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Canine Dentistry

Click here to watch Zack get his teeth cleaned the Animal Care Hospital way.

Why dentistry?

All pets are at risk for developing dental problems.  The statistics are staggering - 80% of dogs  over the age of three have some form of oral disease,  and dental disease is painful!! If left untreated, bacteria from the teeth and gums can spread through the bloodstream and affect other body systems, such as the heart, liver, and kidneys.)  Pets with healthy mouths live longer, happier lives

Dental Services we provide

Animal Care Hospital provides a wide range of dental and oral health care services for your pet.  Here are some of the dental services provided at our hospital.  

Oral examinationsAll dental procedures start with an oral exam, with the pet fully conscious.  This examination allows us to consult with the owner and develop a tentative treatment plan.  This examination must be followed by an examination (and often dental radiographs) under general anesthesia to properly diagnose dental problems and prescribe a treatment   plan and cost estimate.


Low Impact Anesthesia.  All dental work requires that the patient be anesthetized for a detailed examination and radiographs (X-rays). All patients receive a pre-anesthetic exam, EKG, blood screen, and intravenous fluid therapy. Your pets safety is our priority.

 

 Radiography.  Radiographs are essential in dentistry and oral surgery/medicine.  Much of the tooth is hidden below the gums and encased in bone.  The only way to evaluate the tooth and surrounding tissue is with dental radiographs.

 


 
Periodontics. 
Periodontal disease is an infection or an abscess in the mouth.  This dog has severe periodontal disease with gum recession and tooth attachment loss.  All of the dogs teeth had to be extracted.  Periodontics deals with the tissue that supports the teeth - gums, bone and periodontal ligament.  Periodontal disease is the most common disease in pets - effects over 80% of dogs.  Periodontal disease normally starts with inflammation of the gums (gingivitis), which is treatable.  If nothing is done for the gingivitis, the disease progresses to gum recession, periodontal bone loss and pocket formation.  Periodontal tissues are alive, thereby, Periodontal Disease is Painful!  Meanwhile, bacteria is allowed to enter the bloodstream which can cause damage to the kidneys, liver and heart.  Appropriate treatment can often save teeth and reduce other health issues.



Fractured Canine


Root Canal


Cleaning Plup Chamber


Crown Restoration


X-ray of canine


 X-ray of Root Canal

Endodontics is the treatment of a root canal.  The crown of this pet's upper canine tooth has been broken.  As a result the inner pulp was exposed to oral bacteria and became infected.  The pulp within a tooth contains nerves and blood vessels; therefore, exposed pulp is painful! Treatment options were extraction of the tooth or root canal treatment to save the tooth.  Leaving the diseased tooth alone is not an option!  The owner chose to do the root canal therapy.



Gemini tooth
Interesting Find.  A Gemini tooth is where there is one root with multiple crowns.



Cavity so bad the tooth had to be extracted.


Two cavities in the tooth


Side view


After restoration


Resorptive lesion (Very painful)

Restorations.  Cavities are not as common in dogs as they are in humans, however, they do occur.  A cavity is a defect in the tooth's protective enamel coating, which exposes the sensitive (alive) under lying dental tissues.  As many people have experienced, cavities are painful and if left untreated can progress to Endodontics Disease. When a dog gets a cavity they are treated the same way as in humans.  The disease portion of the tooth is removed and the defect is filled with restorative.  Some cavities are beyond repair and have to be removed.

Oral surgery.  Trauma to the oral cavity requires surgical treatment.  (Fractures of the upper and lower jaw, benign and malignant growths and congenital defects such as cleft palates.)  Extractions are also considered oral surgery.  Special training and instruments are required for successful operation within the mouth.



History of chronic sinus infection for one year.

Surgery extractions and bone graph.
Oral medicine.  Some problems are a result of  dental disease.  Recognizing that the signs seen elsewhere may be the result of disease started in the mouth and putting it all together fall under the category oral medicine.


Before extraction

After extraction
Juvenile pets.  Both owners and veterinarians need to watch the mouths of young pets in order to diagnosis and correct abnormalities as early as possible, before adult teeth erupt.  If baby teeth (deciduous) get broken, they need to be extracted.  Leaving them in place would allow the soft tissue to become infected and that could spread to the jawbone.  It can also cause damage to the adult teeth that are forming below.  Sometimes the baby teeth do not fall out on time and should be extracted.  If not extracted the adult tooth and baby tooth are occupying the space meant for one tooth.  This causes crowding and could lead to other orthodontic problems.

 DENTAL CARE FOR YOUR PET


A healthy dog's mouth

Believe it or not, dogs are diagnosed with dental disease more than
any other infection.

Introduction
People are aware of their own teeth. We know about plaque control, prevention of cavities and that dental problems are painful. Most individuals visit their dentist annually. However, despite the awareness of human dentistry, most pet owners do not know that their pets are subject to the same problems. Like people, animals need professional teeth cleaning on a routine basis. Regular dental checkups are important not only for their oral health, but overall health as well. Since pets age more quickly than humans( ~1 dog year = 7 human years) , dental exams should become more frequent - perhaps every six months - as your pets ages.
 

Why care for your pet's teeth?
For the same reason you care for your teeth.  The most common disease in pets is periodontal disease.  Pets are also subject to broken teeth, orthodontic problems and cavities.  All of these issues affect your pet's mouth, but can also lead to infections that introduce bacteria into the body.  Bad teeth can lead to a sick pet.  Remember that your pet uses their mouth like we use our hands.

Do dogs feel pain like us?
Owners tell us that they have not noticed any change in the pet's behavior therefore, the must be fine.  This is not surprising.  Most pets will adopt an impassive attitude to pain.  However, if you have ever had a chronic tooth ache, you know the meaning of pain.  Regularly after dental procedures owners tell us their pets act years younger.

