August 7, 2024 • 40 mins
In this episode of In The Vet’s Office, Dr. Cindy Charlier (board certified veterinary dentist) joins Dr. Josie to talk all things dental health for your pets. Dr. Josie also sits down with her co-host, Shannon Ella, to dive into the Case of the Week – the time she exposed a cheating boyfriend in her office thanks to his Golden Retriever! A listener calls in to ask for feedback on his cat vomiting and Dr. Josie shares a great rule of thumb for when this should be concerning vs. when it shouldn’t. After the interview, Dr. Josie and Shannon wrap up the episode with PAW & ORDER where Dr. Josie details things she’d never do with her own pets including using coconut oil on their coat/food and staying away from plastic food bowls!
If you liked this episode, please leave a rating & subscribe!
Follow Dr. Josie @drjosievet
Follow Shannon Ella @shannonella_
Leave a question/voicemail for Dr. Josie: HERE
See omnystudio.com/listener for privacy information.
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
Yeah, you're listening to in the Vets Office with Doctor
Josie Horchak. Hi. Everyone, welcome to in the Vets Office.
I am your host, Doctor Josie, and as always, we
have Shannon here. It's so good to be here.
Speaker 2 (00:24):
And honestly, I've been wanting to be in the room
when we've had pets, because we're in the Vets Office
and you brought two very cute friends with you today.
Speaker 1 (00:33):
I did. I brought two of my dogs. There's one
at home. If I brought all three, i'd be mass chaos.
I mean, I've got room on my chair. I could
always squeeze when I think that one's bigger though, right,
he's like one hundred pounder. Okay, I might need a
bigger be a tight squeeze. But yes, I have Saya
and Biggie here and we're just getting them kind of
used to the office the Vets Office today because they're
(00:55):
coming back next week. The pet psychic is coming to
read them. Oh okay. I wanted them to kind of
get a feel for just being in the room for
the podcast life.
Speaker 2 (01:04):
So if you hear any little noises, it's not doctor
Josie and I it's not dogs. They're not farting, it's
Biggie snorting. Yeah, that's why she brought her dogs. I
didn't bring a pet, so I can't use that excuse.
So today that we have one of your friends who's
a dentist on right.
Speaker 1 (01:21):
Yes, doctor Cindy is going to be here. Really, she's amazing.
I will talk about all things dentistry for cats and dogs.
But before doing so, I thought we would kick it
off with a really great case of the week. Oh okay,
I have a good one. This is what happened. This
was a fun, sort of fun, fun for me, maybe
(01:42):
not for the owner's story. We had a dog come in.
She I think she was like a four year old
Golden Retriever, super cute, one of the classic breeds that
loves to eat things that they shouldn't.
Speaker 3 (01:55):
Ah.
Speaker 1 (01:55):
Yes, And the girlfriend of the owner brought the dog
in and the dog had been profusely vomiting, not wanting
to eat. So we take an X ray and lo
and behold, there is definitely something in her in her
intestines that we have to go in and get out.
It's obstructed, it's not moving. So I explained to the girlfriend, Hey,
(02:17):
we need to do somewhat emergency surgery to get this
object out.
Speaker 2 (02:21):
You couldn't see what the object was on the X ray,
Like there was the one time when you were like,
is that an accordion or not an ad tambourine accordion
a tambourine amine, So you couldn't see what its.
Speaker 1 (02:33):
When it's like a cloth, like a soft tissue structure,
you can't really make it out on X ray. So
a sock can look like underwear, a wash cloth can
look like a towel. It's very hard to tell. But
I knew it was something soft like that. Okay, So
we go in, we get it out, and it's a
pair of black lacy panties. Oh no, and we I
(02:54):
always like to save them and throw them in like
a sterile bag for the owner, just to be like, hey,
this is what your dog likes to eat, like here,
so that they wear them again. Exactly. I don't recommend
wearing them again, but I mean, you do you.
Speaker 2 (03:06):
You do you if you're short on you know, thongs,
here it is, hey, underwh is expensive.
Speaker 1 (03:11):
Underwear are really expensive even though they're very small. You're like,
should I save that? Yeah? Yeah, okay, so you bagged
it up. Yep, we bag it up. At this point,
the dad has now arrived, the owner, and so we
have the girlfriend and the owner sitting in the room.
I come in. I say, all right, you know, we'll
call our Fluffy. Fluffy's doing great. Here is what she
(03:31):
ate And I show them the underwear and the girlfriend
was like, those aren't mine? You know whose are those?
Speaker 3 (03:39):
No?
Speaker 1 (03:40):
Yes, no, And I was like, I'm just gonna moon
walk my way right out of here. I'm just gonna
let you too deal with this. So yeah, I just
you know, I was like, I gotta go. Did you
and ran away? Yeah, I'm not saying for that. Did
you have like do you have cameras in your No?
I wish I would have seen what what all ensued.
I think there was some like yelling coming from the room.
(04:00):
To be honest, it was. It was heated, to say
the least. She had to be in the middle of that. Hey,
she was like, I need my dad to know, or
I need my girlfriend's dad. I don't know. She needed
them to know. She's a truth seeker. Hey, thank goodness
for dogs.
Speaker 2 (04:13):
Okay, Yeah, And what was the atmosphere like when they
walked out of the office.
Speaker 1 (04:17):
That's the part that I don't deal with. They go out,
they pay, they talk to their receptionists. I'm like, my
job here is done. My hands are clean of this.
We have to be a fly on the wall, I know,
but you'd be surprised. There's a lot of veterinarians at
the same story. So, hey, if you're a cheater, watch
out for those ponies laying around.
Speaker 2 (04:34):
Don't have a dog that eats underwear exactly, or don't
be a cheater.
Speaker 1 (04:38):
That's also a really good that's the bottom line. Yes,
don't be a cheater.
Speaker 2 (04:41):
Way, that is a really interesting something I would never
think would happen, is like, that's how your girlfriend finds
out that you're the cheater because.
Speaker 1 (04:49):
Your dog ate the girl's underwear exactly. Unreal.
Speaker 2 (04:52):
Okay, well, hopefully we don't have any questions from fans
that have to do with, you know, their dogs eating
underwear of someone that is not there. But we're going
to get to some listener Q and as. Yeah, let's
do it all right.
Speaker 1 (05:04):
What's up first?
Speaker 3 (05:05):
Hey, doctor Jesse, my cat throws up every few months?
Is this something I should worry about?
Speaker 1 (05:10):
I get this question all the time from owners. Cats
can be This is not a scientific term, but I
say puky like they just like to throw up sort
of randomly. So I had a great mentor that had
this rule of three that she taught me, And what
that means is if your pet is throwing up three
days in a row, three times in one day, or
(05:33):
they have three issues going on at once so they're
throwing up, they have diarrhea, they're not wanting to eat,
then it's like, hey, you need to get them seen.
Otherwise I don't get two worked up about it. If
it's like a just ap, like a little throw up
here or there, it's not the end of the world.
I will say, if your cat like never throws up
and then starts to throw up like once every month
(05:54):
or so, you might want to look into that. But
if they're not meeting that rule of three, I don't
lose too much sleep it.
