VetSouth AUTUMN 2017 SMALL ANIMAL NOTES Dental care for your pet By Oliver Young, BVMS MANZCVS In May VetSouth is having a Healthy Mouth Campaign! The campaign includes a FREE dental check for dogs and cats. This includes: A mouth and tooth check. • •Advice on dental care including home cleaning options and dietary considerations. •Discussion on professional dental care and guidelines on the costs of any required procedures. So make sure you ring one of our clinics and book in your pet. With your own teeth, what your dentist and hygienist do is only a small, though essential, part of your oral hygiene program. You are responsible for the daily brushing, rinsing and flossing that are required to slow the constant progression of periodontal disease. The same is true for your pet. If dental home care starts early enough there is no reason for a pet to lose teeth due to periodontal disease. Periodontal disease is the most common infectious disease in dogs, cats and man. Over 80% of dogs and cats over four years old have some form of dental disease. This disease, if left untreated, progresses to cause bad breath, pain and a source of infection that can make your pet seriously ill. The main goal of any dental home care is the regular removal of plaque. Plaque is the soft film of bacteria and saliva that forms on teeth, if it is left in place it becomes calcified resulting in calculus (tartar). Calculus cannot successfully be removed with home care and this requires a professional scaling at the clinic. Home care in order to be effective needs to be individually tailored to your pet and yourself. Continued on page 2... inside this issue Dental care for your pet 1 Oliver Young, BVMS MANZCVS Tetanus 3 Hugh Hasselman, BVSc Pelvic fractures 4 Hugh Hasselman, BVSc Duck shooting reminder 5 It also requires a continued commitment but the results are worthwhile both for the health of your pet and financially. Brushing The gold standard for plaque removal and prevention of dental disease is daily tooth brushing. Without this plaque accumulation is inevitable. Brushing not only will control plaque but prevent and reverse gingivitis. Gingivitis when untreated will progress to periodontal disease. Using an animal toothpaste makes the experience more enjoyable due to the flavours and a soft child’s or pet toothbrush should be used. “Do not use human toothpaste as it contains fluoride that when swallowed can be toxic. In addition animals don’t usually like mint or toothpastes that froth.“ The finger brushes may be useful in cats and small dogs. The brush is angled towards the gums at 45 degrees and small circular motions are used. The soft electric brushes can be used in some pets but care has to be used as if they chew on these brushes they are easily broken. While brushing is the gold standard in home dental care, it is sometimes not possible due to the personality of your pet or the amount of spare time you have each day. Complete and balanced diets Hill’s Pet Nutrition produces two diets for the control of plaque, calculus and gingivitis Science Diet Oral Care and Prescription diet t/d. Both are complete and balanced diets. The Oral Care is designed for those animals without established periodontal disease and the t/d for those with established disease. They are suitable for animals over 1 year of age. These biscuits are designed to maintain shape so that the tooth penetrates the whole way through rather than the biscuit shattering as with other biscuits. The biscuits contain fibres that physically scrape the teeth. Studies have shown a reduction of plaque & calculus by about 40% and gingivitis by 36% in dogs and 60% plaque & calculus and 48% gingivitis in cats. Royal Canin dental diet is a complete and balanced diet that has a chemical coating that binds with the calcium in the saliva. This has some residual activity in the mouth even after the food has been swallowed. In addition the food also has a textural component that helps reduce plaque formation. Studies have shown a 20% reduction in plaque in cats and 16% plaque and 55% calculus in dogs. 2 2 Eukanuba have a range of complete and balanced diets that have the Dental Defence System. This is a chemical coating which binds with salivary calcium preventing the formation of calculus. The main drawback is that this does not target the plaque accumulation. Dental Chews Prozym Dental Sticks have a special texture and shape and had an average plaque reduction of 15% and calculus by 38% when fed one of these chews once daily. Rawhide chews and pig’s ears may also assist in exercising the teeth and gums and increasing salivation. This will result in some reduction in plaque and tartar. They may however occasionally cause an obstruction or choking so you should observe your dog when he has any chew. Bones/natural diets At present there is no evidence in the literature that natural diets including bones show beneficial effects on oral health. In 1 study in wild dogs in Africa 83% of teeth had wear, 48% of dogs had fractured teeth, only 2 dogs had calculus but 41% had periodontal disease with bone loss (similar to domestic dogs). Similar findings have been found in studies on wild cats. There are no studies that show bones/natural diets prevent or control periodontal disease. They however do cause tooth fracture, stomach upsets, obstructions, constipation and salmonella and other infections. As a result we cannot recommend bones to help prevent dental disease. Water Additives Prozym Solution is added