Loose, infected dog tooth, heart disease. Can I pull it at home?

Active chewing on a bone may well loosen and encourage it to fall out without resorting to anaesthesia and extraction. There are many oral tooth gels which help to improve hygiene and reduce the risks of infection for the remaining teeth but would be unlikely to help a loose, infected tooth

I am so sorry that your pet has dental disease and a heart condition. Unfortunatley the tartar that causes dental disease is mostly underneath the gumline, hence the name periodontal disease. So most of the tartar that we see on the surface of the tooth is not the main issue here. It is the tartar that is touching the gum and underneath the gum that is the problem. This isn't tartar that you will be able to get off with the pet awake, because it will be uncomfortable for the pet. Also, you have a good chance of causing damage to the gum trying to do this in any awake dog. What you are asking is not possible unfortunatley. However, there are a number of heart dogs that can actually go under anesthesia for a dental cleaning, even with a heart condition. I would suggest taking Chhutki to get an echocardiogram of her heart to determine if she is a good candidate for anesthesia and then go from there. If she isn't, then the only thing you can really do here is to do a daily oral rinse and water additive such as this one --> https://www.chewy.com/nylabone-advanced-oral-care-liquid/dp/47912 Dental disease and at home care recommendations --> https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951515 I do hope that your pet Chhutki proves to be ok to go under general anesthesia, just like many other heart disease pets, and can appropriateliy address her dental disease condition. Best of luck moving forward. Take care. : )

Thank you for submitting your question regarding Chico. I'm sorry to hear he is having these problems. You are correct in that a tooth root abscess is likely given his history of periodontal disease. The only way to clear the infection would be surgical extraction of the tooth under anesthesia. I understand your hesitation to do so given the risk of his underlying disease. In this case, he will likely need frequent if not chronic antibiotic therapy. I don't like to use antibiotics unless absolutely necessary, but his infection will continue to recur and be a chronic source of pain for him. I hope this information helps!

It sounds like there are some anesthetic concerns and that your vet does not feel comfortable removing the incisors. You may want to ask about referral to a veterinary dentist if available in your area. Ideally Frodo should also have an echocardiogram performed by a cardiologist first to determine the extent of his heart disease and assess his risk under anesthesia. This website lists board certified dentists but there may also be a veterinarian in your area who limits practice to dentistry. https://www.avdc.org

Hello. I would not pull them. Even though the teeth appear loose,, they will still have fairly good attachments to their dental ligaments. If you pull, this will be quite painful & the resulting tear will cause quite a bit of bleeding. The bleeding will stop, but it can be quite a bit of blood that may need compression or cautery to stop. If Marley swallows a tooth, it will pass with no problems, so no need to worry about this. You might want to find out if there is any low income veterinary care in your area. Your veterinarian might be able to guide you. You may also want to check out some payment options such as https://www.cafecredit.com & https://www.scratchpay.com. Good luck & thanks for using PetCoach.

Hi there and thank you for using pet coach to address your concern. Judging from the pictures you provided, the tooth looks as though it was quite infected especially if it fell out on its own. A lot of times, teeth that are this infected that Fall out have also lost some of the root characteristics. By this I mean the roots will sometimes appear as though they are missing or very rounded and short as opposed to their healthier appearance. A lot of times these teeth will have a black discoloration if the tooth is dead or may appear black due to the Tartar and plaque that has grown on the surface of the tooth. Flushing with saline is fine and the hole where the tooth previously was should heal on its own now that the problematic tooth is out of the tooth socket. I would definitely consider keeping him on antibiotics and also do what we call Pulse antibiotic therapy. I did this with my own dog and would Place him on a course of antibiotics every other month at a high dose using clindamycin as my primary choice as it is very good for bone and dental infections. I hope this helps guide you in the right direction. Please feel free to contact me if you have any other questions or concerns. I am also available by phone or text based consultation if needed.

I’m sorry to hear about the tooth loss. It sounds like you are trying hard to maintain good oral health and you should continue this. Definitely try to brush the teeth every day, even twice a day if possible. Pet tooth paste helps but the main benefit is the physical brushing. They also make dental diets which can improve oral health. Some pets also go on pulse therapy antibiotics to help control bacterial populations in the mouth. Unfortunately despite best efforts, dental disease can progress resulting in a he tooth loss. A fair amount of dental disease is found under the gumline and so it is hard to address without a proper dental cleaning. You may ask your veterinarian if there is an option to have you pup cared for by a specialist who may be able to preform a dental cleaning. If this is an option. Best of luck and please feel free to post any additional questions.