Tips for Toddlers
Andra Mahoney, BS RDH
Your Pets Teeth are Important Too!
Next week is February and February is National Pet Dental Health Month. Just like in humans, it’s very important for your pets to have healthy, happy teeth! Plaque and tartar grow on animals teeth, just as they do in humans. Animals can get periodontal disease, just like humans. The down side is when your pet’s mouth hurts, they cannot tell you the same way humans can.
This is a 6 year old, male, Yorkshire Terrier. His owners has taken care of his mouth his whole life. He has received healthy, crunchy, dog kibble, and minimal human food. His teeth are brushed. He has appropriate chew toys and treats. As you can see his teeth are white and shiny. Gums are healthy and happy too!
This is a 12 year old, female, Yorkshire Terrier. Her pervious owners did not take care of her mouth. As a result you can see her yellow/brown teeth covered in tartar. Her gums are angry and inflamed. She has periodontal disease and will soon loose more teeth than she already has. Until she has her cleaning and her teeth/gums are in health, she cannot eat crunchy kibble. Her food has to consist of soft foods she doesn’t have to really chew. She cannot enjoy the same treats as the previous dog. And the vet has said that her periodontal bacteria has caused her to have a respiratory condition.
The American Veterinarian Medical Association has a wonderful article on the importance of your pet’s dental health. You will find a lot of similarities between the importance of keeping your mouth keep and the importance of keeping your pet’s mouth clean!
“Dental health is a very important part of your pet’s overall health, and dental problems can cause, or be caused by, other health problems. Your pet’s teeth and gums should be checked at least once a year by your veterinarian to check for early signs of a problem and to keep your pet’s mouth healthy.
What is veterinary dentistry, and who should perform it?
Veterinary dentistry includes the cleaning, adjustment, filing, extraction, or repair of your pets’ teeth and all other aspects of oral health care. These procedures should be performed by a veterinarian or a board-certified veterinary dentist. Subject to state or provincial regulation, veterinary technicians are allowed to perform certain dental procedures under the supervision of a veterinarian.
The process begins with an oral exam of your pet’s mouth by a veterinarian. Radiographs (x-rays) may be needed to evaluate the health of the jaw and the tooth roots below the gumline. Because most dental disease occurs below the gumline, where you can’t see it, a thorough dental cleaning and evaluation are performed under anesthesia. Dental cleaning includes scaling (to remove dental plaque and tartar) and polishing, similar to the process used on your own teeth during your regular dental cleanings.
Oral health in dogs and cats
Your pet’s teeth should be checked at least once a year by your veterinarian for early signs of a problem and to keep your pet’s mouth healthy.
Have your pet’s teeth checked sooner if you observe any of the following problems:
- bad breath
- broken or loose teeth
- extra teeth or retained baby teeth
- teeth that are discolored or covered in tartar
- abnormal chewing, drooling, or dropping food from the mouth
- reduced appetite or refusal to eat
- pain in or around the mouth
- bleeding from the mouth
- swelling in the areas surrounding the mouth
Some pets become irritable when they have dental problems, and any changes in your pet’s behavior should prompt a visit to your veterinarian. Always be careful when evaluating your pet’s mouth, because a painful animal may bite.
Causes of pet dental problems
Although cavities are less common in pets than in people, they can have many of the same dental problems that people can develop:
- broken teeth and roots
- periodontal disease
- abscesses or infected teeth
- cysts or tumors in the mouth
- malocclusion, or misalignment of the teeth and bite
- broken (fractured) jaw
- palate defects (such as cleft palate)
Periodontal disease is the most common dental condition in dogs and cats – by the time your pet is 3 years old, he or she will very likely have some early evidence of periodontal disease, which will worsen as your pet grows older if effective preventive measures aren’t taken. Early detection and treatment are critical, because advanced periodontal disease can cause severe problems and pain for your pet. Periodontal disease doesn’t just affect your pet’s mouth. Other health problems found in association with periodontal disease include kidney, liver, and heart muscle changes.
It starts with plaque that hardens into tartar. Tartar above the gumline can often easily be seen and removed, but plaque and tartar below the gumline is damaging and sets the stage for infection and damage to the jawbone and the tissues that connect the tooth to the jaw bone. Periodontal disease is graded on a scale of 0 (normal) to 4 (severe).
The treatment of periodontal disease involves a thorough dental cleaning and x-rays may be needed to determine the severity of the disease. Your veterinarian or a board-certified veterinary dentist will make recommendations based on your pet’s overall health and the health of your pet’s teeth, and provide you with options to consider.
Why does dentistry require anesthesia?
When you go to the dentist, you know that what’s being done is meant to help you and keep your mouth healthy. Your dentist uses techniques to minimize pain and discomfort and can ask you how you are feeling, so you accept the procedures and do your best to keep still. Your pet does not understand the benefit of dental procedures, and he or she reacts by moving, trying to escape, or even biting.
Anesthesia makes it possible to perform the dental procedures with less stress and pain for your pet. In addition, anesthesia allows for a better cleaning because your pet is not moving around and risking injury from the dental equipment. If radiographs (x-rays) are needed, your pet needs to be very still in order to get good images, and this is unlikely without heavy sedation or anesthesia.
Although anesthesia will always have risks, it’s safer now than ever and continues to improve so that the risks are very low and are far outweighed by the benefits. Most pets can go home the same day of the procedure, although they might seem a little groggy for the rest of the day.
What can I do at home for my pet’s oral health?
