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55
Hancock Street
N.
Quincy,
MA 02171 |

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617-773-0008 |
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"Where your pets are
treated like family"
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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.
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Deciduous (puppy) Teeth
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Permanent
(adult) Teeth
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#28
• 14 upper
• 14 lower
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#42
• 20 upper
• 22 lower
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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
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0-3 Weeks
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No Noticeable tooth
growth
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2-4 Weeks
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Deciduous (baby) canines
coming in
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3-6 Weeks
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Deciduous (baby) incisors
and premolars coming in
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8-10 Weeks
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All deciduous (baby)
teeth are in
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3.5- 4 Months
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No noticeable permanent
tooth growth
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5 - 7 Months
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Permanent canines,
premolars, and molars coming in; all teeth in by 7-9 months
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1 Year
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Teeth are typically
white and clean
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1 - 2 Years
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Teeth may appear dull
with some tartar build-up (yellowing) on back teeth
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3 - 5 Years
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Significant Tartar
build-up and some tooth wear
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5 - 10 Years
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Increased wear and
disease
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10 - 15 Years
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Worn with heavy tartar
build up. Teeth may be missing
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Canine Dental Chart
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Hancock Animal
Hospital
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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.
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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.
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Tartar
damages teeth and gums and affects the entire body's health.
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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:
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The
red line above the teeth is gingivitis (infection).
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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.
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Normal and abnormal teeth
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<< One too many teeth
After removal of extra tooth >>
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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.
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<< Premolars in sockets, firmly held
Damaged bone around tooth, grainy bone >>
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Dental Problems:
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<< Overbite
X-ray-too many teeth >>
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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.
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<< Damaged bone, infected
tooth
Just cleaned teeth >>
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Dental Cleaning And
Surgery To Correct Damaged Gum And Tooth
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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:
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1. Damaged Tooth
2. X-ray-The Light Areas Around Tooth Root Are Damaged Bone
3. Damaged Tooth Following Cleaning
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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
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Please
come in or call to discuss dental disease in your pet and the best possible treatment
options.
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