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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.

 

Gimme a Break! How Hard Can It Be to Brush Your Pet’s Teeth?

April 07, 2011 / (16) comments


I try. Really I do. But it’s not as easy as you’d think it might be. Even my most compliant clients — the ones who’ll happily roll over backwards to do their best on behalf of their pets — don’t always manage to get their pets to submit to the kind of regular toothbrushing I regularly recommend.

 

No, not everyone takes me seriously when I tell them they need to brush their pet’s teeth. That’s when I whip out the toothbrush and pet toothpaste and get to work on a demonstration. But even that’s not always enough to convince them of my resolve on this issue.

Not surprisingly, it’s more often the long-time pet owner who gives me that "you’ve got to be kidding" look. You know the look. It’s usually accompanied by a bemused smile and head tilt that says, "seriously…?"

Yes, seriously.

And yes, it’s about time everyone recognized that their veterinarian won’t sympathize with them when they complain about their pet’s bad breath and expensive dental procedures — not if they’re unwilling to learn how to brush his teeth, train him to sit still for brushings, and actually do it more frequently than once every full moon.

Sure, some pets don’t make themselves great candidates for brushing. But here are eleven tips everyone should take to heart when it comes to ministering to their pet’s teeth:

1. Train pets to looove it!

I’m not saying she’ll ever adore it, but she might at least tolerate it. If you consider it on the order of "sit," "stay," and "come" or "fetch," then it’s likely your dog will consider it a fun thing to do, and not a chore; especially when treats and fantabulous-tasting toothpaste is involved.

And your cat? It’s not as if enticing them to submit to most things that last only thirty seconds is too big a deal…

2. Start early

Ideally, all pets should be acclimated to brushing before they ever show signs of periodontal disease (80 percent of pets have periodontal disease by the age of three). Training always works best when you begin early. But don’t despair if you didn’t.

3. Learn how

Have someone actually demonstrate the procedure on your pet. Make little circling motions. Concentrate on the outside of the teeth. Skip the tongue. Here’s a great video.

4. Fast is better than nothing

It doesn’t have to take you forever. Half a minute of brushing twice a week is waaaaay better than skipping it altogether. You’d be surprised by how effective just thirty seconds can be when it comes to removing early plaque.

5. Don’t rely on groomers (etc.)

Letting your groomer do it every few weeks is NOT a substitute for brushing your pet’s teeth at home and receiving routine dental care by your vet. Regardless of how it’s advertised, a groomer’s welcome addition to a pet’s dental regimen doesn’t mean it’s a panacea for everything dental that ails her.

6. Check with your vet first

It’s not necessarily recommended you initiate an assiduous brushing regimen if you haven’t had your pet’s teeth evaluated yet. Especially if heavy tartar, bleeding gums and loose teeth are the case, you’re better off waiting for a proper professional eval than chancing the pain and discomfort that your own dental ministrations might occasion.

7. Get it all off first

Even mild to moderate tartar buildup won’t disappear with a novel dedication to brushing. Before you begin a new brushing routine, a round of professional cleaning is probably the first line of business.

8. Frequency

"How often should I brush?" is the most common question I get on this subject. And the answer is always, "It depends." Once a week is the minimum; twice a week for those more likely to develop plaque; and daily for my severe periodontal disease patients. Even so, professional cleanings are typically in order.

9. Tools

Toothbrushes for pets are all the rage in pet stores. They sport fancy handles, angled bristles, finger attachments and super-fine fibers. But an extra-soft bristled baby toothbrush works great, too. And for those who won’t tolerate something hard in their mouths, I recommend a gauze sponge. Its rough surface is just nubbly enough to abrade the plaque … and not the gums.

10. Toothpaste

Just as with the cool brushes, nothing fancy is needed here. Because even baking soda is good enough. Nevertheless, here’s where flavored toothpaste can sweeten the pot so much that it can make the difference between a successful brushing … and a little toothy violence. Just make sure you steer clear of fluoride-filled or sugar-free human-grade stuff. Remember, xylitol kills!

11. Brushing isn’t always enough (in fact, it usually isn’t)

Just as your dentist can’t be expected to do it all, neither can you — especially if your pet is predisposed to serious gum disease. Regular prophylactic dentistry procedures (as often as every six months for some pets) are strongly recommended for most periodontal disease-predisposed pets … along with brushing, of course.

 

 

Dr. Patty Khuly

 

 

Pic of the day: Rat Terrier Showing Teeth by dagnyg

 

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COMMENTS (16)
1
"you’ve got to be kidding
by on 04/07/2011 06:29am

well are you??? Where do you even come up with this stuff from?? 1000000's of years dogs had no issue with teeth and now in FL they deem it necessary to clean.....unreal that you vets perpetrate such junk

by on 04/07/2011 10:49am

Hundreds of years ago, Yorkies didn't exist. Neither did pugs, bulldogs, dachsunds, and greyhounds.

by on 04/07/2011 12:17pm

And hundreds of years ago, dogs didn't eat the processed crap that they eat today. I equate it to why our kids (and adults too, for that matter) are obese today. Too many humans and too many pets eat junk food.

by on 04/07/2011 01:34pm

"Natural" does not mean "better." It is natural for most wild wolves/dogs not to live much beyond 6-8 years, with a maximum life expectancy of 13 years. I think most of us want better than tat for our dogs.

Thousands of years ago, people did not need dental cleanings or toothbrushing, they did not need glasses or hip replacements or antibiotics. These things are all "unnatural," but they help people live longer, happier, more pain-free lives.

