires that her molar(s) are removed. It is a dilemma. Losing hay from her diet possibly means a remaining life time of tooth trimming. The infection might not clear without tooth extraction, but it might clear or clear enough for her to start eating hay and grass and possibly needing fewer tooth trims. Would she have enough molar teeth to start eating at least some hay and grass. Not an easy dilemma. I hope some people with experience come along. 🙏
Thank you for your reply. Tomorrow I have a vet appointment and I will ask all these questions (such as future tooth trimming, eat hay on her own) and talk about her quality of life. That should help me make a decision. I would hate for my piggie to dependent on critical care for the rest of her life. That wouldn’t be fair for her. I should have more clarity tomorrow 🙏🏻❤️
 
I'm sorry your piggy has this difficult health problem.
If you haven't already, I would definitely start her on Azithromycin, it really is the best single thing for abscesses. It might take time, but it's better than other usual antibiotics, though it can affect the appetite so probiotics are a good thing to add to the diet to mitigate that.

The cost of surgery has become pretty horrendous here in the UK, it must be even worse in the US, so I don't think anyone here would criticise you if you opted for palliative care and/or euthanasia partly due to the cost of surgery. If you did decide on surgery though, while she is still eating well etc, and it didn't work out, you would have given her the chance, and also spared her from suffering later.

It's a difficult decision to make but neither is wrong if it is made out of love and with her best interests in mind. :hug:
Thank you for your reply. She started Azithromycin 3 days ago, and I also give her probiotics for her tummy. Surgery is definitely expensive here in the US…I was quoted surgery would be between $1,600 - $2,300 usd. That’s a lot of money. Tomorrow I have a vet appointment and I will ask all these questions more questions and talk about her quality of life. That should help me make a decision. I would hate for my piggie to dependent on critical care for the rest of her life. That wouldn’t be fair for her. I should have more clarity tomorrow 🙏🏻❤️ Thank you!
 
Hello. I’m so sorry your piggy is so poorly.

I have experience of a piggy with a tooth root abscess. It was on his lower incisor and the large lump was under his chin.

He was only about 3 years old. He had the abscess drained and stitched open to drain. He was on a 6 week course of Zithromax. It completely stopped his appetite so he was completely syringe fed for about 8 weeks. He did make it though. His incisor did fall out a few weeks later as an abscess can damage the tooth.

Obviously your piggys abscess sounds a lot more serious than this. Also as it’s a molar that is infected, if it falls out, or is removed, the advice is that the other tooth that needs to grind against it will over grow and need further treatments.

I’m sorry I can’t help you make your decision. Sending you massive hugs. Maybe speak to your vet again about her quality of life.

I’m sorry. ❤️
Thank you for your sharing your experience with your piggie. I’m sorry he went through that, sounds painful. Was he able to eat normal after his incisor fell off? Did the abscess return?

Tomorrow I have a vet appointment and I will ask many questions and talk about her quality of life. That should help me make a decision. it’s definitely difficult 🙏🏻❤️
 
Thank you for your sharing your experience with your piggie. I’m sorry he went through that, sounds painful. Was he able to eat normal after his incisor fell off? Did the abscess return?

Tomorrow I have a vet appointment and I will ask many questions and talk about her quality of life. That should help me make a decision. it’s definitely difficult 🙏🏻❤️
No it didn’t return thank goodness. He managed fine afterwards. Good luck at the vets.
 
So sorry that you are in such a difficult situation.
I have no advice to offer but I am holding you in my heart ♥️
 
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