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AAHA Dental Care Guidelines for Dogs and Cats

Proper dental care can detect dental disease that not only affects the mouth, but can also lead to more serious health problems such as heart, lung, and kidney disease. Good dental hygiene is just as important for pets as it is for humans. Yet, it is one of the most overlooked areas in pet health. Studies by the American Animal Hospital Association (AAHA) reveal that nearly two-thirds of pet owners do not provide the dental care recommended by veterinarians. AAHA’s Dental Care Guidelines for Dogs and Cats, updated in 2013, are a working framework for small animal dentistry practice, including dental examinations, cleanings, and surgical procedures.


Periodontal disease

 
Periodontal disease is an infection of the tissue surrounding the teeth that takes hold in progressive stages.

How it starts and progresses
Periodontal disease starts out as a bacterial film called plaque. The bacteria attaches to the teeth. When the bacteria die they can be calcified by calcium in saliva. This forms a hard, rough substance called tartar or calculus, which allows more plaque to accumulate. Initially, plaque is soft and brushing or chewing hard food and toys can dislodge it. If left to spread, plaque can lead to gingivitis, an inflammation of the gums, causing them to become red and swollen and to bleed easily. As plaque and calculus develop below the gum line, professional cleaning will be needed to help manage it. If the plaque and tartar buildup continues unchecked, infection can form around the root of the tooth.
 
In the final stages of periodontal disease, the tissues surrounding the tooth are destroyed, the bony socket holding the tooth in erodes, and the tooth becomes loose. This is a very painful process for your four-legged friend, but these problems can be averted before they start with proper dental care.
 

AAHA guidelines


Oral examinations: AAHA recommends that veterinarians evaluate puppies and kittens for problems related to deciduous (baby) teeth, missing teeth, extra teeth, swelling, and oral development. As pets age, your veterinarian will examine your pet for developmental anomalies, accumulation of plaque and tartar, periodontal disease, and oral tumors. The veterinarian can perform a basic oral examination while pets are awake. However, short-lasting anesthetic is required for a more complete examination.
 
Dental cleanings: Guidelines recommend regular examinations and dental cleanings under general anesthesia for all adult dogs and cats. These cleanings should take place annually starting at one year for cats and small-breed dogs, and at two years of age for larger-breed dogs.
 
Other guideline recommendations
  • Pre-anesthetic exam–Your veterinarian should examine your pet to ensure it is healthy enough to go under general anesthesia. This examination may include:
    • Blood tests
    • Urine tests
    • Electrocardiography
    • X-rays
  • Anesthesia monitoring–When your pet is under anesthesia, its vital signs (such as body temperature, heart rate, and respiration) should be monitored and recorded. This helps ensure your pet’s safety while under anesthesia.
  • Dental radiographs–X-rays of your pet’s teeth are needed periodically to evaluate your pet’s oral health. X-rays also help veterinarians detect abnormalities that cannot be seen through physical examination alone. They can also confirm the need for tooth extraction when teeth are loose or badly infected.
  • Scaling and polishing–Using instruments much like human dentists, veterinarians remove plaque and calculus from your pet’s teeth. Polishing with a special paste smooths out scratches to the tooth enamel.
  • Fluoride/sealants–By applying an anti-plaque substance, such as a fluoride treatment and/or a barrier sealant, the veterinarian helps strengthen and desensitize teeth and discourage the development of future plaque.


Home dental care

 
Pet owners also play an important role in their animals’ oral health. Regular teeth brushing at home coupled with regular dental check-ups can help your pet live a longer, healthier life.
 
 

FAQ

 
Q.
Is there a physical sign that my pet has a dental problem?
A.
Pets’ breath isn’t normally great smelling, but if it becomes particularly offensive, it could be a sign of a serious oral problem. Other signs include excessive drooling, loose teeth, tumors on the gums, and cysts beneath the tongue.
Q.
What’s the best way to brush a dog’s teeth?
A.
Use a brush or wrap your finger in gauze and hold it at a 45-degree angle to the teeth. Using small, circular motions, work in one area of the dog’s mouth at a time. Be sure to lift the dog’s lip if necessary to reach the teeth. Since the most tartar builds up on the tooth surfaces that touch the cheek, concentrate there and finish up with a downward stroke on the teeth to remove tartar. Your dog may not let you clean the backside of its teeth, but don’t worry about it because very little tartar builds up there.
Q.
Is there anything else I can do to help my dog’s oral health?
A.
Provide chew toys that help massage your pet’s gums and keep their teeth clean. Ask your veterinarian to recommend toxin-free chew toys. An added benefit of chew toys is their ability to reduce your dog’s stress level, eliminate boredom, and give pets an outlet for their desire to chew.
 

 

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