None of my pets have ever
needed a dental before; at least not that I know of. But I see now how
incredibly important it is to check my pet’s teeth and keep them clean. It all
started with what I thought was a cute picture of Lacey yawning. I never took
enough pictures of Alex and now she’s gone. So when I adopted Lacey and
Finnegan I bought a good camera and have taken probably thousands by now. As you can see her teeth are covered in plaque and tartar and her gums are incredibly red and inflamed.
I knew Lacey’s teeth probably
bad, her breath was horrendous. Like something crawled up in there and died.
But when I saw this picture on the computer I literally cried. I realized she
had to be in a lot of pain and I needed to take care of this for several reasons.
Yes, pain is number one. Your pet should never be in pain and because cats hide
it so well, it’s your job to know their behaviors. I noticed Lacey slowing down
a lot although she was eating fine. I thought it was just her age, but couldn’t
understand that as she’s only seven. Two weeks before her dental, I also noticed
she didn’t groom as much as she normally did. She did not experience all of
these other symptoms but bad teeth and gums can also cause them to paw at their
mouths, chew on one side more over the other, bleed from the gums, over groom
themselves, become lethargic and develop an infection.
Eventually your pet’s
teeth will indeed cause so much pain they will probably stop eating and that’s
not something you ever want to happen. A cat can develop hepatic lipidosis
(fatty liver disease) within 48 hours of starvation. I know because my Alex had
it and needed to be hospitalized, on an IV drip with antibiotics and fluids to
flush out the toxins in her liver. It CAN be fatal so never let your cat get to
that point. If your cat has not eaten on its own, or barely picks at their
food, looks lethargic, tired, etc. please call the vet immediately and take
them in as soon as possible.
There are other very
important reasons to make sure they have healthy teeth and gums. Dental disease
is just as hard on their health as it is on ours. Toxins can enter the blood
stream through the gums and cause problems to vital organs like the heart and
kidneys. I take excellent care of my pets and I want them to live a very long,
happy and healthy life. This is no different than any other health issue and no
less important.
Because I’d never gone
through this before, I needed to do some research. So I called around to
different animal hospitals and asked a lot of questions. You should know that
it IS very expensive. They need to do a full check-up beforehand to make sure
your pet has nothing else going on and that they are healthy enough to be put
under anesthesia. Pre-op blood work is essential for this and can tell them if
their organs are functioning properly, if there is any underlying conditions,
infections, etc. They also check for heart disease which is again essential to
know before putting them under anesthesia.
If you’re wondering why a
pet needs to be put under for a dental cleaning, the answer is simple; a pet is
not a human. They are already beyond terrified just going for a vet visit.
There’s no way on this earth they’d lie still for someone to go poking inside
their mouth and possibly even extracting teeth (which is painful). Under
anesthesia the pet can have thorough dental x-rays, a complete scaling and
cleaning and again, teeth pulled if necessary. Anesthesia free dental cleaning
is growing in popularity but in my opinion is not nearly thorough enough and
has some dangers associated with it. Here is an excellent article on why anesthetizing
them is necessary:
The procedure itself
doesn’t take long; usually no more than 30 to 45 minutes, but the pet must be
prepped with sedation and pain medication before surgery. The time it takes for
each pet to wake up is different. Lacey woke up very quickly and was tired when
she came home but not at all wobbly or in a stupor. Finnegan was a different
story. He woke up quickly but took a long time to come out of it once home.
What I did was call around
to several veterinary hospitals, including my old vet, to see what they used
specifically for anesthesia, pain meds, antibiotics, etc. I asked if they would
honor my requests that certain medications not be used, what the entire dental
exam and cleaning entailed and I asked for a quote. Since there are four stages
of dental disease categorized it’s difficult to give a quote. But usually they
will give you a range and quote on the high side the day of the procedure in
order to prepare you in case they find extensive tooth and gum disease.
The hospital I ended up
choosing was one that a friend had recommended to me some time ago. For all my
questions and concerns I had, the vet tech stayed on the phone with me for over
30 minutes and was completely willing to answer anything and everything. They
explained everything to me in great detail and because my kitties were new
patients (or potential new patients) they offered me a free tour of the entire
facility; the exam rooms, surgical area, in house lab, feline recovery area
(which was kept in the opposite part of the building from the recovery area for
dogs), etc. During the tour they again went over every aspect of the procedure
and if I had any questions I could easily ask. I beat them over the head with
questions to be honest and it didn’t faze them one bit, they were courteous and
extremely helpful.
It just so happened that
both my cats needed their rabies vaccinations and as it’s the strict law here
in my state I had to make the choice, even though they are indoor only. If they
were to bite anyone there, including the vet, the law requires them to be quarantined
for 10 days in the pound if they are not vaccinated and I cannot put my cats or
myself through that hell. During Lacey’s exam they did her blood work and
rabies vaccine (rabies only, nothing else) and examined her teeth. She was
surprisingly good about it. But since she’d just had her rabies vaccine that
day, we had to schedule her dental for a month out to give her immune system
time to rest and recoup. If your pet gets a vaccination of any kind, surgery or
any kind of invasive procedure should not be done for at least a month out for
that reason.
It also happened that her
blood work results showed her liver enzymes were up slightly, which can be a
sign of infection. She seemed to be fighting it off on her own so we did not
give antibiotics at that time. We kept the schedule and decided to do blood
work in house right before the dental and I would wait for the results to make
sure they’d gone down. A month went by and the morning of the procedure was a
disaster as the waiting room was filled dogs barking loudly and nervously. The
good news from her blood work was that her liver enzymes were normal, however
she spiked a fever. At the urging of the vet, I left her there for several
hours to see if her fever would come down on its own. But it fluctuated. The
vet felt it was due to the stress of the dogs and told me to bring her home and
see how she does. We had to reschedule the dental for the next week. I was not
at all happy, very stressed out myself and began to wonder if I’d made the
right choice.
However, the next morning they
called me to say they had made a plan that would accommodate Lacey better. We
were to go in at 8 am instead of 7 (when the waiting room was full). We would
wait in the car and I’d call when we got there and they would wave us directly into
the exam room. They’d check her temperature again, and get her into surgery
immediately, no waiting; in and out as quickly as possible to alleviate her
stress level. This pleased me tremendously and I felt they really cared about
my pets and as the vet had said “the goal is to take care of them but put as
little stress on them as possible.” And I do know from being at other vet
hospitals in the area, no one has separate waiting areas for dogs and cats. But
for sure none of the others would have made these accommodations; I’ve been to
some of them so I know this.
The day finally came and
everything went smoothly and according to plan. Her temp was still slightly up
but they felt it was still due to stress and she needed her teeth done badly,
so we went ahead with it. In the end, three teeth were pulled and one canine
has to be watched as it showed signs of some “potential” issues. She was sent
home with amoxicillin (antibiotic) and Buprenex (for pain). She ate some soft
food within the hour of being home and did well with her medications. Within a
week and a half after surgery I began to see my little girl coming back to life
again. No more tooth pain meant feeling good enough to play, groom and act as silly
and loving as she used to. I was instructed on how to brush my cat’s teeth and
will be discussing this and Finnegan’s dental experience in part 2.