Dental Disease in Dogs

Of all dogs 2 years old or more, 80% have some form of dental disease, and veterinarians say that periodontal disease is the number one diagnosed condition in pets today.

When Marlene King’s two dogs fought over a bone one night, she had to rush her eldest pet, 14-year-old cocker spaniel “Toby” to the veterinary emergency hospital. She knew that Toby would have to have a few stitches for the bite wounds on his face, but she was shocked when the emergency veterinarian was more concerned about the severity of Toby’s dental disease.4pd Dental Disease in Dogs

“The veterinarian was much more worried about the infection in Toby’s mouth. One of his big canine teeth had been knocked out in the fight and if we didn’t do gum surgery to repair the hole, he would always have severe sinus infections. Because Toby’s gum disease was so advanced, the doctor was worried about the chances of the surgery healing. I never knew that dental care was that important.”

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Dental care of dogs and cats is one of the most commonly overlooked areas of pet health care. Approximately 80% of all dogs and cats have periodontal disease by the time they are only two years old. Dental disease affects much more than fresh breath. It frequently leads to more serious health problems such as liver, kidney and heart disease. That’s why more veterinarians are not just treating dental disease, but taking new steps to prevent it. A major step in this process is encouraging owners to participate in their pet’s oral health at home.

Periodontal disease in pets is the same as it is in people. It’s a sneaky and insidious process that begins when bacteria in the mouth attach to the teeth and produce a film called “plaque”. When the bacteria die, they are calcified into “calculus” commonly known as tartar which makes a rough surface for even more bacteria to stick to. In the beginning, plaque is soft and can easily be removed by brushing or chewing on appropriate toys or treats. But if left to spread, plaque leads to gum inflammation (called “gingivitis”) and infection. Eventually, the infection spreads to the tooth root and even the jaw bone itself – causing pain and tooth loss.

The American Animal Hospital Association recently devised new guidelines for veterinarians in order to highlight the need for more professional oral hygiene care for pets. The organization stressed the necessity of going beyond the traditional “scraping the surface” of routine dental cleanings, known as “prophies”. Veterinarians are encouraged to teach owners the importance of good oral hygiene when puppies and kittens are only a few months old in order to begin a lifetime of healthy benefits that go far beyond sweet smelling kisses.

Dr. Johnathon R. Dodd, DVM, DAVDC, of the Animal Dental Clinic in Austin, Texas is a big proponent of dental health awareness and says, “The bottom line is that periodontal disease is extremely aggressive…it is a disease of neglect.”

Unfortunately, good oral health care hasn’t been an important part of the veterinary school curriculum until recent years. Many veterinarians simply were not taught the serious health consequences of untreated dental disease. But research proves that unchecked dental disease can be the root of other problems. Seminars and workshops at the Western Veterinary Conference, the largest educational conference for veterinarians, are filled to capacity by veterinarians learning good preventative dentistry and oral surgery.

Marlene King was fortunate that Toby’s emergency doctor had a special interest in veterinary dentistry, and had learned new dental procedures at a recent conference. “Toby had x-rays of his mouth and we found out that he actually had several abscessed teeth which the vet removed. Toby had been eating more slowly for several months and I thought it was just a part of old age. Now I know that he was probably in pain every time he ate.”

A recent roundtable discussion between veterinary dental experts shed even more light on the impact that good preventative dentistry plays in a pet’s life. They strongly recommend daily dental care for pets and twice yearly mouth exams beginning when puppies and kittens are two months old. And while that schedule may seem too complicated for some pet owners, dental specialists, veterinary supply companies have developed products that will help pet busy owners put some bite into home dental care for their pets.

A recent development that goes beyond good veterinary and at-home care, is the actual prevention of plaque using a barrier sealant gel. This is applied by the veterinarian and continued at home by the pet owner. Called OraVet®, this system is the first method used by veterinarians to create a physical barrier that reduces bacterial plaque adhesion above and under the gum lines. It is applied at home only once a week after the initial hospital application.

Marlene has learned how to easily clean Toby’s mouth on a regular basis in order to keep him healthy and to prevent his mouth from getting infected again. She began using the new plaque prevention system. “It’s not that expensive, it’s easy to do, and Toby likes the attention. And he gets special treats that actually help clean his teeth as well.”

