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Dental Cleanings (Dogs & Cats)

By: Sathvik Kothi

Dental Cleanings (Dogs & Cats)
22 views | Estimated read time: 17 min read

According to veterinary studies, the majority of dogs and cats over age 3 already have some degree of dental disease​. Dental cleanings, often called prophylaxis or “dentals,” involve scaling the tartar off the teeth, checking for diseased teeth, polishing the enamel, and sometimes taking X-rays to see roots below the gumline. This procedure helps prevent bad breath, infection, and tooth loss, and keeps your pet comfortable and healthier overall. While daily brushing at home is ideal, professional cleanings are needed because they address the areas under the gums that at-home care can’t reach and remove hardened tartar that brushing won’t get​.

Why It’s Important: Prevent Pain and Infection: Pets can suffer from toothaches, inflamed gums, and infected teeth just as people do – they just can’t tell us. Periodontal disease can cause chronic pain (imagine aching, bleeding gums every day) and can lead to abscesses or loose teeth that make eating difficult​. Often, owners don’t realize there’s an issue until it’s severe, because animals instinctively hide pain. Regular cleanings prevent the buildup that causes these painful conditions. Extend Life and Overall Health: Advanced dental disease has been linked to heart, liver, and kidney problems in pets​. Bacteria from infected gums and teeth can enter the bloodstream and affect other organs. By keeping the mouth healthy, you reduce this bacteremia risk. Studies in dogs have shown that good dental care can add years to a dog’s life. Improve Breath and Quality of Life: Doggie/kitty “halitosis” (bad breath) is often a sign of oral disease. Cleaning removes the source of foul breath, making your interactions more pleasant. More importantly, a healthy mouth means your pet can chew normally, enjoy their food, and even play with toys without dental discomfort. Senior pets commonly have multiple bad teeth if their dental care was neglected, often requiring extractions to relieve pain. It’s much better to maintain dental health throughout life to avoid such scenarios. Avoid Costly Dental Emergencies: Routine cleanings might seem like an expense, but they can save money by preventing serious issues that require extractions, oral surgery, or treatment of infections. If a tooth abscesses, a pet may need antibiotics and a difficult extraction or root canal. Regular cleanings catch problems early (maybe a small lesion that can be managed) before they escalate. Gum Disease is Silent: By the time owners notice a problem (like a loose tooth or an unwillingness to eat hard food), the disease is severe. Veterinary dental cleanings often uncover hidden issues; vets sometimes find cracked teeth, resorptive lesions in cats, or deep pockets of infection on exam or X-ray that weren’t apparent. Early intervention can then be done. Essentially, dental cleanings are both preventive and diagnostic. Given that an estimated 80% of dogs and 70% of cats over age 3 have some form of periodontal disease​, it’s clear why routine dental care is a standard part of modern pet healthcare.

What to Expect: Pet dental cleanings are performed under general anesthesia. This is necessary because thorough cleaning involves scaling beneath the gumline and possibly taking X-rays; pets won’t stay still or allow scaling of sensitive areas while awake​. Here’s how it typically goes: You’ll schedule the dental much like a surgery. Your pet may get a pre-dental exam and bloodwork beforehand to ensure they’re healthy enough for anesthesia. On the day of the procedure, your pet will be anesthetized. The vet (or often a trained veterinary dentist/technician) will use specialized instruments (ultrasonic scaler, hand scalers) to remove tartar and plaque from all tooth surfaces, including under the gums where bacteria hide​ They will likely chart any findings – noting gum pocket depths, loose teeth, etc. Dental X-rays might be taken (many vets now have digital dental X-ray) to see the roots and jaw bone health, since 60% of the tooth structure is below the gumline and not visible externally​. X-rays can reveal infected roots, bone loss, retained roots of broken teeth, etc. If any teeth are badly diseased (for example, a tooth with a root abscess or feline resorptive lesion), the vet will usually perform an extraction during the procedure or, if a specialist is needed, possibly schedule a follow-up. Your consent is usually obtained beforehand for any necessary extractions or additional treatments. After scaling, the teeth are polished to smooth the enamel surfaces​– this helps slow down future plaque accumulation (just like your dentist polishes after a cleaning). Some clinics also apply a dental sealant or fluoride treatment. The entire cleaning might take anywhere from 45 minutes to 1.5 hours depending on the amount of tartar and if extra steps (like extractions) are needed. While under, your pet will have monitoring equipment (EKG, pulse oximeter, etc.) to ensure safety. Most pets go home the same day once they’ve recovered from anesthesia. They might be a bit groggy or have slight gum tenderness if a lot of cleaning was done or any teeth removed. Usually, you’ll be advised to feed a soft meal that evening. The vet or technician will show you before-and-after photos or X-rays and demonstrate any home care you should do (like brushing or rinses) once the gums heal. Expect your pet’s breath to be much better and their mouth to feel “fresh” – some owners report their older pet acts years younger after a dental, likely because it relieved chronic low-grade pain or infection. If an extraction was done, the vet will give aftercare for that (pain meds, perhaps antibiotics, and soft food for several days). In general, a routine cleaning without extractions has a quick recovery – pets are usually back to normal by next day. You might also receive a report card of their dental status and a recommendation on when to recheck or schedule the next cleaning (commonly vets recommend annual dental exams and cleanings as needed, which for many adult pets ends up being about once a year or every other year). Cost varies with region and extent of work; it includes anesthesia, the cleaning procedure, possibly X-rays (worth it for a thorough job), and any extractions or medications. It can be a few hundred dollars to over a thousand if extensive dental work is needed – an investment in health, and often far cheaper than dealing with advanced dental surgery later.