Speaker 2 (06:00):
Yeah, And I feel for you because we have a
very puky cat at home, and he's fine, he is healthy.
He just usually likes because he has a little area
in our garage where he goes out, and then when
he comes in the house, he's like, oh, you know what,
I'm feeling, like, I have to throw up.
Speaker 1 (06:14):
Now yeah, and then he does yeah, why not right
in the foyer. Oh yeah, yep, with.
Speaker 2 (06:17):
My toddler running around, and I'm like, you stay over here,
do not. But it is a thing like he's We've
had him looked at a bunch of times because I
was in that panic mode too, of like is there something.
Speaker 1 (06:25):
Wrong with him?
Speaker 2 (06:26):
And our vets said the same thing. Obviously, Now we
will bring Murphy to you. Maybe you have something different.
But he just likes to puke.
Speaker 1 (06:34):
Yeah, they puke and they have hair balls. So those
are of those gotta love cats, all right. Do we
have any more questions that we want to listen to? Hey,
doctor Josie, I thought my puppy had all of her
adult teeth, but I just realized that she still has
two baby teeth that haven't fallen out yet. What should
I do? Should you do anything? This is great? This
(06:55):
is on theme because our episode this week is all
about dentistry. This is really common, especially in our small dogs.
We find that, for whatever reason, a lot of times
they'll have baby teeth that don't fall out on their own,
and this can be a huge problem if they don't
if we don't take them out. So if they have
retained baby teeth. We take them out at the time
(07:16):
of their spe or neuter while they're under anesthesia. Okay,
I've seen pets where we didn't catch it or the
owner just elected not to have them taken out, and
it is so gross. They get like hair and food
and like just disgustingness wrapped around those teeth, and they
can get pretty diseased. So yes, you can absolutely do
(07:39):
something about it. We'll take them out at the time
of spae or neuter. So is there an age that
they should have lost all their baby teeth by? Yeah,
typically around six months of age, they have all of
their new adult teeth. These little guys, like are your
keys are maltesees. They can hang on to some baby
teeth about nine months or so, but if they're still
in there around nine nine, especially twelve months, they got
(07:59):
a out.
Speaker 3 (08:00):
Okay.
Speaker 1 (08:00):
Well, good to know.
Speaker 2 (08:01):
And I feel like a lot of those questions that
people have to do with dentistry are going to be
answered in our guest that's on today. Because I had
a dog that always had issues with her teeth, and
I feel like if I had have known some things
prior to getting her. She was a friend Sheie who
just don't have great teeth. Yeah, it probably.
Speaker 1 (08:18):
Would have saved her a lot of dentist trips. Absolutely,
And I'm so excited about our guest today in the
VETS office. We have my friend and my mentor, doctor
Cindy Charlie are joining us. Doctor Cindy is a VET
that was like me in general practice for quite a
while and then she decided to pursue a residency and
(08:41):
become a board certified Canine and Feline veterinary dentist in
oral surgeon. She's really gone on to become the most
saw after dental guru really in the vet world, and
she has spent years going all over the country training
veterinarians about vet dentistry. She taught me everything I know
about vet dentistry, and she has such enthusiasm for the
(09:04):
subject that you know, is amazing and really helps educate
doctors and owners and she's just it's contagious. So I'm
excited to have her here today. Awesome, All right, let's
talk about teeth with doctor Cindy. Hi, doctor Cindy, we
are so excited to have you in the VETS office today.
Speaker 3 (09:25):
Welcome, Thank you, happy to be here.
Speaker 1 (09:29):
I know I mentioned a little bit in my intro,
but doctor Cindy was a general practitioner like I am,
for almost twenty years, and then she decided that she
wanted to be a Board certified veterinary dentist. Can you
explain what exactly that means for the listeners?
Speaker 3 (09:46):
Sure? I always call it my midlife crisis. So what
I realized early in my practice career was that nothing
had a big impact on how my patients felt than
to work in their mouths and eliminate world discomfort. And
so I had an opportunity to become a specialist. Just
like as a person you go to an oncologist or
(10:08):
radiologist or internal medicine specialist, all those specialists exist in
the world of veterinary medicine also, and so I went
back to become a board certified veterinary dentist. So there
are probably about one hundred and sixty of us or
so in the United States, not very many. It's a
(10:29):
relatively new specialty in veterinary medicine. But I went back
and did that because I felt it gave me an
opportunity to really impact patients' care.
Speaker 1 (10:38):
And I think a really interesting thing that listeners may
not know until they listened to this podcast, is that
in veterinary medicine, it's very different than in human medicine.
When pets come to their general practitioner, we really do
what we feel comfortable doing until we're like, this is
maybe above my pay grade. I'm going to send them
to a specialist. So at any given moment, we can
be an ophthalmologistist a cardiologist. What are some of the
(11:03):
things that you typically see that general practitioners are sending
to you rather than doing themselves.
Speaker 3 (11:10):
Yeah, So the greatest thing about being a specialist is
we have an opportunity to triangulate. So it's the veterinary specialist,
it's the general practitioner, it's the owner, and it's the
patient in the middle. So there's three of us putting
our heads together to be as smart as we can
about providing the pet with the best care. So some
of the common cases that I would have referred to
(11:32):
me would be a pet with a fractured tooth for
a root canal, a pet with a oral tumor a
cancerous tumor to have treatment for that, a dog that
got hit by a car that had a fractured jaw,
a hat or kitten that was born with a cleft palate.
Like kids are born with cleft palates, puppies and kittens
(11:53):
are sometimes born with that. Also, patient that may be
a high risk anesthetic patient that the general practitioner isn't
comfortable working on. So those types of cases that are
beyond what the general practitioners coforable working on and often
get referred.
Speaker 1 (12:10):
I think what would be fun to do is, you know,
ICEE patients, Every single day, I'm doing an exam from
toes to nail, toes to nail, nose to tail, uh
and a big part of that is doing a really
good thorough oral exam. So a lot of times we're
talking about dentistry in general practice, and I thought it'd
be kind of fun to role play what I'm hearing
(12:31):
owners say to me on a daily basis and then
hearing what you have to say back. And this is
not to make fun of owners or listeners like this
is it's our job to educate you and you just
don't know what. You just don't know, So that's what
that's what we're here for. So the very number one
thing that I hear when we talk about oral health
and dentistry is you know, doctor Josie, I never brush
(12:54):
my dog's teeth growing up. We never had any issues.
And now you're recommending a teeth cleaning are dental for
my pet and it's so expensive, hundreds of dollars, maybe
one thousand dollars, Like, what is going on here?
Speaker 3 (13:07):
Yeah, so years ago, we really didn't pay much attention
to the mouth. Even when I graduated from veterinary school,
I didn't learn much about dogs and cats and their
teeth and oral discomfort. I learned that dogs and cats
had teeth, but that was about it. So we've got
a lot smarter in veninary medicine as we've gone on,
And what we know now is that oral disease is
(13:27):
a huge source of discomfort and pain for the patients.
