dental health

Canine Dental Health: Top 10 Questions and Answers

Dogs are remarkable creatures. From the tip of their cold noses to the ends of their wagging tails, canine anatomy is as beautiful and graceful as it is unique and fascinating. The mouth, teeth, and skull of dogs are incredibly well adapted to meet the needs of one of nature’s most perfectly designed scavengers. The oral cavity of the dog is also the source of many myths and misunderstandings that lead to some potentially serious problems. Here are some of the most common, interesting and important dental questions regularly asked.

1. How many teeth do dogs have?

The average adult dog has about a third more teeth than his human counterpart. Adult dogs have 42 permanent teeth compared to a measly 32 average human teeth (not counting any wisdom teeth. Those are "bonus."). Puppies possess 28 baby teeth while human babies will have 20 deciduous or “baby” teeth.

2. When do dogs begin to lose their baby teeth?

Puppies begin losing baby teeth around 12 to 16 weeks of age. By four months of age, almost all of a pup’s deciduous teeth have been shed and many of the permanent teeth have already erupted and are in place.

3. Can you tell how old a dog is by looking at their teeth?

The answer is—it depends. When dogs are young, you can estimate their age by observing which teeth have erupted. For example, a puppy’s deciduous incisors typically erupt between 4 to 6 weeks of age and the permanent incisors are in place by 12 to 16 weeks. The canines or “fang teeth” emerge at 3 to 5 weeks and the permanent canines by 12 to 16 weeks. By the time the permanent molars are present, the dog is 4 to 6 months old. In general, once a dog reaches six months of age, all or least most of their permanent teeth are visible.

Once the adult teeth are in place by about 6 months, it’s anyone’s guess. Some veterinarians claim to determine a dog’s age by gauging the amount of wear on the teeth. Maybe. What if a young dog chews on hard things? That could lead to a three-year old stray dog mistakenly being categorized as a senior dog on the basis of worn teeth, resulting in a lower chance of adoption. The myth of aging dogs by their teeth started with horses. Horses’ teeth erupt over a five-year period ("full mouth at five"), wear at somewhat established rates and you can get a ballpark guess of the age of a horse by careful examination of teeth. The same isn’t true for man’s best friend. Or man. Guessing a dog’s age must include much more than simply the current state of their teeth.

4. Can dogs regrow adult teeth if they lose them?

This is a common myth asked about by many dog owners. Unlike species such as sharks, dogs can’t regrow lost or damaged teeth. If they lose an adult tooth, they lose it forever, just as in humans. This is why it’s so important to take good care of your pets' teeth. They’ve got to last a lifetime.

5. Do dogs get cavities?

Dental caries or “cavities” as they’re more commonly known, are rare in dogs. This is due to many factors including a relatively low-sugar diet, differences in mouth bacteria, and the shape of the teeth. When cavities do occur, they can be treated the same way as human cavities: drill out the damaged part of the tooth and fill it with a special dental compound. In severe cases involving tooth root exposure, endodontic procedures will be performed such as root canal and capping. Extraction of the affected tooth is required in certain cases. Another good reason to provide dental care for your dog.

6. Do small or large dogs have more problems with their teeth?

Dogs both large and small can develop serious oral and periodontal problems. In small dogs with short snouts and cramped jaws, we tend to see more issues with plaque, tartar, and dental calculus buildup. This leads to gum and periodontal disease and eventually painful loose teeth. Small dogs may chip and break tiny teeth if permitted to gnaw on hard toys. Larger breeds tend to experience more traumatic injuries to teeth and gums such as fractured tooth tips, broken jaws, and worn tooth surfaces. If the tooth root becomes exposed, this results in severe pain and death of the tooth. Larger dogs can also develop the same plaque and tartar buildup as well as the gum and periodontal disease of their smaller siblings.

7. How can I tell if my dog has gum disease?

Start by lifting your dog’s lips. If you see dirty or discolored teeth, typically an ugly brownish-greenish color, see your veterinarian. This is likely tartar or plaque and is an early sign of imminent gum or periodontal disease. Next examine the gums for any swelling or redness. If you brush your fingertip along the gum line and observe the tissues become angry and inflamed or even bleed, this indicates more serious gum infection and disease. Finally, take a whiff. If your dog’s breath is foul, this is usually associated with bacterial infection. “Doggie breath” shouldn’t be a reason to avoid your dog. Remember that sweet smelling “puppy breath?” A dog with a healthy mouth should have pleasant or at least neutral odor. If your dog exhibits any of these signs, see your veterinarian for help.