Just because something is newly recognized does not mean it is not good for health. Nope, your dog does not need a toothbrush or a dental cleaning... just like you don't. Sure, chronic dental disease can cause pain and shorten your lifespan, but you'll be living more like your ancestors!

Just the other day I had a client tell me her cat was like a kitten again after we extracted his rotting disgusting tooth. Give me a break indeed.

by on 04/09/2011 03:32pm

I honestly thought you were the one kidding at first.

I have seen hundreds of painful, rotting, diseased mouths in dogs and cats. Telling them that their problems are really just a myth perpetuated by vets wouldn't have helped them. What does help them is getting in there and cleaning out the bacteria and removing the rotten teeth.

If you don't believe these animals are out there, I strongly urge you to go volunteer at a puppy mill rescue. Take a look in some of those mouths and you will see the extent of what screwing with genetics and then years of feeding crappy commercial diets and ignoring what happens inside the mouth does to them. Puppy mill dogs are obviously the extreme, but to a somewhat lesser extent this is happening to pets in households all over the country every day. Crappy genetics, crappy foods, and people who don't pay attention to their dog's mouth because they think their indoor peekapoo should be expected to have dental health just like his ancestors... it's a recipe for extreme dental problems.

2
Unwilling Cats
by on 04/07/2011 07:04am

"And your cat? It’s not as if enticing them to submit to most things that last only thirty seconds is too big a deal…"

Uh, you didn't know my Sylvia Rose. The vet checked her teeth by peering into her mouth quickly as she hissed at him. Bless her heart, she didn't have a very pleasing personality.

None of my herd came to live with me as a youngster and most have been on the mean streets. It's one thing to pill them (not a problem with a Bullseye Pillgun), but sticking a finger in their mouth to run it over their teeth really isn't an option.

And I'm good at handling cats!

However, I'll never complain about vet visits and veterinary dental care.

3
Brush Pet-Kids Teeth
by on 04/07/2011 08:59am

Ouch ! ok how about those Dental, chew things?, They have come with a spray that Helps. Jordan has most of his teeth at age 19, he loves to chew on toys, dental bones, the younger-ones-who do not like to chew, teeth have to be work-on.

4
Great list!
by on 04/07/2011 09:45am

I'm with you on this list. (I know people like the first commenter, but most people who want the best for their pets realize that today's dog is different enough from his ancestors that the comparison is moot and understand that periodontal disease can have a genetic component.)
Reminds me of a post I wrote recently called, "Are you too busy to brush your dog's teeth?" http://olatheanimalhospital.com/2344/are-you-too-busy-to-brush-your-dogs-teeth/

by on 04/07/2011 10:34am

Helloooooo Olathe (from the other side of the state line)!

I checked out the hospital's website. Very impressive.

by on 04/07/2011 05:18pm

Thanks for stopping by! Hello to you, too!

5
Brushing multiple dog's
by on 04/07/2011 10:39am

I have four dogs, do I need four toothbrushes?

by on 04/07/2011 03:47pm

I use the same toothbrush for all three of my dogs. I figure they've spent most of their lives sharing water dishes, chewing and tugging the same toys, eating out of each other's food dishes, and licking each other that sharing a toothbrush isn't going to be a health problem for them.

6
Consider a Raw Food Diet
by on 04/07/2011 11:27am

I used to have regular dental cleanings and tooth extractions for my kitties when I was feeding commercial foods (canned/kibble). After switching to a completely raw diet now for a few years, there’s no need for regular dental cleanings. There’s no tartar buildup; the lesions have stopped; no more abscesses. Maybe they’ll need one or two cleanings in a lifetime now, yet to be seen.

I visit other pet blogs and the same reports are posted on pets, even going as far as before and after pictures of pet’s teeth from long time posters. So my thinking is that the commercial foods lend to bad dental health.

Dr. Khuly, are you promoting a raw food diet to your patients? Not just for dental reasoning, but for overall health as well? I know, I know, it takes so much time to prepare. But, there are ready made raw diets available (RadKat, Felines Pride, Aunt Jeni, etc) that only need to be thawed. I know, I know, they’re so much money. But, I put the money spent into the raw food instead of into the vet’s hands so it’s quite a savings. I know, I know, it’s full of bacteria and I’m going to kill myself. If that’s the case, I’d better stop eating all meat, fish and poultry so I can live a long bacteria free life.

7
Daily Habit
by on 04/07/2011 10:40pm

I used to brush my dogs' teeth once a week--and recently switched to every day. Actually, I've found that a lot easier. I probably do it a bit more quickly now, and it is just a nightly habit (rather like brushing my own teeth). My dogs LIKE have their teeth brushed--they like the taste of the doggy toothpastes. Once they have settled in, I usually manage to brush my foster dogs' teeth, too (even though probably they have never been brushed before). I agree--this really isn't that big a deal once one gets in the habit!

8
Hesitant Dogs
by on 04/11/2011 06:39pm

My two pets are quite not in condition whenever we tried to clean their teeth. They are always hesitant and hate it. I don't know why but maybe they're not comfortable we decided to bring them every 2 weeks to our vet since we don't have much time to bring them weekly due to our busy schedule. I think it's safe that way.

9
by on 04/20/2011 02:36pm

Pearl and Piper's teeth get brushed every night. I thought it was too often to brush and asked my vet how often I should do it. He asked me if I'd only like my teeth brushed once a week. No. So, every night before bedtime, I get out the toothbrush and they love it. They do seem to prefer chicken flavored to beef. Oh, and I started doing the brushing the first day they came home. Figured it would be easier to get them used to it earlier.

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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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