to the drinking water and so is easy to administer. It has been shown to have antibacterial properties that in turn reduces the plaque and calculus on the teeth. Although studies have been done to show that this solution is effective , the extent to which it reduces plaque and calculus is not available. Healthymouth is a new product in NZ and contains no artificial ingredients. It contains such things as pomegranate, yucca, cloves, salmon oil, cinnamon to name a few and these all work together. It has achieved remarkable plaque reduction of between 60-88% in tests when used daily (most over 70%). It is best to start in kittens and puppies or with older animals after a professional clean for best results. There is overwhelming evidence that regular tooth brushing will prevent periodontal disease if it is started early enough and will assist in controlling established disease. Other homecare options will be useful when combined with brushing, but on their own cannot achieve the plaque reduction that brushing achieves. If brushing is not possible then the other options will at least reduce plaque formation slowing disease. If you would like further information about an option that would suit your pet and yourself please arrange a time to come and have a chat at one of our VetSouth clinics. VetSouth Animal health cases TETANUS By Hugh Hasselman, BVSc A recent case of tetanus in a pet dog is a reminder of the real risk to both pet and farm working dogs from this serious disease. Tetanus is caused by an infection with the Clostridium tetani bacterium and their production of a potent neurotoxin (tetanospasmin). This toxin spreads in the lymph and ascends peripheral nerves to the spinal cord where it blocks the release of a neurotransmitter from the inhibitory interneurons, so releasing extensor muscles from inhibition and resulting in sustained contraction of muscles without relaxation (tetany). The Clostridial spores are hardy and can persist for a long time in soil. These bacterial spores need to be in damaged tissue or just poorly oxygenated (anaerobic) conditions to grow. They are usually introduced into the animal via wounds but sometimes the entry point cannot be found because the wound is minor or healed over. The incubation period until clinical signs are shown can be 5 to 18 days after infection. Of all the domestic animals cats and dogs are the most resistant to the disease whereas horses, sheep and humans are the most susceptible. In the early stages dogs show stiffness of the muscles of the limbs, head and neck. The ears may be pulled back and the forehead deeply wrinkled. They may seem to be grinning due to contraction of the lips (risus sardonicus). Patients can also be hypersensitive to sound and touch. With further deterioration the patient gets muscle spasm in the tongue, throat and jaw region (hence the old name of “lock jaw”). These animals have great difficulty drinking and eating. With dysfunction of the larynx there is also an increased risk of inhaling food and getting pneumonia. In an advanced disease case the animal is recumbent with extensor muscle rigidity in all limbs and the head held back. The intercostal muscles (chest wall) and diaphragm are also affected and these patients may die from respiratory failure or even as a result of cardiac irregularities from effects of the toxin on the autonomic nervous system. On presentation for veterinary examination the diagnostic plan would be to consider other neurological diseases causing limb spasticity but, a presumptive diagnosis of tetanus can often be made on the basis of clinical signs and history of a recent wound. Initial treatment requires the careful administration of tetanus antitoxin, the debridement of any identified wound, antibiotic therapy and the commencement of intensive nursing care. When treated appropriately Hugh Hasselman localised tetanus in a dog (such as one limb affected in the region of an infected wound) carries a favourable prognosis, with a 90% survival rate. In generalised tetanus in dogs, the prognosis is much poorer with a survival rate as low as 50%. Santana: Santana is an adult dog that contracted tetanus subsequent to a penetrating grass seed migration and wound infection. On presentation to the clinic he had generalised limb stiffness, a shallow cough and the anxious expression caused by contraction of the head and facial muscles. Santana’s expression seemed to be grinning due to contraction of the lips. Although his symptoms deteriorated at first (** read on page 4), thankfully this was followed by a gradual improvement in his condition. After two weeks of veterinary care and a further two weeks of home care Santana was well on the way to recovery. SMALLANIMALNOTESAUTUMN2017 Note the relaxed head and facial muscles of a much happier dog. Continued on page 4... 33 (** Because the neurotoxin binds so tightly to the nerve receptors its effect on those functions has to resolve with time and the patient’s symptoms may continue to deteriorate at first. The aim of the veterinary treatment is to kill the bacteria, stop the production of more toxin and to neutralize any toxin that is already circulating before it binds to the nervous system.) Preventative measures: Administer first aid care to all wounds. Seek veterinary attention for dogs with deep and contaminated wounds or heavy bruising and tissue damage. • •Be alert to the symptoms that could suggest the onset The tetanus vaccination protocol that we would use is: Puppies First dose at 12-14 weeks, second dose 16-18 weeks. • •Adult dogs First dose followed by a second dose four weeks later. The third dose administered 12 months after the initial two dose course. Then adult dogs to receive a booster shot every five years. Remember that people are susceptible to tetanus, pay attention to all wounds and seek medical advice for puncture wounds in particular . of tetanus, even when there is no known history of a wound to the dog. “Review your family’s and your own vaccination status for protection against this devastating disease.