What is Dental Disease?
There are a few things that make up dental disease in dogs and cats. The most common ones are plaque and tartar buildup.
Plaque forms on the teeth as a mixture of saliva, food, and bacteria, which then hardens and continues to build, eventually leading to calculus, otherwise known as tartar. This is the dark, concrete-like layer you may see on your pet’s teeth, mostly near their gum line.
Gingivitis is also commonly seen in animals. It is an inflammatory response to bacterial biofilm that covers the teeth and gums.
The infiltration of the tissues surrounding the teeth by these inflammatory cells cause the angry, uncomfortable red line we often see where the tooth meets the gum.
As gingivitis progresses tooth root exposure can occur which can be very painful. As the gum line recedes due to inflammation and infection, the root of the tooth becomes exposed and pockets form where food and other debris can hide, worsening the situation.
It is not uncommon for the teeth and gums to look relatively normal, however, once dental radiographs are performed we are able to see the extent of disease under the gum line.
This is why we recommend a Comprehensive Oral Health Assessment and Treatment (COHAT) under general anaesthesia.
In addition, cats often develop resorptive lesions (previously these were called feline odontoclastic restorative lesions (FORL)).
These incredibly painful lesions occur in more than 50% of adult cats and unfortunately cannot be prevented or reversed but we can treat them.
A resorptive lesion occurs when the bony substance covering the entire tooth from crown to root called dentin, erodes. This essentially exposes the root canal containing blood vessels, lymphatic vessels, and nerves. The lesions are often very painful.
Where resorptive lesions are present, it is recommended the tooth be extracted.