And very seldom will you or did I have a
patient come to us or the owner come to us
and say, my dog's mouth is painful, my cat's mouth
is painful. So that hidden source of discomfort is what
we're actor to try to treat before the dogger cat
(13:48):
stops eating. And in order to do that, we have
to put the patients under general anesthesia. Our patients don't
just open their mouths and say, ah, clean my teeth
and do a complete oral exam, so general anesthesia, preoperative
lab work, providing the best pre anesthetic evaluation that we can,
providing monitoring during anesthetic event. All of those things cost
(14:11):
money and require talented people on our team to assist us.
And so yes, doing a dentistry procedure under general anesthesia
can be expensive. But if we make it part of
our pets annual care, if we do an annual procedure,
then that could be less expensive over time. Instead of
ignoring the fact until we get to the point where
(14:31):
the jogger cat isn't eating and they've got a tremendous
amount of discomfort and we have to impove a lot
of their teeth to a lot of oral surgery. That
becomes more expensive.
Speaker 1 (14:42):
Yeah, and I think you know, owners just don't know
on the back end that there's so much that goes on.
It's not just a teeth cleaning like you said, it's
we've got all those nurses that are helping with you know,
getting them ready for surgery and inducing them, intimating them.
It's just like all the things that would happen to
humans the human hospital. So there's a lot of talented
(15:02):
people involved. There's a lot of work that goes on
behind the scenes. And then it's not just a dental cleaning.
We're taking full mouth X rays, which is a huge
diagnostic tool. I'll maybe let you expand on that a
little bit. And you know, cleaning is a kind of
belittling what we do because we use high speed hand
tools to really clean those teeth and then we're probing
them to see is their disease that we can see
(15:24):
with our eye and around the gum line. I mean,
there's a it's quite a process and it's not just
a dental cleaning.
Speaker 3 (15:30):
Yeah, I think the word dental. Historically we've used the
word dental to describe what we're doing, and that totally
under estimates the time, skill, and talent needed to complete
the procedure. So a comprehensive oral and radiographic evaluation under
general anesthetia is probably better wording to describe it to clients.
It's not just getting your dark tea cleaned. It's not
(15:53):
what you think the groomer may or may not be
able to do. There's a lot more to it.
Speaker 1 (16:07):
The other thing that I find the owners signed surprising
is when we have to do oral surgery. So we'll say, hey,
you know, this tooth is fractured, it's disease. I'm going
to extract it. And I think they think, ah, you're
just gonna pluck it right out, And what they don't
realize is like there's a lot of work on the
back ends there. Can you explain us a little bit,
just a quick synopsis of what oral surgery looks like.
Speaker 3 (16:30):
Sure, that's no problem. So the most commonly fractured tooth
and teeth and dogs get fractured way more commonly than
teeth and cats. And the dog, the most commonly fractured
tooth is the upper fourth freemo, which is one of
the major chewing teeth. So as a dog goes to chew,
they put a huge amount of force between their upper
tooth and their lower tooth, and if they chew on
things they shouldn't, and that can be a question we
(16:51):
addressed later, then they can fracture that tooth. And fractured
teeth if they have pulp exposed, which is the nerve
of the tooth, are super painful and the only two
options for how to treat that tooth or to do
oral surgery to remove it or to refer to a
venerary dentist to have a root canunt treatment. Ton and
other teeth that are disease with periodonal disease often need
(17:16):
to be removed. There's a lot of other disease processes
and teeth that cause us to need to do oral surgery.
In dogs. The only time that we can just remove
the tooth or what I call extracted tooth. If the
tooth is super loose, like a little bit of Yorky
it's fourteen years old, that has horrible periodonal disease, that
has all loose insizors. Those the teeth in the front,
(17:39):
sometimes we can just remove those, but the vast majority
of cases we need to do oral surgery. So we
need to open a up the gum tissue, We need
to remove bone. If it's a tooth that has more
than one root, we need to cut the tooth into sections.
We need to take each toothruth out one at a time,
clean out the tooth sockets. Man they say that comes
(18:00):
you flap the clothes over and put futures inside the
mouth that will dissolve with time. So those procedures for
one too sometimes can take us up just thirty minutes
or more for just one of these big teeth in
the dog.
Speaker 1 (18:13):
Yeah, it's not easier, requires a lot of skill and
my brow is sweating sometimes, like it's a lot of
work and it costs money. You can touch on this
a little bit. I think A really a big thing
that I hear owners say often is you know, I
want to do this. I'm just really nervous about putting
my dog under anesthesia or my cat under anesthesia. What
(18:34):
do you say to that.
Speaker 3 (18:35):
You should be I'm always nervous when my dog or
cat has to go under anesthesia too. So the thing
we want to look at is the risk versus the benefits,
And when we're working in the dogger cat's mouth, the
huge benefit is that you can properly diagnose and treat
your dogger cat's oral disease and get rid of any
painful teeth that they may have. So when we're done
(18:57):
with the dentistry and oral surgery procedure, your dog or
cat goes home with a pain free mouth, and that's
one thing that we can count on. So general anesthesia
in dogs and cats and in our patients is the
same as it is with humans. So we go through
a complete evaluation of the patient prior to general anesthesia.
We do preoperative lab work, bloodwork to check kidney and
(19:19):
liver function, make sure they're not anemic. We sometimes may
do a chest X ray. We may ask for an
evaluation from a cardiolosis if there's a heart murmur. So
we do everything we can to make sure that that
patient's properly prepared for anesthesia and we can minimize the risk,
and we know if there's pre existing conditions, how to
adjust our anesthetic protocol. And then we choose drugs that
(19:42):
are based on that individual patient. It's not always a
one size fits all. We use pre medication which has
pain medication in it, and that it's pain medication on
board before we start any kind of painful procedure. Our
patients breathe in gas anesthesia, just like you would if
you went to the hospit for a procedure. They're intubated,
(20:02):
so they're airways protected, and they're monitored by our nurses.
And that monitoring involves lots of different things. It involves
the nurse actually being there to monitor your dog or
your cat while it's under anesthesia, and it also involves
us monitoring their heart rate and rhythm with any kg.
We monitor the amount of oxygen in their red blood
(20:22):
cells with a pulse oximeter. We monitor the amount of
carbon diox they breathe out, and we monitor their blood pressure.
They're on ivy fluids during the whole procedure. They have
patient warming devices that help them keep warm because their
temperature goes down during the procedure. And like I said,
they have a dedicated nurse who's going to monitor their anesthesia.
(20:44):
So we do everything we can to minimize the risk
of our patients under anesthesia. Doctor Josie, both you and
I would be pelling a big fat life. We looked
at our people and said, there's no risks. There's always
some risk, but we do everything we can tip certainly
minimize that.
Speaker 1 (21:01):
Yeah, And the reality is the overwhelming majority, overwhelming majority
do great. And I always think like and you know,
I'll say to the owner, Okay, well if we don't
do anesesia and we do nothing, we never clean your
dog's teeth. I see these pets. They come in, they're ten, eleven, twelve, thirteen,
fifteen years old, and they have teeth that are rotting
out of their mouth. They are We even get something
(21:23):
called too, through abscesses where the infection is so bad
around the root of the tooth that it starts to
come out of their cheek and have draining tracks on
the side of their face. I mean, they are in
what I would have to imagine is probably excruciating discomfort.
