Hidden Dangers May Be A Mouth Away

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For years it was optional for our dog and cat owners to choose whether they wanted dental x-rays for their pets. For the last year, ALL of our dental patients have received dental x-rays. Why you say? Because on a routine physical exam it is impossible to perform a complete dental exam. We now know on the anesthetized dental patient, it is also impossible to perform a complete dental exam without dental x-rays.*  We know this because the dental x-rays have revealed hidden dangers.

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Take Fido Doe, a recent dental patient of ours. Fido’s teeth were graded a P1 by the veterinarian. (P0 -P4 is our grade standard with P0 being the best) Once anesthetized, Fido’s teeth were x-rayed. The x-rays revealed root fractures of many teeth. There is no way to determine when this happened or why. But the fact remains these teeth had hidden issues that only dental x-rays could find. There is also no way to know how much pain Fido had been in. Dogs and cats are masters at hiding pain. I call it a survival instinct.

Another case in point is Emmy, my own 12 year old Miniature Schnauzer. She had a routine dental performed in June of last year. Dr. Mark Plott and his team performed dental x-rays. Emmy’s right upper canine tooth was basically dead. She had shown no obvious signs of pain and discomfort at home. When they cleaned the tartar from that tooth, there was a slight discoloration near the gum line. Without the x-rays we would have never known about the advanced nature of her problem and her pain. The recommendation was to remove the tooth. Once she healed from the extraction, she was like a new dog. She was playing often and hard with our new puppy. Even acting like the puppy herself!

Dental cleanings are not cheap for dogs and cats. At least they are not cheap at Foster Animal Hospital compared to other places. (no two vet hospitals practice vet medicine the same) The service received here is not cheap either. There is a high value for what we do before, during and after dental treatments. If nothing more, just the fact that we now routinely find hidden dangers during a routine dental treatment by taking x-rays can save your pet years of oral pain and discomfort. And can ultimately save you money. That’s why having a yearly dental  treatment is the best recommendation we can make.

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*Note- all dental procedures require anesthesia. Our patients won’t sit in the chair with their mouths open!!

For more information on what our Dental Treatment includes visit here:

http://www.fosteranimalhospital.com/veterinary-services/pet-dental-care.html, or give us a call today at 704-786-0104.

Links for more information on this important topic:

http://www.fosteranimalhospital.com/blog/?m=201612

http://www.avdc.org/ownersinfo.html

http://www.avdc.org/radiographs.html

 

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Refer A Friend!

We love referrals! And we want to reward those clients that refer their friends, family, neighbors, etc.
So, when you refer a friend we will give you a $10 credit on your account here (with the standard small print “not redeemable for cash”!) and we will also give your friend a $10 credit on their account.
The credit can be used for any service or product we have here at Foster Animal Hospital, Foster Animal Clinic at Parkway Commons, or Paws In Motion Canine Rehabilitation Center.
Refer A Friend today!
Thanks!

Thank-You

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Lyme Disease: What every dog owner in Cabarrus County should know

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NC 2016 CAPC

The top map shows the potential risk for Lyme Disease in each state in the United States. The Companion Animal Parasite Council, aka CAPC, currently shows Cabarrus County as having a “moderate risk of infection” by Lyme Disease in dogs. And the trend is upward.

In short, what should you do:

  • Have your dog screened for Lyme Disease, and other tick related diseases on a routine basis. At both of our sites, routine annual blood tests and diagnostic panels screen for Lyme Disease, Ehrlichiosis, and Anaplasmosis. Unfortunately, there is no easy screen for Rocky Mountain Spotted Fever. (The CAPC Data graph above shows the number of Lyme positive cases in North Carolina in 2016, as compared to, other parasitic infections.)
  • Provide tick protection year-round for your dogs and cats. As shown by this winter (2016-17), cold weather is not long enough and consistent enough to kill out those pesky ticks in our area.
  • Be aware that traveling to Lyme endemic areas carries risks for you and your dog. (See the map above.)
  • Consider vaccinating your dog against Lyme Disease. Vaccination should be done if you are traveling to an endemic area, spend time in the outdoors with your dog hiking and exploring, or suffer from tick exposure regularly. There may be other risk factors unique to your lifestyle and environment. The vaccines are safe and effective.
  • Signs of Lyme Disease in your dog include: fever, shifting leg lameness, swollen joints, enlarged lymph nodes, lethargy, depression, and anorexia. In general, clinical improvement is observed following initiation of antibiotic therapy. Lyme Disease may also persist in a chronic form resulting in poly-arthritis and kidney damage.

