PET HEALTH BULLETIN 2012 Spring 2012 Inion Pty Ltd ABN: 98 078 787 372 1. Dental disease in dogs and cats So what exactly is dental disease? Our pets, like us suffer from dental disease. An annual dental check with a veterinarian is important to recognize early signs of dental disease. Dental disease is extremely common and up to 85% of pets above the age of 3 have dental disease that requires treatment. The brown crust that is formed on the teeth is plaque. Plaque is a combination of bacteria and protein from their saliva. When left to accumulate, it mineralizes and form a calculus. The rough surface of the calculus then further encourages attachment of more plaque. When the amount of bacteria (calculus) builds up to a high level, it touches the gum and creates an infection. The body reacts to the infection and soon the gums become swollen (Gingivitis). Structures that hold the tooth in place start to weaken and as a result the tooth become wobbly. If left to progress, the oral infection can spread to the kidneys, liver, heart and joints. If dental disease is so common, why doesn’t fluffy or pooch show any sign of pain? Unlike us, our pets do not have the ability to tell us that they are suffering from oral pain. Dogs and cats, being predator species are really good at hiding discomfort. By the time, they start showing signs of oral discomfort, the extent of dental disease is well into the advanced stages. Besides they don’t smile which reduces visibility of their teeth. What are the signs we should look out for then? Signs of oral pain from poor dental health can be as subtle as bad breath and change in eating behavior. They might selectively eat soft food as it becomes painful to chew on the kibbles. Pooch or kitty might also be resentful about being touched around the face and become aggressive. You may also noticed unexplained blood or wet patches on his/her bed from gum bleeding or excessive salivation. Some pets also appear more lethargic which is often mistaken as part of “aging”. Pets do age , however they always slow down for a reason and poor dental health is often a common cause. THE ANIMAL MEDICAL CENTRE It is important to understand that plaque and calculus could be reversible if removed by an ultrasonic scaler. This often has to be done under a full general anesthesia. Unlike scaling, tooth brushing only remove tartar on the teeth that we can see, but does not help remove the calculus on teeth that sit, below the gum margins. Veterinary Surgeons You might have wondered what it means when your pet is given a dental grade at a routine health check? Dental grading is a scheme that determines the severity of dental disease. There are four grade to dental disease. The higher the grade, the worse the dental disease. Grade I-II usually only require a scale and polish but a grade III-IV would normally involve extraction of teeth due to advance dental disease and decay. Dr Sandra Hassett BVSc MBA MIVCA Dr Amer Z. Ali DVM MSc (Hons) Dr M. R. C. Banyard HDA BVSc (Hons) PhD Dr Charlene S.T. Sim BVSc 56 Colbee Court, Phillip, ACT 2606 Phone: (02) 6285 2637 (8am-6.30pm) Facsimile: (02) 6285 4015 email: vets@animalmedicalcentre.com.au Website: www.animalmedicalcentre.com.au Emergency: (02) 6285 2637 (All hours) Areas of Interest ULTRASONOGRAPHY STEM CELL THERAPY CHIROPRACTIC ANIMAL BEHAVIOUR What are some of the things that can predispose my pet to dental disease? Pets with concurrent illness (i.e diabetes, kidney disease in cats) have a decreased immune system. This limits the body ability to fight bacterial infection in the mouth leading to higher incidence of dental disease. Genetics also play a role in the build up of plaque. Boxers, Maltese, Poodles and Greyhounds are a few of the breeds that are more prone to bad dental health. Feeding wet, sticky food encourage moisture and retention of food particles which encourages plaque build up. Certain dogs and cats have abnormal alignment of their teeth and this provides pockets for food. Subsequently the food decay and leads to dental disease. What can I do to delay the onset of dental disease? Although accumulation of plaque cannot be prevented, there are a couple of things we can do at home to delay the onset of dental disease. Toothbrushing is proven to be the most effective way of reducing the amount of tartar on our pets’ teeth only if done daily. The circular motion applied to the teeth from the bristles of a toothbrush abrades the plaque on the teeth and subsequently remove them. A suitable tooth brush would be a baby size with soft bristles or a finger brush. Because there are a cheek tooth that sits beyond the lips folds in the cheek pouches, you need to make sure you advance your tooth brush under the cheek on both sides. Pet specific tooth paste have to be used since human toothpaste contains components which are toxic to our pets’ kidneys and gastrointestinal tract. Encouraging chewing will also help to reduce the build up of plaque. This can be by offering a variety of chew toys or even raw bones two to three times a week. An appropriate bone takes about 15 minute to finish. Bones should only be given under supervision as swallowing them whole can lead to gastrointestinal obstruction. In bigger dogs, their larger carnassials (biggest cheek teeth ) could fractured by chewing these large bones. Be sure to ask your butcher to strip the marrow off the bones since they are high in fat and in some dogs can lead to stomach upset and pancreatitis. Encouraging a diet consisting predominantly dry food diet also helps. There are also specialized dental diet such as Hill science T/D which are low in protein and calcium. This help to reduces the build up of tar tar but only when feed more than 50 % of the diet. The kibbles are also mechanically formulated to ensure maximum brushing against their teeth when the kibbles are chewed on. There are other chemical product in the market that can be used to slow down the build up of plaque. However, they are not as effective as tooth brushing and chewing. Water additives such as Aquadent contain xylitol which is a breath freshener. Dental gels such as Maxiguard contains Zinc gluconate which bind to certain component of the saliva to slow down plaque formation. Due to the constant production of saliva in the mouth which dilutes the gels, dental gels have to be applied multiple times in a day to be effective. Finally, annual dental check with a veterinarian is crucial, as it will allow you to asses and monitor the degree of dental disease. Your veterinarian will be able to advise you when veterinary intervention such as scaling and polishing under general anesthesia is required. THE ANIMAL MEDICAL CENTRE Inion Pty Ltd ABN: 98 078 787 372 Veterinary Surgeons Dr Sandra Hassett BVSc MBA MIVCA Dr Amer Z. Ali DVM MSc (Hons) Dr M. R. C. Banyard HDA BVSc (Hons) PhD Dr Charlene S.T. Sim BVSc 56 Colbee Court, Phillip, ACT 2606 2. Clinic news We would like to warmly welcome Bethany Rodger. She will be doing an apprenticeship with us as a trainee veterinary assistant. We are also trialing our new hand held dental machine to serve you better. We are very proud to announce a new website upgrade. Please follow us to twitter and facebook on our new website. Phone: (02) 6285 2637 (8am-6.30pm) Facsimile: (02) 6285 4015 email: vets@animalmedicalcentre.com.au Website: www.animalmedicalcentre.com.au Emergency: (02) 6285 2637 (All hours) Areas of Interest ULTRASONOGRAPHY STEM CELL THERAPY CHIROPRACTIC ANIMAL BEHAVIOUR