It’s important for all pet owners to know that pets can lead longer and healthier lives with good dental care. In fact, studies show that proper dental care can extend a pet’s life by as much as five years! Ask your veterinarian about good dental care for your special furry friend. For more information on veterinary dentistry, visit www.oravet.com.

Debra Garrison, DVM

Animal ER – Ready When You Need Them!

er Animal ER – Ready When You Need Them!

From the worried looks in the waiting room to the sighs of relief in the recovery ward, this hospital was no different from any other hospital preparing for another long night. Surgical packs were ready, nurses were soothing frantic patients, and doctors were doing their best to save lives. The only difference…this is the Animal ER!
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An unexpected illness of her pet was the farthest thing from Heather’s mind when she woke up that morning. Cooper, her 2 year old Great Dane, was acting a bit sluggish and wasn’t interested in his food. When she arrived home that night, she found Cooper in his kennel, depressed, painful abdomen and sort of choking. Luckily, Heather knew a place where her pet could get immediate medical attention at any time.

Emergency care for pets has certainly evolved over the last several decades. Baby boomers might remember when local veterinarians shared emergency duty, taking calls through all hours of the night and early morning. More recently, dedicated emergency clinics were opened and pet owners had access to these during nights and weekends when the regular veterinarians were closed. The most recent rendition of the emergency hospital for pets though, is actually very difficult to distinguish from its human counterpart.

Emergency centers and 24-hour critical care hospitals are becoming much more common. Staffed by devoted emergency veterinarians and team members, these after-hours hospitals are a blessing to people and pets. From the high tech medical equipment in the back to the various amenities in the waiting room, animal emergency facilities provide a similar level of care and compassion that you might see in a human emergency room.

Dr. Elisa Mazzaferro, Director of Emergency Services for Wheat Ridge Veterinary Specialties in Colorado says that “We have gone from patchwork type of medical care to state-of-the art emergency critical care, providing many services at all hours of the day and night”

Heather’s visit started when the triage nurse came into the exam room and noted Cooper’s distended abdomen. Extensive training and years of education alerted the technician that this could be a high priority emergency – bloat! Quickly obtaining a history from Heather and vital signs from Cooper, the technician left the room to get the doctor. In no time the doctor was in the room paying most attention to Cooper. Heather knew that Cooper might be suffering from “bloat”, a serious, often fatal, twisting of the spleen around the stomach.

After a very fast discussion of the estimated cost of services, Cooper was whisked away for x-rays. Heather, meanwhile, was escorted to a well-provisioned waiting room complete with coffee, TV, and plenty of reading material. Crystal Rush, veterinary assistant, says she tries to keep clients occupied and calm because “it’s important for the pet’s sake. They can sense our energy and moods and we need to stay calm for them!”

In the x-ray room, the emergency doctor is busy reviewing the digital x-rays of Cooper. Noting a particular shadow on the x-ray, the doctor confirms the twisting of the spleen, causing the life threatening bloat condition.

As she heads back to speak to Heather, devoted veterinary nurses and assistants begin to prepare Cooper for surgery. IV catheters are placed, fluids are started and Cooper is given medications to help relieve his anxiety, support his vital signs, and, importantly, reduce the amount of pain he might experience. When all is prepared, the team just awaits the okay from the owner.

According to Dr. Mazzaferro, the financial aspect of emergency care can be very challenging. “When you go to a human ER, tests are run and the person is treated, no discussion of costs. This is not true for our pets.” But, an increasing number of pet owners say that they would pay almost any price for their best friend and Heather is no exception. Cooper was taken to a sterile surgical suite where a team of surgeons and surgical assistants using the latest high tech equipment quickly corrected Cooper’s twisted spleen.

After surgery, Cooper recovered in a state of the art ICU ward complete with vital signs monitors and veterinary nurses available 24 hours a day. Due to the knowledge, skill, and rapid action of the emergency hospital staff, Cooper was headed for home in about 3 days, from something that could have ended his life.

Emergency care for our pets has come a long way since the late night house calls of veterinarians. Talk with your veterinarian to see how she handles emergencies and what you can do to help in the event of a critical situation with your pet.

Debra Garrison, DVM