Healthcare
Dentistry
Oral health is one of the most important aspects of pet care in dogs and cats. Dental disease affects the tooth crown and roots. Periodontal disease affects the structures around the tooth. These structures are the gingiva (gums), periodontal ligament (the ligament that holds the tooth in position in the jaw), and alveolar bone (the bone of the tooth sockets and the jaw). Dental disease and periodontal disease affects 85% of dogs and cats over the age of 3.
Periodontal disease all begins with the formation of plaque in the mouth. Plaque isn’t visible to the naked eye, and it is formed from food particles and bacteria mixed with saliva. Plaque attaches to the tooth surface, and can be removed from the tooth by brushing or chewing. If plaque is not removed adequately and regularly, then the bacteria in the plaque start to cause inflammation of the gingiva, causing gingivitis. Over time the plaque starts to mineralise into calculus and tartar, which cannot be removed by brushing or chewing and continues to harbour bacteria.
If gingivitis is not managed and treated, then the inflammation and infection progresses and starts to breakdown other periodontal structures, which will eventually lead to teeth falling out. This is a painful process, and can have significant implications for overall health, often shortening the lifespan of our beloved companions.
The inflammation first affects the gingiva, and can lead to changes in its structure allowing more bacteria under the gum. As bacteria infect the tissue under the gum, it starts to break down the periodontal ligament that holds the tooth in position. This allows more bacteria to extend into the socket of the tooth, and come in contact with alveolar bone. The infection then eats away at bone, causing loss of important structures of the jaw. The bacteria infecting the periodontal structures will also enter the blood stream, which can lead to bacterial endocarditis (infection of the heart and valves), liver infections, and damage to the delicate structures of the kidneys.
There are some factors which may cause Periodontal Disease to develop more quickly in some individuals, such as:
- Overcrowded teeth
- Abnormal jaw occlusion (e.g. under bite or overbite)
- Retained baby teeth (deciduous teeth)
- Long hair around the mouth
- Predominantly soft food diet
- Immune suppression
- Abnormal saliva enzymes in certain breeds or individuals (e.g. Maltese Terriers and Greyhounds)
Initially, Periodontal Disease might not be visible if it is plaque only. Once the plaque starts to create gingivitis and calculus then we can start to see the signs.
Some owners may look at their pet’s teeth at home, and see the visible signs of Periodontal Disease.
Others first notice the early signs such as bad breath (halitosis), which is produced by oral bacteria. Some people notice a change in their eating habits, reporting that their pet chews on one side of their mouth, prefers wet food to dry food, or resents their mouth being touched. These can be signs of oral pain in some animals.
Many owners report that their pet “doesn’t seem painful because they are still eating”. Periodontal disease is painful, but many animals won’t show obvious signs of oral pain and will continue eating, even with severe oral disease. Almost every vet will tell you that they have seen many cases of horrific dental and periodontal disease in dogs and cats that are still eating. In those cases, once the dental and periodontal disease is treated, many owners will later say that their pet is suddenly livelier and more playful. We know from human dentistry that dental and periodontal disease is painful, and we determine the same to be true for our four-legged friends.
Periodontal Disease is graded on a scale of 1 to 4, with 1 being the lowest grade.
Grade 1 Periodontal Disease
Plaque will be present, and early signs of tartar may be developing on the teeth. The gingiva may be starting to become slightly red and slightly swollen with mild gingivitis. This level of Periodontal disease is often reversible with appropriate homecare and management.
Source: Olney-Sandy Spring Veterinary Hospital
Long-term control and prevention of dental disease requires regular home care. The best way to begin this is to acclimatise your pet from a young age. Dental home care may include:
Brushing Teeth Daily
Just like us! This is the best form of dental hygiene. Pet toothbrushes and toothpaste are now available. Please do not use human toothpaste formulas as they are not designed to be swallowed and may be toxic to your pet.
Teeth Friendly Chews and Toys
Use dental toys, enzymatic chews, or teeth cleaning biscuits, all of which may help keep the teeth clean.
Special Dental Diets
Feed pets special dental diets. This can help reduce the accumulation of tartar.
As with most things in life, when it comes to dental disease, prevention is definitely better than cure. Regular and frequent attention to your pet’s teeth may avoid the need for a professional dental clean under anaesthetic, and will also improve your pet’s overall health.
At North Maclean Family Vet, we offer COMPLIMENTARY dental checks all year round, by our team of qualified nurses, to help you create a management plan suited to your pet. Ask us about our wide range of dental preventatives!
It is similar to a scale and polish done by a dentist for us, however, unlike us, our pets won’t sit still or open their mouth to allow a comprehensive examination or cleaning of their teeth. For this reason our pets need to have a general anaesthetic for a professional dental assessment and clean. Your pet will need to be assessed by one of our veterinarians. The degree of dental disease will be assessed to determine what type of treatment is required.
Feline Oral Resoprtive Lesions (FORLs)
Feline Oral Resoprtive Lesions (FORLs)
If you have any questions about dental care or professional cleaning please do not hesitate to contact us on (07) 3297 0803