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Dental Disease in Dogs and Cats
By: Brent D. Brewer, BVetMed, MRCVS
Has your vet mentioned that your dog or cat is in need of a dental cleaning? Have you noticed your pets suffering from bad breath or dark, discolored teeth? Before you dismiss the idea of dental care for your pets, consider this: many of the diseases of “old age” in dogs and cats can be traced back directly to chronic infections in the mouth, including heart valve disease, kidney failure, liver failure, and bone/joint disease. There are approximately one-trillion bacteria living in just one gram of tartar in your pet’s mouth. As the plaque and tartar build up, small amounts of bacteria are shed into the bloodstream. They don’t cause problems right away, but gradually settle throughout the body and in all the major organs leading to a slow, progressive damage. In fact, dental disease is the number one most common disease condition is dogs and cats, affecting 95% of these pets at some point in their lifetime, often more than once. In the last ten to fifteen years, the significance of dental disease has been a lot more closely studied in small animal medicine, and made a real priority in their care.
When your pet eats, trapped food particles stuck between the teeth are digested by bacteria to form plaque, a yellow, sticky coating for the teeth. As the plague continues to build, then gums become inflamed and infected, a condition known as gingivitis. This is seen as redness, and occasionally bleeding along the gum line above the teeth. With time, the plaque eventually hardens to form tartar which holds the bacteria to the surface of the teeth and pushes it under the gum line. This deeper infection of the teeth, their roots, and the gums is known as periodontal disease. It can progress to loss of the infected teeth, bone around the teeth being dissolved, and bacteria being shed into the bloodstream to spread throughout the body.
Smaller dogs and cats tend to build up tartar on their teeth at a faster rate than large dogs. In addition, pets eating exclusively hard food have less plaque build up than pets eating any canned food or table food. Once the plaque on the teeth has hardened and formed tartar, simple brushing cannot remove it, and your pet has progressed to the point of needing a dental cleaning from your veterinarian. More severe disease can often be recognized by bad breath, bleeding or redness along the gums, drooling or excessive licking behavior, soreness around the face or muzzle, or occasionally pus noted around the teeth. These patients may be in need of urgent veterinary attention.
Dental cleanings at your veterinarian generally include: Scaling the teeth (Including below the gum-line), probing around all the teeth to check for pockets of infection, polishing the teeth to help prevent further buildup of plaque, repair or removal of damaged teeth, the application of sealants or barriers to the teeth, and often antibiotics to treat infection. Be wary of “dental cleanings” done by groomers, boarding facilities, or other non-veterinary care facilities. Despite their relatively low cost, and likely best of intentions, they are either just brushing the teeth, which as discussed, will not remove tartar and infection, or just chipping the tartar off the teeth which at best leaves infection under the gum line and roughens the surface of the teeth making tartar build up even faster, and at worst can severely damage the teeth. A thorough dental cleaning should be done by a professional and generally requires anesthesia to perform adequately and safely.
A more important aspect of dental disease, however, is prevention. This can range from brushing your pets teeth daily with a soft-bristled toothbrush (With pet approved toothpaste only…..the fluoride in our toothpaste is dangerous dogs and cats), to oral rinses, to chews and toys designed to help clean your pets teeth, even to diets specifically designed to help remove and prevent plaque. These preventatives, done as infrequently as once or twice a week, can greatly prolong the time between needed dental cleanings at you veterinarian, occasionally even eliminating them. This not only saves hundreds of dollars for you, but means less need for anesthesia in your pets and helps them live longer and healthier lives. Let us answer any questions you may have and help you plan a dental care routine for your pets today.
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