Like most diseases, prevention is the best policy. We use and recommend the following products:

 

vectra 3d

BravectoK9

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I know I have blogged about ticks and Lyme Disease already. Our staff chose March as “Tick” month. This is because our doctors and staff feel very strongly that our clients be aware of the issues ticks can create in their pets. So please forgive me for being repetitive. We just feel that strongly about protecting your pets AND YOU from Lyme Disease!

I have included some links for your use:

https://www.capcvet.org/capc-recommendations/lyme-disease/

https://www.capcvet.org/parasite-prevalence-maps/

http://www.fosteranimalhospital.com/blog/

 

 

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Got Wildlife? Got Dogs?

You’ve seen them all: possum, raccoons, squirrels, deer, rats, etc. They’re in our yards, our woods, our streets. They’re pretty much everywhere. Most are lovely to look at (sorry possums and rats), but some can be spreading a hidden hazard. A hazard that can have life-threatening consequences for your dogs….. and even for you.

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I’m talking about Leptospirosis or Lepto for short. Lepto is a bacterial infection that can be spread by an infected animal through it’s urine and other body fluids. It enters the body through mucus membranes (mouth, nose, etc.), through scratches or abrasions on the skin, and potentially through bite wounds. The disease, if untreated, can cause kidney and liver failure in dogs. And oh by the way, it can cause the same in people. Lepto can even cause death. You may have recently seen reports about a person that died in New York and two others who were sick from Lepto. It has been reported that as many as 50 dogs have been infected in Phoenix. Most experts have felt that Lepto is a rare likelihood but other reports show Lepto is emerging more and more. Perhaps the reports from New York and Phoenix support this.

The purpose of this blog is not to scare you, but to inform you. We recommend vaccinating against Lepto and use the vaccine as one of our core vaccines. Many clinics and hospitals do not. As with any vaccine, we make sure your pet is medically able to be vaccinated prior to administering it.

I have researched to try and find the incidence of Lepto in our area. Unfortunately, I have not been able to find accurate info from a reliable source. Certainly, Lepto is not an everyday, every week, every month diagnosis. But the potential for harm and the understanding that many feel Lepto is on the rise is cause enough to be aware. And cause enough to be protected, don’t you think?

As always, feel free to contact me by email or phone.

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Lyme Disease in Dogs- Becoming A Serious Problem in NC

Tick-tock, Tick-tock. Tick-tock. Or with Spring fast approaching in Cabarrus County, it may be more appropriate to say Tick-tick, Tick-tick, Tick-tick. That certainly conjures up a bad visual!

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Historically, tick transmitted disease in our area has been most often limited to Rocky Mountain Spotted Fever (RMSF). In fact for years, Cabarrus and Rowan Counties led the nation in human cases. RMSF is a disease that can affect dogs, but is difficult to diagnose. In recent years other tick transmitted diseases have begun to show up in Cabarrus County: Lyme Disease, Ehrlichiosis, and Anaplasmosis. Within the last 12 months, we at Foster Animal Hospital and Foster Animal Clinic at Parkway Commons have begun screening for Lyme, Ehrlichia, and Anaplasma on our routine annual lab panels. The results have been eye opening. (Unfortunately, this test is not yet available for RMSF)

According to the Companion Animal Parasite Council or CAPC ( https://www.capcvet.org/ ), all three are on the rise in North Carolina. Lyme Disease in particular is one we are watching closely. Lyme has been a real nightmare for residents and pets in the northeast US for years. With the transient nature of people, especially those that travel with their pets, the incidence is moving southward. CAPC’s incidence map shows 51 of the 100 counties in NC, Cabarrus County included, rate as moderate for the prevalence of Lyme positive dogs in those counties. (https://www.capcvet.org/parasite-prevalence-maps/) Mind you, that is just the dogs that are tested. Many thousands of dogs in this state go untested every year.

