Is Anesthesia-Free Teeth Cleaning Good for Your Dog?
Anesthesia-Free Dental Cleaning: OK or No Way?
Considering anesthesia-free dental cleaning for dogs? If so, chances are that you just came home from seeing your vet, and after he took a peek at your dog's teeth, he suggested a dental cleaning. Now, you are home wondering if there are any alternatives to consider. Whether you got sticker shock from the estimate your vet gave you or you don't feel like putting your dog under anesthesia, you may be on the lookout for alternative dental cleaning options. One popular option seen a lot lately is anesthesia-free dental cleanings. This may sound like a cost-effective solution, and reading from the reviews and information provided on websites, a marvelous one too. But there are always two sides of the story. This article will reveal what vets have to say about these cleanings and what can be done to ensure your dog's safety.
What is Anesthesia-Free Dental Cleaning?
First and foremost, what are anesthesia-free dental cleanings for dogs and how do they work? As the name implies, these are dental cleanings that do not use anesthesia. The idea seems promising: your dog gets his teeth cleaned at a fraction of the cost and you have no need to worry about your dog going under. Your dog then goes home with beautifully white teeth and you feel much better now that you have finally taken care of the problem. Many people are intrigued by the idea and lured by the before and after pictures provided by those who provide these services. In one picture you see yellow-brown teeth full of tartar, and in the next one, you see pearly whites attained just minutes after going in a facility that provides such services. It almost seems like it works like magic.
As promising and alluring as an anesthesia-free dental cleaning may appear, there are some things that you many not be told about but you really need to be aware of before using these services. Knowledge is power when it comes to dealing with your dog's precious teeth and making important decisions. This article is an eye-opener on what anesthesia-free dental cleanings for dogs exactly entail.
Five Reasons Why You Should Skip Anesthesia-Free Cleanings
We refer to dental cleanings performed when the dog is wide awake as non-anesthesia dental cleanings, but the American Veterinary Dental College refers to them as "non-professional dental cleanings," why? Well, because when conducted independently, by non-veterinarians and outside of a veterinary hospital, it's unprofessional. Veterinary medicine is conducted by licensed veterinarians who perform surgery, prescribe medicine and do dentistry. According to the American Veterinary Dental College, "Anyone providing dental services other than a licensed veterinarian, or a supervised and trained veterinary technician, is practicing veterinary medicine without a license and is subject to criminal charges". However, this practice becomes acceptable if a dental cleaning is done by a veterinary technician or veterinary assistant when working under the direct supervision of the veterinarian.
The American Animal Hospital Association (AAHA) is so deeply convinced that non-professional dental cleanings pose no benefit to pets that it has made it mandatory that all its affiliated hospitals must perform dental procedures with anesthesia or they may lose their certification. Many people may assume that of course veterinarians and veterinary associations will frown upon these cleanings because they take away business from them, but before making such assumptions, it's important to see why so called non-professional dental cleanings may cause more harm than good.
1) It's Hard to Reach certain areas
Generally, the outer sides of the dog's teeth are the ones most heavily encrusted with tartar, and thankfully, these are also the easiest to reach. These areas are generally worse because saliva flows less here and the tongue doesn't come in contact with these sides of the teeth. However, surfaces of the teeth facing the tongue are also important to clean and these areas get challenging, if not almost impossible, to clean on a fully conscious dog.
Also, in order to get a good under-the-gum cleaning you will need a dog that stays still, even if things get uncomfortable or painful. Under-the-gum cleaning is the most important part since under the gum is where periodontal disease thrives. In humans, under the gum cleaning is easily accomplished because we know what is going on and we are aware of the benefits. However, despite this, consider that many humans find the procedure hard to tolerate and even painful!
2) Ideal Tools cannot be Used
When a dog is put under anesthesia, the noisy ultrasonic scaler and the polisher can be used to effectively clean and polish teeth. An awake dog will be very reluctant to allow noisy, scary tools in his mouth. Hand-held scalers must be used on awake patients, but in order to work, they must have a sharp working edge, but any movement from a non-collaborative canine can potentially cause injury. Polishing the teeth after tartar is removed is important as the smoother surfaces will help prevent adherence of further plaque and tartar.
