I have a spoiled rotten,10 yr old neutered male Shih Tzu, named Kuro. He's also blind, but still my sweet baby!
Although it's only him and me now, there's a lot of talking around our house. I didn't realize he knows so many words! Some people say it's repetition, but I prefer to think he's that smart.......
We moved to Michigan from Indiana 4 years ago, and for the first 7 years of Kuro's life, the only expense I had was vaccinations, grooming,and buying toys. ( Lots of toys)
But time passes on and age starts taking a toll, and he started having problems: bladder, tumor on paw,liver enzymes too high, dental work, eye problems,and for the past few months, skin problems.
Dr. Dhaliwal has done all of Kuro's surgeries, and worked with me on the other problems. He never loses his patience, and stays calm while I am asking my 100 questions .
Dr. Dhaliwal is definitely in the correct profession. It seems he has a passion for not only helping animals, but he takes every opportunity to learn new techniques so he can help them even more.
The staff is also very nice. They greet you with a smile, take the time to talk, explain meds,etc. and if Dr. D. doesn't call to check on Kuro after a procedure, the staff will, and that means a lot to me.
Michigan Avenue Animal Hospital is a caring place, and everyone makes sure your pet is given the best care. Whatever it takes to make you and your pet "HAPPY!"
Tooth in Dogs
There are three layers to
the tooth. The outside layer is a thin layer called the enamel. The second layer is under the enamel consists of a hard
substance called dentin. The inside
of the tooth is called the dental pulp,
which is made up of arteries, veins, nerves and
- A tooth can be traumatized in various
manners. Tooth trauma and/or a fracture or break can have enamel and dentin
missing, pulp exposure with and without bleeding, a dark discolored tooth, a
loose tooth or facial swelling over the root of a damaged tooth. Any portion of
the root or crown can be broken or damaged. A tooth can even be knocked from
its socket (avulsion).
- A tooth fracture from chewing is most
common, usually from bones, rocks, plastic toys, Frisbees, hooves and rawhide
- Other forms of tooth fracture can be
related to hit-by-car incidents, an inadvertent swing from a baseball bat,
facial trauma from an active dog running into a hard obstacle or a fractured
jaw resulting in tooth fracture. Resorptive lesions can also weaken a tooth
leading to fracture. A fracture can occur below the gum line, vertically or
horizontally in the tooth. The level at which the root is fractured helps
determine if the tooth can be saved.
- Fractured teeth are painful even if the
dog does not show much pain. The tooth, facial area, jaws and head can be
sensitive and painful. The dog can be head shy or purposely avoid having facial
or head contact with the owner. He may drop his food while chewing, not pick
the food up properly, or chew properly. Difficulty chewing can lead to
in the tooth shape, color or position
facial swelling or pain
biting pressure during play or aggression training
- Reluctance to eat or refusal of food,
especially hard or fibrous food
- Veterinary care should include
diagnostic tests and subsequent treatment recommendations. A tooth fracture
should be treated as an emergency. If there is pulp exposure, then there
probably is increased sensitivity and much pain. A pulp exposure may lead to
bleeding and then infection of the pulp inside of tooth. The tooth is usually treated
for infection and trauma. Diagnostic tests are needed in tooth trauma cases.
Tests may include:
complete medical history and physical examination needs to be completed by the veterinarian.
Examination for other evidence of trauma should be completed. Jaw and skull
fractures can accompany fractures of the teeth.
radiographs (X-rays) may be completed, while under general anesthesia.
examination/evaluation of each tooth may be done with a periodontal probe, a
blunt-tipped instrument used to probe under the gums.
- Blood chemistries, a complete blood
count (CBC), and urinalysis may be suggested to determine the general health of
the patient. These tests are also recommended prior to anesthesia.
Treatments for tooth trauma may include one or more of the following:
only the dentin is exposed and not the dental pulp, then a fluoride or bonding
sealant, the material dentists apply to children's molars at age six and eight
that prevents cavities, can be applied. This reduces sensitivity and prevents
bacterial invasion of the pulp cavity.
damaged teeth may need to be extracted.
advanced stages of pulp damage require root canal therapy and crown restoration
(cast metal crowns). Some teeth will require root canal therapy if the fracture
has involved the pulp and there will be redness or bleeding of the pulp.
canal therapy is superior to extraction in almost all cases. Root canal therapy
of functional teeth is much less painful than extractions. Extractions that
involve bone loss may require eight to 12 weeks to heal and then the dog is
without tooth function.
tooth fractures may be treated with direct or indirect pulp capping, designed
to save the health of the tooth.
- Tooth fractures in the line of jaw
fractures, should be left in place if they contribute to fracture stability and
after the jaw heals a root canal should be performed.
- An avulsed tooth, or a tooth displaced from
the socket, should be repositioned as quickly as possible.
- There is no viable home care for a
fractured tooth. See your veterinarian
for treatment recommendations as soon as possible.
- After treatment, give oral antibiotics and pain medication
as directed by your veterinarian.
- Once the tooth has been treated, avoid
giving your dog hard objects to chew, or play toys that require your dog to
chew them or pick them up with their teeth.
items given to your dog to chew and watch your dog when aggressive play or
interactive play occurs. Avoid giving your dog items to chew that may lead to
tooth trauma or fracture.
tooth trauma has occurred, seek treatment immediately. One fluoride treatment
of your dog's teeth in the first 18 months of life will help strengthen the