Hancock Animal Hospital

  

Hancock Animal Hospital

55 Hancock Street

N. Quincy, MA 02171

Hancock Animal Hospital

617-773-0008

"Where your pets are treated like family"

FEBRUARY is DENTAL MONTH - 20% of dentals

 

 

   Dentistry

 

 

Hancock Animal Hospital offers full routine dental services. We will evaluate your pet's dental condition and recommend the best course of action. 

 

Dental disease is a serious and under-treated condition in many dogs and cats. Dental disease is a crucial component of your pet's health care and can lead to severe cardiac, renal disease and pain. 

 

Many pets just need a full dental cleaning and then proper home management after the cleaning. Some animals have broken teeth or an abscess around the tooth root and need to have extractions (pulling out teeth). Extractions are very important if the tooth (teeth) is damaged or the dental disease has led to teeth/bone resorption. Most dogs and cats do extremely well after their dental procedure and feel much better once their teeth are cleaned and any damaged teeth removed. It is extremely important to start on proper DENTAL HOME CARE after the dental cleaning. Hancock Animal Hospital provides a dental-care kit for all patients undergoing a dental cleaning and will go over the proper use to help prevent future dental disease. 

 

Dogs and cats start on antibiotics prior to the dental procedure and continue on antibiotics for a few days after the dental. This is due to the significant amount of bacteria in the mouth and to prevent any damage to their vital organs. Pets over the age of 4-5 need to have pre-anesthetic bloodwork performed prior to the procedure. This is to evaluate their internal organ function and to assist with determining their anesthetic risk and the type of anesthetic drugs to use. 

All patients (dogs and cats) undergoing a dental cleaning will have an intravenous (IV) catheter, be on IV-fluids, Intubated and on Isoflo/Oxygen anesthesia. While under anesthesia an assistant constantly monitors their vitals and overall condition, utilizing an ECG, Pulse-Oximeter, and esophageal stethoscope.

General Dental Information for Dogs and Cats:

Dental Information for Dogs:

Puppies typically have 28 temporary teeth that break through the gum line at approximately three to four weeks of age. Most dogs have 42 permanent teeth that start erupting around four months of age. 
Over 60% percent of dogs exhibit signs of gum disease that are just over 3 years of age. In clinical practice, most dogs start showing sighs of dental disease before their 2nd birthday. . Symptoms include yellow and brown build-up of tartar along the gumline, tartar on the teeth, and red inflamed gums with persistent bad breath. 

Deciduous (puppy) Teeth

Permanent  (adult) Teeth

#28
• 14 upper
• 14 lower

#42
• 20 upper
• 22 lower

Purpose of the teeth:
Incisors: cutting and grabbing food 
Canine teeth (Fangs): holding and tearing food 
Premolars: cutting, holding, and shearing food 
Molars: grinding food

Numbers of teeth
Many mammals, including dogs, cats, and ferrets are "diphyodont" meaning they have two sets of teeth, one set (called "deciduous" or “Puppy/Kitten”) being shed and replaced by a permanent set. Although the exact number can vary, puppies have approximately 28 deciduous (temporary) teeth, and adult dogs have 42 permanent teeth. Feline kittens have 26 deciduous teeth, and adult cats have 30 permanent teeth. Ferret kits have 30 deciduous teeth, with adults having 34.

Tooth eruption
In kittens and puppies, the deciduous (baby) teeth begin to erupt at about 3-4 weeks of age and the permanent teeth begin to emerge at about 3-4 months of age. By 24 weeks of age, most of the permanent teeth have emerged. 

Normal Eruption times of Teeth in Dogs

  0-3 Weeks

No Noticeable tooth growth

  2-4 Weeks

Deciduous (baby) canines coming in

  3-6 Weeks

Deciduous (baby) incisors and premolars coming in

  8-10 Weeks

All deciduous (baby) teeth are in

  3.5- 4 Months

No noticeable permanent tooth growth

  5 - 7 Months

Permanent canines, premolars, and molars coming in; all teeth in by 7-9 months

  1 Year

Teeth are typically  white and clean

  1 - 2 Years

Teeth may appear dull with some tartar build-up (yellowing) on back teeth

  3 - 5 Years

Significant Tartar build-up and some tooth wear

  5 - 10 Years

Increased wear and disease

  10 - 15 Years

Worn with heavy tartar build up. Teeth may be missing

 

 Canine Dental Chart

 

Hancock Animal Hospital

 

February is DENTAL MONTH

February was officially established as National Pet Dental Health Month in 1993 by the AVDS, the American Veterinary Dental College and the Academy of Veterinary Dentistry.  Hancock Animal Hospital is offering 2 dental months- in February and October (20% off dental costs) in an effort to increase public awareness of the dangers of periodontal disease.

Pets need regular teeth cleaning!

 

WHAT HAPPENS WHEN MY PET HAS A DENTAL? 

