Bug says ….“This is important stuff folks, listen up!”

Ken Lambrecht DVMMedical Director Westside Family Pet

Clinic

w/ Chris Kammer DDSPresident Academy of Oral Systemic

Health

Presented February 15, 2012

klambdvm@westsidefamilypet.com www.westsidefamilypet.comwww.slideshare.net

1) What are the signs my pet has gum disease?

2) What internal organs or diseases have been linked beyond doubt to gum disease?3) How often do pets teeth need to be professionally cleaned?4) What are the 3 best preventive steps I can take for my dog?5) What are the 3 best preventive steps I can take for my cat?

Teeth cleaning requires anesthesia Additional problems are often detected Dental homecare can be challenging in

pets Needs to be done annually (AAHA,

AVDC, AVMA) Can be expensive (especially if care

delayed)

Anesthesia monitoring Pain management Equipment intensive Requires advanced training 42 different “patients” (teeth) in each

pet “One visit” dentistry can create stress

PREVENTION!

Dentistry (affects 80% of pets) Obesity (affects 40 to 50% of pets) Arthritis (affects 20% of pets) Cancer Kidney, Liver, Cardiac

0

20

40

60

80

100

Wellness

Dentistry

Weight Management

Osteoarthritis

Allergies, Cardiology etc

Periodontal disease causes kidney, heart, and liver disease (& others too) but is 100% preventable.

Periodontal Health: Causes & Consequences Clinicians

Brief Jan 2012 By Colin E. Harvey, BVSc, FRCVS, DACVS &

DAVDC University of Pennsylvania

Is periodontal disease associated with systemic & distant-organ* abnormalities?

Yes: There are proven associations between periodontal disease and systemic and distant-organ abnormalities.7 

and 2 studies have demonstrated an association between periodontal disease and cardiac10 or renal11 disease, though the extent of periodontal disease in these studies10,11 was recorded inconsistently.

Two studies conducted in dogs demonstrated that microscopic inflammatory or degenerative changes in distant organs increase with rising severity of periodontal disease,8,9 

Cardiac Diabetes Kidney Liver Arthritis? Cancer?

Porphrymonas gingivalis

Treponema

Bad breath! Blood on chew toys Drooling Chews more on one side than another OFTEN NONE

1) Pre-surgical exam & consultation with a DVM

2) Premedication & pain relief before anesthesia

3) Ultrasonic scaling4) Sub gingival cleaning (under gum line)5) +/-Root planing (smoothing)6) Slow speed polishing

7) Complete oral charting8) Oral exam by Dr including oral cancer

screen9) Flouride application10) Oravet® plaque prevention gel11) Dental x-rays12) Homecare plan

Chips & discolored teeth Gum pockets & Gum disease Periodontitis leading to systemic

disease!

Avoid hard chew toys Brush teeth daily Use home care products Pay attention to any breath odors Avoid delaying care

Outside of teeth only Must be done every 24 hours Need friction to remove bio film

http://www.youtube.com/watch?v=wB3GIAgrTPE&feature=player_embedded

Great ”How to brush dogs teeth” video

Training involved = start young! Make fun & be consistent Should take just 1-2 minutes a day Do every day at same time to make a

habit

vohc.org

Foods = 20% better than averageTreats & Water products = 10% better

Plaque and/or Tartar claim (Gingivitis claim coming)

Preventing overweight pets

2002 Study showed that ideal weight dogs lived an average of 15% longer and had better health and quality of life

Labrador expected life 12 yrs should add 2.2 yrs if kept ideal weight entire life

50% of cats 5 years or older Very painful RARELY show signs NOT PREVENTABLE (yet)

Vohc.org approved kibble (3 brands) Healthy mouth ® water additive Oravet ® weekly Brushing (start as a kitten!)

Probiotics (5-45 billion CFU/day for each 10#)

Fish oils (20mg/lb EPA or 15mg/lb DHA)

A study published in the Oct 2008 "Journal of Clinical Periodontology" investigated the effect of a Probiotics strain known as Lactobacillus salivarius on a group of 66 research subjects at high risk of periodontal disease.

The study found …that daily tablets of this Probiotics strain taken for eight weeks significantly improved gum health and reduced the infiltration of bacteria in the gums.

Probiotics work by competing with periodontal disease-causing bacteria for food and space.

Lactobacillus also produce natural antibiotics, which help combat bad bacteria in the mouth

Natural (yogurt, kefir, sauerkraut, etc) Supplements (capsules, packets) Live organisms (keep cool, use by date,

safety) Pet Foods??? (killed by processing unless

added after heat-not yet!)

Nutramax Proviable DC®

Purina Fortiflora ®

VSL#3

Form Paste/capsule packet packet

Number of organisms

5 billion/capsule

758 million/pkt 458 billion/pkt

Species Enterococus faecium

Lactobacillus acidophilusL bifidumL bulgaricusL caseiL plantarum

Streptococcus thermophilum

Enterococcus faecium SF-68

Bifidobacterium breve, B longum, B infantis

Lactobacillus acidophilus, L plantarum, L paracasei, L bulgaricus

Streptococcus thermophilus.

More information

Omega 6 (fats found in chicken & meat) Omega 3 EPA & DHA (includes flax oil) Omega 9 (olive oil)

EPA = Eicosapentaenoic AcidDHA = Docosahexaenoic Acid

www.Consumerlab.com

Human website that now covers pets too!

Dosing is critical Much higher than bottle says Label needs to be read carefully Fresh, Hg free, Vit E preserved Specific Rx foods are an option

More information

J Periodontology Aug 2008 Supplement The Management of Inflammation in Periodontal Disease Thomas E. Van Dyke

Conclusion: Although the primary cause of periodontal disease seems to be bacterial, the excessive host inflammatory response and/or inadequate resolution of inflammation may be critical to the cause/progression of periodontitis.

Osteoarthritis Inflammatory skin disease (allergy etc) Some kidney diseases Some cardiac diseases Some cancers Periodontitis!

Dogs get severe hypoglycemia at low doses and liver failure at high doses

40 lb dog toxic level

Hypoglycemia 3 gm Liver Failure 15 gm

Trident pack =18 sticks each stick is .17g full pack = 3 gm

Pure xylitol ¼ tsp = 1 gm so ¾ tsp = 3 gm

New high potency xylitol gums have 1 gm xylitol per stick so just 1 piece of gum can be deadly to a 10 lb dog

Please make sure ALL XYLITOL products are ALWAYS safely out of reach of your dog!!!!

1) What are the signs my pet has gum disease?

2) What internal organs or diseases have been linked beyond doubt to gum disease?3) How often do pets teeth need to be cleaned?4) What are the 3 best preventive steps I can take for my dog?5) What are the 3 best preventive steps I can take for my cat?

Thank you for your attention! Questions?

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