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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Fresh Breath in a Bottle: Does it Work? Is it Worth it?

July 22, 2010 / (13) comments


Have you ever wanted your pet’s breath to be fresher than it currently is? If you haven’t, I’d have to wonder whether your relationship might be suffering for lack of routine proximity. 

Everyone’s different, though. So I wouldn’t blame you if you preferred to keep your distance. After all, pet breath can get nasty in a hurry — especially if your pet belongs to one of the foul-mouthed breeds we keep.

Tiny dogs of all stripes, red-bred felines, sighthounds … all predisposed to foul breath. So it’s not their fault when their periodontal disease leads to halitosis. They were born that way. Then there are all the other causes of bad breath to consider: diet, digestion, disease … dental health is but one aspect.

Still, it’s your job as caretaker to keep watch and head off any heavy-duty diseases. In other words, regardless of the cause, you’re responsible for all that odor.

Which is probably what’s gotten you to wondering whether all those water-based "breath fresheners" out there are worth their salt. I mean, what do they do anyway?

Some contain enzymes that break down plaque. Others offer breath freshening ingredients. All promise better dental health without brushing.

Which is why the board-certified veterinary dentists I know have pooh-poohed these breath-freshening water additives. At best, they consider them akin to the "apple a day" approach (in other words, it may help a little bit but will never replace brushing). At worst, they don't work.

So why spend your hard earned money on products that will make little difference to your pet's oral health? That’s even more true when some of these products contain xylitol, a sugar substitute whose: a) short-term effects on dogs are proven toxic; and b) long-term effects are unknown.

While their presence in these oral supplements are way below known toxic levels, it still bugs me. After all I have done (and am doing) to raise the profile of xylitol’s deadliness, the pet breath-freshener people go and stick it in their dog products.

Now, normally I’m no naysayer of products where "do no harm" gets the respect it deserves. And despite the pesky presence of xylitol, these products are considered very, very safe. But when they’re used to replace proven means of treatment I start to get my hackles up. Hence, my issue with these pet-oriented, breath-freshening water solutions that are designed to replace simple brushing (daily, preferably) and yearly anesthetic dentistry.

Because when unproven methods are touted as superior to those that have been tried and true — according to the scientific method — I start to worry that my clients will start to gravitate towards the "easier" approach on the basis of a sticky sales pitch.

Sure, if you’ve ever attempted the "easy" angle you’ll know soon enough that the breath freshening isn’t happening to the tune of your outlay. Still, sometimes it seems easier (and guilt-alleviating) to pay a little every day than to come up with larger chunk up front for dentals. I get it. But it’s at this point that I’ll remind you: There’s no free lunch. It’s either brush early and often, or get routine dentistry (sometimes both). And, of course, see your vet should extra-dental halitosis plague you and your pet.


Dr. Patty Khuly



Pic of the day: "Chewer of all plastic things" by TheGiantVermin

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COMMENTS (13)
1
by Akiraleshiba.com on 07/22/2010 03:32am

I guess I'm lucky that my dog does not build up a lot of plaque and that my vet removes Akira's plaque without anaesthesia :)

2
by wikith on 07/22/2010 05:56am

I compare it to human dental health to help clients understand the difference. Brushing twice daily is the gold standard. Brushing less frequently is still good, the more often the better. Don't bother if you're just going to do it once a month - anything less than once a week and you're just likely to irritate those inflamed gums. Dental chews are like tartar-fighting gum - they help some, especially if used every day, but they're no replacement for brushing. Water additives are like using mouthwash every day - you rinse away some surface bacteria but there's no abrasive action to get down in there. It will help keep breath fresh a little, and may delay accumulation of tartar if used religiously right after a dental procedure, but it's no miracle fix.
I have a lot of clients with vicious little land sharks or just huge, uncooperative dogs who simply cannot brush the teeth at home. For these, the water additives are better than nothing at all. Then there are the people who probably could, but who get very sheepish when asked and admit that they've only done it twice, but Doc when I take him to get groomed twice a year the groomer "cleans" the teeth! Few of those are going to change, I've found out. If by the second time I see them they have not started brushing, dental chews and water additives require less effort - though I always make sure the owners know that they don't get nearly the same results.