8. What’s that really big tooth in the middle of my dog’s upper jaw?

The largest tooth in a dog’s mouth is the upper fourth premolar also known as the carnassial tooth. Its special shape and tooth surface is designed to help shear, crush, and hold. This is why you see dogs grasp chew toys with the side of their mouth, chomping feverishly. This is also why you have to replace so many chew toys. Next time blame the carnassial teeth instead of your dog.

9. I heard that dogs could get mouth cancer. Is that true?

Unfortunately oral tumors are diagnosed in many dogs. In fact, it’s estimated that one in four dogs will die of some form of cancer. Malignant oral tumors in dogs can be very aggressive and quickly spread throughout the body if untreated. If you observe any swelling, lumps, or dark and unusual colored tissue in your dog’s mouth, have it examined immediately. If diagnosed early, many oral cancers have a relatively good prognosis.

10. I’ve tried many times to brush my dog’s teeth with no success. They seem to hate it. Is there anything else I can do to take better care of my dog’s teeth?

You’re not alone. It's quite common for a busy pet owner to not brush their dog’s teeth every day, either. So what can be done? First, have all your pets’ teeth professionally cleaned under anesthesia once a year at your vet. This is perhaps the single most important thing a pet parent can do for their pet when they can’t brush the teeth daily. While they’re under, your vet will take oral x-rays to make sure there are no hidden problems lurking out of sight underneath the gums. Next, provide your dogs with chew treats approved by the Veterinary Oral Health Council (VOHC) to help remove plaque and tartar. Many have special ingredients embedded in them that help reduce harmful mouth bacteria. You can also regularly rinse your dogs’ mouths with an antimicrobial rinse designed to kill pathogenic bacteria that can cause gum infection. This also helps leave their breath highly kissable. Finally, at least once a week, take a peek inside your dogs’ mouths to make sure everything looks, and smells, healthy. See, taking care of your dog's mouth isn’t so hard after all!


If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.


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dog health

Your Dog's Gums and Problems to Watch For

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Gums can be an often-overlooked part of a dog’s mouth, but they’re just as important to keep clean and healthy as your dog’s teeth! Below, learn more about what color your dog’s gums should be, gum problems to look out for, and how to help your dog maintain healthy gums.

What Color Should My Dog’s Gums Be?

If you want to know what healthy dog gums look like, look no further than the seafood bar at your local grocery store. Healthy gums should appear shrimp-colored pink and unhealthy gums will appear red and inflamed.

Certain diseases can cause discoloration of the gums. For instance, red, inflamed gums can be a sign of gingivitis. Gingivitis is caused by plaque, which is composed mostly of bacteria. Plaque can accumulate on the tooth surface especially in the space underneath the gum line. Gingivitis is also caused by the body's oral immune system reacting to the plaque bacteria on the teeth.

If your dog’s gums are other colors, that can also be indicative of additional health problems. If the gums are pale or white, that could be a sign of anemia. If the gums are blue that often means that your dog is not getting oxygen. If the gums are yellow in a dog, it can be a sign of Leptospirosis, a bacterial infection that can cause liver disease, and jaundice, which can also be a sign of liver disease.

Common Gum Problems in Dogs

Another sign of unhealthy gums? Bad breath. Bad breath or especially a sudden worsening of the breath is often associated with worsening of gum disease.

Gum disease is usually caused not by problems with the gums, but by bacteria on the teeth. So to take care of the gums, brush your dog's teeth. The best and most common way to prevent gum disease is to brush their teeth every day using a soft-bristle toothbrush. Brushing aside, you also can use products approved by your vet, such as dental-maintenance chews (we sell OrvoVet Dental Chews—just ask our receptionists!).

Periodontal disease is the most common cause of unhealthy gums, but other diseases such as immune-mediated inflammatory disease, bleeding disorders, gingival enlargements, and even oral cancers can also cause unhealthy gums. Periodontal disease is most common in dogs under 30 pounds. This is due to crowding—small dogs tend to have large teeth in a relatively small mouth.