When your pet is admitted to the hospital for a dental cleaning, it is usually after a recent physical exam that indicated that your pet had some level of periodontal disease, plaque accumulation or gingivitis. Studies have shown that 85% of all dogs and cats over one year old have some degree of periodontal disease.  Imagine what our mouths would look like if we never brushed!!

Your pet usually needs pre-anesthetic bloodwork prior to the dental procedure. This gives the veterinarian a look at your animal's liver and kidney function, as well as screens, for other blood disorders. This is important to be able to evaluate what anesthesia protocol to use and how your pet may do under general anesthesia.

All patients having a dental performed have an intravenous catheter and are placed on IV fluids. They are monitored with a multitude of monitoring equipment, including an ECG, Pulse Ox, esophageal stethoscope and blood pressure. They are placed under general anesthesia during the dental.  

The supragingival (above the gumline) plaque and tartar are removed using special calculus forceps, hand instruments, and human grade ultrasound scaling equipment We examine individual teeth for mobility, fractures, malocclusion, and periodontal disease (probe for pocket depths after calculus is removed).  Special curettes are used to probe the subgingival (below the gumline )spaces as well as remove any deposits.

Regardless of how careful we are during the scaling/curettage phase of teeth cleaning, minor defects of the tooth surface occur.  Polishing smoothes out the defects and removes plaque missed during previous steps.  Pumice or polishing paste is used on a polishing cup for the procedure.  Any excess paste or debris is flushed away when the teeth are rinsed.  A fluoride rinse or oral gel can then be applied.

The pet owner is an integral part of our dental team.  Home care is the single most important procedure the owner can do to maintain oral health.  If performed regularly, daily brushing will dramatically increase the interval between teeth cleaning appointments.

Plaque is constantly being made and deposited in the mouth.  Humans have a buildup of plaque in the morning, that makes our breath smell bad.  Proper home care can keep plaque buildup under control.  The goal of dental home care is to remove plaque from tooth surfaces and gingival sulci before it mineralizes into calculus, a process that occurs within days of a teeth cleaning.  Success depends on the owner's ability to daily brush the teeth, as well as the dog or cat’s acceptance of the process.  True oral cleanliness can only be achieved through the mechanical action of toothbrush bristles above and below the gingiva.

Home care is best started at a young age before the adult teeth erupt.  The perfect time to introduce dental home care is at the first puppy or kitten visit.  The client-animal bond as well as the client-veterinary bond is enhanced when daily brushing is performed following instructions given at the animal hospital.

Clients often ask, "doesn’t hard food keep teeth clean?"  Some believe when their dog or cat chews on hard food or biscuits, mineral deposits are broken down and the teeth stay clean.  This is not true. True, animals on soft diets accumulate plaque more readily than those on dry foods, but the only way to keep teeth clean above and below the gum line is by daily brushing.  There are other dental and oral products (CHEWS) that can be used to help clean your pet's teeth and gums, but they are not as effective.  There is also a specially formulated pet food with dental benefits for dogs and cats.  Created by Hill's Pet Nutrition, Inc., Hill's® Prescription Diet® Canine t/d® or Prescription Diet Feline t/d® can help reduce the accumulation of plaque and tartar.  This food is available through your veterinarian.

For more information on Dental Month, to make a dental appointment or to learn more about your pet's dental and oral health, call us at Hancock Animal Hospital and we will be happy to help you.  Phone 617-773-0008. 

 

Tartar damages teeth and gums and affects the entire body's health.

 

Damaging tartar on teeth

 

How important is pet dental care? 

Many people mention an odor they have noticed associated with their dog's or cat's mouth when talking to their veterinarian, and often they believe this is a normal problem that really doesn't have a solution.  Frequently, the putrid and distasteful smell has been around for years, and they had said nothing about it.  The odor the pet owner describes is the result of tartar, the yellow-brown material that collects over time around the base of an animal's teeth(above photo, large tooth), active bacteria in the tartar, and rotting particles of food lodged around the pet's damaged gums and between teeth. The pet in question has dental disease.  Affecting pets over two years of age most often, this is a complex and destructive oral inflammation and infection that destroys gums, bone and teeth, and in the worst case, threatens your pet's life.  An offensive oral odor is a clue that dental disease is present, but foul breath is actually just the tip of the iceberg. 

Following are pages and pictures that explain and demonstrate correcting this dental and gum damage. Click each link to view the next page: 

 

The red line above the teeth is gingivitis (infection).

 

The red line above the teeth is gingivitis (infection).

 

Look in your pet’s mouth! 

If the teeth have heavy brownish-yellow accumulations on them, especially near the gum line, and if the gum line is swollen and fiery red, dental disease is present.  The brownish-yellow accumulation which is often greasy and very nasty in appearance is made up of plaque and tartar.  Beneath those accumulations are billions of bacteria which attack the gingiva (gums) causing them to become inflamed and infected as evidenced by swelling and redness.  If the situation is not corrected, the inflamed gums recede, exposing more and more of the tooth root.  Eventually the infection destroys the bone surrounding the root and the tooth loosens in its socket.  This condition can cause your pet much pain and usually makes it difficult for your pet to eat properly.  Soon, the tooth will fall out. 

