Periodontal Disease and Your Dog

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Dental disease can be found in 85% of pets over the age of 3. Periodontal disease is the most common dental disease and if left untreated can cause tooth loss and cause damage to all the major organs, heart, liver, kidney and brain. Untreated dental disease can shorten your pet’s life span by 3 years.

So what is periodontal disease?

Periodontal disease begins with plaque build up on the surface of your dog’s tooth. Just like in humans, the plaque starts as a biofilm of bacteria mixed with food particles and saliva. If this film is not removed, it eventually layers into what is known as tartar.

The tartar begins to mineralize and the bacteria begin to infect the gum causing gingivitis. As the tartar continues to build up, it works it’s way beneath the gum causing the gum line to recede. Eventually, the infection continues to spread and will loosen the attachment of the tooth and tooth loss will occur.

Besides the tooth loss, the gum infection also begins to shower the dog’s blood stream with tiny bits of bacteria. These bacteria will begin to settle in all the major organs, especially the mitral valve of the heart and in the kidneys. This can lead to congestive heart failure and kidney failure and ultimately the untimely death of your pet.

So what can I do to prevent dental disease?

Start with getting your pet used to having his teeth brushed at an early age. Just like in humans, plaque replaces itself every 12 hours, so optimally, your pet’s teeth should be brushed twice a day. Do not use human toothpaste, the fluoride could be swallowed by your pet and cause toxicity. Use toothpaste that is designed and flavored just for pets. I know that brushing your pet’s teeth is hard to do, but brushing really helps keep their mouth healthy.

Also available are special diets such as Hill’s t/d to mechanically remove the tartar and keep the pet’s teeth clean. There are also enzymatically treated chews, such as greenies and C.E.T. chews that can help remove the plaque and tartar.

There are also dental oral rinses and Breathalyser water additives to help with oral hygiene.

Once tartar is formed on your pet’s teeth, your veterinarian will need to scale and polish your pet’s teeth under anesthesia to remove the tartar that is beneath the gum line. Once removed, it is up to you to practice good dental care with your pet with daily brushing and other dental products to keep the mouth healthy.

Heart Disease in Cats

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As cats get older, problems with their heart, kidneys and other organs can occur. The most common diseases affecting aging cats are cancer, renal or kidney disease, diabetes, hyperthyroidism (disease of the thyroid gland), dental disease and heart disease. Cats age seven times faster than humans and examinations done by your veterinarian twice a year can help detect diseases earlier when they can still be treated. Diagnostic tests such as blood work, ECG, ultrasound and blood pressure monitoring can help detect problems earlier.

The most common heart disease that occurs in cats is hypertrophic cardiomyopathy (HCM). HCM occur more frequently in cats, and is considered rare in dogs. HCM is an acquired heart disease that affects the walls of the heart causing them to become abnormally thick. As the disease progresses the pumping capabilities of the heart reduces. The ventricular heart muscle eventually gets thicker and stiffer and decreasing the ability to contract to push the blood out as it should. The narrow heart chamber holds a smaller volume of blood, so less blood is pumped out of the heart with each beat of the heart., This results in the amount of blood that once filled the heart is less than it should be and the heart muscle can’t contract as well to move the blood out of the heart into the body. The heart now has to pump faster and harder than normal to keep the blood flowing throughout the body. The resulting pressure begins to back up the blood into the lungs causing edema and congestion and eventually leads to congestive heart failure.

Sometimes, the faulty heart will have changes in the conduction system that tells the heart when to contract. This some times causes arrhythmias and can result in sudden death similar to those found in some of our young athletes that collapse during practice.

Cardiomyopathy can also cause feline aortic thromboembolism or FATE. Occasionally, blood clots can dislodge and clog the arteries going to the rear legs. The thrombus (blood clot) causes a loss of blood flow to the rear legs resulting in sever pain, paralysis and possibly death,. This condition is commonly called a saddle thrombus. About 40% of the cats can recover from a saddle thrombus with expensive and intensive therapy and may regain use of their legs over time. However, these cats still risk developing another episode and still suffer from the primary heart condition.

Cats are very good as masking underlying physical problems so early detection is key to helping these cats live a full life. A fat and lazy cat may be hiding a heart condition. Of course not all fat and lazy cats a have heart disease, and exams by your veterinarian can help detect disease if it is present. Laboratory tests, such as, EKG, blood pressure monitoring and ultrasound can help the veterinarian diagnose heart disease. The thickened walls of the heart can be seen with ultrasound and is a screening tool for cats as well as our young athletes.

Medications can help cats with their heart function, reduce the edema in their lungs and may help reduce the blood clot formations. The prognosis for a cat that has already developed the congestive heart failure is guarded, and even with medication, survival rates are 12-18 months after diagnosis and sudden death can occur at any time.

Develop a wellness plan with your veterinarian for early detection and diagnostics. By detecting diseases earlier, small changes in diet or medications can help your cat live longer.

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