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Lyme incidence

Clinical signs in dogs can range from fever, lethargy, lameness, intermittent and/or shifting leg lameness, stiffness, pain, and loss of appetite. Many dogs do not show signs for quite some time. Many will respond well to antibiotics, others do not.

Fortunately, there are vaccines available to help prevent Lyme infection. We use the latest product that has the ability to eliminate the infection at the tick-bite site, as well as, internally. (https://www.zoetisus.com/products/dogs/vanguard-crlyme/) Many vaccines only protect at the bite site and are not as effective. This technology for this new vaccine is being researched for possible use in humans. What a breakthrough that would be!

I personally have vaccinated my 3 dogs for Lyme. None of them experienced any vaccine reaction, and now I can rest easy knowing they are protected against Lyme Disease. I still use tick preventatives for them even though I rarely see a tick on them. That is because RMSF, Ehrlichia, and Anaplasma exist in NC too. Many dogs that test positive for Lyme or the other tick related disease have no tick history. (many people too report they never had a tick when they were diagnosed) The best 3 products we recommend are Vectra 3-D, a monthly topical, Bravecto, an oral chew that lasts 3 months and Simparica a monthly chewable that has great efficacy and is available on Vetsource, our online pharmacy. Vectra 3-D and Bravecto are available at both of our locations.

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BravectoK9

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By vaccinating my dogs and using an effective and safe tick preventative, I have greatly reduced the potential for any tick related disease for my dogs, myself, and my family. After all, our dogs are constant companions in our house and even sleep in our bed! I don’t want ticks in my bed or on me!

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So please don’t hesitate to contact me or our offices for additional information or questions. We can schedule an appointment to give the Lyme vaccines if you wish. The initial series calls for 2 vaccines given 2-4 weeks apart. If your dog has been previously vaccinated with another type of vaccine, we still recommend the initial 2 vaccine protocol to assure better protection because of the new technology.

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Bravecto Concerns

Bravecto is a flea and tick preventative that lasts 3 months. It was approved as an oral tablet for dogs in 2014. Recently there have been media reports of dogs that have been given Bravecto experiencing medical issues and even death. As a veterinarian, I take these issues seriously. I and my practices have dispensed thousands of doses of this product. I personally give it to my 3 dogs- as recently as last night.

Bravecto is approved by the FDA and many countries world-wide. The safety studies show it to be a very safe product. As a vet of 31 years, these products are much safer than the products available 10-30 years ago: such as organophosphates and the like.

Any adverse event a pet has should be reported to your vet and to the company that makes Bravecto- Merck Animal Health. The most common concern I have seen by my clients is vomiting and /or lethargy. (and that is not reported very often) If your pet has experienced this or any other issues, then Bravecto is probably not for you.

I advise my clients that the product is safe. The use of it is a choice. If you are not comfortable with it, then we can make other recommendations. There are numerous products to choose from.

The reality is, unless a necropsy is performed on the deceased animals, we will never know the full truth. Merck and the FDA will not allow a product that is unsafe to remain on the market. As of now and for the foreseeable future, Bravecto will be available.

I have copied and pasted a statement recently made by Merck Animal Health regarding Bravecto. I hope you find this blog and the Merck statement helpful. As always, feel free to contact me at 704-786-0104 or sfoster@fosteranimalhospital.com with any concerns you may have.

I hope you have a great day!