Long term dental disease and infection causes damage to other organs and body systems too.  Bacteria in tartar around the teeth are a source of infection to other areas of the body.  The bones of the mouth may be infected, and the heart and kidneys can also be damaged or destroyed by these bacteria circulating in the blood.

At Hancock Animal Hospital, we can help prevent or stop these problems before they can damage your pet's mouth irreparably.  If your pet’s teeth have plaque and tartar they need to be cleaned by a veterinarian.  A toothbrush will not do the job.  Using an ultrasonic scaler, just as in humans, the plaque and tartar is removed from the teeth, and any other necessary dental or oral repairs are made. Major damage is often unseen and under the gums.  General anesthetic is necessary for all dental procedures done at our hospital.  Home dental care and diet can help slow down the return of tartar and plaque after the dental cleaning. 

All pets have some form of dental disease during their lifetimes.  Let us examine your pet's mouth and teeth regularly for problems.  We can help them and prevent unnecessary pain and damage to their teeth, resulting in a longer, healthier lives. 

Normal and abnormal teeth



Too many teeth

<< One too many teeth

 

After removal of extra tooth >>

After removal of extra tooth

 

Many different problems affect pets' teeth, just as they do ours.  There can be too many teeth present. If there are, the extra ones must be removed to allow normal growth of the others for a healthy mouth. Many animals have abscessed teeth, too, in which the tooth roots are damaged so badly that the tooth must be extracted.  Tartar that develops and remains on teeth damages both the teeth and gums, and the bacteria in the tartar can gain entrance into the blood streeam, causing infections and more damage in internal organs such as the heart, kidneys and liver.

The teeth must be cared for throughout a pet's life for he or she to remain heathy, allowing them to live for many years.

 

Premolar teeth firmly in sockets

<< Premolars in sockets, firmly held

 

Damaged bone around tooth, grainy bone >>

Damaged socket around infected tooth-grainy appearance

 

Dental Problems:



Overbite

<< Overbite

 

X-ray-too many teeth >>

X-ray-too many teeth

 

Above Left: An overbite occurs when the upper jaw (maxilla) has grown too long or the lower jaw (mandible) has not grown long enough.

Above Right: The development of too many teeth is frequently seen and due to genetics.  The genes causing the extra tooth or teeth are passed to the young by its parents.  The extra teeth must be removed to allow normal growth of the other teeth.

Below Left: The large tooth with two visible roots has an abscess associated with the roots and probably will need to be removed.  The surrounding bone has a grainy appearance that indicates it is unhealthy, too.  Removing the tooth and treating the pet with antibiotics will allow the bone to heal.

Below Right: This dog's teeth appear clean and pretty following a complete dental cleaning.

 

Damaged bone around tooth root-grainy bone

<< Damaged bone, infected tooth

 

Just cleaned teeth >> 

Normal teeth after cleaning

Dental Cleaning And Surgery To Correct Damaged Gum And Tooth

Lack of care for pets' teeth is the largest problem (my opinion) veterinarians face in pet health care today.  Usually this arises because many people, including many veterinarians, do not understand the importance of dental care in the overall health maintenance of any animal, whether it be ourselves, our dogs, cats, ferrets or other small pocket pets.  The situation is improving, but we still have a long way to go.  Veterinarians increasing their knowledge of dental health is aiding in reducing the gap in the knowledge needed to promote far better general health in our pet population.

Dental care should be begun early in any pet's life, usually at 3 to 4 months of age, and continued throughout life.  Initially, we use treated dental chews, obtained from your veterinarian, that help retard tartar formation and bacterial growth.  As the years pass and the animal ages, annual dental cleanings are recommended to remove any collected tartar and damaging material that always collect aound the teeth while eating and chewing.  Using dental chews throughout a pet's life is also a good policy because they will help reduce dental problems during the year and may extend the time between necessary dental procedures. 

When teeth are damaged and oral and general health are affected, there are a variety of procedures that may be used to help your pet regain its health, and we may be able to save infected or damaged teeth in the process.  See the surgical procedures below:

 

tartar accumulation damaging tooth and gums

X-ray of damaged tooth

Damaged tooth and gum after cleaning

 

1. Damaged Tooth
2. X-ray-The Light Areas Around Tooth Root Are Damaged Bone 
3. Damaged Tooth Following Cleaning

 

Exposure of tooth root

Prepping tooth and preparing to close

Tooth and gum following corrective surgery

 

4. Exposure of Root Of Damaged Tooth Before Repair
5. Preparing A Skin Flap For Above Tooth For Repair
6. Healing Gum Over Damaged Tooth Two(2) Weeks Later

 

 

 

Please come in or call to discuss dental disease in your pet and the best possible treatment options. 

 

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