Possible Side Effects or Risks: The main risk comes from the anesthesia, as the cleaning itself is non-invasive. Modern anesthetic protocols are very safe for healthy pets, and even for older pets the risk is minimal when proper precautions are taken. Vets often do bloodwork to check liver/kidney function, place an IV catheter for fluids (to support blood pressure and organ perfusion during anesthesia), and constantly monitor vitals​. Complications like adverse anesthetic reactions, aspiration (inhaling fluid), or organ issues are rare, but the vet will discuss these with you. Typically, the benefit to the pet’s quality of life outweighs the small anesthetic risk, even in seniors – in fact, especially in seniors because they often have painful dental disease that needs addressing. Another minor risk: if extractions are needed, there can be some bleeding or discomfort after. Vets manage this with proper technique and pain relief. Occasionally a pet might paw at the mouth or have slight bleeding from the gums for a day – mild if just a cleaning, more if extractions. Infection after an extraction is possible but uncommon if antibiotics are used appropriately (some vets give a long-lasting antibiotic injection during the procedure if they do multiple extractions, or they may send pills home if needed). Without extractions, significant post-procedure pain is not expected – your pet might have mild gum sensitivity, but nothing major. After a thorough cleaning, some pets might experience transient gum irritation because all that calculus being removed can leave the gums a bit inflamed (like how our gums might be a bit sore if we hadn’t flossed in ages and then get a deep cleaning). This should resolve in days. There is a phenomenon where after a dental, bacteria may seed briefly into the bloodstream (bacteremia), but this is short-lived and in healthy pets is handled by the immune system; in pets with certain heart conditions, vets may use prophylactic antibiotics to be safe​. Choking or aspiration is prevented by using a tracheal tube and cuff to block fluid from entering the airway​. Rarely, a tooth extraction might cause an oronasal fistula (a tract between mouth and nose) – more common with certain bad upper canine teeth in small dogs – which may need further surgical repair. But if the cleaning is just routine without extractions, risks are minimal. Not doing dental care, on the other hand, has definite risks: chronic pain, tooth loss, systemic health effects, and expensive emergency dental work down the line. Some owners worry that anesthesia yearly is too risky – but consider that the anesthetic protocols are tailored to minimize risk and the payoff (preventing disease) is high. Many pets undergo annual or biannual dentals safely, even into old age. Of course, frequency is adjusted to the pet’s need. Side effects of the anesthesia might include a little drowsiness or upset stomach from fasting or meds – occasionally a pet vomits once when they get home. They should be back to normal within a day. If extractions occurred, side effects can be some whining or head-shaking from discomfort (pain meds help this), and a bit of blood-tinged saliva. Cats who have many extractions (like for stomatitis) may paw at the mouth as they heal; vets will advise on how to manage that. Overall, when done by a professional, a dental cleaning is low-risk, and any minor short-term effects are outweighed by the elimination of chronic oral infection and pain.

