Extract My Dog's Tooth?

February 2011: Doctor, Should We Really Extract My Dog's Tooth?

Dear Doctor,
I have a 6 year old Yorkie that has some dental problems. My vet said that she would need to have at least one tooth pulled, but I am worried that this is not a good idea. Wouldn't it be better to let her keep all of her teeth?

Signed,

Amy in Stevens Point

Many people share your concern when they are told that their pet may lose some teeth. They are afraid that the pet will not be able to chew food or play with toys. Some people are also concerned with the cosmetic appearance. While these are valid concerns, it is helpful to approach this from the pet's perspective.

If your veterinarian was able to determine that a tooth needs to be extracted with a basic visual exam, that would indicate that the tooth is perhaps loose or fractured, the face is swollen, or the gum is severely recessed with an exposed root. In any case, the tooth is causing some discomfort for your girl. She may not express her pain in an obvious manner since she is not programmed to "complain". Most likely, she simply avoids using that tooth to chew her food or bones, or to hold her toys. She is most likely still happy, wagging her tail and acting otherwise normal. People often will report a dull ache or a sudden sharp pain with their own problem teeth. We are certain that pets experience this, too, but they usually do not or cannot express their discomfort in an obvious manner. So if she is already avoiding using that tooth, she will not miss it when it is gone. As a matter of fact, that area of the mouth will feel so much better once the problem tooth is removed. In terms of cosmetics, we can only assume that animals do not focus on their appearance.

So what your vet is recommending is probably a good idea. However, if you have any concerns, it is always beneficial to seek out a second opinion from another reputable veterinarian. Veterinarians do have varied education, interests and skill, so it is important to seek out a clinic with a good reputation regarding dental care. Specialized equipment is also necessary, including an ultrasonic scaler and polisher, a dental drilling unit, a dedicated technician for cleaning, and a veterinarian that will perform a thorough dental evaluation at the time of the procedure. Many clinics have also invested in dental radiograph equipment.

Your question is quite timely, as February is National Pet Dental Care Month. While dental care is important all year, the veterinary profession makes an effort this time of year to remind the public about the health benefits of dental care for dogs and cats. Some clinics offer special promotions during the month, so be sure to inquire at your veterinarian's office.

To ease your mind, I have never heard of a veterinarian removing a "healthy" tooth, but many will fail to extract a diseased tooth simply because they do not have the proper training or equipment to complete the treatment appropriately. Leaving a diseased tooth in a pet's mouth will only harm that pet. So go ahead and schedule the dental for your girl, and you will see how fabulous she does after her mouth is returned to good health.