Principais características demográficas e nosológicas das doenças da cavidade oral de cães atendidos em um serviço de odontologia veterinária / Main demographic and nosological characteristics of diseases of the oral cavity of dogs treated at a veterinary dentistry service

Afecções da cavidade oral como o cálculo dentário (CD) e a doença periodontal (DP) são frequentes na clínica de cães e têm grande impacto na saúde e qualidade de vida dos pacientes acometidos. No entanto, a adoção de medidas preventivas ainda é difícil, uma vez que a frequência das doenças da cavidade oral em cães ainda é pouco compreendida no Brasil. O objetivo deste estudo foi avaliar características demográficas e nosológicas, como os hábitos alimentares e de manejo de escovação, dos distúrbios da cavidade oral de 198 cães atendidos no período compreendido entre 2013 e 2019, em um serviço de odontologia veterinária, na cidade do Rio de Janeiro. A maioria dos cães atendidos não tinha raça definida. Entre os de raça pura, Yorkshire Terrie foi a mais prevalente, não havendo distinção significativa entre o gênero, em todos os casos. Quanto à idade, observou-se uma predominância de animais de meia idade a idosos, com faixa etária acima dos sete anos. Dentre as afecções mais prevalentes, o destaque se deve ao cálculo dentário e à doença periodontal, seguidos por gengivite e halitose. Quanto aos hábitos dos tutores, notou-se baixa adesão à realização de escovação rotineira, e um alto percentual no fornecimento de petiscos. Avaliando-se os resultados e relacionando-os aos hábitos alimentares dos pacientes, surge a hipótese de que a alimentação à base de ração comercial, de alguma forma possa contribuir para evolução do cálculo dentário, necessitando estudos com maior amostragem para elucidação.

Diseases of the oral cavity, such as Dental Calculus (DC) and Periodontal Disease (PD), are frequent in the dog clinic and have a great impact on the health and quality of life of affected patients. However, the adoption of preventive measures is still difficult, since the epidemiology of diseases of the oral cavity is still poorly understood in Brazil. The aim of this study was to evaluate demographic and nosological aspects ­ such as feeding and brushing habits ­ of disorders of the oral cavity of 198 dogs treated in the period between 2013 and 2019, in a veterinary dentistry service, in the city of Rio de Janeiro. The most prevalent breeds were mixed breed dogs, followed by Yorkshire Terries, with no significant distinction between the gender. As for age, there was a predominance of animals from middle age to the elderly, with ages above seven years old. Among the most prevalent conditions, the highlight is due to dental calculus and periodontal disease followed by gingivitis and halitosis. Regarding the tutors' habits, there was a low level of routine brushing, and a high percentage in the supply of snacks. Evaluating the results and relating them to the eating habits of the patients, the hypothesis that comercial dog food feeding may somehow contribute to dental calculus evolution, urging studies with bigger samples for a deeper investigation.

Association of gingivitis with dental calculus thickness or dental calculus coverage and subgingival bacteria in feline leukemia virus- and feline immunodeficiency virus-negative cats.

Periodontal disease is the most common oral disease in cats. The objectives of this study were to determine the relationships between gingivitis and dental calculus thickness (DCT), or dental calculus coverage (DCC); determine the association of gingivitis scores and types of oral bacteria; and to evaluate bacterial co-infection in cats with periodontal disease. Twelve cats that were not infected with feline leukemia or feline immunodeficiency viruses were enrolled in the study. Gingivitis, DCT, and DCC were scored and recorded. A Kruskal-Wallis test was used to compare scores among canine, 2nd premolar, 3rd premolar, 4th premolar, and 1st molar teeth. The relationship between gingivitis and DCT or DCC scores was determined using the Spearman rank sum test (ρ). Subgingival bacteria were cultured and the association between bacterial species and gingivitis score was evaluated using a Fisher's exact test. The average gingivitis, DCT, and DCC scores for the caudal maxillary teeth were higher for the caudal mandibular teeth and more severe for the 3rd premolar, 4th premolar, and 1st molar teeth than for the canine teeth. A strong relationship between average DCT or DCC score and average gingivitis score was found (ρ = 0.96 and 1, respectively). Aerobic and anaerobic bacterial infections were identified in a large number of cats with periodontal disease (71.1% and 28.9%, respectively). In conclusion, severe gingivitis scores were associated with anaerobic bacterial infection. The caudal teeth are affected with more severe gingivitis, DCT, and DCC than the other teeth. Antibiotic prophylaxis should be prescribed in cats with periodontal disease.

