Gentle Care Animal Hospital

Gentle Care Animal Hospital

Wednesday, February 25, 2009

Cat on a leash: We'll walk you through it

Back in the late 1950s when I was a wee one in small-town Maine, we all — kids and grown-ups alike — snickered relentlessly at the lady who lived across Benton Avenue from my grandparents. Every afternoon she'd carry her massive tiger cat outside and connect a long cable to its harness, and the cat would spend the next several hours sunning herself, scratching at the maple tree and stalking birds.

This was at a time when people had mostly indoor-outdoor cats that roamed at will. Most of those cats had short lives, the result of unfortunate run-ins with cars, foxes, dogs and other cats. The neighbor lady's cat, on the other hand, lived nearly 20 active, sociable years. So much for our derision.

I thought about that old cat recently when on two separate occasions I saw women walking their cats through the park. Yup. Cats in harnesses on leashes strolling about the boulders and pine trees. Acting like it was the most normal thing in the world.

Turns out that in these times when most cat breeders, trainers and shelter personnel implore people to protect their cats by making them indoor-only pets, a few are recommending leash walks for felines as a way to stimulate them, keep them fit and allow them to connect with nature.

There's even a new self-published book, Walk Your Cat, The Complete Guide (Spiraka, $12.99), written by Steven Jacobson and Jean Miller, a married couple who have trained a handful of cats to prowl about confidently at the end of a leash.

"After a tough day," says Miller, a Virginia Tech philosophy instructor, "it's a nice, relaxing thing to come home, get the leash and take the cat out for a long walk."

Right.

Even she acknowledges that those words have an odd ring to them.

She hopes that in five or 10 years, though, cat owners the world over will be seen every evening de-stressing with cat walks. For the moment, however, as perhaps the nation's most vocal cat-walk advocate, she's "spending a lot of time trying to overcome the stigma."

The reasons leash walking for cats isn't already part of the American routine, she says, are twofold. First, most people think you can't train cats. More important, anyone who has ever tried to venture into kitty-stroll territory has probably been wildly unsuccessful. And that, Miller says, is "because they've used a dog model of leash training. That's certain to fail."

Miller and Jacobson have developed a step-by-step method that they say ensures success as long as the owner abides by the ever-so-important, can't-be-breached, No. 1 rule: You can't rush the process. It could take months to get a cat accustomed to the harness, confident with the process, no longer struggling against the leash, responsive to such words as "wait" and "no," and willing to return home when it's time.

The authors say that the command-and-control approach often used with dogs never works with cats (and will likely spur them to escape their harness and dash off), so it's important to know how to motivate them, how to reassure them when they get nervous, and how to habituate them to the sometimes-scary sounds and sights of the great outdoors. The couple's training method offers instruction in all these areas.

"Patience," Miller says repeatedly. "Without patience it's not going to work."

In other words, you'll wind up with "a flying furball at the end of a leash."

Lovely.

All this to give your indoor cat a few minutes to stalk a bird and roll in the grass?

"Cats have a very real need to go outdoors," she says. And though she advocates that cats be inside-only for their own safety if they're not attached to a human hand, she believes owners can accommodate a feline's nature needs with leash walks that allow them "the incomparable variety and intensity of sights, sounds and smells," not to mention the significant "behavioral stimulation."

Phooey, many cat experts say. You can give an indoors-only cat sufficient stimulation, you've just got to work at it — playing games with them, providing enrichment toys and climbing stands, and keeping plugged into the things they like, like dripping water, wadded-up paper or chase games.

"I'm totally against walking cats … for a lot of reasons," says Redwood City, Calif., cat behavior consultant Marilyn Krieger, columnist for Cat Fancy magazine. First and foremost, she says, "you can't control the environment" when you're outdoors, and if a cat freaks out because a truck drives by or a dog trots up out of nowhere, bad things will probably happen.

Moreover, she says, once they catch that love-the-outdoors bug, "they'll want to go out all the time" and are likely to become "door darters" that seize every chance to escape, or spend hours "howling at the windows." (Miller offers instruction in her book that she says will prevent those things.)

Still, for all her reservations about the concept, Krieger says "there are some cats that do fine with leash walking" especially "if they're started very early, like show cats."

Change happens. And maybe Miller's dream will come true. I've known a parrot that allowed himself to be hauled through the neighborhood in a little red wagon, and a massive pet pig that slept in a bathtub and led the family's goat around the yard by a rope, so I guess cats on leashes may not be all that extraordinary.

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Monday, February 16, 2009

Dental Care at Home for Your Pet

Our last post was dedicated to educating our clients about the importance of dental care for your pets and what we as a practice can provide. The next most important pieces information that we can provide to you concern what YOU can do at home to ensure proper dental health for your furry loved ones.