And so although there is some risk involved with anesesia,
I think that that greatly outweighs the downside to not
(21:45):
doing it and the discomfort that they potentially would be
going through for years and years not having that dental procedure.
And like you said, we do. I don't think people
realize all the things that we do on the back
end that, just like in human medicin them are monitoring
them so closely. We're doing pre op and postop and
all taking all these measures to make it as safe
(22:06):
as possible.
Speaker 3 (22:07):
Yeah, when I was a younger person, but younger, my
dad taught me that if I had changed the oil
in my car every three or five thousand miles, whatever
it was, then that my car would last longer. And
the same thing goes for your pet's oral healthcare. If
we address the issue when it's minor, and we're addressing
issues when the dog or cat has just ginger itis,
(22:29):
just inflammation of the gum tissue, and we're putting those
patients under anesthesia to evaluate what's going on underneath the
gum line. We're light years ahead than if we wait
and say no, no, no, not a big deal, not
a big deal, not a big deal. And then you
and I are having conversations with pet parents that are yes,
the risk is high, and yes your pet could die,
but we don't have any choice right now because your
(22:51):
pet's not eating. So I really don't, I mean neither
of us like those cases where we're looking clients at
the eye going oooh, and we're thinking, wow, I wish
would have dressed this sooner, because now our anthetic chris
is up higher because now we've got a sick patient
on top of a really badly diseased amount. So I
think that changing the oil in the car is a
(23:12):
way better idea for maintenance than wait until the car
breaks down.
Speaker 1 (23:16):
I'm really good about getting my pet stentals, but I'm
really bad about getting my car oil changed. I probably
gotta work on that, you know. I think this is
an interesting point. You said that you know, when they
come to us and they're not wanting to eat anymore
because they're in so much discomfort that tends to be
fairly rare. I would say pets are so amazing in
(23:40):
the sense that their fight or flight animals like, they
don't oftentimes show us when they're feeling discomfort. Specifically cats,
I find and so a lot of times I'll find
a fractured tooth, or I'll find a tooth with periodonal disease,
and the owner will be like, oh my god, I
had no idea. They're not acting. I don't think they're uncomfortable.
I think they're totally fine. What do you say to that, I.
Speaker 3 (24:01):
Say that dogs and cats can't raise their pawms say
their mouth hurts. We see cases all the time where
if it was us and we fractured a tooth and
had pulplex boths, we've become calling one eight hundred my
favorite sensus in a nanosecond, like we don't even have
to think about it, and anybody out there who's had
a fractured tooth knows what that feels like. So doctor cats,
(24:22):
like you said, doctor Josie, their main thought is to survive,
where you go to the bottom of the pack, so
they a lot of times will even shift how they're chewing.
If they've got a fractured tooth, with puplex bows or
severe periodonal disease or oral masks, they'll shift and chew
on the other side of their mouth. So when we're
doing our thorough oral exam, we may see that on
(24:44):
the side that's painful, there's a lot of calculus or
brown are tartar build up and decide that's not painful.
It is pretty clean because they're chewing on one side.
So I don't know. There's nothing I've done in my
entire career. In my careers a long one that's had
a bigger impact on how my patients feel. And you've
(25:04):
got clients come in after their doughter cat has a
dentistry procedure and they say, oh my gosh, doctor Josie,
I feel so badly that I didn't do this when
you told me last year or the year before, because
now my dog or my cat's a brand new dog.
My dog's acting like a puppy, my cat's not hiding
under the couch. So our pets do everything they can
(25:27):
to mask discomfort, but there's nothing I've done this. It's
had a bigger impact on how my patients feel and
work in their mouth and fix their mouth.
Speaker 1 (25:34):
Yeah, it really has hands down. Probably I mean, I
think you've rubbed off on me a little bit, but
it's definitely one of my favorite parts of my job.
And oftentimes when I'm bringing a pet in for a procedure,
it's a healthy puppy that I'm spaying, and they leave
and they're you know, they're painful and the owner's kind
of dreading it, and or they're getting a tumor removed.
But dentistry is so special in that they're coming in
(25:58):
it's almost immediate gratification. I'm sure they may be sore
for a day a couple days after, but their whole
demeanor and personality can can change night and day with
getting an alcae tooth removed. So it's really, yeah, for sure,
really awesome as a veterinarian to see.
Speaker 3 (26:17):
I had one client come in. This is just to
share a fun story. She came in and I was
doing a two week recheck after I'd done oral surgery
and her cat and her KTT. It's very severe periodonald
disease and we removed a lot of teeth and the
owner was really worried about the procedure and about anesthesia,
and she came in for that recheck and she looked
at me, said doctor Simmy, and I said yeah. She said,
(26:37):
my cat's a different color. And I said what she said,
my cat's a different color? I said, your cat looks
orange to me. Its color was when it came in. No, no, no, like,
my cat's a different color. Well, what had happened was
that the mouth was so painful that had stopped grooming,
and so in fact, in her perception, that cat was
now a different color because the cat had resumed grooming
(26:59):
and taking care herabae coat, and that cat's tall coat
was totally different to that owner.
Speaker 1 (27:03):
It's amazing. I love those stories. It makes it all
worth it, for sure. So what are some things that
owners can be doing at home? And I mean, of
course this does not supplement in getting a dental procedure
done with your veterinarian. But what can they be doing
to improve their pets oral health at home?
Speaker 3 (27:23):
Yeah, yeah, perfect, Let's just talk about a couple of things. Plaque.
So what's plaque? I think is owners, it's important for
you to know what black is. When you wake up
in the morning and you run your tongue across your
teeth and it feels like you have socks on your teeth.
That's plaque. It's clear, you can't see it. You go
in the bathroom and take two brush it goes away. Okay.
So that's awesome when that black goes away and you
(27:44):
feel better about things. But what happens in three to
five days for people and per dogs and cats, that
plaque becomes calculous. That's that hard brown stuff. And once
that hard brown stuff accumulates on their teeth, you can
brush to the cows come home, it's not going to
go away. Okay. So the goal with doing home care
is that in between the anesthetized sedi history procedures that
(28:06):
we're going to do for your pet, we would like
to control that plaque and have it not become that calculus.
So to do that, the best option is to brush
your daughter cass teeth David, And most people look at
me and go, yeah, right, that I'm going to do that.
And the fact of the matter is it's a choice
by the owner on whether you make that a priority
(28:27):
or not. We have a dog, true story, who adopted
him from the Chicago Anti Croulty Society. His name's Crosby
and he was about eight months when we adopted him.
And he has a lot of things that he's not
perfect at, but this one thing he's perfect at. Before
his dinner every night, when we say yet kay, he
comes running into the kitchen to get his teeth brush
(28:48):
because he knows after he gets his teeth brush that
he gets to suck. And so he gets his teeth
brush once once a day. And that's the key with
dogs and cats, is the brush once a day and
make it fun. And you can ask your veterinarians about
how to do that. But it's just like teaching your
dog to sit or your cat to chase the ball.