La maladie parodontale est la maladie orale la plus fréquente chez les chats. Les objectifs de la présente étude étaient de déterminer les relations entre la gingivite et l'épaisseur du tartre dentaire (ETD), ou la couverture du tartre dentaire (CTD); déterminer l'association des pointages de gingivite et les types de bactéries orales; et d'évaluer les co-infections bactériennes chez les chats avec maladie parodontale. Douze chats qui n'étaient pas infectés par le virus de la leucémie féline ou le virus de l'immunodéficience féline ont été recrutés pour cette étude. La gingivite, l'ETD, et la CTD ont été évalués et notés. Un test de Kruskal-Wallis a permis de comparer les pointages parmi les dents canines, 2e prémolaires, 3e prémolaires, 4e prémolaires et 1ère molaires. La relation entre la gingivite et les pointages d'ETD ou de CTD a été déterminée à l'aide du test de corrélation de Spearman (ρ). Les bactéries sous-gingivales ont été cultivées et l'association entre les espèces bactériennes et le pointage de gingivite a été évaluée à l'aide du test exact de Fisher. Les pointages moyens de gingivite, d'ETD, et de CTD pour les dents maxillaires caudales étaient plus élevés que pour les dents mandibulaires caudales et plus sévères pour les dents 3e prémolaires, 4e prémolaires, et 1ère molaires que pour les canines. Une forte relation entre les pointages moyens d'ETD et de CTD et les pointages moyens de gingivite a été trouvée (ρ = 0,96 et 1, respectivement). Des infections bactériennes aérobies et anaérobies ont été identifiées chez un grand nombre de chats avec maladie parodontale (71,1 % et 28,9 %, respectivement). En conclusion, des pointages élevés de gingivite étaient associés avec des infections par des bactéries anaérobiques. Les dents caudales étaient plus sévèrement affectées de gingivite, d'ETD, et de CTD que les autres dents. Une antibiothérapie prophylactique devrait être prescrite pour des chats avec maladie parodontale.(Traduit par Docteur Serge Messier).

The State of Veterinary Dental Education in North America, Canada, and the Caribbean: A Descriptive Study.

Dental disease is important in the population of pets seen by veterinarians. Knowledge and skills related to oral disease and dentistry are critical entry-level skills expected of graduating veterinarians. A descriptive survey on the state of veterinary dental education was sent to respondents from 35 veterinary schools in the United States, Canada, and the Caribbean. Using the online SurveyMonkey application, respondents answered up to 26 questions. Questions were primarily designed to determine the breadth and depth of veterinary dental education from didactic instruction in years 1-3 to the clinical year programs. There was an excellent response to the survey with 86% compliance. Learning opportunities for veterinary students in years 1-3 in both the lecture and laboratory environments were limited, as were the experiences in the clinical year 4, which were divided between community-type practices and veterinary dentistry and oral surgery services. The former provided more hands-on clinical experience, including tooth extraction, while the latter focused on dental charting and periodontal debridement. Data on degrees and certifications of faculty revealed only 12 programs with board-certified veterinary dentists. Of these, seven veterinary schools had residency programs in veterinary dentistry at the time of the survey. Data from this study demonstrate the lack of curricular time dedicated to dental content in the veterinary schools participating in the survey, thereby suggesting the need for veterinary schools to address the issue of veterinary dental education. By graduation, new veterinarians should have acquired the needed knowledge and skills to meet both societal demands and professional expectations.

