Can a rat molar tooth be pulled?

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racehorse87

Member
Joined
Sep 7, 2010
Messages
7
Location
Montreal
My 21 month old rat has an abcess on her face and the vet believes that it is due to the molar tooth. She told me that the tooth can't be pulled because it is too far back. Is this true? Is it possible to pull the tooth?

Also, has anyone had good recovery in a rat of this age with facial abcesses?
 
Yes the molar can be removed, but obviously your vet is not comfortable or competent to do this procedure. You might want to check with our member victoria on which vets are able to do this surgery.
 
I know Victoria's vet is now on the south shore of Montreal and is away for 2 weeks (paternity leave). My vet is downtown - Montreal Birds and Exotic Animal Hospital - and if you want a second opinion, see Dr Beaulieu. She is the most experience there and I trust her with all of my furry lives.
 
My rat situation is a bit complicated because they live with my parents in Canada, while I am in Scotland now. I didn't know that I would be moving when I got them and I would have liked to bring them with me, but as far as I understand it, that is essentially impossible. :(

I had been bringing my rats to the Montreal Birds and Exotic Animal Hospital, although I'm not sure which vet. Yesterday my parents brought Roxie to the Animal Hospital in Pierrefonds because it is a lot closer to where we live. When they were there, they talked to Dr. Laplante, who specializes in exotics.

Roxie is 21 months and developped an abcess on her neck about 3 weeks ago. I had this drained and cleaned at the Birds and Exotic Animal Hospital. My mom continued to clean it and keep it open so it could heal from the "inside out". Then she developed another abcess on her cheek, which has been interfering with her eating. She's been on soft foods now for a couple of weeks.

This is the report from my mom on her visit to the Birds and Exotic Animal Hospital:

Roxie likely has abscesses because of her molar teeth. Molar teeth in rats can't be pulled because they are too far back in the mouth and are not accessible. She tried very hard to see Roxie's back left molar but had difficulty because of the abscess and excess of saliva. The vet gave an estimate of about $400 to lance the abscess, trim her teeth and a stronger antibiotic and culture. She wouldn't have to do the culture, which costs $110, and just give her a stronger antibiotic. Roxie would need her teeth trimmed every two weeks. The vet suggests because of Roxie's age and that rat abscesses like this can be treated at great expense but not cured, that we consider putting Roxie to sleep. She tried putting a needle into the abscess but the pus is very hard so didn't come out, which is usual in rat tumors. The doctor said rat tumors almost always have to be lanced and drained - which involves sedation, half a day at the clinic to make sure they recover from the procedure, etc.

Lancing the abscess would relieve the pressure for now but not cure the problem. She would be put on another antibiotic to try to deal with the infection because the one she is on is not working. The one she is on is usually effective for these types of problems. She would likely be on antibiotics continuously which isn't good for a rat. She would have to be brought in to have her front teeth shortened every two weeks - which the vet said would be too much stress. She would need to be sedated to shorten her teeth using a drill (which is the better way to shorten teeth so they don't splinter - Roxie wouldn't let the vet use the drill last night without being sedated so she snipped off the extra long teeth which is more likely to cause splinters). Being sedated so often is not good for her and being continuously on antibiotics isn't good. She said it is more humane to put her to sleep as she would be under a lot of stress for treatment and may not have a good, pain free quality of life under continuous treatment. She also said the expenses would run up very fast. She said she believes in doing what is best for the rat and not doing every type of intervention possible if it does not give the rat a reasonably comfortable life. She checked Roxie's breathing and said her lungs sounded good now. She said most pet rats only live 2 to 2 1/2 years and Roxie is almost 2 already.

(I checked and they would be able to do this first by using inhaled anesthetic and then by lethal injection, which I think is probably the most humane way).

Any thoughts? I am hesitant to put Roxie to sleep, but it sounds pretty grim.
 