Read more: Periodontal Disease and Treatment: Dental Scaling

Additionally, breeds like boxers can be prone to gum overgrowth, a benign condition that is genetic in nature. Although the condition itself is benign, it can result in an almost tumor-like overgrowths of gum tissue which can cause pseudopockets in the dog’s gums.

If you can imagine gum tissue growing up and around the tooth, you can imagine it forming this little nook, cranny or pocket between the overgrown gum and the tooth where fur and debris and food can get stuck and subsequently cause bad breath and infection.

Additional Gum Issues to Watch Out For

Younger dogs, and puppies especially, can come down with papillomatosis, or warts of the gums. Signs include the appearance of solitary, clusters, or even hundreds of warts. If you see one or two warts, don’t worry. Those will usually fall off in one to two months. Dogs with an abundance of warts, however, may need to have surgery to remove them.

Over time, the texture of an older dog’s gums can become more cobbled looking. A cobbled texture in and of itself is nothing to fret about, but cobbled gums can be a sign of cancer. Depending on the type of cancer, if the cobbled gums are accompanied by bad breath, oral pain, reluctance or difficulty chewing, and oral bleeding, seek out a vet to examine your pet.

However, rather than fret over textural changes, it's the color of the gums or if they are bleeding or look like they are going to bleed easily to be more concerned about.

Additionally, rough or intense chewing on a toy or a bone can cause gums to bleed. Sharp pieces of the chew toy could temporarily roughen up the gum. If this is the case, this gum condition normally is not a serious issue, unless the bleeding doesn’t stop. If bleeding lasts more than 10 minutes, it is advised to seek emergency treatment.

Bleeding gums could be a sign of oral cancer, kidney failure (high levels of ammonia can accumulate causing ulcerations and gum bleeding), or idiopathic thrombocytopenic purpura (or ITP)—when the immune system destroys platelets so blood doesn’t clot. If a dog consumes rat poison, it also could cause their gums to bleed,

How Can Gum Problems Be Treated?

If you suspect your dog has gum problems, head to the vet. Your veterinarian will perform a complete dental exam under general anesthesia and take dental X-rays to determine the appropriate treatment.

Treatment is based on the results of the exam and X-rays, and may include anything from a good cleaning of the plaque and tartar on the tooth surface to periodontal surgery or even tooth extraction. If other diseases are suspected (like an immune disease or cancer), a gum biopsy can be obtained and observed.

If you suspect your dog already has a dental disease, it’s best to have a vet treat the condition first and then start an at-home gum-care program.

If your pet has a preexisting dental problem that could be associated with oral sensitivity, it may be beyond the point where tooth brushing is going to do any help. It’s just going to irritate the dog. When your pet has a mouthful of healthy teeth left, then is the time to start on a home-care program with tooth brushing!


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What is Somatitis?: Inflammation of the Soft Tissues in the Mouth in Dogs

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Stomatitis is the condition where the soft tissues in an animal's mouth, such as the gums and tongue, become irritated and inflamed. It can become a major issue if bacteria or infection enters the dog's bloodstream. Treatment options are available, and the prognosis is positive for animals suffering from this medical condition.

Symptoms and Types

Common symptoms or signs of Stomatitis can include:

  • Pain

  • Bad breath

  • Ulcerated tissues

  • Extensive teeth plaque

  • Excessive drooling or saliva

  • Fluid buildup in the gums

The primary types of inflammation are:

  1. Ulcerative Stomatitis: This condition occurs when a significant amount of gum tissue is lost in a dog's mouth, and is frequently accompanied by inflammation of the oral tissues.

  2. Oral Eosinophilic Granuloma: This condition occurs when there is a mass or growth in the dog's mouth.

  3. Gingival Hyperplasia: This condition occurs when gum tissue increases in size.

  4. Lypohocytic Plasmocytic: This condition is characterized by the presence of plasma cells and lymphocytes in the mouth -- each are types of white blood cells.

Causes

In puppies, inflammation can occur as teeth become overcrowded in the mouth. Several metabolic disorders are also known to cause this inflammation, including an abnormal amount of waste products in the blood stream, inflammation of blood vessels in the mouth (common with diabetes), inadequate levels of the hormone (called parathyroid) and lymphoma. Infectious diseases and injuries to the mouth can also cause the inflammation.