“ •Consider vaccinating your dogs against tetanus, especially on properties that have had an increased incidence of the disease in farm stock, horses and dogs. PELVIC FRACTURES If your dog has been hit by a vehicle on the road or farm paddock it may well have sustained fractures to the pelvic region. It is important to have a dog with such an injury examined to determine the best treatment plan for that animal. Because the pelvis has a lot of muscle groups around it, if the fractures are not significantly displaced or if they only involve the lower pelvic region then it may be that strict rest and confinement is the most appropriate treatment. But radiographs are needed to best assess the extent of the injuries. But if the front (cranial) 2/3 of the pelvic girdle is fractured, especially if there is displacement of the hip sockets, if there is narrowing of the pelvic canal or neurological impairment and intractable pain, then surgery is the best option. Road traffic accident injury cases will commonly also have trauma to the chest, to the urinary tract and to peripheral nerves. Reduction and fixation of pelvic fractures ideally needs to be done within the first 3-4 days to achieve good results, which can be difficult to achieve in an unstable patient with multiple injuries. Two recent cases demonstrate the surgical decisions made to give priority to repairing the fractures that are the most likely to optimize the patient’s return to function without further increasing the associated risks of more prolonged procedures. Spike: Spike’s pelvis fractures illustrate the importance of repairing the hip socket (acetabulum) connection to the upper pelvis and the spine, whereas the multiple fractures of the lower pelvis have a lower priority for surgical repair. Continued on page 5... 4 4 VetSouth Sasha: Sasha is a young dog that was hit from behind by a vehicle. Her pelvis was fractured across both sides, shunted forwards and under her spine. Sasha’s pelvis was fractured across both side. Sasha’s pelvis two months post-op. Duck shooting reminder... It’s that time of the year again when many farms will be having visitors for the duck shooting season, both two and four legged. foreign dogs present a risk to on-farm biosecurity and each year following duck shooting farmers incur losses from sheep measles arising from visiting dogs. To reduce the risk of an unpleasant surprise on kill sheets in coming months sheep farmers who have duck shooters coming onto their farms are advised to establish some requirements before the visitors bring dogs with them. VetSouth clinics stock products to treat dogs using either Allwormers or straight tapeworm tablets both of which are effective for removing sheep measles tapeworms from dogs. Contact your VetSouth clinic for more information. To protect stock farmers need to make it clear to any duck shooters bringing dogs that the dogs need to be treated for sheep measles at least 48 hours and no more than a month before coming onto their properties. It’s no good dosing the dogs on arrival they need to be treated a few days before they arrive as dogs can shed sheep measles eggs up to 48 hours after treatment. They should also have some form of evidence this has been done, best of all is a treatment certificate or a receipt from their Vet. While farmers are doing a great job in keeping sheep measles at low levels SMALLANIMALNOTESAUTUMN2017 55 Who have we sponsored lately... •Bush Haven Charitable Trust - veterinary time and consultations. •Clinton Lions Auction – Prize for raffle •Gore Southern Shears – Cash donation •Beth Scott Hockey Rep – Cash donation •Winton A & P Show – Prize •Mossburn Dog Trails – Cash Donation •ESPC One Day Event at Tapanui – Prizes for classes •Waitane Young Farmers – Prizes for auction •Waikaia Dog Trials – Prize for class •Wendon-Riversdale Dog Trials – Prize for class •Maitland Sheep Dog Trials – Prize for class •Garston Sheep Dog Trials – Prize for class •Bush Haven Charitable Trust – Donation of Gore 8 Richmond St Ph 03 209 0101 Winton Cnr Great Nth & Welsh Rds Ph 03 236 6090 Invercargill 29 Findlay Road Ph 03 217 6688 Lumsden 44 Diana St Ph 03 248 9030 Portapets •Waikaka Fat Lamb Comp – Prize for class •Mataura RSA Spud Dig Comp – Prize for kids class •Victim Support Golf Tournament - Prizes •Waikoikoi Ambrose Golf – Cash donation & Prizes •Gore Sheep Dog Trials – Prize for class •Dancesport – Items for auction •Winton Fun Run – Cash donation •Kauana Sheep Dog Trials - Voucher •Winton Collie Club - Voucher •Greenvale Dog Trials – Prize for class •Gore Prefects Concert – Cash donation •Gore Bowls – Prize for raffle •Kuriwao Dog Trials – Prize for class •NZ Dairy Awards – Cash donation and items for Otautau 203 Main St Ph 03 225 8206 Clydevale 2 Manse St Ph 03 415 9400 Tapanui Main Rd Ph 03 204 8233 Balclutha 34 Essex St Ph 03 418 0600 goody bags. www.vetsouth.co.nz 6 6 VetSouth
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