If she were mine, I would probably try a stronger antibiotic for a couple of weeks while trying to keep flushing it at home. That would be the extent of what I would do.
My sister had a girl with a tooth abscess. Tanzie had her molars and incisor removed. That rat was in extreme amount of pain before, during and after the procedures. She needed a few more drainings from the vet and finally my sister decided she could no longer continue Tanzie's suffering. She was pts. I would never do that to a rat again. That's my personal experience. Others may have brighter outlooks.
 
Dr. Laplante is one of the vets in town that's recommended for exotics but I know from my volunteer work at the SPCA that she is not doing surgeries right now, at all, and there are no other exotic vets at the clinic. Is the report you quoted from Pierrefonds or the Montreal Bird and Exotic Animal Hospital?

Jaw and tooth abscesses are notoriously hard to treat but I know in rabbits they can do surgery to remove them but even then it is very expensive and the success rate isn't great. A culture would likely not be very effective and a waste of money since anaerobic bacteria often does not grow on the mediums they use in many clinics.

Metronidazole and Baytril would be a good starting point for antibiotics if she's not already on them, I've had decent results with rats with nasty abscessed tumours, and an anti-inflammatory like Metacam to help her with the pain and swelling. I really don't agree with the statement about rats being on antibiotics the rest of their lives - I've had several rats on antibiotics long term (longer than 6 months) and it really helped them and improved their quality of life. It can damage their liver but I haven't seen evidence of that in my experiences and really... is trying not better than the alternative?
 
If the molar can be extracted, then I would do it. (Check with the other vets recommended.)
If the offending tooth cannot be extracted, then I would have her PTS. If you do not remove the cause of the infection, it will never go away even with antibiotics.
Good luck....
 
victoria said:
I really don't agree with the statement about rats being on antibiotics the rest of their lives - I've had several rats on antibiotics long term (longer than 6 months) and it really helped them and improved their quality of life. It can damage their liver but I haven't seen evidence of that in my experiences and really... is trying not better than the alternative?

I want to further this statement with our experience. We've had several rats on long term meds, I'm talking 2 years on meds and a postmortem showed absolutely no ill effect of the organs. This was with a handful of rats.
 
I talked more with my parents today and I think we will have to have Roxie PTS. It really seems to be a molar-related problem as the first abscess was right on the chin under the jaw and the new one is right beside the tooth. Plus, she has mycoplasma which has been acting up due to the stress of having the first abscess cleaned several times a day. I feel like trying to fight this would definitely be a losing battle.

If I was there in person and could do all of her nursing and care, then I would be more inclined to take the hard road and give it a go because it would be my time and energy going into Roxie, but I don't think I can ask my parents to do that. They aren't able to sustain the level of care that they've been giving her anymore. (My mom was off work for the past few weeks and could take care of cleaning Roxie's abscess and checking on her very often, but now she has to go back to work)

It's really sad because Roxie's such a sweetie, but I am starting to think that Dr. Laplante may not be so wrong. :(
 
I'm sorry... reading this whole thing through and considering your situation, I agree this is most probably the best road for you to take. She is in pain and there are never any garantee with surgeries. It's such a sad thing you have to be so far away and having to make such a heartbreaking decision... :hugs:
 
jorats said:
victoria said:
I really don't agree with the statement about rats being on antibiotics the rest of their lives - I've had several rats on antibiotics long term (longer than 6 months) and it really helped them and improved their quality of life. It can damage their liver but I haven't seen evidence of that in my experiences and really... is trying not better than the alternative?

I want to further this statement with our experience. We've had several rats on long term meds, I'm talking 2 years on meds and a postmortem showed absolutely no ill effect of the organs. This was with a handful of rats.


I have a boy that is permanently on clavamox, been on it for a little over a year, and the only thing stopping him is his HUGE tumor. But I'm sure that's nothing to do with the clavamox. I also had a boy on Zithro/baytril combo for chronic pneumonia for over 6 months, no ill effects as well. So I'll second Jo.
 

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