Diagnosis

A veterinarian will examine the dog's mouth for lesions, teeth decay, plaque and other noticeable signs that may be causing the inflammation. In addition, laboratory blood work will typically be done to rule out any other underlying medical condition for the inflammation.

Treatment

Antibiotics have been proven effective in reducing inflammation of a dog's oral cavity. In some cases, teeth will need to be surgically removed to reduce the inflammation. Teeth cleaning and proper dental and oral health should also ensure a quick recovery and good health for the dog.

Prevention

To prevent inflammation, your veterinarian may recommend that you rinse or brush your dog's mouth. There are also some topical ointments that can be used to reduce or prevent inflammation of the dog's gums.


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Benefits and Types of Dog Dental Chews

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Dogs can suffer from periodontal (gum) disease just like people, and it’s not something to ignore. Dental problems in dogs can lead to loss of appetite and broken or lost teeth, and it may even damage other organs if bacteria get into the bloodstream through diseased gums.

Professional cleanings and brushing your dog's teeth are great ways to maintain oral health. Dog dental treats and special diets also may provide some oral benefits, but using them comes with precautions.

The Benefits of Dog Dental Treats

Just as with humans, dogs can suffer from oral problems like:

  • Bad breath

  • Build-up of saliva, bacteria, and food on teeth (plaque)

  • A hard yellow or brown residue on teeth (tartar)

  • Swollen, bleeding, or irritated gums

  • Pain

Improving your pet's teeth and gum health. Dogs that chew actively have less plaque build-up. And some types of dog dental treats and diets can reduce plaque by nearly 70%. How do they do this? Simply the mechanical action of chewing can make a difference. In one study, increasing the diameter of kibble by 50% led to a 42% reduction in tartar. In the same study, coating the products with a substance called polyphosphate further reduced tartar by 55%.

The Veterinary Oral Health Council (VOHC) is an organization that evaluates pet products to see if they meet standards for reducing plaque or tartar. Approved foods, treats, and chews must reduce plaque or tartar by at least 10% to achieve the VOHC seal of approval. If a chemical anti-plaque agent is used, it needs to reduce plaque or tartar by at least 20%. To see which products have received the VOHC seal of approval, visit their website.

Reducing bad breath in dogs. It is not uncommon for a dog’s breath to be slightly unpleasant. This is often the result of bacteria build-up in the mouth and can be a sign that your dog needs better dental or gum care. However, it’s not a bad idea to check with your vet to make sure bad breath is not a sign of an underlying medical problem.

In addition to professional cleaning and regular tooth brushing, certain dog treats are also formulated to help improve breath. Hard chew toys may also help. Ask your veterinarian what's best for your pet.

Types of Dog Dental Treats and Diets

A wide variety of dog dental treats and diets make claims of reducing plaque and tartar or improving breath. Some have voluntarily been tested and have received the VOHC seal of approval. Most are available in stores, but some you can only purchase through veterinarians. Here are the main types:

  • Rawhide chews. Made from the hides of cows or horses, rawhide chews can reduce plaque and tartar. They come in different sizes and shapes.

  • Dental chews, bones, and biscuits. Greenies®, Del Monte Tartar Check® Dog Biscuits, Bright Bites, OraVet® Dental Hygiene Chews, and Vetradent Dog Chews are examples of edible products approved by the VOHC and can be purchased through your veterinarian.

  • Dog dental diets. Some dog food formulations help reduce plaque and tartar. They do this in a variety of ways. Some are made into larger kibble or a texture that resists crumbling, which creates a scrubbing action. Others have a special coating that helps prevent bacteria, reduce plaque, or discourage the formation of tartar. Ask your vet about these and special dental diets available only through the veterinary market.

  • Dog chew toys. Although not edible, chew toys such as Kong® toys, Plaque Attackers®, or Gumabones® may be a good choice, especially for dogs that chew through edible treats too quickly.

Taking Precautions with Dental Dog Treats

Not all dental dog treats are created equal. Some are more effective or safe than others. Here are a few things to keep in mind as you’re choosing a dental treat for your dog:

Make the right match. Match the treat or toy to your dog’s size, preferences, or personality. For example, aggressive chewers may need a product that is more firm.