Tripolifosfato de sódio e hexametafosfato de sódio na prevenção do cálculo dentário em cães / Sodium tripolyphosphate and sodium hexametaphosphate in preventing dental calculus accumulation in dogs

Avaliou-se o efeito de dois fosfatos, tripolifosfato de sódio (TPF) e hexametafosfato de sódio (HMF), incorporados à ração seca sob diferentes formas, como cobertura do grânulo da ração e no interior da massa da ração, na prevenção do desenvolvimento de cálculo dentário em 25 cães. O delineamento experimental utilizado foi inteiramente ao acaso, com cinco tratamentos e cinco repetições. Os tratamentos experimentais foram: 1) ração seca; 2) ração seca com TPF incorporado na cobertura do grânulo da ração; 3) ração seca com TPF incorporado na massa da ração; 4) ração seca com HMF incorporado na cobertura do grânulo da ração; 5) ração seca com HMF incorporado na massa da ração. Os animais receberam as dietas por um período experimental de 90 dias e, após esse período, foram submetidos à avaliação da área de cálculo dentário formado. A inclusão do HMF na ração seca, tanto na cobertura dos grânulos como no interior da massa, e do TPF, como cobertura dos grânulos, reduziu o acúmulo de cálculo dentário em cães, comparada à dieta sem adição de fosfatos. O HMF foi o fosfato mais eficiente, ao reduzir o acúmulo de cálculo dentário em até 47 por cento. As formas de inclusão do HMF na ração não influenciaram o acúmulo de cálculo dentário. Houve redução do desenvolvimento de cálculo dentário pela incorporação do TPF como cobertura do grânulo da ração, comparada à inclusão deste fosfato no interior da massa da ração. Conclui-se que os fosfatos incorporados na ração seca reduzem o acúmulo de cálculo dentário em cães.

The effect of dry food treated with sodium tripolyphosphate (TPP) or sodium hexametaphosphate (HMP), as kibble coated or added into the interior of the kibble on the accumulation of dental calculus in 25 dogs was evaluated. The study used a completely randomized design with five treatments and five repetitions. The experimental treatments were: 1) dry food; 2) dry food coated with TPP; 3) dry food with TPP incorporated into the interior of the kibble; 4) dry food coated with HMP; 5) dry food with HMP incorporated into the interior of the kibble. The animals received the diets for a 90-day experimental period, and then, the teeth were clinically examined for the presence of calculus. The inclusion of HMP in the dry food, as kibble coated or added into the interior of the kibble, and the inclusion of TPP as kibble coated reduced the accumulation of dental calculus compared to the control group without anti-calculus agents. HMP was the most efficient phosphate, reducing the accumulation of dental calculus in 47 percent. The forms of HMP inclusion in the dry food exerted no significant effect upon calculus formation. However, there was a reduction of calculus accumulation when TPF was incorporated as coating of the kibble, compared to the inclusion of this phosphate into the interior of the kibble. It was concluded that phosphates incorporated in the dry food reduce the accumulation of dental calculus in dogs.

Eficácia dos coadjuvantes de higiene bucal utilizados na alimentação de cães / Effectiveness of buccal hygiene coadjutant used in the dogs feeding

Avaliou-se a utilização de coadjuvantes na diminuição da placa bacteriana e formação do cálculo dentário em 16 cães. O delineamento experimental foi casualizado com quatro tratamentos (T) e quatro repetições. Os tratamentos foram: T1- controle, T2- coadjuvante com ação mecânica, T3- coadjuvante com tripolifosfato de sódio e T4- coadjuvante com hexametafosfato de sódio. Após sete dias de adaptação, no dia anterior ao início dos tratamentos, os animais foram submetidos à remoção de cálculo dentário. O experimento teve duração de 21 dias e ao final realizaram-se as medições das placas bacterianas formadas com o uso de marcadores (fucsina). O coadjuvante somente com ação mecânica não foi efetivo em retardar o aparecimento da placa bacteriana. Os coadjuvantes com polifosfatos apresentaram uma ação efetiva e significativa na diminuição da formação do calculo dentário

