Chronic Ulcerative Paradental Stomatitis (CUPS)

Is an extremely painful condition primarily seen in dogs. Dogs with CUPS usually have severe halitosis, drool excessively, have extreme oral sensitivity, and are reluctant to eat hard food or chew on toys.

It is characterized by “kissing lesions” of the inner cheek and lip mucosa and sometimes the edge of the tongue. These inflamed ulcerative lesions match up with the crowns of the teeth. There is an overreaction of the immune system where the mucosa makes contact with the plaque bacteria on the teeth. Over time this chronic overstimulation results in many painful, ulcerative lesions. So, plaque control is key.

Early the disease, frequent professional scale, and polish with diligent home care, including daily brushing, can control the lesions. The inflammation and ulcers will persist and worsen if either is stopped.

Teeth in the affected areas may have to be extracted if lesions are extensive, cannot be controlled with brushing, or brushing is not tolerated.