3
by mayers246 on 07/22/2010 08:37am

I use dental wipes, they really break down the tartar and my little ones don't mind them. I go at the with a clunky old tooth brush I invarible bump their gums, make them bleed and they just don't like them. I have two very little yorkies with pristinely white teeth. The breath on the other hand . . . I could blame the cat!

4
Fresh Breath
by BunnyWoman on 07/22/2010 09:56am

I honestly don't believe you can get rid of "doggie breath" without brushing. I mean, really. How hard is it to take a toothbrush or one of those little "finger thingies" and brush even just a few strokes on either side? I mean, a little brushing goes a long way.

I think sometimes people mistakenly think that brushing a dog's teeth should be this fancy action as they see on TV, where the dog sits quietly while the owner sticks a brush with chicken flavored goo and brushes for 20 seconds. That's not always going to happen.

Some dogs are like little children. You know how sometimes Mom goes to wipe a kid's face and they don't want any part of it? But Mom persists and they get wiped anyway...even if she does spit in a Kleenex and does it that way!

Brush the dog's damned teeth, for goodness sake!

5
I suck at it
by EAB on 07/22/2010 10:45am

I suck at brushing teeth. I'll just say it here and now. I am not proud of it, and don't do it often enough, for sure. The dental wipes have me intriqued though. And yes, if Tina finds goose or cat poo to eat, then I must brush.

6
DOC!! HELP!!!
by EAB on 07/22/2010 10:51am

I just looked up the dental wipes. #1, they are made in China. #2, umm, here's the ingredients:

Water, polysorbate 20, propylene glycol, sodium bicarbonate, phenoxyethanol, methylparaben, ethylparaben, propylparaben, butylparaben, isobutylparaben, fragrance.

I did a bit of research and while none of these ingredients seem to scream "BAD" none of em are good.

Thoughts?

7
by saraturkovich on 07/22/2010 11:35am

I brush my Lab's teeth three times each week, which he sees as great fun. Also, after he's had a stinky dinner (eg tuna fish or salmon) I feed him about six mint leaves from my spearmint plant. He chews up the leaves and swallows them eagerly, and then he's minty fresh.

8
by babysweet on 07/22/2010 11:54am

Wow, what a negative post, Dr. Khuly. You generally have an open mind. I mean, I'm all for calling a spade a spade, but condemning an entire range of products for the failings of a few...

Certainly there are lots of pet products on the market for assorted complaints that don't do much but put a dent in the wallet. However, there are lots that work really, really, really well.

My favourite choice for basic breath freshening is a daily chunk of turkey neck.

Second to that is the product Leba III. This is a tartar remover product, and only cures bad breath if the bad breath is due to tartar. The product works best coupled with occasional brushing, but let me say that the aggravation that comes with brushing a pets teeth is easier to deal with when you can actually SEE the results right before your eyes. This product is incredible.

Third, the sprays and gels provided by Petz4Life (mint spray, mint gel, salmon gel). These products work about half as well as Leba III, and cost half as much as well. Great products for dogs and cats who only have a bit of buildup. Also, I find that the spray does attack the breath issue directly, moreso than Leba III. In fact, this product has been so well received that a human version is expected in the near future.

And lastly, the new Tropiclean dental care kit. They offer a water additive or a direct application foam for breath issues specifically, and a gel for tartar remover. All the Tropiclean line is cheaper than the products mentioned above. I have used the foam with great results, and have had excellent feedback for the water additive and the gel.

Two of my girls have beautiful teeth. White, pearly, glowing teeth. One of my girls has horrible teeth (she was born to an eight month old mother and was a very sickly pup). Yellow, prone to breaking, with obvious plaque and tartar buildup. Bones do nothing for her (either that or her mouth would be a rotten disaster without them... but we're not going to experiment).

So far, I've kept her out of the dentist chair. We use the Leba with her, which she hates but tolerates. Brushing twice a week. The other two girls get Petz4Life about twice a week with brushing once a week.

Breath? Fresh! Teeth? From pearly perfect to yellow but manageable.