There's lots of things we ask our pets to do
and teach our pets to do, and brushing teeth is
(29:09):
certainly possible if we make it a priority. We only
need to worry about the outside of the two surfaces.
Their tongue does a pretty good job taking care of
the insie. If you look at me or doctor Josie
and you go, there is no way I'm brushing my
daughter cat's teeth. There's other things you can do. There's diets, treats,
twos water additives that help decrease plaq and or calculus.
When you brush your teeth tonight, pet parents, look at
(29:32):
your toothpaste has the ADA Field acceptance on it. That's
the American Sental Association. There's a group in veterinary medicine
called the Veterinary Oral Health Council VOHC, And if you
go to www dot VOHC dot org, there's a list
of products that have the boh S Field Acceptance and
those products we know do how help decrease plaque and
(29:55):
org calculums.
Speaker 1 (30:05):
So you mentioned earlier that the most common tooth we
see fractured in our dog patients specifically is that big
premolar up top, and a lot of times they fracture
it by chewing on hard things at home. Bones, toys.
What kind of chew toys would you recommend that our
dogs should be playing with at home.
Speaker 3 (30:26):
That's a great question, doctor Josie, And I'm really glad
you asked that because as pet parents, we go into
the pet store, and right in the front bin at
the pet store as we walk in our big huge
knuckle bones and femur bones and pig ears and cow hoofs,
and it says your dog must to these because that's
what they did in the while, when in fact, those
(30:47):
are some of the biggest culprits of causing fractured tea.
So what I tell pet parents is when you go
into the pet store or trying to do your dog
a favor, what you want to do is every single
thing you pick up, you want to say to yourself,
south will this give when my dog two's on it?
Or will it not? If the answer is yep, I
can compress it, yep, it bends, yep, it'll give, then
(31:08):
spend your ten ninety nine. But the answer is no,
it's not going to, then put it right back in
the bin. So things that most commonly cause fractured teeth
in our patients are bones, natural bones, raw hide, bones, figures, cowhos, deer, antlers, rocks.
So if your dogs are rock goes to the bottom
(31:29):
of the lake and picks up rocks and throws them
up on the bank, that's probably not awesome. In addition,
tennis balls can be bad. If they chew on tennis
balls all the time, they won't fracture your dog's seat,
but that outer green surface is really abrasive and they'll
sometimes cause your dogs teeth to wear down, so if
you can bend it or compress it, they can have it.
If you can't put it back out on the shelf.
Speaker 1 (31:49):
That's great. I think that's so helpful. And I know
you mentioned the VOHC, but that website has been so
helpful for me. I have a five year old Chihuahua
at home, and he also was a rescue. He is
a feisty little guy and if I tried to say
dente's and brush his teeth, I'm losing a finger, no
doubt about it. So we do our best. There are
(32:11):
some really great dental chews and additives on that website,
and of course he gets his annual dental procedure with me.
But yeah, not every pet is up for brushing. But
with that said, if you have a puppy or you
have a young dog, desensitizing them and getting them used
to it from the get go is going to save
you so many headaches down the line.
Speaker 3 (32:33):
Yeah. And the other huge advantage to brushing your dogger
cat's teeth is that you're in their mouths every single day,
so you know what's normal and you know that they're
not pulling away from you when you're trying to brush
their teeth. And I've had clients who brush their dogger
cat's teeth every day. And I had a cat mom
call me and say, oh my gosh, I brought brush
(32:55):
Welter's teeth every day, and I want to brush his
teeth today. And he pulled away from me and he's
never done that before, and he came in. They brought
him in and we looked at it. Sure enough, he
had a tooth that was painful for him that we
needed to treat. For a dog that has a discolored tooth,
owners brushing their teeth, it's just like yesterday, this tooth
is white. Today it's not white, it's red. There must
(33:15):
be something wrong, and they get on the phone call
orald tumors. We find one way earlier. So there are
advantages besides just making the teeth look good and delaying
the odset of periodontal disease, of having you in the
pet's mouth on a regular basis.
Speaker 1 (33:32):
Absolutely well, thank you so much for coming on today.
This is such a big part of what I do
every day, and I think it's so important to educate
our listeners and create awareness around it because as you
and I know, it is such a huge part of
our pets health and happiness and comfort, and so there's
really nobody better for us to have here today to
(33:54):
answer these questions. So I really appreciate you coming.
Speaker 3 (33:57):
Yeah, thanks, doctor Josie, Thanks for the opportunity. I'm always
happy to talk to pet parents about teeth and oral healthcare.
It's it's one of my passions. And like I said,
there's nothing that will make a bigger impact on how
your pet feels then to make sure you take care
of their mouth.
Speaker 1 (34:11):
Awesome, Well, thank you so much, you bet all right. Awesome.
Speaker 2 (34:18):
That was so great to get to have doctor Cindy
on here and learn so much. I feel like we
don't often talk a lot about dentistry with our pets,
so it's really really awesome.
Speaker 1 (34:27):
Yeah, it is, and it's so important. I mean, as
you all have learned for their overall health and luckily
for her, doctor Cindy is pretty much retired now. So
if people have questions about their pets oral health, I
recommend talking to your vet and then certainly check out
that Veterinary Oral Health Counsel that we talked about, the VOHC.
(34:49):
You can google that and it'll pop right up. And
it's got lots of great resources to learn about what
you can be doing at home for your animals.
Speaker 2 (34:54):
And she obviously is a close friend of yours two
and like you said your mentor, so you can also
you know, submit your question too and ask doctor Josie
and she can get them to her for sure.
Speaker 1 (35:03):
Absolutely.
Speaker 2 (35:04):
All right, now onto one of my favorite parts of
the show.
Speaker 1 (35:10):
All right, paw and order for this week, numero uno.
I would not put coconut oil on my pet or
in its food. I don't know what is going on
with coconut oil, but it is like skyrocketed. People love it.
Speaker 3 (35:24):
Yeah.
Speaker 1 (35:24):
I feel like there was like maybe three or four
years ago it really.
Speaker 2 (35:28):
Became big and then people kind of, you know, it
was like fizzled off a little bit, and now we're
obsessed with coconut oil again. I love using it. And
I will say my vet, when my friend she had
like a really dry nose, she used to tell me
to put on her nose. So now I'm learning we
should not do that.
Speaker 1 (35:42):
I think it's moisturizing. So if it's like a dry
piece of cartilage like the nose, sure, okay, But when
they have cuts or scrapes. People like just like to
slather it on and it's like an ointment. Yeah, it's
like an ointment. Or if they're like, oh they're coats dry,
I'm gonna rub them in coconut oil and then grease
theme up and they come in and they can like
(36:04):
frying egg on them and I just it clogs their pores.
There's really no like medicinal properties to it. I'm just
I avoid it. It also causes diarrhea if you feed it
to them. So yeah, because I've.
Speaker 2 (36:16):
Seen people like take a heaping spoonful and just they
love it, slap it on there, they love it, So
don't feed it.
Speaker 1 (36:22):
I mean, yeah, there's really no benefit to coconut oil.