Dr. Bowden passes along these tips for good home practices for keeping pearly whites in tip top shape:I am convinced that most of our patients over 3 have some degree of periodontal disease and many of those are suffering in silence. Time and time again, I have seen renewed vitality, health, and happiness in my patients following surgical extraction of one or more painful, infected teeth.

In additional to regular exams and professional cleanings, your pet needs daily attention at home. Imagine what would happen if you didn't brush your teeth for 6 months to a year!

Annual dental cleanings are no substitute for daily home care. Less than one month after a professional dental cleaning, plaque and bacteria are found on the teeth and below the gum line.

+ The efficient daily use of a soft-bristled toothbrush, with appropriate animal toothpaste, remains the only proven method for long term control of plaque and gum disease.

Judicious home care can prolong the interval between professional dental cleanings, although most pets will need annual cleanings for optimal oral cavity health. Our registered dental technicians can demonstrate proper tooth brushing techniques for you.

+ Chewing exercise is also beneficial as it stimulates natural teeth cleaning and protection mechanisms.

+ There are many products now available to augment your home dental care program. We recommend CET chews for dogs and cats and any over-the-counter product that carries the VOHC (Veterinary Oral Health Council) seal of approval on the product label.
Be sure to look for that seal of approval as many consumer products claim to produce results, but may not be best for your pet.

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February is Dental Month

Gentle Care Animal Hospital Celebrates National Pet Dental Month
Dr. Trudi Bowden provides this month's feature on your pet's pearly whites!

To educate pet owners about the importance of regular dental care, February has been designated National Pet Dental Month by a partnership between the American Veterinary Medical Association, American Veterinary Dental Society, Academy of Veterinary Dentistry, American Veterinary Dental College, Academy of Veterinary Dental Technicians, Veterinary Oral Health Council® and Hill's Pet Nutrition Inc.

Unfortunately, dental care is often ignored by owners. A recent American Animal Hospital Association (AAHA) survey indicated that 66% of pet owners fail to provide essential dental care when recommended by their veterinarian. In fact, some studies suggest up to 90% of cats and dogs do not receive appropriate dental care. Experts agree that periodontal disease is the most prevalent disease of all cats and dogs. Periodontal disease is present in 70% of cats and 80% of dogs as young as three years of age. Although daily removal of plaque with tooth brushing is necessary for pets and people, the reality is that only two percent of pet owners actually follow through.

Regular preventive dental care includes oral home care by the pet owner and routine professional dental care by your veterinarian. The expenses associated with professional dental treatment are not insignificant. If, however, preventive care is ignored, the cost to the owner is often substantially higher for management of moderate to severe dental disease. More importantly, we must acknowledge that many of our pets are suffering in silence with undiagnosed periodontal pathology.


What is periodontal disease?

Periodontal disease is an inflammation of one or more of the support structures surrounding the teeth (gingiva, cementum, periodontal ligament, and alveolar bone) and is caused by a buildup of plaque over time. When compared to gingivitis, periodontitis indicates loss of surrounding bone due to infection. Initially, plaque is soft and brushing or chewing hard food, hard treats, or toys will dislodge it. If allowed to persist and spread, plaque can lead to gingivitis, inflammation of the gums. If left untreated, periodontitis may cause loose, painful teeth as well as internal disease.

Periodontal disease is caused by plaque. It begins as a sticky bio-film of plaque composed primarily of bacteria. Plaque builds up on the tooth surface and over time will harden or calcify into tartar due to the mineral content in normal saliva. With progression of tartar, or calculus, plaque begins to accumulate more rapidly. Initially, plaque is soft and brushing or chewing hard food, hard treats, or toys will dislodge it. If allowed to persist and spread, plaque can lead to gingivitis, inflammation of the gums. Inflamed gums are red, swollen, and bleed easily.

As plaque and calculus develop below the gum line, a professional cleaning is necessary for complete removal. If the plaque and tartar buildup continues without intervention, infection can spread to the root of the tooth. In the final stages of periodontal disease, the tissues and bone surrounding the tooth are destroyed and the tooth becomes loose. This is a very painful process for your pet, but these problems can be averted before they even start.

Bone loss from periodontal disease occurs below the gum line. This can not be detected on a routine, awake examination of the oral cavity. In order to evaluate the stage of periodontal disease as well as the best option for treatment, your pet must be examined under general anesthesia. In addition to a visual examination, a periodontal probe and dental radiographs are used to measure bone loss.Stage 1: Gingivitis only, no attachment/support loss. Gingivitis is treatable and curable with daily tooth brushing.

Stage 2: Early periodontitis-less than 25% support loss. Periodontal disease is not curable once bone loss occurs, but may be controllable once treated and followed up with strict home care.

Stage 3: Established periodontitis- between 25-50% support loss. These teeth may be salvageable with a firm commitment to daily home care and more frequent professional cleanings.