These products keep my dogs from having to undergo the stress and dangers that come with professional cleanings.

As for sedative free cleanings, I have to say something here. When the teeth are scraped to remove tartar and plaque, the enamel is damaged as it is scratched. Without proper scaling under the gums and polishing of the teeth, the problem can actually become worse - quicker.

If the issue is bad enough that cleaning is required, do so. Properly. If not, try one of the products above along with access to lots of chews that contact the surface of the teeth and a toothbrush. Dental cleanings while awake have shown time and time again to be more damaging than helpful.

9
Oravet?
by dogaware on 07/22/2010 05:09pm

I brush my dog's teeth daily, but she still develops tartar over time. Do you have any opinion on Oravet sealant? I'm wondering if it's something I should look into the next time she has her teeth cleaned.

10
Dental Denial
by Dr_Dave on 07/26/2010 07:03am

Hi Dr. Khuly,

Excellent blog. Couldn't agree more. I spend so much of my day fixing teeth and busting myths about ways to keep teeth clean. Bones, xylitol products, chemical tartar removers....the list is endless as it is hopeless. No easy route to keeping teeth clean exists, so pet owners have to step up and realise that brushing is the only way to prevent dental disease. And even then, the odd scale and polish will be required. So beware products that promise easy fixes. In my experience and opinion they are a waste of time and potentially bad for your pet.. Great to see you pushing dental health onto the radar. Keep blogging.

Dr. Dave Nicol
Member of the British Veterinary Dental Association
Twitter: @Dave_Nicol


11
by babysweet on 07/26/2010 11:33am

LMAO @ Dr. Dave.

"brushing is the only way to prevent dental disease"

"even then, the odd scale and polish will be required"

Tell that to my pearly white dogs who have never, ever, ever, required a professional cleaning or a toothbrush.

Amazing the vets out there who claim "It Is So Because I Have Spoken It."

What a load of crap.

12
What a crock of doody.

Many of the enzymatic tartar remover liquids help to significantly reduce tartar buildup. Natural bones and anesthesia-free cleaning are also very helpful. The whole bit about scaling (scraping with metal) below/above the gum line in order for a cleaning to be effective, is crap. I pretty much never see tartar under the gum- do you? By scaling here, you create an etched surface for new tartar to take hold. With this slick move, you pretty much guarantee the dog will be back in a year (or less) needing a more extensive dental cleaning.

Dental cleanings make the teeth more prone to tartar buildup regardless of polishing. I've known many dogs who gradually build up tartar and get their first dental when they are about 5 to 7 years old. Then, as if by magic (or planned sabotage?)they need a dental every year because the tartar is worse than it had been from 5 to 7 years of zero care. I will grant you the obvious that as dogs age they will likely chew less on bones/sticks/furniture/toys, but that doesn't make up for the rate at which the tartar builds after an initial cleaning. As a former vet tech, I know. Vets make a lot of money on dentals and it is a racket.

My dog is 6 and has never had his teeth brushed, scaled, or wiped. I've never done anything to his teeth. He chews raw bones and cleans his own teeth which happen to be pearly white. Anyone looking in his mouth would think he was a 1 year old dog.

13
denatl water addtives
by Karen Albert on 07/29/2010 05:38pm

Dr. Khuly,

I may only assume that you are not aware of healthymouth which is 100% free of artificial or synthetic ingredients. The only anti-plaque water additive that is supported by 2 independent clinicls trials under Dr. Jean Dodds, the first additive to be awarded the VOHC Seal of Acceptance for plaque control in dogs, the either distributed or recommended by more than 30 of the Board Certified Veterinary Dentists (many of which use it on their own pets).

Healthymouth is part of a comprehensive dental care program to be introduced after professional dental cleaning or extractions and started on a cleaned mouth.

Nothing replaces teeth brushing, but with 2% of owners actually doing it,healthymouth with its 71% and 76% reduction in plaque -- proven in clinical trial studies, it presents an effective, safe and simple alternative that benefits owners, veterinarians and most importantly our pets.

Sincerely,
Karen Albert
Founder/CEO HealthyMouth LLC

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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