Periodontal Disease

Periodontal disease is bone loss in the mouth's structure, which can not be treated or reversed, it can only be manged. There are 5 stages of periodontal disease. Our goal is to prevent periodontal disease in your pet by encouraging routine dental check ups, professional cleanings, and home care.

Stage 0

No signs of gingivitis, tartar, or plague. Teeth are white and gumlines are thin, pink, and healthy.

Treatment Plan:

Get your pet acclimated to brushing their teeth with a soft-bristled toothbrush and enzymatic toothpaste formulated for dogs and cats. See our "Home Care" page for tips on brushing your pet's teeth.

Stage 1

Mild gingivitis, plaque and even tartar with no bone loss. Gumlines are red and have a rounded appearance.

Treatment Plan:

Daily brushing will help control the progession of tartar accumulation. Dental cleanings are recommended now and every 12-18 months to remove tartar and plaque from the teeth and under the gumline.

Stage 2

Moderate gingivitis with tartar accumulating under the gumline causing inflammation, redness, and some pain. Worsening breath odor. Early periodontal disease as mild pockets are forming with bone loss of less than 25%.  

Treatment Plan:

Professional dental cleaning is recommended to remove the tartar and plaque from the tooth and especially under the gumline. We will send home mouth rinse containing antibacterial properties and recommend daily toothbrushing. Professional dental cleanings are recommended every 12 months, or sooner if needed, to help prevent the progression of periodontal disease.

Stage 3

Moderate periodontal disease. Bone loss of 25-50% at this stage. Larger amounts of tartar and plaque acculumation. Severe inflammation, redness, and bleeding in the gums. Gums may start to recede. Patient is experiencing pain and eating may be difficult. Breath has become putrid.

Treatment Plan:

Professional dental cleaning and treatment is recommended immediately to slow the progression of periodontal disease and save as many major teeth as possible. Dental x-rays, extractions, and oral surgery are common at this stage. Home care is vital to ensure the health of the remaining teeth, and prevent further bone loss. Professional dental cleanings and x-rays are recommended every 6-12 months.

Stage 4

Advanced periodontitis. Severe gingivitis and gum recession. Heavy amounts of tartar and pus around the teeth. Deep pockets have formed and teeth are loose in sockets from major bone loss of up to 50%. Patient is definitely in pain and may not be eating well. Excessive drooling may be present and breath is now foul.

Treatment Plan:

Long-term antibiotic therapy is necessary. Dental x-rays and multiple extractions, even oral surgery, is expected. Any teeth remaining must be cleaned, and home care is necessary to perserve those teeth. Dental check-ups are recommended every 3-6 months.

Benefits of Routine Dental Care

  • Ensures your pet stays healthy
  • Gets rid of bad breath so you can cuddle and give kisses
  • Prevents periodontal disease
  • Saves you money by not having  to pay for extensive dental work in the future.

Signs of Oral Disease:

  • Bad breath
  • Excessive drooling
  • Inflamed gums
  • Loose teeth
  • Tumors in the gums

If you notice that your pet has signs of oral disease please call us to schedule an examination.

Contact Us

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Care & Comfort Veterinary Hospital
522 E Chase Ave
El Cajon, CA 92020
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  • Phone: 619-590-6160
  • Fax: 619-440-6235
  • Email Us

Office Hours

Monday 7:30am - 7:00pm

Tuesday 7:30am - 7:00pm

Wednesday 7:30am - 7:00pm

Thursday 7:30am - 7:00pm

Friday 7:30am - 7:00pm

Saturday 8:00am - 4:00pm

Sunday - Closed

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