 

 

Bravecto: Just The Facts

Many of us at Merck Animal Health are veterinarians and/or pet owners and do what we do because of our love for animals. Their health and wellbeing is our top priority. We know that veterinarians and pet owners look to us to provide accurate and balanced information about our products, which is why it is so important that we share the FACTS about Bravecto.
As you may be aware, fleas and ticks are not just a nuisance, but also pose animal and human health risks, as they can transmit disease (including Lyme disease, Rocky Mountain Spotted Fever, bartonellosis and others).
That’s why it’s critical to protect pets from these parasites and keep them out of homes. Bravecto is the first and only treatment that has been shown to quickly and effectively kill fleas and multiple tick species for 12 weeks in a single dose. It also is effective for eight weeks against Amblyomma americanum ticks.
More than 13 million doses of Bravecto have been dispensed in 60 countries. We are pleased with the overwhelmingly positive responses we’ve had from veterinarians and pet owners from throughout the world about the benefits of Bravecto.
 We are confident in the safety of Bravecto.
 Prior to its first approval by a regulatory agency, the safety of Bravecto was established through comprehensive clinical research studies.
 As part of the product approval process, regulatory agencies throughout the world have reviewed the Bravecto research data and have deemed it safe for sale in their countries, when used according to the product label. Global safety surveillance of Bravecto use has provided additional compelling evidence of the safety of the product.
 In a well-controlled field study Bravecto was used concurrently with other medications, such as vaccines, anthelmintics, antibiotics and steroids. No adverse reactions were observed when Bravecto was used at the same time as other medications.1,2
 The rate of all adverse event reports is classified as RARE. The most common reported events are mild and transient gastrointestinal upset, which are noted on the product label.
 Merck Animal Health’s research scientists have thoroughly reviewed the safety data for Bravecto from more than 55 controlled clinical trials.
 Clinical research data and analysis of adverse events do not demonstrate a causal relationship between Bravecto and liver or kidney issues or cancer.
BRAVECTO: JUST THE FACTS
THE IMPORTANCE OF FLEA AND TICK PREVENTION
EXTENSIVE SAFETY RESEARCH

 As a responsible animal health company, we take every single report of a potential adverse event seriously.
 Whenever possible, we work with the pet owner and attending veterinarian to assemble as much clinical information as we can to try to help determine the cause of a pet’s health issue, and whether or not the product may have been involved.
 It is important to critically examine the facts relating to adverse events vs. anecdotes that are not substantiated by science and medical evidence. A report does not mean causation.
 We report findings to governing regulatory agencies around the world (based on a country’s respective laws and policies), so that they can make a fully informed, scientific assessment about the safety of the product.
 We do this so that accurate safety and efficacy information is available for veterinarians prescribing our products.
 We are Confident in the Safety of Bravecto.
For more information, please visit the Bravecto website. Always consult with your own veterinarian about the health and well-being of your pet, and when making a decision about flea and tick control products.
1 Bravecto Product Label. Data on file at Merck Animal Health and FDA. 2 Walther et al. Plasma pharmacokinetic profile of fluralaner (Bravecto™) and ivermectin following concurrent administration to dogs.

Merck Animal Health Companion Animal Technical Servicesand Pharmacovigilance Team

1-800-224-5318

8:30am-5:00pm EST

 www.Bravecto.com

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

Valentine’s Day Makes 9 Years!

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What’s that you say? February 14, 2017 will mark the 9th anniversary of Foster Animal Clinic at Parkway Commons. For those of you that aren’t aware, our first satellite clinic is located just north of Charlotte Motor Speedway on Hwy 29, aka Concord Parkway. The exact address is 3805 Concord Parkway South, Suite 124. The clinic is in the Parkway Commons shopping center that houses the Walmart Neighborhood Market and Walgreens. There are a variety of other tenants and restaurants as well, many locally owned.

Foster Animal Clinic at Parkway Commons, FAC for short, is an outpatient clinic only. We provide Annual Wellness exams, vaccines, and treat minor ailments and illnesses. We have a pharmacy to dispense medications, heart worm prevention, flea/tick prevention, and Science Diet and Prescription Diet. All surgery, dental treatments, x-rays, etc. are sent to our main Hospital at 730 Concord Parkway North.

