Sunday, April 24, 2016

Avoid the Horror of Dragon Breath



                             
    To this day, it still shocks me how many pets I see with breath so foul that I have to lean back away from the patient . After sensing the odor emanating from these pets,  I then lean back in while holding my breath to lift the lips and visualize what awaits me. This is an occurrence so common that veterinary professionals have coined the phrase "Potty Mouth" to describe the experience.      

                                I know and understand that some people have heightened senses of smell, but the aroma of infected teeth, either one or multiple, is truly hard to miss. After my primary response of repulsion, my immediate next response is one of huge sympathy for the pet with this unfortunate circumstance.  Pets with mouths this severely affected by dental disease often have some facial swelling or a dull to tragic facial expression that always gets my attention.

                             Many pet owners are more than aware that their pets have dragon breath,  but what shocks me is that just as many are not aware that their beloved four-legged family member is experiencing significant pain and/or flu-like symptoms.  Asking them to imagine if they had one painful tooth, then to consider a mouth full of infected teeth, helps to drive the point home.

                          Personally, I  had a recent incident with a chipped last molar that was mildly painful.  This minor discomfort brought to mind again how many of my patients are suffering quietly with diseased, painful mouths. My dentist accommodated me within a few days and put an end to my dull ache, for which I was more than grateful.  I cannot imagine having to live with that level of pain or worse, as so many of my patients do, for indefinite time periods.

                          Like my dentist, I always aspire to get these dental patients back in my door as quickly as possible to end their suffering.  Because dental infections can be far reaching, pre-anesthetic blood testing and careful heart health assessments are conducted to see if the pet's severe dental disease has already impacted their health. Unfortunately, oral bacteria quickly enter the local lymph nodes and blood stream where they are then carried to the heart, kidneys and liver.

                          Many do not realize that their pet's heart murmurs actually originated from infections of the heart valves caused by oral bacteria.  Elevated liver values on routine wellness testing may be secondary to this organ being constantly bombarded by bad, oral bacteria in its role as the body's filtration plant.  And, if your pet is being treated for kidney disease, it is likely to be complicated by bacteria from the mouth as well.

                         Once a dental patient has a thorough physical examination and pre-anesthetic blood testing,  pre-operative antibiotics and pain medication are prescribed. The pet is placed under carefully monitored,  general anesthesia for ultrasonic scaling performed by veterinary technicians.  Dental x-rays are taken as needed, then all diseased teeth are extracted and the extraction sites are flushed with disinfectant solution.  Some extraction sites are closed with dissolvable suture, while others are too diseased to sew and will heal quickly on their own.

                        The final steps of a veterinary dental cleaning include polishing all surfaces of the remaining teeth, followed by application of SANOS dental sealant.  This Veterinary Oral Health Council (VOHC) approved sealant protects under the gum line and difficult to reach areas of the back teeth. SANOS is clinically proven to last for at least 6 months.

                         Prior to dismissal of your pet from the veterinary hospital after a dental cleaning, you will meet with a veterinary technician who will discuss dental products and share tips on proper tooth brushing/wiping.  You will be encouraged to begin DAILY dental care as soon as your pet's mouth discomfort subsides to prevent the return of dental disease.

                        The common observation after a "Potty Mouth" patient has had their dental disease addressed is almost immediate improvement in comfort, expression and liveliness.  The pet acts rejuvenated and pet owners are pleasantly surprised by the new lease on life that the pet has received.     

                        As always, the best medicine is prevention, especially when it comes to your pet's dental health! Brush or wipe your pet's teeth DAILY, feed dry pet foods and dental treats, and provide appropriate chew toys. And, most importantly, be certain your pet receives a thorough oral exam at every veterinary visit...twice a year for life would be ideal.

                        Please don't let your pet's mouth reach the point of exuding dragon breath!  Remember the one thing pets cannot do with their mouths is to speak for themselves to describe their suffering.
 
By Dr. Bonnie Jones

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