When to Schedule It: Frequency of dental cleanings depends on the pet’s age, breed, and at-home dental care. As a rule of thumb, many vets recommend a cleaning about once a year or every 1-3 years starting in middle age. Small breed dogs (like Chihuahuas, Yorkies, Poodles) often need dentals earlier and more frequently – sometimes starting by 2-3 years old and then annually – because they tend to develop tartar and gum disease faster​. Large breed dogs may go a bit longer before needing a first cleaning (maybe by 4-6 years old). Cats vary; some cats never need a dental if they have good genes and diet, but many do by the time they’re 5-7 due to tartar or specific issues like resorptive lesions. Your vet will examine the teeth at every check-up and can grade the level of tartar/gum inflammation. They might say, “Teeth are looking great, no cleaning needed yet,” or “There’s moderate tartar and gingivitis, it’s time for a dental.” A good time for the first dental is when there is visible tartar and gingivitis – don’t wait until there’s severe disease or loose teeth. Some signs you might notice at home that indicate a dental is needed: bad breath, yellow/brown buildup on teeth, red or bleeding gums, difficulty eating or preference for soft food, dropping food, pawing at mouth, or a loose or missing tooth. Ideally, don’t wait for overt signs of discomfort – use the vet’s exam as guidance. You might schedule cleanings more often if you are unable to brush your pet’s teeth at home, since plaque will accumulate faster without home care. If you do brush daily, you might extend the interval between professional cleanings. After a dental, your vet might give a “next due” estimate: e.g., “mild gingivitis still present; consider next cleaning in about 12-18 months.” Rechecks are important if any extractions were done – typically a follow-up in 7-14 days to ensure healing. For senior pets, some owners are hesitant to schedule dentals due to age. However, if a 12-year-old has heavy tartar or a painful tooth, it’s often still very worthwhile to do the dental even at that age, because it can significantly improve their comfort in their golden years. Vets take extra anesthetic precautions with seniors (pre-op blood tests, possibly IV fluids, etc.). You might plan a dental well before your pet reaches advanced age, to minimize needing a first-time anesthetic event in extreme old age – tackle problems earlier. Also, consider scheduling dentals at times that fit your schedule, since your pet will be in the clinic for the day. Many clinics book out dentals weeks or months in advance because they allot longer appointment slots for them. Some have special promotions during National Pet Dental Health Month (February) with discounts. Try not to schedule right after your pet’s vaccines; separating anesthetic events and vaccinations is a good idea.

FAQs or Common Concerns:

