February -National Pet Dental Health Month

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Dentistry in Pets

Dental care is very important to your pet's health. Both cats and dogs live significantly longer - one to three years longer - if they receive good dental care throughout their lives. Removing plaque and tartar under anesthesia keeps the teeth and gums healthy and is the mainstay of veterinary dental care. While your pet is under anesthesia we can also x-ray the teeth to look for problems under the gumline, and perform other minor procedures such as tumor or wart removal, microchipping or ear flushing.

CANINE RESORPTIVE LESION CASE

This is Weilly, who is a 9 year old West Highland white terrier (Weilly the Westie!) He came in to Best Friends for a dental cleaning. Once we cleaned the plaque and tartar from the teeth we could see three problems. He had a 4th upper premolar tooth that was discolored, which signified that at least one root of this three rooted tooth was dead, leaving the tooth without its normal blood supply. In addition, both his lower 1st molars had holes in them on the tongue sides of the teeth (where they couldn’t be seen without anesthesia). 
 X-rays of these three teeth revealed holes in the enamel and dentin of the teeth. We call these cavities “resorptive lesions” because the tooth structure is being reabsorbed back into the body, leaving a gaping hole and exposed pulp and nerve tissue. Ouch! The large, irregularly shaped hole in the upper 4th premolar had almost eaten entirely through the bone between the two roots and one of the roots as well. 

Weilly’s owners were faced with the choice between extracting all three teeth, for a goodly sum of money, or extracting just the upper tooth and having root canals and fillings for the lower molars by a dental specialist, for an even greater sum of money – several thousand dollars. These are three of the four largest chewing teeth in the dog’s mouth, so saving two of them would be desirable, owner’s financing permitting. Unfortunately for both the pet and the pet owner, Weilly is likely to develop more resorptive lesions in the future, as the cause is unknown and there is no preventative treatment that would safeguard the rest of his teeth. Which option would you choose if this were your pet?


  
The Technician goes over what will be done  Checking to make sure cleaning needed 
   
  
Anesthetic plan for each patient goes on the whiteboard  Each animal is examined beforehand 
   
   
An ECG (heart rhythm) is done to check for normal heart rhythm  Teeth are cleaned with an ultrasonic scaler 
   
   
Each tooth is carefully cleaned  These teeth are covered with tarter 
   
   
Clean and white teeth Cats need dental care, too
   
   
Gingivitis & periodontal disease as a result of heavy tarter accumulation Daily brushing of your pet's teeth is recommended.