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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.

Toothsome nutrition: On the politics and practicalities of pet food formats for dental health

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February 08, 2011 / (13) comments

Should you feed crunchy kibbles or the meaty moist stuff? Does it make any difference whether we're talking large or small breed, dog or cat, male or female, young or old?

 

When it comes to formulating ideal diets for pets there are lots of moving parts, and the variables involved in getting to the perfect diet for each individual pet are endless. But what's the deal when it comes to teeth?

It's a great question. Because there is no one right answer for every pet.

The conventional wisdom says crunchy food is better for dental health because the chewy friction created by kibbled diets usually means less plaque. And, for the most part, studies do support the positive effect of chewed (i.e., hard, crunchy) foods on dental health.

(N.B.: Yes, raw meaty bone feeders, you win here. Still, you'll have to forgive me for largely ignoring your ilk in this post. You're a tiny, albeit growing, minority that I will not be treating here today.)

But to what extent does the shape, size and texture of the foodstuff matter when it comes to chewing (and therefore, to plaque reduction)? Are all crunchy foods created equal?

Actually, some crunchy foods do almost nothing for dental health, while others have passed rigorous standards showing they do reduce plaque (check out VOHC.org for more info on this).

And, finally, there's this to consider: Individual chewing behavior. Is every kibble being chewed? Or are those lumps often simply swallowed? (Some pets do just gulp, you know, bypassing mastication altogether.) After all, if your pet is a non-chewer, there's no way that even foods deemed most effective for preventing tartar formation will do a thing for your gulper's teeth.

Luckily, all these issues are under serious scrutiny by pet food companies the world around. My visit, two weeks ago today, to the Waltham Centre for Nutrition Research in England proved that much, if nothing else.

Turns out that all the teensy particulars relevant to plaque reduction are on the table when it comes to nutrition research — which only makes sense. After all, we now know that pet longevity is highly correlated with oral health, even after correcting for issues like owner income and willingness to seek veterinary care.

So it is that teeth deserve far more attention than most owners know. This is why pet food companies increasingly feel a strong sense of responsibility for ensuring that dental health is optimized via pet food formulas.

And that makes sense. But here's what the cynic in me always has to ask: To what extent is the average crunchy kibble diet better than the canned or home-cooked (or raw, for that matter) diet?

Now let's go one further: Assuming the diet has been scientifically proven to reduce plaque, is the scientific term, "significant plaque reduction" something that actually translates into clinically relevant improvement in dental health?

In other words, we surmise that reducing plaque is helpful, but how helpful is something else entirely. Long-term studies on oral health will have to be undertaken before we'll know. And so far I've heard of no studies that address this question: Do dogs and cats fed a lifetime of crunchy, proven plaque-reducers suffer less periodontal disease than those that are not? (If I've overlooked any studies addressing this issue over the long haul, please let me know.)

You may think it's irrelevant or trivial, all this speculation, but I assure you it's not. For example, many of my patients whose medical conditions require moistened foods (overweight cats, cats and dogs with specific urinary issues) come attached to owners who fear wet foods for their dental health deficiencies (though the cost, "mess," and environmental concerns are other oft-cited issues). Long conversations are often necessary to explain cost/benefit issues here.

And there's this to consider: Given that we often don't yet know what's best for our own human nutritional needs, and the increasingly important role of water in cat foods in particular, I'll admit I'm given to some hand-wringing on the subject. But, truth be told, I've got issues with both wet and dry feeding formats.

After all, the latest guidelines on human feeding suggest fresh is best. And neither moist and meaty nor dry and crunchy has managed to address this concern in the least.

 

 

Dr. Patty Khuly

 

P.S. – FYI, February is pet dental health month. (There's a month for everything, you know?)

 

 

Pic of the day: Cat Food by rfduck

 

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COMMENTS (13)
1
Hit the Nail on the Head
by TheOldBroad on 02/08/2011 06:06am

You hit the nail on the head with your comment, "we surmise that reducing plaque is helpful, but how helpful is something else entirely. Long-term studies on oral health will have to be undertaken before we'll know."

I have both gulpers and chewers. I have overweight and perfect weight kitties. I have healthy and not-so-healthy kitties. The health problems are due to old age (almost 16 with CRF) and genetics (HOCM).

I'd really love to see studies that indicate lowering the incidence of hyperthyroidism and chronic renal failure.

Back on topic, of course oral health is important and I'm of the opinion that it's a trade off when it comes to what one puts in the food bowl. The best food in the world for dental health doesn't do any good if the kitty is a gulper. If the human is good about dental checkups and cleanings, (if one has to choose) I'd much rather see the food address other health issues.

2
Dental Care
by Sandy701 on 02/08/2011 07:36am

What are your thoughts on the Iams Veterinary diets which contain the Sodium Hexametaphosphate.

I have seen a difference in plaque formation and build up when the owners use these diets or the Eukanuba diets, that contain the Iams "denta defense" (or what ever they call it).

3
SHMP
by Dr. Patty Khuly on 02/08/2011 08:26am

SHMP has been shown to reduce tartar but not necessarily plaque. It may simply keep plaque (the bacteria itself) from calcifying into the more visible evidence of plaque, what we call calculus or tartar. As such, it may not retard periodontal disease much, if at all. Having said that, its tartar reduction capabilities are significant and since there seems to be little harm in its food additive usage, why not use the stuff?

