Dental caries, also known as tooth decay, is uncommon among companion animals. [1] The bacteria Streptococcus mutans and Streptococcus sanguis cause dental caries by metabolising sugars. [2] Prehistoric primates eating fruit suffered from cavities. [3]
The term feline cavities is commonly used to refer to feline odontoclastic resorptive lesions, however, saccharolytic acid-producing bacteria (the same responsible for Dental plaque) are not involved in this condition. [4]
Although rarely seen in cats, the incidence of caries in dogs has been estimated at 5%. [5] Dogs are less likely than humans to have tooth decay due to the very high pH of dog saliva, which prevents an acidic environment from forming and the subsequent demineralization of enamel which would occur. [6]
Dental caries in dogs are often recognized very late but there are some symptoms that could indicate tooth decay. [7] Red, swollen, or receding gums and bloody saliva could be symptoms of dental caries. Other signs of decay are similar to humans. This includes a discolouration of teeth, an accumulation of calculus and halitosis. One-sided chewing, increased scratching of the face and avoidance of solid food could also be signs of dental caries. [8]
A main reason for dental caries in dogs is unfavourable shape or positioning of the teeth, as well as the intake of foods which contain sugar. [9]
It has been shown that some dogs are more susceptible to dental caries than others. Thus, it is likely dogs with caries are prone to additional tooth decay. [7]
The formation of dental caries in dogs can be divided into two stages:
The demineralisation of the inorganic part of the tooth is described as the first stage. Even though the jaw of the carnivore is a scissor-like shape that helps reduce food residue, dental caries are mainly caused by leftover sugar-containing food in small notches of the teeth or interdental space. In the long run, this can cause dissolution of the inorganic substance of the teeth. Within this process the dentine is the most susceptible and vulnerable part of the teeth which suffers the most damage. In severe cases the bacteria infest the enamel, which then need to be removed. The enamel layer in canine teeth is thinner than in humans (2–3 mm) at less than 0.6 mm. [7]
In the second phase, the dentin gets dissolved which causes a cavity in the enamel. Most cases of dental caries in dogs only get recognized in later stages because the decay is not obvious from the outside. [7]
If a tooth is infected by dental caries there are two main treatment options. Teeth with dental caries get extracted in most veterinary clinics. A second option is specialized vets that can save teeth from an extraction. If there remains enough enamel the tooth can be repaired. In the case of decay to the tooth pulp, a root canal treatment is needed. [7]
Human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. As such, they are considered part of the human digestive system. Humans have four types of teeth: incisors, canines, premolars, and molars, which each have a specific function. The incisors cut the food, the canines tear the food and the molars and premolars crush the food. The roots of teeth are embedded in the maxilla or the mandible and are covered by gums. Teeth are made of multiple tissues of varying density and hardness.
Tooth enamel is one of the four major tissues that make up the tooth in humans and many animals, including some species of fish. It makes up the normally visible part of the tooth, covering the crown. The other major tissues are dentin, cementum, and dental pulp. It is a very hard, white to off-white, highly mineralised substance that acts as a barrier to protect the tooth but can become susceptible to degradation, especially by acids from food and drink. In rare circumstances enamel fails to form, leaving the underlying dentin exposed on the surface.
Tooth decay, also known as cavities or caries, is the breakdown of teeth due to acids produced by bacteria. The cavities may be a number of different colors, from yellow to black. Symptoms may include pain and difficulty eating. Complications may include inflammation of the tissue around the tooth, tooth loss and infection or abscess formation. Tooth regeneration is an ongoing stem cell–based field of study that aims to find methods to reverse the effects of decay; current methods are based on easing symptoms.
Dental sealants are a dental treatment intended to prevent tooth decay. Teeth have recesses on their biting surfaces; the back teeth have fissures (grooves) and some front teeth have cingulum pits. It is these pits and fissures that are most vulnerable to tooth decay because food and bacteria stick in them and because they are hard-to-clean areas. Dental sealants are materials placed in these pits and fissures to fill them in, creating a smooth surface which is easy to clean. Dental sealants are mainly used in children who are at higher risk of tooth decay, and are usually placed as soon as the adult molar teeth come through.
Streptococcus mutans is a facultatively anaerobic, gram-positive coccus commonly found in the human oral cavity and is a significant contributor to tooth decay. The microbe was first described by James Kilian Clarke in 1924.
Dental plaque is a biofilm of microorganisms that grows on surfaces within the mouth. It is a sticky colorless deposit at first, but when it forms tartar, it is often brown or pale yellow. It is commonly found between the teeth, on the front of teeth, behind teeth, on chewing surfaces, along the gumline (supragingival), or below the gumline cervical margins (subgingival). Dental plaque is also known as microbial plaque, oral biofilm, dental biofilm, dental plaque biofilm or bacterial plaque biofilm. Bacterial plaque is one of the major causes for dental decay and gum disease.
Sodium monofluorophosphate, commonly abbreviated SMFP, is an inorganic compound with the chemical formula Na2PO3F. Typical for a salt, SMFP is odourless, colourless, and water-soluble. This salt is an ingredient in some toothpastes.