Stage 4: Advanced periodontitis- greater than 50% support loss. Extraction is typically the only option for these teeth.


What are the signs of periodontal disease?

The most common sign of periodontal disease is halitosis or bad breath, caused by plaque (bacteria) accumulation. Experts agree periodontal disease is painful; it is an insidious chronic inflammatory disease to which most patients gradually adapt or cope. Some dogs and cats will have problems chewing hard food; others will paw at their mouths. Tragically, most will not show any obvious signs to their owners. By the time a cat or dog shows obvious oral cavity pain and dysfunction, severe periodontal disease is well established and numerous teeth must be extracted. Dental disease doesn’t affect just the mouth. Studies have shown that dogs with severe periodontal disease have more severe microscopic damage in their kidneys, heart muscle and liver than do dogs with less severe periodontal disease.
Signs to watch for: Bad breath, missing or loose teeth or teeth that are discolored or covered in tartar, guarding the head/face/mouth, drooling, dropping food from the mouth, swallowing food whole, changes in eating or chewing habits, pawing at the face or mouth, bleeding from the mouth/gums, loss of appetite, unexpected weight loss

What is the cost of a routine dental prophylaxis?

The definition of a ‘dental prophylaxis’ is a professional dental scaling, polishing, and fluoride treatment to maintain healthy teeth. Sadly, by the time most owners allow their pets to have their teeth professionally cleaned, some degree of periodontal disease is already present and the procedure is no longer considered ‘routine’.

If however, your pet has no periodontal disease and no fractured/missing teeth, a routine cleaning will average less than $300. This includes a comprehensive pre-surgical exam, IV catheter for emergency venous access/delivery of IV fluids and other medications, anesthetic monitoring with Pulse-oximetry, temperature, blood pressure, and EKG in select cases, supplemental heat, premedication for pain relief/sedation, dental probing/charting of the entire oral cavity, scaling and subgingival curettage of all accumulated plaque/tartar, polishing of all teeth, application of an antiseptic rinse and fluoride treatment. This does not however include the cost of dental radiographs (x-rays), extractions, nerve blocks, suture material, antibiotics, pain medications, or home dental care supplies. Many pets presenting for a presumed routine cleaning will have one or more problem areas identified while under anesthesia. It is important to discuss this with your veterinarian in advance so that diagnostic and treatment options and cost can be discussed and agreed upon in advance.


How often should my pets teeth be professionally cleaned?

The AAHA Dental Care Guidelines recommend regular oral examinations and dental cleanings, under general anesthesia, for all adult dogs and cats. AAHA recommends these procedures at least annually starting at one year of age for cats and small-breed dogs, and at two years of age for large-breed dogs.


Are dental radiographs (x-rays) really necessary?

Radiographs of the teeth are needed periodically in order to completely evaluate your pet’s oral health. Approximately 70% of the tooth is below the gingiva and not visible on oral exam alone. In many cases, the surface of the tooth can appear quite healthy, while significant disease is present in the tooth root and/or surrounding bone. Early detection can prompt treatment to prevent the development of a painful tooth root abscess. In many cases, x-rays will confirm the need for extraction of teeth that are loose or badly infected.



Last Thoughts
Many clients often ask, "Are his/her teeth bad enough to need a cleaning this year?"

In taking a pro-active approach to veterinary care, the doctor's of Gentle Care Animal Hospital don't recommend waiting until the mouth is in bad shape before you are willing to seek dental care.

A commitment to home care and annual veterinary dental care is an investment in your pet's dental health and comfort.




See for yourself, the following images are provided from two works by Jan Bellows, D.V.M., Diplomate, American Veterinary Dental College - Smile Book III and Canine Periodontal Disease – Diagnosis and Therapy.

The first two images provide a normal benchmark of both dog and cat dental conditions for comparison:


Normal - Canine



Normal - Feline



The following images detail increasing attachment loss:


25% Attachment Loss



Radiograph - 25% Attachment Loss



50% Attachment Loss



Gingivitis is not a people-only problem!


Early Gingivitis



Advanced Gingivitis




Periodontitis


Severe Tartar / Early Periodontitis



Feline Alveolar Bone Expansion


Feline Alveolar Bone Expansion



Radiograph - Alveolar Bone Expansion




Progression of Feline Gingival Recession


Feline Gingival Recession



Marked Gingival Recession



Moderate Gingival Recession



Furcation Involvement


Furcation Involvement



Progression of Periodontal Disease


Grade 3 Periodontal Diseases - Canine



Grade 3 Periodontal Diseases - Feline



Stage 4 Periodontal Disease


As you can see, conditions can deteriorate quickly between stages. Preventative dental care at home and at your vet can help spot these issues become they become a problem.

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