Here's an abstract (caution: beagle colonies were employed in this study):

http://www.ncbi.nlm.nih.gov/pubmed/7574160

4
Chewers/Gulpers
by kay morris on 02/08/2011 09:54am

We have both, The chewers teeth have good check-ups...my MAIN Gulper will be 20 this year, still has most of his teeth and lets his Pet Doctor and me know, real fast to back-off. His is 3 pds. He always wins, We are just happy he is healthy and he still with us.

5
moist food
by alissaaa on 02/08/2011 01:53pm

I'm glad you posted this column today, as I've recently been wondering the same thing. I switched my Frenchie to Honest Kitchen about four months ago, and while it has solved all of his previous tummy issues, I've been wondering if not having crunchy foods might result in him getting cavities. Of course, he was a gulper when he ate kibble, and he still is with the Honest Kitchen, so I don't know how much of a difference there actually is as far as the chewing goes.

What other things should dog owners who feed moist food be doing to help our dogs' teeth stay clean? Obviously brushing them helps, but what do you think about all of those other dog treats (like greenies, etc.) that say they help with teeth?

by Dr. Patty Khuly on 02/09/2011 08:50am

If you check out the VOHC.org site, you'll find a list of products that have been proven to reduce plaque. How much these product will help contribute to your petss' periodontal health, however, is a different story. In any case, there is no substitute for brushing and regular anesthetic dentistry.

6
Which comes first
by P on 02/08/2011 06:28pm

Does bad dental health produce an unhealthy pet or does an unhealthy pet produce an unhealthy mouth?

Sometimes we need to ask the right question. What causes the inflammation? Are there cases where there is a lot of accumulation on teeth and the gums are healthy? If so, what produces that?

I know you aren't considering raw bones here but what about nutrient density? Does a diet that is nutrient dense produce a pet that's body resists inflammation? I think it does. My solution is to feed a Barf diet with no carbs. I think the vitamins and minerals are concentrated in the meat and bones of this diet.

In my cats, I take a fingernail and pop off the tartar somewhat. But I am not giving the dentals like I used to because the cats are so much healthier. And they don't get inflammed gums. I began feeding my cats and dogs this way for other reasons but one side effect of this feeding is good dental health.

My vet disapproves saying I am risking my dogs' health from bacterial infections from salmonella, etc. And he recommended a dental even before he looked in my dog's mouth. Then after he looked even with a black light, he couldn't find a problem.

I think good dental health comes from a healthy animal. We keep saying the health of the animal suffers if the mouth and gums are unhealthy. I think it is the other way around. The mouth and gums are not healthy because the pet is unhealthy.

7
by ualagirl on 02/08/2011 08:37pm

It seems odd to me that grain-based foods could clean teeth. By that token, could people gnaw on zwieback to clean their teeth? Starch seems like a great place for bacteria to grow.

I will give Diabetic kitty some raw chicken, but notice if I give him too big of a lump, he tries to swallow it whole, instead of tearing off pieces with his teeth. So he has been getting a drumstick every week or so, since he will hold that down with his paws. He is missing some teeth, so I slice the drumstick so he can tear off strips.

8
by CathyA on 02/09/2011 08:38am

So I went to VOHC. I noticed that the only liquid product they endorse is NOT the xylitol containing product.

HealthyMouth: Dog and cat products are different - only by the addition of taurine to cat product. So if you had multiple species household, cat product would have to be used.

https://www.healthymouth.com/dogs/ingredients
https://www.healthymouth.com/cats/ingredients

A friend of mine uses glycerin for gum health, in herself and her dog. Don't know about the spices WRT cats especially.

Personally, I'd skip the "shapes" and go for this product if there was a problem. Cats seem to chew X-shapes better anyway, so did they compare X-shaped and round? Been a long time since I read anything on those tooth cleaning kibbles, but if they physically clean tartar off the tooth, how do they manage not to scratch up the enamel? And while the article below mentions the addition of calories, etc. with dental treats, I'm more concerned with what the chemical cleaners are doing in a negative way WRT nutrition.

Good article:
http://www.vetlearn.com/Portals/0/PV0910_Nutrition.pdf

by Dr. Patty Khuly on 02/09/2011 08:55am

On the shapes thing: Yes, shapes have been studied –– a lot, apparently. The shape the Waltham people found was best was the x. Interestingly, however, it's the 3D x shape that worked the best. Imagine a 1 cm length of play-doh extruded from an x-shaped opening. I hope that makes sense.

by CathyA on 02/09/2011 01:00pm

Re: shapes
You mean like jacks? You're probably too young to remember this game! ;-)


http://en.wikipedia.org/wiki/Jacks

9
Ultrasonic cleaning
by Anne in Socal on 02/09/2011 01:43pm

Do you know anything about the effectiveness of ultrasonic cleaning - which they do without anesthesia? They have just started doing this locally, and they say it's done under a vet's supervision and I'm wondering whether it's worth it or if there are risks.

by RealityCheck on 02/09/2011 01:49pm

Most of the dentists in my area are now doing the ultra sonic cleaning on people, and I've had it done myself. It's quicker and painless. I don't know any vets doing it, but for humans it seems to be much better.

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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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