For those of you who prefer a less busy and quieter setting, FAC is the place for you. Many of our patients like FAC for those same reasons too! In fact, a lot of our cat-owning clients prefer this location for their feline babies. We try and use Tuesday afternoon from 3-6 pm as a “cat only” clinic.

So if you live in that area, stop by and say hi! Or better yet, give us a call and make an appointment for your fur baby!

704-262-7387 (PETS).

 

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

“He Doesn’t Act Like He’s In Pain”

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“He doesn’t act like he’s in pain”.

That’s a common phrase we hear in our exam rooms or in conversations with clients that have older pets. We also hear, “she sleeps more because she’s old”, “he doesn’t go on walks as much because he’s old”, or “he’s gotten grumpier in his old age”.

While some of that may be true, reality is dogs and cats are masters at hiding chronic pain. Whether that goes back generations when there habitat was more outside and they needed more of a  survival instinct is up for debate. We do see different pain tolerances among different patients. But the average pet doesn’t show signs of chronic pain that we as humans feel would be typical signs.

So, sleeping more, walking less, being grumpy may well be “normal” signs of chronic pain for our pets.

Let’s look at what may be driving chronic pain and what we can do about it.

Arthritis is the most common cause of chronic pain in older pets. Arthritis can involve any joint, as well as, the spine. Arthritis is defined as the painful inflammation and stiffness of joints. Some pets develop arthritis from wear and tear over the years. Some pets will have arthritic joints from disease, such as, hip dysplasia. Some will have arthritis from injuries, for example, a torn cranial cruciate ligament. And there are other causes as well.

Chronic pain may result from other physical ailments: intervertebral disc disease, fibrotic muscle disease, or neuropathic pain.

The good news is, we have many ways to deal with chronic pain in your pet.

There are many different prescription medications that are available. The majority of the medicines are approved for dogs. There are some for cats but not as many. This is because cats are unable to tolerate many of these medications. Some of these drugs deal with inflammation and pain and some are for pain only. Sometimes, we will safely use a combination of these to help our patients feel and function better.

Neutraceuticals, supplements, and Chinese herbs are another way to relieve chronic pain. In fact, this is oftentimes the first line of defense. These supplements help nourish the joints and some have natural anti-inflammatory ability as well. There are a ton of these available but not all are reliable or effective. We suggest asking us for guidelines before starting any supplement.

Rehabilitation Therapy is a new and up-and-coming option for pets with chronic pain, injuries, and for post-op recovery. Rehab utilizes many of the same techniques that physical therapy does in humans. Manual therapy, massage, passive range of motion, and therapeutic exercises are often employed. We also use different modalities: underwater treadmill, LASER, land treadmill, and more. The response to therapy is remarkable and helps pets regain pain-free function. While many degenerative issues are not curable, Rehabilitation Therapy can decrease chronic pain, improve strength, improve neurological function, and promote healing. We even have access to acupuncture, platelet rich plasma, and stem cell therapy!

If any of this reminds you of your pet, contact us today!

Foster Animal Hospital and Paws In Motion Canine Rehabilitation Center: 704-786-0104

Foster Animal Clinic at Parkway Commons: 704-262-7387.

 

All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

 

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Grab Your Laptop and Let’s Get To The Source!

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I remember the first time I saw a drive-thru window at a pharmacy. I thought, “What a great idea”!
And then along came the internet. For many of us, the internet became a drive-thru window for consumers!

At our practice, the internet has provided us many opportunities. Opportunities to communicate with you through our website, email, social media, etc. And now another opportunity awaits you. The opportunity to purchase prescription medications, supplies, and diets through our new on-line store: VetSource Home Delivery.

By going to the homepage of our website and clicking the VetSource link, www.fosteranimalhospital.com, you will be able to browse, or shop if you will, for the medications and foods your fur babies need. And you will have the ability to buy from a source you trust: us!