Limit edible treats. Depending on the type of edible treat, it may go down too fast to be of much benefit to your dog’s teeth. These treats can also quickly add lots of calories. The general rule is the smaller the dog, the fewer the treats. Ask your vet if you have questions about this.

Avoid hard bones and pigs’ ears. If your dog has diseased teeth, they are likely to break them on hard chews, hard plastic bones, sterilized beef bones, or cow hooves. Fresh bones with meat and cartilage may be easier on the teeth, but should be used with caution because of the risk of bacterial contamination or ingestion of sharp bone fragments by aggressive chewers. Take them away after a few hours, as they become hard and dried out.

Although pigs’ ears are often a favorite of dogs, studies have not shown them to offer any dental benefits. They are also sometimes contaminated with bacteria.

Be careful with compressed chews. Edible treats such as rawhide chews can help with dental health. But some dogs, especially aggressive chewers, consume them too quickly or may swallow pieces whole. This can cause choking or blockages. These products may also be contaminated or cause stomach irritation. Watch your dog while they are consuming these products. If your dog swallows a large chunk, contact your vet. And watch for signs of intestinal upset. Be sure to limit how much your dog - especially a smaller dog - consumes at one time.


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Guide to Brushing Your Pet's Teeth

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If you are not paying attention to your pet’s teeth every day, you are neglecting one of the most critical contributors to their overall well-being: home dental care. Help promote oral health with daily brushing.

One of the best weapons in the fight against pet periodontal disease is actually a very simple tool: a toothbrush. Some pet owners giggle, groan or roll their eyes when their veterinarian tells them they should be brushing their pets' teeth. The idea of sticking a bristled brush into the mouth of a dog or cat does seem kind of comical — or a huge hassle. And daily? Who has the time?

Well, suppose you didn't brush your own teeth for several years. Can you imagine how much plaque and tartar would build up on your teeth? Periodontal disease can lead to pain, tooth loss, and bacteria in the mouth can spread to internal organs, which can spell trouble for your pet's health.

One way to help fend off dental disease is to brush your pet’s teeth on a regular basis. While there are a lot of tricks we can teach our pets, brushing their own teeth is not one of them, so that task falls to owners. Take heart, however, because although it may sound like a daunting task, brushing your pet’s teeth is not as hard as you might think.

First Things First

As a member of your family, your pet deserves to receive the same attention to her teeth as you give to your kids’ teeth. Ideally, then, you want to begin dental care when your pet is a youngster.

Starting with a clean slate is also important. If the plaque that builds up on your pet’s teeth is not removed within about 24 to 36 hours after eating, it can harden into tartar. When that happens, your pet needs professional attention to remove it. Before you begin brushing, ask your veterinarian to examine the condition of your pet’s teeth. If necessary, your veterinarian may recommend a professional dental cleaning.

Just as people do, pets should have regular professional cleanings. However, brushing your pet’s teeth at home can also help keep periodontal disease at bay.

Let the Brushing Begin

Veterinarians recommend brushing your pet’s teeth every day. All you need are a toothbrush and pet-friendly toothpaste. Look for a soft-bristled toothbrush with small-diameter nylon bristles. The toothbrush should also be sized appropriately to fit your pet’s mouth. Toothbrushes can be purchased at pet stores, but some of these can be large. For a pet with a smaller mouth, you might try a human pediatric toothbrush, a finger brush or a toothbrush developed specifically for cats, which also works well for small dogs.

It is important to use toothpaste made specifically for animals. Human toothpaste can contain xylitol, a sugar substitute that is toxic to dogs. Even if your toothpaste isn't sugar-free, it can contain foaming agents that can cause stomach upset if swallowed. Plus, you’ll find that toothpaste for pets comes in flavors that appeal to animals, such as beef or chicken.

Teaching your pet to accept toothbrushing should be a gradual process. You may want to start by letting your pet lick the toothpaste off your finger and then graduate to sliding your finger with the toothpaste into your pet’s mouth. Next, substitute a toothbrush for your finger and repeat the same procedure. Each step can be performed on a different day. Make sure to praise your pet at each step, so they associate toothbrushing with a positive experience.

Don't Give Up

Brushing your pet’s teeth may seem like a challenge at first. However, after a few weeks of working with your pet, you will find that brushing their teeth becomes as routine as brushing your own. In the end, helping to protect your pet’s health is worth it.


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