3) A Thorough Evaluation Cannot be Done
When a dog goes under anesthesia his teeth can be evaluated carefully with a probe to measure pockets in the gum line and then x-rays can be taken to evaluate what cannot be seen by the naked eye: that is, under the gum line. If anything is discovered during this time, it can be taken care of since the dog is asleep. .Veterinarian and dental specialist Brett Beckman claims "Without radiographs, the cleaning is cosmetic only."
4) Preventive Care isn't Initiated
In some cases, dogs may need antibiotics before having a dental cleaning done. This is more often seen when dogs have advanced dental disease with bleeding gums and high numbers of bacteria in the mouth and in dogs with underlying health conditions that predisposes them to a high risk chance of complications from dental procedures. According to the American Veterinary Dental College dogs at risk include are those who are immune compromised, have an underlying cardiac, hepatic, and renal disease and dogs with severe oral infection. During a dental cleaning, bacteria risks entering the bloodstream when the gums bleed, and once there, it can affect the dog's heart valves, kidneys and liver and cause serious infections.
Also, before and after a dental cleaning and polishing, the vets will perform an antiseptic flushing to rid the mouth of bacteria, according to Parkway Animal Hospital, and the insertion of an endotracheal tube during anesthesia prevents the accidental aspiration of tartar and debris. Companies performing dental cleanings with no anesthesia however use tissues to wipe off debris as it accumulates and explain that since the dog is awake his gag reflex will prevent accidental aspiration.
5) A False Sense of Security
One of the worst aspects of non-anesthesia dental cleanings is that it gives dog owners a false sense of security. They bring a dog with brown yellow teeth to the office and pick up a dog with white teeth. Yet, they fail to understand that yes, the teeth look good, but they're only looking at the tip of the iceberg as 60 percent of the remaining teeth is located under the gum line, in those areas hard to reach. Underneath, within the pockets, debris will still accumulate and the bad breath will soon make a come-back and the pet will suffer, explains Jan Bellows, a veterinarian and specialists in veterinary dentistry. This is a disservice to patients and to their owners.
Avoid Pet Dentistry Without Anesthesia
So are anesthesia-free dental cleanings bad for dogs?
After reading the above paragraphs and watching the videos, you have seen differing opinions. You may think anesthesia-free dental cleanings are very bad, but there are also some cases where they may provide some benefit. As with most controversial issues, there are always two side of the story. One good thing about non-anesthesia cleanings is that more and more veterinarians are offering them in their clinics. This means that even if the dental cleaning is done by a veterinary technician or veterinary assistant, they're working at least under the direct supervision of a licensed veterinarian who may monitor and intervene as necessary.
Pet Dental Services is a popular option that is growing steadily. Their services are not intended to substitute the deep cleaning, extractions and radiographs done under anesthesia, but they can be helpful as a maintenance program after the dog undergoes a traditional cleaning under anesthesia. Their website also claims that services may be rendered in some cases for dogs at high anesthesia risk such as old dogs or dogs with chronic kidney, liver or heart disease. These cleanings of course are not appropriate for dogs suffering from severe gingivitis, abscesses, caries or loose and fractured teeth.
There was also a study conducted on the efficacy of anesthesia-free dental cleanings. The study refers to such cleanings as "Outpatient Preventive Dentistry (POPD)" In this study the technician was able to perform scaling both over and under the gum thoroughly and safely on 12 dogs and 12 cats. The study precises though that such cleanings are not intended to be a substitute for anesthetic dentistry, but may be a valuable supplemental treatment.
The bottom line:
As seen, there are several risks associated with anesthesia-free dental cleanings. One of the biggest is undetected periodontal disease after years of anesthesia free pet dentals. The American Veterinary Dental College shows in this picture, the perfect example of a dog with seemingly spotless teeth, but with such severe bone loss from periodontal disease that upon examination, the probe goes through the entire jaw! So as seen, these are risks to be aware of, and dog owners should absolutely avoid dental cleanings performed out of the veterinary office by non-professionals. Research is a must for the safety of pets.
Disclaimer: this article is fruit of my research and should not be used as a substitute for professional veterinary advice. When reading my articles you accept this disclaimer.
Non-anesthetic dental procedure done in vet's office
Would you have your dog undergo a non-anesthesia dental cleaning?
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© 2014 Adrienne Janet Farricelli