Early childhood caries (ECC), formerly known as nursing bottle caries, baby bottle tooth decay, night bottle mouth and night bottle caries, is a disease that affects teeth in children aged between birth and 71 months. ECC is characterized by the presence of 1 or more decayed, missing, or filled tooth surfaces in any primary tooth. ECC has been shown to be a very common, transmissible bacterial infection, usually passed from the primary caregiver to the child. The main bacteria responsible for dental cavities are Streptococcus mutans (S.mutans) and Lactobacillus. There is also evidence that supports that those who are in lower socioeconomic populations are at greater risk of developing ECC.
A caries vaccine is a vaccine to prevent and protect against tooth decay. Streptococcus mutans has been identified as the major etiological agent of human dental caries. The development of a vaccine for tooth decay has been under investigation since the 1970s. In 1972, a caries vaccine was said to be in animal testing in England, and that it would have begun human testing soon. However, intrinsic difficulties in developing it, coupled with lack of strong economic interests, are the reasons why still no such vaccine is commercially available today. Several types of vaccines are being developed at research centres, with some kind of caries vaccines being considered to diminish or prevent dental caries' impact on young people.
Feline odontoclastic resorption lesion (FORL) is a syndrome in cats characterized by resorption of the tooth by odontoclasts, cells similar to osteoclasts. FORL has also been called Feline tooth resorption (TR), neck lesion, cervical neck lesion, cervical line erosion, feline subgingival resorptive lesion, feline caries, or feline cavity. It is one of the most common diseases of domestic cats, affecting up to two-thirds. FORLs have been seen more recently in the history of feline medicine due to the advancing ages of cats, but 800-year-old cat skeletons have shown evidence of this disease. Purebred cats, especially Siamese and Persians, may be more susceptible.
Oral microbiology is the study of the microorganisms (microbiota) of the oral cavity and their interactions between oral microorganisms or with the host. The environment present in the human mouth is suited to the growth of characteristic microorganisms found there. It provides a source of water and nutrients, as well as a moderate temperature. Resident microbes of the mouth adhere to the teeth and gums to resist mechanical flushing from the mouth to stomach where acid-sensitive microbes are destroyed by hydrochloric acid.
Oral hygiene is the practice of keeping one's oral cavity clean and free of disease and other problems by regular brushing of the teeth and adopting good hygiene habits. It is important that oral hygiene be carried out on a regular basis to enable prevention of dental disease and bad breath. The most common types of dental disease are tooth decay and gum diseases, including gingivitis, and periodontitis.
Fluoride varnish is a highly concentrated form of fluoride that is applied to the tooth's surface by a dentist, dental hygienist or other dental professional, as a type of topical fluoride therapy. It is not a permanent varnish but due to its adherent nature it is able to stay in contact with the tooth surface for several hours. It may be applied to the enamel, dentine or cementum of the tooth and can be used to help prevent decay, remineralise the tooth surface and to treat dentine hypersensitivity. There are more than 30 fluoride-containing varnish products on the market today, and they have varying compositions and delivery systems. These compositional differences lead to widely variable pharmacokinetics, the effects of which remain largely untested clinically.
Ortek Therapeutics, Inc. is a private healthcare company based in Roslyn Heights, New York, which specializes in researching and commercializing oral care products. It was founded in 1998.
Tooth remineralization is the natural repair process for non-cavitated tooth lesions, in which calcium, phosphate and sometimes fluoride ions are deposited into crystal voids in demineralised enamel. Remineralization can contribute towards restoring strength and function within tooth structure.
Willoughby Dayton Miller (1853–1907) was an American dentist and the first oral microbiologist.
Oral ecology is the microbial ecology of the microorganisms found in mouths. Oral ecology, like all forms of ecology, involves the study of the living things found in oral cavities as well as their interactions with each other and with their environment. Oral ecology is frequently investigated from the perspective of oral disease prevention, often focusing on conditions such as dental caries, candidiasis ("thrush"), gingivitis, periodontal disease, and others. However, many of the interactions between the microbiota and oral environment protect from disease and support a healthy oral cavity. Interactions between microbes and their environment can result in the stabilization or destabilization of the oral microbiome, with destabilization believed to result in disease states. Destabilization of the microbiome can be influenced by several factors, including diet changes, drugs or immune system disorders.
Streptococcus sobrinus is a Gram-positive, catalase-negative, non-motile, and anaerobic member of the genus Streptococcus.
Tooth pathology is any condition of the teeth that can be congenital or acquired. Sometimes a congenital tooth disease is called a tooth abnormality. These are among the most common diseases in humans The prevention, diagnosis, treatment and rehabilitation of these diseases are the base to the dentistry profession, in which are dentists and dental hygienists, and its sub-specialties, such as oral medicine, oral and maxillofacial surgery, and endodontics. Tooth pathology is usually separated from other types of dental issues, including enamel hypoplasia and tooth wear.
Oral disease is one of the most common diseases found in dogs. It is caused by the buildup of various anaerobic bacteria in the mouth which forms plaque, eventually hardening into tartar on the teeth along the gum line, and is related to the development of gingivitis. Since small and toy breeds have a much smaller jaw but contain the same number of teeth, crowding allows higher bacterial build up and puts them at higher risk of developing periodontal disease.
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