Periodontal disease is one of the most common disorders in the oral cavity of dogs and humans. Periodontitis, the irreversible periodontal disease, arises progressively from gingivitis, the reversible inflammatory condition caused by dental plaque. Although the etiology of periodontitis has been widely studied in humans, it is still insufficient for the etiological studies on periodontitis in dogs. Many studies have reported that human periodontitis-related bacteria are putative pathogens responsible for periodontitis in dogs. However, most of these studies have focused on the appearance of a specific microbiome, and most of the cohort studies have insufficient sample sizes to generalize their results. In the present study, subgingival samples collected from 336 teeth were categorized into three groups at first, based on clinical outcomes (healthy, gingivitis, periodontitis). Subsequently, the periodontitis samples were further divided into three subgroups (early, moderate, and advanced periodontitis) according to the degree of periodontal attachment loss. Healthy and gingivitis were grouped as a reversible group, and the three subgroups were grouped as an irreversible group. To investigate trends of periodontopathic bacteria in the samples of dogs, a quantitative real-time polymerase chain reaction (PCR) was performed for quantification of 11 human periodontopathic bacteria as follows: Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Tannerella forsythia, Treponema denticola (Td), Fusobacterium nucleatum, Prevotella nigrescens, Prevotella intermedia, Parvimonas micra, Eubacterium nodatum, Campylobacter rectus, and Eikenella corrodens. The PCR results showed that Aa and Pg, the representative periodontopathic bacteria, were not significantly correlated or associated with the periodontitis cases in dogs. However, interestingly, Td was strongly associated with the irreversible periodontal disease in dogs, in that it was the most prevalent bacterium detected from the dog samples. These findings indicate that the presence and numbers of Td could be used as a prognostic biomarker in predicting the irreversible periodontal disease and the disease severity in dogs.

As the life span of companion animals increases and their owners’ concern for their quality of life increases, interest in dental diseases has also gained attention. While many studies have explored oral diseases in general, research on small-breed dogs remains limited. Therefore, in this study, we analyzed various diseases that led to tooth extraction in small- and medium-breed dogs. A study involving 2201 client-owned small- and medium-breed dogs was conducted. All dogs were categorized by sex, age, breed, and tooth position. Teeth were classified into untreated, missing, or extracted categories. For extracted teeth, 14 causes were identified. The results revealed that periodontal disease was the primary cause of tooth extractions, particularly in older dogs and small breeds. In addition to periodontal disease, various other diseases that led to tooth extraction were identified. For these other diseases, the number of extracted teeth increased with age, and brachycephalic breeds exhibited higher extraction rates. The study emphasizes the need for personalized oral care and further research into other contributing factors such as diet and genetics to better understand and manage oral health in dogs. It also offers valuable insights into the broader patterns of tooth extraction associated with various dental diseases.

Introduction: Tooth fracture is one of the most common traumatic maxillofacial injuries in dogs and cats. For fractures with pulp exposure occurring in functionally important teeth, the literature indicates that root canal treatment (RCT) is an effective therapy option that may be the remedy of choice before extraction. The most commonly reported fractures in the United States involve canine teeth; however, fractures of the maxillary fourth premolars are more common in Korea, where there are many small-and medium-sized dogs. RCT mechanically and chemically removes pulp tissue and bacteria (cleaning and shaping) from the infected root canal, and obturates the root canal with filling material to restore tooth functionality without inflammation. Various techniques, instruments, and materials used in humans have been modified for application in veterinary dentistry.Methods: This study analyzed the results of RCT of the maxillary fourth premolar in 120 small-and medium-sized dogs (weighing less than 25 kg) using three different sealers (silicone-based sealer, bioceramic sealer, and calcium hydroxide-based sealer) through a simple application of the single-cone technique.Results: The overall success rate of RCT in maxillary fourth premolars was 90.83%, with 8.33% no evidence of failure (NEF) and 0.83% failure.Discussion: There were no significant differences between the three different sealers. Furthermore, preexisting periapical lesion (PAL) was reconfirmed as a factor in reducing the success rate of RCT. In addition, the working length and master apical file of each root were analyzed in our study as a novel reference for endodontic veterinarians.

Sang Seon Jang, Hyeonjo Kim, Dae Hyun Kwon, Eunchae Yoon, Dongbin Lee, Jae-Hoon Lee. J Vet Clin 2022;39:226-34. https://doi.org/10.17555/jvc.2022.39.5.226

Objectives: This study aimed to evaluate the clinical outcomes of root canal treatment (RCT) for canine teeth in cats by determining the optimal master apical file (MAF) size via a taperless rotary file system and comparing three different filling materials. Methods: A total of 83 fractured canine teeth from 78 cats were treated with a taperless nickel–titanium file system. Three different filling materials were used: (1) a silicone-based sealer with a single gutta-percha (GP) cone; (2) a bioceramic sealer with a single GP cone; and (3) a bioceramic plug at the apex followed by a silicone-based sealer and a GP cone for the residual pulp canal. The MAF size was determined by enlarging the apical portion to three International Organization for Standardization sizes beyond the initial apical file. Treatment outcomes were classified as success, no evidence of failure and failure. Outcome-related factors were identified via multivariable logistic regression. Results: The overall success rate was 91.6%. The bioceramic sealer showed the highest success rate (97%), followed by the bioceramic plug (95%) and the silicone-based sealer (83.3%). Overfill and pre-existing periapical lesions were significantly associated with reduced success. The overfill rates of bioceramic sealers and plugs were significantly lower than those of silicone-based sealers. The MAF size showed a significant positive correlation with body weight and a negative correlation with age. Conclusions and relevance: A taperless file system could be used to facilitate precise apical shaping tailored to the fusiform anatomy of canine teeth in cats and thus improve treatment outcomes. These findings support the use of bioceramic sealers in a single-cone obturation technique and highlight the importance of achieving an optimal MAF size to enhance the success of RCT for canine teeth in cats.