The use of coadjutants in the decrease of the bacterial plate and formation of the dental calculus was evaluated in 16 dogs. The experimental design was randomized with four treatments (T) and four repetitions. The treatments were the following: 1- control; 2- coadjutant 1 (one) with mechanical action; 3- coadjutant 2 (two) with tripolyphosphate of sodium and 4- coadjutant 3 (three) with hexametaphosphate of sodium. After seven days of adaptation, on the day previous to the beginning of the treatments, the animals were submitted to the removal of dental calculus and after twenty-one days of treatment a measurement of the bacterial plaque formed through the use of markers (fucsin). The coadjutant only with mechanical action was not effective in delaying the appearance of the bacterial plaque. The coadjutant containing polyphosphates presented an effective and significant action decreasing the formation of the dental calculus

Health status and population characteristics of dogs and cats examined at private veterinary practices in the United States.

OBJECTIVE: To determine age, breed, sex, body condition score, and diet of dogs and cats examined at private veterinary practices in the United States during 1995, and estimate prevalences of the most common disorders for these animals. DESIGN: Cross-sectional study. ANIMALS: 31,484 dogs and 15,226 cats examined by veterinary practitioners at 52 private veterinary practices. PROCEDURE: Information on age, breed, sex, body condition score, diet, and assigned diagnostic codes were collected electronically from participating practices and transferred to a relational database. Prevalence estimates and frequencies for population description were generated using statistical software. RESULTS: Dental calculus and gingivitis were the most commonly reported disorders. About 7% of dogs and 10% of cats examined by practitioners during the study were considered healthy. Many conditions were common to both species (e.g., flea infestation, conjunctivitis, diarrhea, vomiting). Dogs were likely to be examined because of lameness, disk disease, lipoma, and allergic dermatitis. Cats were likely to be examined because of renal disease, cystitis, feline urologic syndrome, and inappetence. CLINICAL IMPLICATIONS: Results can be used by veterinary practitioners to better understand and anticipate health problems of importance in cats and dogs they examine and to better communicate with clients regarding the most prevalent disorders in cats and dogs.

The crystalline components of dental calculus in the domestic cat.

Feline dental calculus was found to consist of carbonate-containing hydroxyapatite, Ca10(PO4)3(CO3)3(OH)2. Other forms of calcium phosphates consistently present in human calculus, and calcium carbonates found in horse, dog, and miniature pig calculus were not present. Calculus composition was performed using wet chemical method, x-ray diffraction, spectrographic analysis, and infrared spectrophotometric analysis. All samples showed traces of amorphous material, including magnesium and ammonium, but were negative for uric acid, cysteine, and oxalate.

The dental pathology of feral cats on Marion Island, part II: periodontitis, external odontoclastic resorption lesions and mandibular thickening.

Skulls (n = 301) of adult feral cats from Marion Island were examined macroscopically. Dental calculus was found infrequently (9.0% of cats, 0.76% of teeth), unlike the hard tissue lesions of moderate and advanced periodontitis and tooth loss (presumably due to periodontitis), which were commonly seen (61.8% of cats, 14.8% of teeth). Relatively few of these abnormalities were associated with external odontoclastic resorption lesions, which affected 14.3% of cats and 1.2% of teeth-less than in most recent surveys in domestic cats. Abnormal thickening of the mandibula, found in 39.5% of specimens, was most commonly bilateral (83.3%). The lesions ranged from a focal periosteal reaction, to localized exostosis, to generalized swelling and loss of density, to grossly enlarged mandibles with increased bone density. Mandibular swelling was significantly associated with other abnormalities (periodontitis, dental fractures, external odontoclastic resorption lesions and periapical lesions), but many cases of mandibular swelling were accompanied by only minor dental defects.