Speaker 2 (36:25):
Yeah, other than the fact they're very slippery, exactly greasy
if you want it all over the ay.
Speaker 1 (36:30):
Good to know. Number two. I would absolutely positively not
get pet insurance the day after my pet has an
emergency we or even after the day after they're sick.
This is so important if you are getting a puppy
or adopting a dog, get pet insurance right away. Right
the second they have an ear infection, they're vomiting, they
(36:50):
have diarrhea that becomes a pre existing condition, and the
insurance companies will not cover. Yeah, it's just like insurance
for people. Yeah, like you can't do that. Just like
and I have owners coming in being like, can you
just leave this out of the medical note, like basically
asking me to commit insurance fraud. And I'm like, I
love you guys so much. You're like no, but this
is one boundary I will not cross.
Speaker 2 (37:10):
And honestly, I was that person that wished I had
have just, you know, like done it and gotten peture,
got pet insurance from the beginning, right because I had
a Frenchy Boston mix and like they are prone to
having health issues. But I was like, I'm not gonna
need it, so I didn't. And let me tell you,
I really wish I had have had some pet insurance.
Speaker 1 (37:29):
Yes, it's it's really come a long way, and it's
so important. I mean, veterinary medicine, the diagnostics, all the
things that we do can really add up and be expensive,
especially if it's an emergency. So get pet insurance right away.
It is absolutely positively worth it.
Speaker 2 (37:44):
Yes, I am saying do it for yourself because it
will save you in the long run.
Speaker 1 (37:49):
It will all right, what else we got on here.
Speaker 2 (37:50):
Uh.
Speaker 1 (37:51):
Last, but not least, I would not feed my pets
out of a plastic football. A lot of people get
in trouble today. A lot of people don't realize this.
It's not the end of the world. But I see
a lot of my patients come in with chin acne.
So they have like acne just like you and I,
little red pimples and irritation on their chin. And it's
because plastic and ceramic bowls tend to it's a great
(38:14):
place for that bacteria to grow. So stainless steel tends
to be a little bit better for that. And even still,
I would wash your pets food bowls two to three
times a week. They're just like us. They need to
have clean surfaces to eat off of, and it keeps
them from getting sick. And nobody wants chin pimples.
Speaker 2 (38:32):
Oh. I feel like my dear sweet Phoebe, who's up
above right now looking down at us, is like you
could have saved me from all those years of acne, mom,
And like no one has ever told me that. Like she,
I always would keep her bowl clean. But she's a frenchie,
so she's like getting right in there right the dishes,
so yeah, yeah, you don't realize that would be really
nice to know.
Speaker 1 (38:52):
That's why we're here. Nat, thank you for helping me.
Speaker 2 (38:55):
And future puppy that I get and you bring years
in right now is make me want to get one
right now. But stainless steel, I feel like it's also
just like humans, like, using plastics really aren't great for
us or anybody, so stainless steel is the way to go.
What about the glass like ceramic ones, I.
Speaker 1 (39:12):
It really for me, stainless deal is the best. Then
if you need to go to glass, ceramic and then
last not leads to the plastic, but stainless stale far
and aways the best. Okay, cool, good to know.
Speaker 2 (39:20):
Well, I really hope you enjoyed today's episode and any questions,
like I said, you can ask if you have it
about dentistry or anything to do with your pets, you
can ask doctor Josie in our show notes. You can
just submit your questions.
Speaker 1 (39:32):
Yeah, or follow me on Instagram. Feel free to dm
me It's at doctor Josie Vett. And then we're a
brand new podcast, y'all. We need all the likes we
can get, so definitely like us. Leave us any feedback
you have anywhere that you listen to podcasts, We appreciate it.
All right, we'll see you next week.
Speaker 2 (40:01):
She
Yeah, you're listening to in the Vets Office with Doctor
Josie Horchak. Hi. Everyone, welcome to in the Vets Office.
I am your host, Doctor Josie, and as always, we
have Shannon here. It's so good to be here.
Speaker 2 (00:24):
And honestly, I've been wanting to be in the room
when we've had pets, because we're in the Vets Office
and you brought two very cute friends with you today.
Speaker 1 (00:33):
I did. I brought two of my dogs. There's one
at home. If I brought all three, i'd be mass chaos.
I mean, I've got room on my chair. I could
always squeeze when I think that one's bigger though, right,
he's like one hundred pounder. Okay, I might need a
bigger be a tight squeeze. But yes, I have Saya
and Biggie here and we're just getting them kind of
used to the office the Vets Office today because they're
(00:55):
coming back next week. The pet psychic is coming to
read them. Oh okay. I wanted them to kind of
get a feel for just being in the room for
the podcast life.
Speaker 2 (01:04):
So if you hear any little noises, it's not doctor
Josie and I it's not dogs. They're not farting, it's
Biggie snorting. Yeah, that's why she brought her dogs. I
didn't bring a pet, so I can't use that excuse.
So today that we have one of your friends who's
a dentist on right.
Speaker 1 (01:21):
Yes, doctor Cindy is going to be here. Really, she's amazing.
I will talk about all things dentistry for cats and dogs.
But before doing so, I thought we would kick it
off with a really great case of the week. Oh okay,
I have a good one. This is what happened. This
was a fun, sort of fun, fun for me, maybe
(01:42):
not for the owner's story. We had a dog come in.
She I think she was like a four year old
Golden Retriever, super cute, one of the classic breeds that
loves to eat things that they shouldn't.
Speaker 3 (01:55):
Ah.
Speaker 1 (01:55):
Yes, And the girlfriend of the owner brought the dog
in and the dog had been profusely vomiting, not wanting
to eat. So we take an X ray and lo
and behold, there is definitely something in her in her
intestines that we have to go in and get out.
It's obstructed, it's not moving. So I explained to the girlfriend, Hey,
(02:17):
we need to do somewhat emergency surgery to get this
object out.
Speaker 2 (02:21):
You couldn't see what the object was on the X ray,
Like there was the one time when you were like,
is that an accordion or not an ad tambourine accordion
a tambourine amine, So you couldn't see what its.
Speaker 1 (02:33):
When it's like a cloth, like a soft tissue structure,
you can't really make it out on X ray. So
a sock can look like underwear, a wash cloth can
look like a towel. It's very hard to tell. But
I knew it was something soft like that. Okay, So
we go in, we get it out, and it's a
pair of black lacy panties. Oh no, and we I
(02:54):
always like to save them and throw them in like
a sterile bag for the owner, just to be like, hey,
this is what your dog likes to eat, like here,
so that they wear them again. Exactly. I don't recommend
wearing them again, but I mean, you do you.
Speaker 2 (03:06):
You do you if you're short on you know, thongs,
here it is, hey, underwh is expensive.
Speaker 1 (03:11):
Underwear are really expensive even though they're very small. You're like,
should I save that? Yeah? Yeah, okay, so you bagged
it up. Yep, we bag it up. At this point,
the dad has now arrived, the owner, and so we
have the girlfriend and the owner sitting in the room.
I come in. I say, all right, you know, we'll
call our Fluffy. Fluffy's doing great. Here is what she
(03:31):
ate And I show them the underwear and the girlfriend
was like, those aren't mine? You know whose are those?
