Exploring dental care for pets
Posted: Monday, January 28, 2013 12:00 am
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Updated: 6:38 am, Mon Jan 28, 2013.
Q: Why does my dog’s breath stink?
A: Most odors from a dog’s mouth come
from periodontal disease and bacteria in the mouth. Plaque and tartar
build up along with inflammation cause periodontal disease (the
periodontium includes the bone, connective tissue, and gingiva which
surrounds and supports a tooth).
Please have your pet examined
by your veterinarian to determine the cause of bad breath, but often it
is some form of dental disease. Since most dogs don’t get their teeth
brushed daily, plaque and tartar accumulate quickly. Unhealthy gums
(gingivitis) can also result from lack of brushing. Once the gums are
inflamed, it is often appropriate to perform a dental prophylactic
cleaning under anesthesia.
There are several stages of
periodontal disease, from Stage 1 (the most mild) to Stage 4 (the most
severe). Dental disease affects more than just the teeth and gums.
Over time, bacteria accumulate in the mouth along the gum-line, where
they enter the bloodstream.
Once enough bacteria are
present in the bloodstream they begin to cause systemic damage,
affecting the liver, kidneys and heart.
Bacteria in the bloodstream
can also cause sepsis (generalized invasion of the body by pathogenic
microorganisms). Obviously, an additional concern is tooth loss and
pain associated with dental disease. These conditions can take years
off your pet’s life. Most studies show that 80% or more of all adult
dogs have periodontal disease and at least 70% of all cats have some
form of dental disease.
Dental disease is easily treated if done at the appropriate time.
A dental prophylaxis
performed at periodontal disease stage 1 or 2 can help ensure that your
pet will not suffer any of the aforementioned conditions. Once your pet
has reached periodontal disease stage 3 or 4, irreversible damage may
have already occurred and extracting teeth may be the only option to
maintain your pet’s oral health.
Dental extractions are uncomfortable for the patient and can be financially costly for their owners.
Therefore, detecting
periodontal disease early and treating early with a prophylactic
cleaning are important.
Q: What happens during a dental cleaning?
A: At Clevenger’s Corner
Veterinary Care, we recommend pre-anesthetic blood work to detect any
underlying disease that may affect our anesthetic protocol. Your pet
will be under full anesthesia, while being monitored by a trained
technician as well as monitored by pulse oximetry machines and Doppler
blood pressure. Core body temperature, heart rate and respiratory rate
are also monitored.
Our patients all receive IV
fluid support during the dental prophylaxis. The oral cavity will be
examined closely for any unusual discolorations or masses. The teeth and
gums will be evaluated to determine the degree of dental disease. The
teeth will be checked for fractures, pulp exposure, irreversible gum
recession, cavities and abnormal wear. The tartar will be removed using
an ultrasonic scaler as well as hand scaling instruments by a licensed
veterinary technician.
Using special curettes, the plaque, tartar and bacteria will be removed from the tooth surfaces as well as under the gum line.
At this stage of the
procedure, the doctor will determine if the patient would benefit from
additional therapy such as extractions or special antibiotics applied
directly under the gum line.
Finally, the teeth will be polished and fluoride applied to help prevent re-accumulation of tartar and bacteria.
If necessary, the patient will go home with pain medication and/or antibiotics.
After a dental prophylaxis,
it is important to follow up with home care. There are several options
including brushing (the best), oral rinses or water additives, and
special dental chews.
(NOTE: We also follow the same protocol at Niles Animal Hospital, presurgical bloodwork, surgical monitoring by a certified veterinary technician, and thorough cleaning.prophylaxis.)
It is also quite possible that your pet may need an additional dental prophylaxis in the future.
Hopefully with diligent home care we can increase the time between professional cleanings.
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