Is dental disease really a big deal?
ANSWER: Dental disease is a HUGE deal. Periodontal (gum) disease is the number one diagnosed problem in dogs and cats. By the age of just two, 80% of dogs and 70% of cats have some form of periodontal disease. In addition, 10% of dogs have a broken tooth with pulp (nerve or root canal) exposure. This is extremely painful until the nerve dies, at which point the tooth becomes infected! Infectious oral diseases affecting the gums and root canals create systemic bacteremia (bacteria in the blood stream, which can infect other parts of the body). Periodontal inflammation and infection have been linked to numerous problems including heart attacks, strokes, kidney disease, emphysema, liver disease, osteoporosis, pregnancy problems and diabetes. Therefore, oral infectious diseases are known as "the silent killer."
In addition to systemic effects, oral disease can also cause inflammation to the eye, resulting in blindness. Furthermore, jaw bone loss from chronic infection can lead to a jaw fracture known as a pathologic fracture, and these have a very hard time healing. Finally, infectious oral disease can result in osteomyelitis (an area of dead, infected bone), nasal infections and an increased risk of oral cancer.
Speaking of oral cancer, the oral cavity is the fourth most common place for cancer. Unfortunately, by the time that most are discovered, they are too advanced for therapy. Early treatment is necessary for cure. That's why you, the pet owner, need to check your pet for oral growths on a regular basis. Anything suspicious should be shown to your veterinarian promptly.
In cats, a very common problem is feline tooth resorption lesions, which are caused by normal cells called odontoclasts eating away at the cat's own teeth. Approximately half of cats over 6 years of age have at least one. They are similar to cavities in that once they are advanced, they are VERY painful and can become infected. They are first seen as small red areas along the gumline.
Other oral problems include bacterial cavities, painful orthodontic problems, dead teeth (which are commonly discolored), and worn teeth. Almost every pet has some form of painful or infectious oral disease that needs treatment. Unfortunately, there are few to no obvious clinical signs. (See below, What are the warning signs of periodontal disease?) Therefore, be proactive and ask your veterinarian for a complete oral exam, and perform regular monitoring at home.
Why is it important to have my pet's teeth cleaned regularly?
ANSWER: There are two main reasons for routine cleanings. First, they help prevent periodontal disease. Second, and possibly more importantly, a cleaning allows for a COMPLETE oral examination. Only with general anesthesia can most oral health problems be noted. This includes screening for oral cancer, broken teeth, cavities, and in cats, tooth resorption. Finally, general anesthesia is required for periodontal probing, which is the method of diagnosis of periodontal pockets.
My dog eats hard food. Isn't that like brushing his teeth?
ANSWER: NO! This is a myth, which came about from the surface of the teeth being slightly cleaner in pets fed dry food. Typical dry food does not protect against periodontal disease. This relates to the root cause of periodontal disease, which is subgingival plaque (plaque below the gumline). Supragingival (above the gumline) plaque accumulates and causes local changes in the gum tissue that allow attachment and growth of subgingival bacteria, however after this has occurred; supragingival plaque has little to no effect on periodontal disease. Traditional dry foods break apart at the tip of the tooth and have little to no dental benefit.
What should I look for when I examine my pet's teeth?
ANSWER: Look for anything that appears abnormal. The first sign of periodontal disease is redness of the gums. No matter how minor it seems, if this is present, disease is present. The pet needs veterinary care in order to treat the disease and avoid all the problems associated with it. (See above, Is dental disease really a big deal?) If periodontal disease is not treated early, advanced signs of disease include swelling of the gums, calculus on the teeth, receding gums, and mobile teeth. Any of these is a sign of advanced periodontal disease, and immediate medical attention is required.
Other things to watch for include swelling or masses, broken or worn teeth, and discoloration of the teeth. Any of these things should also be brought to the attention of a veterinarian right away.
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