Speaker 3 (03:39):
No?
Speaker 1 (03:40):
Yes, no, And I was like, I'm just gonna moon
walk my way right out of here. I'm just gonna
let you too deal with this. So yeah, I just
you know, I was like, I gotta go. Did you
and ran away? Yeah, I'm not saying for that. Did
you have like do you have cameras in your No?
I wish I would have seen what what all ensued.
I think there was some like yelling coming from the room.
(04:00):
To be honest, it was. It was heated, to say
the least. She had to be in the middle of that. Hey,
she was like, I need my dad to know, or
I need my girlfriend's dad. I don't know. She needed
them to know. She's a truth seeker. Hey, thank goodness
for dogs.
Speaker 2 (04:13):
Okay, Yeah, And what was the atmosphere like when they
walked out of the office.
Speaker 1 (04:17):
That's the part that I don't deal with. They go out,
they pay, they talk to their receptionists. I'm like, my
job here is done. My hands are clean of this.
We have to be a fly on the wall, I know,
but you'd be surprised. There's a lot of veterinarians at
the same story. So, hey, if you're a cheater, watch
out for those ponies laying around.
Speaker 2 (04:34):
Don't have a dog that eats underwear exactly, or don't
be a cheater.
Speaker 1 (04:38):
That's also a really good that's the bottom line. Yes,
don't be a cheater.
Speaker 2 (04:41):
Way, that is a really interesting something I would never
think would happen, is like, that's how your girlfriend finds
out that you're the cheater because.
Speaker 1 (04:49):
Your dog ate the girl's underwear exactly. Unreal.
Speaker 2 (04:52):
Okay, well, hopefully we don't have any questions from fans
that have to do with, you know, their dogs eating
underwear of someone that is not there. But we're going
to get to some listener Q and as. Yeah, let's
do it all right.
Speaker 1 (05:04):
What's up first?
Speaker 3 (05:05):
Hey, doctor Jesse, my cat throws up every few months?
Is this something I should worry about?
Speaker 1 (05:10):
I get this question all the time from owners. Cats
can be This is not a scientific term, but I
say puky like they just like to throw up sort
of randomly. So I had a great mentor that had
this rule of three that she taught me, And what
that means is if your pet is throwing up three
days in a row, three times in one day, or
(05:33):
they have three issues going on at once so they're
throwing up, they have diarrhea, they're not wanting to eat,
then it's like, hey, you need to get them seen.
Otherwise I don't get two worked up about it. If
it's like a just ap, like a little throw up
here or there, it's not the end of the world.
I will say, if your cat like never throws up
and then starts to throw up like once every month
(05:54):
or so, you might want to look into that. But
if they're not meeting that rule of three, I don't
lose too much sleep it.
Speaker 2 (06:00):
Yeah, And I feel for you because we have a
very puky cat at home, and he's fine, he is healthy.
He just usually likes because he has a little area
in our garage where he goes out, and then when
he comes in the house, he's like, oh, you know what,
I'm feeling, like, I have to throw up.
Speaker 1 (06:14):
Now yeah, and then he does yeah, why not right
in the foyer. Oh yeah, yep, with.
Speaker 2 (06:17):
My toddler running around, and I'm like, you stay over here,
do not. But it is a thing like he's We've
had him looked at a bunch of times because I
was in that panic mode too, of like is there something.
Speaker 1 (06:25):
Wrong with him?
Speaker 2 (06:26):
And our vets said the same thing. Obviously, Now we
will bring Murphy to you. Maybe you have something different.
But he just likes to puke.
Speaker 1 (06:34):
Yeah, they puke and they have hair balls. So those
are of those gotta love cats, all right. Do we
have any more questions that we want to listen to? Hey,
doctor Josie, I thought my puppy had all of her
adult teeth, but I just realized that she still has
two baby teeth that haven't fallen out yet. What should
I do? Should you do anything? This is great? This
(06:55):
is on theme because our episode this week is all
about dentistry. This is really common, especially in our small dogs.
We find that, for whatever reason, a lot of times
they'll have baby teeth that don't fall out on their own,
and this can be a huge problem if they don't
if we don't take them out. So if they have
retained baby teeth. We take them out at the time
(07:16):
of their spe or neuter while they're under anesthesia. Okay,
I've seen pets where we didn't catch it or the
owner just elected not to have them taken out, and
it is so gross. They get like hair and food
and like just disgustingness wrapped around those teeth, and they
can get pretty diseased. So yes, you can absolutely do
(07:39):
something about it. We'll take them out at the time
of spae or neuter. So is there an age that
they should have lost all their baby teeth by? Yeah,
typically around six months of age, they have all of
their new adult teeth. These little guys, like are your
keys are maltesees. They can hang on to some baby
teeth about nine months or so, but if they're still
in there around nine nine, especially twelve months, they got
(07:59):
a out.
Speaker 3 (08:00):
Okay.
Speaker 1 (08:00):
Well, good to know.
Speaker 2 (08:01):
And I feel like a lot of those questions that
people have to do with dentistry are going to be
answered in our guest that's on today. Because I had
a dog that always had issues with her teeth, and
I feel like if I had have known some things
prior to getting her. She was a friend Sheie who
just don't have great teeth. Yeah, it probably.
Speaker 1 (08:18):
Would have saved her a lot of dentist trips. Absolutely,
And I'm so excited about our guest today in the
VETS office. We have my friend and my mentor, doctor
Cindy Charlie are joining us. Doctor Cindy is a VET
that was like me in general practice for quite a
while and then she decided to pursue a residency and
(08:41):
become a board certified Canine and Feline veterinary dentist in
oral surgeon. She's really gone on to become the most
saw after dental guru really in the vet world, and
she has spent years going all over the country training
veterinarians about vet dentistry. She taught me everything I know
about vet dentistry, and she has such enthusiasm for the
(09:04):
subject that you know, is amazing and really helps educate
doctors and owners and she's just it's contagious. So I'm
excited to have her here today. Awesome, All right, let's
talk about teeth with doctor Cindy. Hi, doctor Cindy, we
are so excited to have you in the VETS office today.
Speaker 3 (09:25):
Welcome, Thank you, happy to be here.
Speaker 1 (09:29):
I know I mentioned a little bit in my intro,
but doctor Cindy was a general practitioner like I am,
for almost twenty years, and then she decided that she
wanted to be a Board certified veterinary dentist. Can you
explain what exactly that means for the listeners?
Speaker 3 (09:46):
Sure? I always call it my midlife crisis. So what
I realized early in my practice career was that nothing
had a big impact on how my patients felt than
to work in their mouths and eliminate world discomfort. And
so I had an opportunity to become a specialist. Just
like as a person you go to an oncologist or
(10:08):
radiologist or internal medicine specialist, all those specialists exist in
the world of veterinary medicine also, and so I went
back to become a board certified veterinary dentist. So there
are probably about one hundred and sixty of us or
so in the United States, not very many. It's a
(10:29):
relatively new specialty in veterinary medicine. But I went back
and did that because I felt it gave me an
opportunity to really impact patients' care.
