Monday, January 4, 2021

3955. Periodontal (gum) diseases in dogs. Grades 1 to 4. An old dog went crazy when the vet tried to open his mouth.

An old dog went crazy when the vet tried to open his mouth. Real life case studies of dogs suffering from various grades of periodontal (gum) diseases are shown in this video to educate pet owners.

Periodontal (gum) disease or periodontitis in dogs is classified from Grades 1 to 4. This disease usually starts from 6 months of age in dogs.

Grade 1. Gingivitis. Inflammation of the gums Grade 2. Gingivitis + loss of periodontal tissue attachment of 0-25% Grade 3. Gingivitis + purulent discharge + loss of periodontal tissue attachment of 25-50% Grade 4. Gingivitis + purulent discharge + loss of periodontal tissue attachment of over 50%. X-rays are needed to differentiate between Grade 2 and Grade 3 as they are sometimes hard to judge on visual examination. A case of the old Doberman Pinscher presented to Dr Sing Kong Yuen at Toa Payoh Vets for "not active, loss of appetite and front leg lameness" is presented. The unusual behaviour of pawing of the mouth using the front paws when the mouth is pried open for examination provided evidence that the actual problem was tooth aches. The dog had tried to relieve oral pain using his front paws which became ulcerated and swollen. The back paws were dry and not swollen. After dental treatment and dental work by Dr Daniel Sing, the dog was active and eating again. The owners were delighted with the outcome. Antibiotic injection was given one day before dental work to get rid of the bacteria in the mouth. The dog permitted mouth examination 20 hours after antibiotic injection as seen in the video. Other dog with various grades of periodontal diseases are shown in the video as they were available, making this video more interesting. Regular or yearly dental check up is advised at Toa Payoh Vets to enable the teeth to be in good condition to old age.

Additional case studies of periodontal disease in other dogshttps://2010vets.blogspot.com/2020/10/gum-disease-in-old-dog.html




INSTAGRAM PHOTOS OF OTHER CASES


Summary: What happens if you let your dog suffer from bad breath? They get bad tooth aches, like people with rotten teeth. The bacterial germs invade the gums and the inside of the tooth pulp nerves. They create intense tooth aches that can drive the dog crazy, develop oral tumours, heart disease or septicaemia.

Six interesting cases from Toa Payoh Vets are discussed.
CASE 1. A MINIATURE SCHNAUZER VOMITS FOR 2 WEEKS

CASE 2. A MINIATURE BULL TERRIER HAS MULTIPLE FITS

CASE 3. A POODLE MOVES HIS HEAD AWAY WHEN PATTED

CASE 4. A MINIATURE SCHNAUZER DEVELOPS GUM TUMOURS

CASE 5. A POODLE EATS LESS AND LOSES WEIGHT

CASE 6. A MALTIPOO HAS SWOLLEN GUMS - GINGIVITIS


THE OWNER'S WORRIES ABOUT ANAESTHETIC DEATHS

There will always be anaesthetic risks of deaths on the operating table. The isoflurane gaseous anaesthetic is very safe for the older dogs and there should be no fatality if the dog has no serious heart and other diseases. Some groomers in Singapore perform dental scaling as they are permitted to do so if they do not use anaesthetic. In conclusion, the veterinarian is trained to do a proper dental procedures and general anaesthesia permits a thorough examination and dental work on the inside and outside of the teeth to below the gum levels. FOR UPDATES: THIS BLOG

https://2010vets.blogspot.com/2021/01/3955-periodontal-gum-diseases-in-dogs.html












What happens if you let your dog suffer from bad breath? They get bad tooth aches, like people with rotten teeth. The bacteria invades the gums and the inside of the tooth pulp nerves.

The following are cases from Toa Payoh Vets seen over the years

CASE 1. MINIATURE SCHNAUZER VOMITS FOR 2 WEEKS







CASE 2. MINIATURE BULL TERRIER HAS MULTIPLE FITS





CASE 3. THE POODLE MOVES HIS HEAD AWAY WHEN PATTED


CASE 4. MINIATURE SCHNAUZER DEVELOPS GUM TUMOURS



CASE 5. A POODLE EATS LESS AND LOSES WEIGHT


CASE 6. A MALTIPOO HAS SWOLLEN GUMS.