What can you do about your pet's dental health?
The first step is to look at the mouth regularly.  If the gums are red or inflamed, if there is a bad odor, if you see pus on the gum line or broken teeth - call us right away.  We will assess the problems and create a treatment plan.  Aside from regular brushing, have your pet's teeth examined by ACH on a routine basis.  Checkups and preventive care will do wonders for bad breath and may help prevent harmful bacteria from entering the bloodstream and causing serious problems to your pet's vital organs.

 


To get more dental information, click on the picture above.


Click on Photos Below for Larger View


BEFORE CLEANING

AFTER CLEANING

The absence of regular veterinary care can produce severe dental disease that results in pain and infection. Systemic diseases result from oral infections, these include severe heart disease, kidney failure, or liver infections. No other procedure performed on pets does more to prevent serious disease than regular dental cleaning and home care.

HOW A PROPER DENTAL CLEANING IS PERFORMED

A properly performed dental cleaning includes far more than removing the tartar and pulling some teeth. The following steps must be carefully performed:

1. Complete Physical and Oral Examination

2. Low Impact Anesthesia: PreAnesthetic Bloodwork, IV Fluids, Anesthetic Monitoring, Use of Short Acting Anesthetics, and Proactive Pain Control, all ensure the safest procedure possible.

3. Supragingival Calculus Removal: Removal of tartar and calculus above the gum line.

4. Subgingival Cleaning: Removal of plaque and calculus from the tooth root surface.

5. Polishing: Polishing all tooth surfaces to remove microscopic defects and to remove any remaining plaque and prevent reattachment.

6. Sulcus Lavage: Irrigation of the gingival pockets to remove diseased tissue and bacteria.

7. Periodontal Probing and Dental Charting: The most important step in this procedure is the Diagnosis of Dental Disease.

8. Dental X-rays: as needed.

9. Fluoridation: Fluoride is applied to harden the enamel.

10. Tooth Sealing: ORA VET is applied to prevent plaque reattachment.


                                   
       Oral Exam                          ECG                              Dental Cleaning                      

                                    
       Probing                             Polishing                        Dental X-rays

 

PREVENTION STARTS AT HOME

Dental homecare is preventative maintenance.  Brushing will not correct a problem if it has already developed.  Also, if the mouth is already painful, brushing will be unpleasant for your pet.  So, a homecare program should only be started after an oral evaluation by ACH to ensure that there are no current problems that need to be treated prior to starting to brush.

The goal of a homecare program is to brush your pet's teeth on a daily basis to remove plaque prior to it attaching to the tooth's surface and before it mineralizes to become tartar.  Plaque can form on a clean tooth within hours and tartar can form within a few days.  That is why daily brushing will be far more effective than doing it two or three times a week.

We recommend CET Chews, CET Toothpaste and CET Toothbrushes.   Many pets do well with battery operated toothbrushes as well.

When starting your homecare program, it is important to start slowly.  Let your pet get use to each phase (usually 3 to 4 days) before moving on to the next.  Therefore, introduce the program in small, easy to accept steps, and with lots of positive reinforcement, most pets will come to enjoy having their teeth brushed. 

By following a consistent homecare program you can greatly improve your pet's dental health.  This means fewer professional cleanings, less tooth loss and happier, healthier pets.  We must work together to ensure a longer, happier life for your pets.

 

Just like in humans, brushing your pet's teeth is the only dental care procedure that will prevent periodontal disease.

Below are steps that you can take to help maintain your pet's mouth.  Each step usually takes about 3 days.  Most dogs accept brushing teeth in 2 to 3 weeks.



Start by handling the muzzle.

 


Introducing toothpaste.

 


Rubbing teeth and gums with
fingers.

 

 


Rubbing teeth and gums with guaze.

 

 



Using a soft bristled brush.
 

 

Step 1
Introduce a brushing program to pets gradually.  Avoid over-restraining and make training sessions short and positive.  Start by handling the muzzle and tickling the lips.  Offer a small amount of toothpaste as a treat each time.  Most pet owners prefer the Vanilla Mint Flavor  Soon they will look forward to this treat.  DO NOT USE HUMAN TOOTHPASTE OR ANYTHING WITH FLUORIDE.

Step 2
Proceed to rubbing the teeth and gums with your fingers.  Start in the front and gradually work to the back teeth.  Don't forget to offer the toothpaste as a treat.

Step 3
Put toothpaste on your finger and rub the teeth and gums with the toothpaste.  Start in the front and gradually work to the back teeth

Step 4
Introduce a washcloth or piece of guaze wrapped around the end of your finger to rub the teeth.  Just like with the finger, start in the front and work to the back teeth.  Don't forget to offer the toothpaste as a treat.

Step 5
Just like you did with the finger, once your pet accepts the guaze add the toothpaste on to the guaze.  Then proceed to rubbing the teeth and gums with the toothpaste on the guaze.

Step 6
Finally introduce a soft bristled brush (some pets like electric toothbrushes).  Just like you did with your finger and the guaze, start brushing in the front and work to the back teeth.  Hold the brush at a 45 degree angle to the tooth and brush back and forth or from gum to tip.  Don't forget to give the toothpaste as a treat.

Step 7
Just like you did with the finger and guaze, add toothpaste to the toothbrush and start brushing the front and work to the back teeth, holding at a 45 degree angle to the tooth.  You are now brushing teeth.

Step 8
Brush the teeth daily.

 

 

Canine Nutrition  ::  Preventative Healthcare  ::  Canine Dentistry  ::  Heartworm Prevention
Spaying or Neutering  ::  Flea & Tick Prevention

 
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