Prevention of the most common oral disease in pets consists of frequent removal of the dental plaque and tartar that forms on teeth that are not kept clean. Regularly brushing your pet’s teeth is the single most effective thing you can do to keep their teeth healthy between dental cleanings, and may reduce the frequency or even eliminate the need for periodic dental cleaning by your veterinarian. Daily brushing is best, but it’s not always possible and brushing several times a week can be effective. Most dogs accept brushing, but cats can be a bit more resistant – patience and training are important.
There are many pet products marketed with claims that they improve dental health, but not all of them are effective. Talk with your veterinarian about any dental products, treats, or dental-specific diets you’re considering for your pet, or ask your veterinarian for their recommendation.”
Below is a video produced by the AVMA that is published on their youtube page. It is very informative video on how to brush your pet’s teeth. Check it out: https://youtu.be/wB3GIAgrTPE
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Katie Moynihan, BS RDH
Are You a Mouth Breather?
Breathing out of your mouth may not seem like a huge problem, but in terms of oral health and facial development, mouth breathing can create numerous oral health concerns. Chronic mouth breathing occurs when your body cannot get enough oxygen through your nose, therefore, must resort to your mouth for the necessary oxygen supply. It can be caused by several different factors – obstructive, habitual, and anatomic conditions. In most cases, mouth breathing is caused by chronic nasal obstruction. Examples of this include enlarged tonsils, allergies, nasal congestion, asthma, and nasal polyps. It may also be caused just by habit. A person might not even know any better because it is the norm for them to breathe through their mouth. Some anatomic conditions that can cause mouth breathing include Down syndrome, malocclusion, tongue thrusting, cerebral palsy, and sleep apnea. Each of these conditions contribute to the deprivation of oxygen which can lead to a host of unpleasant symptoms.
Signs and symptoms of mouth breathing in dentistry include:
- dry lips and mouth
- decreased saliva
- inflamed and bleeding gums
- increased plaque
- frequent cavities
- chronic bad breath
- swollen tonsils/adenoids
Mouth breathing has been known to cause developmental problems in children. Often times children breathe through their mouth habitually and many parents never think twice about it. However, if left undiagnosed and untreated, it may lead to permanent skeletal deformities. The face can begin to grow long and narrow, the nose can become flat with small nostrils, and the lips can be thin on top and quite pouty on the bottom. This, in addition to the other negative effects to oral health, shows that mouth breathing is a whole body problem and should be treated as early as possible.
Yes, you read that right, mouth breathing can be treated! You would think that it would be an easy habit to change – just close your mouth, right? Unfortunately, for people who struggle with mouth breathing, it’s not that easy. The body simply doesn’t know how to breathe normally, and the muscles of the face and mouth have compensated and learned to work incorrectly. In order to stop mouth breathing, the muscles must be re-trained to function in new ways. Treatment includes respiratory exercises, lifestyle changes, and in some cases medical surgeries and devices. If you feel as though your mouth breathing is occurring more than normal, please consult with your dental or health care professional to determine the cause and treatment needed to correct your chronic mouth breathing.
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Amanda Orvis, RDH
Tips for Flossing and Maintaining Your Oral Health While in Braces
Flossing may seem like it is almost impossible when you are in braces. It can even seem intimidating. It is a fact that it takes longer to floss your teeth if you have traditional wired braces. Thankfully there are tools that can help take some of the hassle out of flossing around braces. Please read below for some suggestions.
These threaders are a great tool to help achieve getting your floss behind your wire and between your teeth. Simply grab a normal piece of floss and one threader. Thread the floss through the loop hole in the threader, the same way you would thread a needle. After you have threaded the floss threader, simply guide the threader behind your orthodontic wire and floss between your teeth. See picture below.
Super floss is a pre-threaded flosser. It consists of three parts. Part one is the stiffened needle-like end. Part two is the spongy floss. Part three is the regular floss. This one piece threaded floss is great for maneuvering around those orthodontic wires. The great thing about super floss is that you do not have to thread the floss at all; it is already done for you! The spongy part of the floss is great for those wider spaces between your teeth that you get while your teeth are moving and shifting while you are in braces. The traditional end of the floss is great for those tighter spaces. See picture below.
These small brushes are great for cleaning between the teeth and behind your orthodontic wires. Proxabrushes help to remove the plaque in those hard to reach areas which are commonly missed. To use these brushes, you simply guide the brush behind the wire and move the brush up and down cleaning any remaining plaque on the teeth after brushing.
Waterpiks, also known as water flossers, are great to use around orthodontic brackets and wires. They are easy and effective. You simply point the water flosser between your teeth along the gumline and let the water spray between the teeth. Water flossers help to remove plaque and food debris in those hard to reach areas.
*If you would like a demonstration on any of these products please ask your dentist or dental hygienist at your next dental visit.
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Lindsay Olsen, RDH
pH Levels of Popular Brands of Bottled Waters
Bottled water is cheap, convenient, and easily accessible. One would think that choosing a bottled water brand should be a mindless decision. “It’s water” one would think, “It’s all the same wet stuff”. Whenever I find myself shopping for bottled water, I am sold on the pretty packaging, or their claim to fame that the water comes from a melting glacier in some foreign land. I think, “This water comes in a fancy glass bottle, and cost me $4.75, it has to be quality water.” FALSE.
As a bottled water consumer, and a Dental Hygienist, I am here to briefly educate you on the different pH levels of popular brands of bottled waters. Why do I care you ask? If you are sipping on a low pH (Acidic) bottle of water all day long, you are at a greater risk for tooth decay (Cavities). Bacteria that cause tooth decay can only thrive in your mouth when there is a low (Acidic) pH. Food (Or water) for thought.
Below is a basic chart to help educate oneself on what is Acidic vs. Neutral vs. Alkaline pH.
Next time you reach for a bottle of water, choose a brand that claims of be alkaline, or a high pH! Your teeth will thank you!
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