Dental disease
is very common amongst our dogs and cats,
particularly as they get older. Dental problems are
sometimes noticed by owners who see that their pet
may have difficulty eating, or have smelly breath,
but often dental disease is picked up by the vet on
a routine examination such as at a booster
consultation.
Dental disease can cause a variety of problems for
your pet such as pain or difficulty eating,
infection or abscess formation, gingivitis (gum
inflammation), and potentially even infection
spreading to various other parts of the body such as
the kidneys, heart and joints. Our pets are very
adept at hiding signs of mild pain and you may not
even notice anything is amiss, but once your pet has
had successful dental treatment it is usually very
obvious that they are much more comfortable.
Dental treatment is always carried out under general
anaesthesia as our patients will not sit down and
hold their mouths open like human patients! General
anaesthesia also allows us to evaluate the teeth for
stability and signs of problems, and we can then
perform extractions safely and as painlessly as
possible. We cannot usually determine exactly how
many teeth may need to be removed until your pet is
anaesthetised so we can examine and probe each tooth
carefully. Before the general anaesthetic commences
we will administer 2 different types of pain relief
so that your pet will be as comfortable as possible
during and after the procedure.
Once your pet is anaesthetised we will perform a
mechanical scale. This is to remove tartar build up
from the teeth. Tartar is the hard yellow/brown
deposits you may see on your pet’s teeth and once
this is removed we can then see the tooth underneath
fully. We use a blunt probe to assess each tooth for
signs of gum recession, deep pockets around the gum,
fractures, or any other indications for tooth
extraction.
To extract a tooth after removing the tartar we will
firstly rinse the mouth out with a Chlorhexidine
solution. This will help remove some bacteria in the
mouth, allowing us to perform extractions in the
cleanest environment possible. The gums will then be
gently separated from the tooth and the ligaments
holding the tooth to the socket will be broken down.
Some teeth have more than one root to hold them in
the socket, if this is the case we will use our
high-speed drill to split the tooth into sections.
This allows us to remove the tooth as safely,
quickly and painlessly as possible. Once a tooth is
removed we will sometimes suture the sockets
together with special, quick-dissolving suture
material to allow them to heal quickly. However,
sometimes suturing the gums is not done as this
depends on how strong the gum tissue is.
Once all the extractions are complete we will then
polish the teeth. This leaves a smooth surface on
the teeth, which means that plaque and tartar are
less likely to form. Finally, we will rinse the
mouth out to remove any polish and then we will wake
your pet up from his or her anaesthetic.
We may send you pet home with antibiotics,
particularly if there was infection present in the
mouth or if multiple extractions have been
performed. We recommend that you feed your pet a
soft diet for approximately a week to allow the
sockets to heal before starting to feed hard food
again. However we find that most pets are ready to
start eating biscuits and hard food within a few
days of the dental procedure as their mouths feel so
much more comfortable.
Our nurses are happy to advise you on ongoing dental
care for you to provide at home so your pet keeps
his teeth as clean as possible. The best
preventative care for teeth is to brush them,
however we appreciate that this is not always
possible, especially in cats. If you want to start
brushing your pets’ teeth but are unsure how to go
about doing this please feel free to contact the
surgery and ask a nurse to show you how. It is
important to use special dog or cat toothpaste, as
human toothpaste contains too much fluoride for you
pet and can be dangerous.
If you cannot brush your pets’ teeth we may advise
you to use a special prescription diet called Hills
T/D ®. This is a special biscuit diet that actually
removes plaque from the teeth before it builds up
and turns into tartar. Dogs and cats usually really
enjoy this diet and although it is designed to be
fed as a complete diet, it can also be fed alongside
your dogs’ normal diet. A free bag of this diet is
included in your pets’ dental for you to try at
home.
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