This case is unfortunately a very common problem these days.  In order to avoid general anesthesia, as was the case in this 10 year old dog, the choice was made to to provide regular cleaning without anesthesia.  Although this patient received excellent home care including brushing daily profound disease below the gum line was the disastrous result.   Is anesthesia free dentistry for our pets the right choice?  Please view the pictures of this patient below.  Commentary to follow.

The right maxillary premolars and molars only have minor tartar and relatively no gingivitis

Radiograph of the teeth in the picture above. The arrows point to dark areas that represent the profound destruction of bone due to periodontal disease.

The right mandible of the patient above shows little tartar or gingivitis

The arrows point to black voids in the bone destroyed by periodontal disease.

The case above is the rule, not the exception.  Disease below the gum line results from plaque accumulation and years of improper “oral hygeine” in the form of anesthesia free dental cleaning.

This bizarre practice originated in grooming facilities as a service to supplement income despite its negative impact on the patient.  As sad as it seems some veterinary practices have adopted this practice for similar reasons.

Unfortunately it is very harmful for the enamel by creating more of a rough surface for plaque and tartar to accumulate more quickly and in greater volume.  More importantly it does the patient a great injustice by neglecting the only place where periodontal disease is most profound:  below the gum line.

Lawsuits against those performing this service are on the rise.  Anesthesia free dentistry is cosmetic only, hiding the true disease that exists below the gum line.  Seek professional dental care from caring veterinarians who have been properly trained to perform safe dental cleaning, proper oral evaluation, dental probing and x-rays under anesthesia.

The American Veterinary Dental College Position Statement on Companion Animal Dental Scaling Without Anesthesia

Veterinary News Network on Anesthesia Free Dentistry for Pets

Developing Tooth Trauma in a Puppy Resulting in Unerupted Nonvital Canine

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Mandibulectomy In a Dog for Acanthomatous Ameloblastoma - Pain Evaluation 24 Hours Post-op

Mandibulectomy In a Dog for Acanthomatous Ameloblastoma - Pain Evaluation 24 Hours Post-op

Bone Loss Surrounding the Left Mandibular Canine in a Boston Terrier Dog - Mandibulectomy In a Dog for Acanthomatous Ameloblastoma - Pain Evaluation 24 Hours Post-op

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Veterinary Dentistry Dog Mandibulectomy.wmv (3611 KB)

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Surgical Root Canal Therapy in a Dog - Bone Graft Placement

Following MTA a synthetic bioglass was placed in the bone defect.

MTA Placement -

The approach in this case was to access the apex surgically, then amputate the apical 5 mm of the root.  Necrotic pulp was present adjacent to the cement corresponding to the lucency in the fill.   A granuloma was present in the periapical bone and was removed.  A round bur was used to remove cement to allow for MTA placement.