OWNER'S WORRIES ABOUT ANAESTHETIC DEATHS Some groomers in Singapore perform dental scaling as they are permitted to do so if they do not use anaesthetic


However, the thorough dental work is done by the veterinarian as general anaesthesia permits proper examination and removal of
the plaque and tartar under the gums.




Sunday, January 3, 2021

3954. The use of the Dremel 300 cutting wheel to trim overgrown teeth in guinea pigs and rabbits - script

How to trim the guinea pig's overgrown teeth using the Dremel 300 Cutting Wheel


SCRIPT FOR VIDEO PRODUCTION

HOOK (Actual footage of the case during consultation)

Healthy guinea pigs eat a lot. When they eat less, there is usually a medical problem. Many times, the loss of appetite is caused by something happening to their teeth. A person's adult teeth remain the same size. But an adult guinea pig's tooth keeps growing longer daily. The guinea pig chews hay and hard food to wear down the teeth. If he does not eat, his teeth will not be properly worn out. The teeth overgrow as in this 4-year-old, male guinea pig. The guinea pig will die from malnutrition and weight loss over the next few weeks.

The owner consulted Dr Sing Kong Yuen of Toa Payoh Vets on May 8, 2016. This guinea pig has not been eating for the past 4 weeks. The owner was worried. Video clip of a guinea pig with overgrown front teeth during consultation). This condition can be serious as the guinea pig will die from hunger if he cannot chew his food.


BKTP (Image) SEE BELOW

TITLE (Image) SEE BELOW

INTRODUCTION
A normal guinea pig has 4 front teeth. Two are upper and two are lower. But this 4-year-old male guinea pig has 6 front teeth. Over the past 4 weeks, the owner has fed him less hay and carrots. The teeth continued growing as they were not close to each other to be worn out by the chewing the hay and carrots. They grow longer and curved inwards towards the tongue.

 (Video 1.  Consultation, history taking and examination)

BE KIND TO PETS
VETERINARY EDUCATIONAL VIDEO
HOW TO TRIM THE OVERGROWN TEETH USING THE DREMEL CUTTING WHEEL

TREATMENT 
There are two ways of trimming the teeth. A nail cutter or the cutting wheel. The nail cutter may fracture the length of the tooth. The cutting wheel trims the teeth evenly and smoothly without fracturing the tooth. This video shows how Dr Sing uses the Dremel 300 cutting wheel to trim the teeth.

(Videos 2,3,4,5)

VIDEOS
2.  Equipment used. (Include image and list them).

3.  Anaesthetic gas is piped inside the container.  The guinea pig is given the minimal dose of isoflurane gas anaesthesia to prevent stress and pain during tooth trimming. He is placed inside a gas container.

When he looks sedated, he is taken out for trimming. When he wakes up, he is placed inside the container again.  This careful short anaesthesia ensures that he will not die from anaesthetic overdosage.

4. The Dremel 300 cutting wheel spins and cuts the teeth layer by layer

It is used with great care. It is important that the guinea pig's tongue and cheeks or the operator's fingers are not cut. Safety is most important for the pet and operator. A rodent's mouth gag may be used. 

5. It takes time and lots of patience to trim the 6 front teeth. A rushed job means giving high anesthetic dose or longer duration and this will kill the guinea pig. The teeth are trimmed. The owner is very happy. Follow up 2 days later - the owner says the guinea pig has eaten more food now. 

CONCLUSION 
The Dremel 300 cutting wheel works effectively to cut the teeth smoothly, without fracturing the sides of the teeth. An ordinary nail cutter may fracture the teeth.  General anaesthesia calms the guinea pig and prevents traumatic injury to the tongue and lips due to struggling and movements.

ADVICES TO THE OWNER.

1. Separate from the other guinea pig so that he will recover. Feed more hay and carrots.

2. Early Treatment is best to prevent overgrowth of the cheek teeth. In this case, the cheek teeth have not overgrown and do not need trimming or cutting.  Do not wait four weeks to seek treatment.
 
3. A permanent solution is to extract all the 4 front teeth of the guinea pig to prevent the need for trimming of overgrown front teeth.  

FINAL VIDEO

https://youtu.be/KtvEhjcT87M

THIS BLOG:

https://2010vets.blogspot.com/2021/01/3954-use-of-dremel-300-cutting-wheel-to.html













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