Once you have selected the products you want, VetSource will ship these items directly to you. Any prescriptions items will be approved by us, just like any pharmacy. VetSource will even ship diets such as Hill’s Science Diet, Hill’s Prescription Diet, and Royal Canin directly to you at no charge! And to make it even better, VetSource has an auto-ship program where products (medications and diets) will arrive at your door, the same time each month, without you having to order each month. Many of us have trouble remembering to give that monthly heartworm prevention or flea and tick prevention. With the auto-ship program, VetSource remembers for you!

Have no fear, if you prefer getting your medications or food directly from Foster Animal Hospital or Foster Animal Clinic at Parkway Commons, you will still be able to do so. VetSource allows you to buy conveniently from your own home and have your purchase shipped directly to you with the same trust and confidence you have when buying here.

So grab your laptop and let’s get to the source. VetSource that is. What a great idea!

 

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What’s Going On In There?

Have you ever looked at a closed door and wondered what is behind it? Or maybe a cabinet that is very high and said, “If I only had a ladder.”

For years we veterinarians wondered the same thing about dog’s and cat’s mouths! Well specifically, what is going on in there? Guess what, we found the ladder!

So you’re saying, “Dr. Steve, what in the world are you talking about?”. Over the last several years, dental radiographs or x-rays, have become available. And thanks to modern technology, regular and dental x-ray machines are now digital. When we as humans go to the dentist, we often have x-rays made of our teeth. What are the dentists and us vets looking for?

We are looking at the present condition of of the tooth roots and bone that support and anchor our pet’s teeth. And we are also looking at the future of your pet’s mouth.

According to the American Veterinary Dental College, periodontal disease ” is the most common clinical condition occurring in adult dogs and cats, and is entirely preventable.” ( http://www.avdc.org/periodontaldisease.html ) Statistics show that by 3 years of age, most dogs and cats have signs of periodontal disease. Let that sink in: “most common clinical condition” and “3 years of age”. Is that shocking to you?

If you think about it, for the average dog and cat, 1 year of age is equivalent to 7 years for humans. (That is an average. Dogs in particular age at different rates based on size, breed, and sex) At what age do we start brushing our children’s teeth? At what age do our children start going to the dentist? Hopefully not at age 21!

So back to the matter of dental x-rays for dogs and cats. Many of our pets can suffer from hidden tooth root damage and periodontal bone loss. This can result in a tooth that is dying, or severe infection, and pain. And many of our pets never show us the pain. And when they do, the problem is advanced and requires immediate action.

A case in point is Emmy, my own 12 year old Miniature Schnauzer. She had a routine dental performed in June of this year. Dr. Mark Plott and his team performed dental x-rays. Emmy’s right upper canine tooth was basically dead. She had shown no obvious signs of pain and discomfort at home. When they cleaned the tartar from that tooth, there was a slight discoloration near the gum line. Without the x-rays we would have never known about the advanced nature of her problem and her pain. The recommendation was to remove the tooth. Once she healed from the extraction, she was like a new dog. She was playing often and hard with our new puppy. Even acting like the puppy herself!

My point is, we never knew Emmy was in that much pain. And to make matters worse, she was in a position to develop an abscess that would have created more pain and misery and could have potentially seeded her blood stream and body with infection.

All dental cleanings performed at Foster Animal Hospital now receive full mouth x-rays. Yes, this has increased the cost of the procedure. Unfortunately, the digital dental x-ray machines are not cheap. But we feel as the advocates for your precious family members, the benefits and value of this step are definitely worth the cost. And Emmy agrees!

There is probably not a more important procedure to have done for your pet. You never know what is behind that door!

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All the best,

Stephen E Foster, DVM, CCRT

Foster Animal Hospital, P.A.

Foster Animal Clinic at Parkway Commons

Paws In Motion Canine Rehabilitation Center

730 Concord Parkway North

Concord, NC 28027

704-786-0104

sfoster@fosteranimalhospital.com

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