Brushing Your Pet’s Teeth

Equally important to annual dental exams at your veterinarian’s practice is home dental care, including brushing your pet’s teeth every day if possible. AAHA recommends a technique for both younger and older animals, although it’s easier to start brushing when your pet is young.
To introduce a fearful cat or dog to the idea of dental care, start slowly and gradually. Dip a finger into beef bouillon (for dogs) or tuna water (for cats) and gently rub along your pet’s gums and teeth. The most important area to focus on is the gum line (the crevice where the gums meet the teeth), where bacteria and food mix to form plaque. Focusing on the gum line, start at the front of the mouth, then move to the back upper and lower teeth and gum areas. Once your pet is okay with a little bit of touching, gradually introduce gauze over your finger and rub the teeth and gums in a circular fashion.
When your four-legged friend can handle the gauze, try brushing with a toothbrush specially designed for pets or a very soft, ultra-sensitive toothbrush designed for people. The bristles should be held at a 45-degree angle to the tooth surface and be moved in an oval motion. Scrub in the gum line, as this is where odor and infection begin. Gradually add special dog/cat toothpaste (flavored with meat or fish), but never use people toothpaste or baking soda, as both will upset your pet’s stomach.
Use the following process to clean the inside surfaces of your pet’s teeth:
  1. Place your hand over your pet’s muzzle from the top
  2. Gently squeeze and push his lips on one side between the back teeth (to keep his mouth open)
  3. Pull his head back gently so his mouth opens
  4. Brush his teeth on the opposite side
  5. Repeat this process for the other side
The entire process should only take a minute or two. If your dog or cat continues to resist, try gently wrapping him in a large bath towel with only his head sticking out. Above all, avoid overstraining and keep sessions short and positive. With plenty of praise and reassurance, your dental sessions can bring the two of you closer—a closeness that won’t be marred by the perils of dog breath.
Home care can be improved by feeding your pet an unmoistened dry pet food and offering him hard biscuits after each meal. Both dry food and hard biscuits produce abrasion to help keep plaque to a minimum on the crown of each tooth.
Dental care of dogs and cats is one of the most commonly overlooked areas of pet health care; however, it is necessary to provide optimum health and quality of life. Diseases of the oral cavity, if left untreated, are often painful and can lead to more serious health problems including heart, lung and kidney disease.
AAHA encourages pet owners to regularly examine their pet’s teeth for signs of periodontal disease, such as brownish colored teeth; swollen, red, or bleeding gums; persistent bad breath; loose teeth or loss of teeth; pus between the gums and teeth; broken teeth and any unusual growth in the mouth. Reluctance to eat, play with chew toys, or drink cold water are warning signs of periodontal or gum disease. Consult your veterinarian if you notice any of these signs in your pet to schedule a dental exam.
There are two critical components of your pet’s veterinary dental care: oral examinations and dental cleanings. Veterinary dental care begins at the puppy and kitten life stage. As your pet ages, your veterinarian will look for developmental anomalies, the accumulation of plaque and tartar, periodontal disease and oral tumors. Veterinarians can perform a basic oral examination on patients that are awake. However, when a cleaning is required, your pet will need to be induced under general anesthesia wherein a thorough examination will be done prior to the cleaning. Dental cleanings performed while your pet is awake is not only dangerous for the team member performing the cleaning but dangerous to your pet as well.
Since there is an element of risk associated with any medical procedure, it is important that safety precautions are used. Among the many standards in the dentistry section, AAHA accreditation requires that veterinarians perform thorough examinations of the teeth and structures of the oral cavity in patients presented for dental procedures and only properly trained practice team members perform dental procedures. Additionally, AAHA Standards recommend that dental procedures are accompanied by pain assessment and appropriate pain treatment.
For more information on pet dental care, read our AAHA Dental Care Guidelines article.
Click here for an instructive video by the Cornell Feline Health Center on brushing your cat’s teeth.
Originally published on Healthy Pet.



Pets in Pain

We are often asked about managing pain in our pets, including chronic pain such as that caused by arthritis or acute pain that is caused by injury or surgery.  In the last few decades, veterinary medicine has made great strides in recognizing pain in animals and learning ways to better alleviate pain.  We now understand that we can achieve better pain control by using a combination of drugs that block pain receptors differently.  In addition, when giving these medications prior to a painful event (ie. surgery), we need less drugs to keep the pet comfortable. 
            At Brookfield Animal Hospital, we have fully embraced this preemptive, multimodality approach to pain management and we tailor our protocols to each individual patient’s needs.  Even routine surgeries such as spays and neuters receive three medications prior to surgery and are maintained on three to four medications after surgery for optimal pain control.  These medications include anti-inflammatories, narcotics, and other analgesics.  We also use local nerve blocks when appropriate.   
            We regularly evaluate our pain management protocols for new drug combinations that can keep our patients more comfortable after injury or surgery.  In our next newsletter, we will discuss the signs and symptoms of chronic pain and how we can keep those pets in chronic pain as comfortable as possible. 
It is often hard to tell that an animal is feeling pain.  Pets do not show pain in the same ways that people do.  A pet in chronic pain rarely vocalizes (cries/whines).  Instead, these pets may eat less, interact less with people or hide (especially cats), limp, walk stiffly or have difficulty getting up or jumping up.  There are a variety of reasons a pet may have chronic pain.  Arthritis is the most common cause of chronic pain and can be crippling in both animal and people.  Other causes include cancer and dental pain.
            In some cases, addressing the underlying cause can cure the problem, i.e. fix the painful tooth.  With most causes of chronic pain, a cure is not possible, but alleviating the pain and keeping the pet comfortable is often achievable with medication.  Glucasamine supplements such as Dasuquin and Adequan injections can help improve joint health and therefore decrease discomfort.  Nonsteroidal anti-inflammatory medications such as Rimadyl, Deramaxx and Metacam and steroids often significantly decrease pain. 
When anti-inflammatories are not enough, adding analgesic drugs such as Gabapentin, Tramadol and narcotics will often keep a pet comfortable.  In addition, laser therapy can significantly decrease pain and inflammation.  Unfortunately, some animals do experience chronic pain; the good news is that, for many, we can keep them comfortable and happy.

Healthy Pets


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