  • Q: My pet is old. Is anesthesia for a dental too risky at their age?
    A: Age by itself is not a disease – what matters is your pet’s overall health. Vets routinely anesthetize senior pets for dentals safely. They will do bloodwork and maybe chest X-rays to ensure there are no major issues, and they use tailored anesthetic drugs and careful monitoring. It’s true that an older pet might have a slightly higher anesthetic risk than a young one, but often the risk of not addressing dental disease is greater. For example, an old dog with severe periodontal disease or infected teeth is dealing with chronic pain and bacteria showering the body. Removing those diseased teeth and cleaning up the infection can make the dog healthier and likely extend their life (chronic infection can strain the kidneys/heart). Many owners say their senior perked up and acted happier after a needed dental. If your vet clears your senior pet for the procedure, then the risk is low and manageable. If there are complicating factors (like heart disease), the vet may adjust the plan or have a specialist anesthesiologist involved. Another approach for high-risk seniors is staging the dental work – doing a bit at a time or focusing only on the worst issues to minimize time under anesthesia. But in general, a well-done anesthetic dental on a senior pet has a high success rate. Always discuss concerns with your vet – they can explain the specific anesthetic protocol for seniors (often including things like IV fluids, careful dosing, and active warming to keep body temperature). Don’t let age alone prevent your pet from getting relief from dental disease. Each case is unique, but veterinarians wouldn’t recommend a procedure if they felt the risks outweighed benefits. They may also suggest pre-anesthetic ultrasounds or consults if needed for reassurance. Ultimately, a pain-free mouth often improves an older pet’s quality of life significantly.
  • Q: Why do pets need anesthesia for a dental? Can’t you just clean the teeth while they’re awake?
    A: While it might seem like a pet dental is similar to a human cleaning, it’s actually quite different. Pets won’t sit still and “open wide” on command for a thorough scaling and polishing. More importantly, the most critical part of cleaning is under the gumline – which is uncomfortable even for humans and definitely for pets​. Any movement or sudden jerk could cause injury from the sharp instruments. Anesthesia allows a stress-free, pain-free cleaning. There are “anesthesia-free pet dental” services advertised by some groomers or laypeople, but major veterinary organizations strongly advise against those​. They may scrape some tartar off the visible parts of teeth (often needing forceful restraint to do even that), but they cannot clean under the gums where disease actually festers​. So it gives a cosmetic improvement but no health benefit – worse, it can give owners a false sense of security while periodontal disease progresses unseen. Additionally, without anesthesia, they cannot take X-rays, which are essential for detecting hidden problems​. It’s also stressful and can be dangerous to physically restrain a pet for a non-anesthetic scraping – pets can react fearfully or aggressively. So, while owners worry about anesthesia, remember that a proper dental under anesthesia is safer and far more effective than an “awake dental.” The anesthesia also includes intubation to protect the airway from water and debris. In summary, to do a complete and safe job, anesthesia is required​. Modern anesthetics are quite safe, and the procedure is done frequently. The end result under anesthesia is a mouth as clean as possible, with any painful teeth addressed, which simply isn’t achievable on an awake pet. Always have dentals done by licensed vets with your pet under anesthesia – it’s the gold standard.
  • Q: What can I do at home to reduce how often my pet needs dental cleanings?
    A: The best at-home dental care is brushing your pet’s teeth daily or at least several times a week​. Use pet-specific toothpaste (often flavored like poultry or seafood; never use human toothpaste) and a soft-bristled brush or finger brush. Brushing mechanically removes plaque before it hardens into tartar, just like in our mouths​. It’s the single most effective way to maintain oral health between vet cleanings. Introduce brushing gradually with positive reinforcement. Many pets can be trained to accept it well. If brushing is absolutely not possible, other aids include dental diets or treats that have a dental benefit (they’re designed to scrub the teeth or contain enzymes), water additives that reduce bacteria, and dental chews. Look for products approved by the Veterinary Oral Health Council (VOHC); these have shown some efficacy. For example, VOHC-approved dental chews can reduce plaque/tartar. Chewing on appropriate rawhides or dental toys can also help some (avoid very hard chews like antlers or real bones which can crack teeth). There are also oral gels or wipes if brushing isn’t tolerated; they’re not as good as brushing but better than nothing. Dry food was once thought to help more than wet food, but evidence shows diet form alone has limited effect – some kibble might have a slight abrasive action, but many pets swallow kibble whole. Special dental diets (with larger kibble or special fiber matrix) can be beneficial though. Regularly inspect your pet’s mouth at home if you can, to catch issues early. Even with good home care, most pets will eventually need professional cleanings, but maybe less frequently or later in life than they would have. Think of it like your own dental care – you brush and floss daily (hopefully), yet you still get dental cleanings and check-ups. Both home care and professional care are complementary. Also, preventing dental disease is easier than treating it, so start brushing when your pet is young before they have problems. Lastly, weight management and overall nutrition indirectly help – obese pets may have worse dental disease, and certain vitamins/nutrients support gum health. So, keep your pet healthy overall and use those toothbrush bristles! By investing a few minutes most days in brushing, you may save your pet from extractions and extensive dentals, and of course keep their breath much nicer. It’s truly one of the best things you can do at home for their long-term health​.

Conclusion: Dental care is a crucial yet often overlooked aspect of pet health. Routine veterinary dental cleanings under anesthesia prevent the “silent suffering” pets might endure from bad teeth and gums. After a cleaning, pets often have improved energy and appetite – a testament to how much a painful mouth may have been affecting them. By keeping on top of dental maintenance, you also prevent serious health complications that can arise from advanced periodontal disease. Ideally, dental prophylaxis is done proactively: don’t wait until your pet has foul breath, loose teeth, or difficulty eating. Yearly vet exams will determine the right timing. Combine these cleanings with diligent home dental care (brushing, dental chews, etc.) for best results. Remember, periodontal disease is the most common disease in adult pets​, but it’s largely preventable with regular care. When weighed against the many benefits – a pain-free mouth, fresh breath, keeping teeth into old age, and possibly a longer life – the effort and cost of periodic dental cleanings are well justified. Discuss a dental plan with your vet; many clinics even offer dental health packages or reminders. And when the time comes for your pet’s dental appointment, you can feel confident you’re doing something that greatly enhances their well-being. In the end, a healthy mouth means a happier, healthier pet. As veterinarians often say: “Treat the mouth, treat the whole pet.” Your pet’s bright smile (and sweeter kisses) will be the reward.

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