Speaker 1 (10:38):
And I think a really interesting thing that listeners may
not know until they listened to this podcast, is that
in veterinary medicine, it's very different than in human medicine.
When pets come to their general practitioner, we really do
what we feel comfortable doing until we're like, this is
maybe above my pay grade. I'm going to send them
to a specialist. So at any given moment, we can
be an ophthalmologistist a cardiologist. What are some of the
(11:03):
things that you typically see that general practitioners are sending
to you rather than doing themselves.
Speaker 3 (11:10):
Yeah, So the greatest thing about being a specialist is
we have an opportunity to triangulate. So it's the veterinary specialist,
it's the general practitioner, it's the owner, and it's the
patient in the middle. So there's three of us putting
our heads together to be as smart as we can
about providing the pet with the best care. So some
of the common cases that I would have referred to
(11:32):
me would be a pet with a fractured tooth for
a root canal, a pet with a oral tumor a
cancerous tumor to have treatment for that, a dog that
got hit by a car that had a fractured jaw,
a hat or kitten that was born with a cleft palate.
Like kids are born with cleft palates, puppies and kittens
(11:53):
are sometimes born with that. Also, patient that may be
a high risk anesthetic patient that the general practitioner isn't
comfortable working on. So those types of cases that are
beyond what the general practitioners coforable working on and often
get referred.
Speaker 1 (12:10):
I think what would be fun to do is, you know,
ICEE patients, Every single day, I'm doing an exam from
toes to nail, toes to nail, nose to tail, uh
and a big part of that is doing a really
good thorough oral exam. So a lot of times we're
talking about dentistry in general practice, and I thought it'd
be kind of fun to role play what I'm hearing
(12:31):
owners say to me on a daily basis and then
hearing what you have to say back. And this is
not to make fun of owners or listeners like this
is it's our job to educate you and you just
don't know what. You just don't know, So that's what
that's what we're here for. So the very number one
thing that I hear when we talk about oral health
and dentistry is you know, doctor Josie, I never brush
(12:54):
my dog's teeth growing up. We never had any issues.
And now you're recommending a teeth cleaning are dental for
my pet and it's so expensive, hundreds of dollars, maybe
one thousand dollars, Like, what is going on here?
Speaker 3 (13:07):
Yeah, so years ago, we really didn't pay much attention
to the mouth. Even when I graduated from veterinary school,
I didn't learn much about dogs and cats and their
teeth and oral discomfort. I learned that dogs and cats
had teeth, but that was about it. So we've got
a lot smarter in veninary medicine as we've gone on,
And what we know now is that oral disease is
(13:27):
a huge source of discomfort and pain for the patients.
And very seldom will you or did I have a
patient come to us or the owner come to us
and say, my dog's mouth is painful, my cat's mouth
is painful. So that hidden source of discomfort is what
we're actor to try to treat before the dogger cat
(13:48):
stops eating. And in order to do that, we have
to put the patients under general anesthesia. Our patients don't
just open their mouths and say, ah, clean my teeth
and do a complete oral exam, so general anesthesia, preoperative
lab work, providing the best pre anesthetic evaluation that we can,
providing monitoring during anesthetic event. All of those things cost
(14:11):
money and require talented people on our team to assist us.
And so yes, doing a dentistry procedure under general anesthesia
can be expensive. But if we make it part of
our pets annual care, if we do an annual procedure,
then that could be less expensive over time. Instead of
ignoring the fact until we get to the point where
(14:31):
the jogger cat isn't eating and they've got a tremendous
amount of discomfort and we have to impove a lot
of their teeth to a lot of oral surgery. That
becomes more expensive.
Speaker 1 (14:42):
Yeah, and I think you know, owners just don't know
on the back end that there's so much that goes on.
It's not just a teeth cleaning like you said, it's
we've got all those nurses that are helping with you know,
getting them ready for surgery and inducing them, intimating them.
It's just like all the things that would happen to
humans the human hospital. So there's a lot of talented
(15:02):
people involved. There's a lot of work that goes on
behind the scenes. And then it's not just a dental cleaning.
We're taking full mouth X rays, which is a huge
diagnostic tool. I'll maybe let you expand on that a
little bit. And you know, cleaning is a kind of
belittling what we do because we use high speed hand
tools to really clean those teeth and then we're probing
them to see is their disease that we can see
(15:24):
with our eye and around the gum line. I mean,
there's a it's quite a process and it's not just
a dental cleaning.
Speaker 3 (15:30):
Yeah, I think the word dental. Historically we've used the
word dental to describe what we're doing, and that totally
under estimates the time, skill, and talent needed to complete
the procedure. So a comprehensive oral and radiographic evaluation under
general anesthetia is probably better wording to describe it to clients.
It's not just getting your dark tea cleaned. It's not
(15:53):
what you think the groomer may or may not be
able to do. There's a lot more to it.
Speaker 1 (16:07):
The other thing that I find the owners signed surprising
is when we have to do oral surgery. So we'll say, hey,
you know, this tooth is fractured, it's disease. I'm going
to extract it. And I think they think, ah, you're
just gonna pluck it right out, And what they don't
realize is like there's a lot of work on the
back ends there. Can you explain us a little bit,
just a quick synopsis of what oral surgery looks like.
Speaker 3 (16:30):
Sure, that's no problem. So the most commonly fractured tooth
and teeth and dogs get fractured way more commonly than
teeth and cats. And the dog, the most commonly fractured
tooth is the upper fourth freemo, which is one of
the major chewing teeth. So as a dog goes to chew,
they put a huge amount of force between their upper
tooth and their lower tooth, and if they chew on
things they shouldn't, and that can be a question we
(16:51):
addressed later, then they can fracture that tooth. And fractured
teeth if they have pulp exposed, which is the nerve
of the tooth, are super painful and the only two
options for how to treat that tooth or to do
oral surgery to remove it or to refer to a
venerary dentist to have a root canunt treatment. Ton and
other teeth that are disease with periodonal disease often need
(17:16):
to be removed. There's a lot of other disease processes
and teeth that cause us to need to do oral surgery.
In dogs. The only time that we can just remove
the tooth or what I call extracted tooth. If the
tooth is super loose, like a little bit of Yorky
it's fourteen years old, that has horrible periodonal disease, that
has all loose insizors. Those the teeth in the front,
(17:39):
sometimes we can just remove those, but the vast majority
of cases we need to do oral surgery. So we
need to open a up the gum tissue, We need
to remove bone. If it's a tooth that has more
than one root, we need to cut the tooth into sections.
We need to take each toothruth out one at a time,
clean out the tooth sockets. Man they say that comes
(18:00):
you flap the clothes over and put futures inside the
mouth that will dissolve with time. So those procedures for
one too sometimes can take us up just thirty minutes
or more for just one of these big teeth in
the dog.
Speaker 1 (18:13):
Yeah, it's not easier, requires a lot of skill and
my brow is sweating sometimes, like it's a lot of
work and it costs money. You can touch on this
a little bit. I think A really a big thing
that I hear owners say often is you know, I
want to do this. I'm just really nervous about putting
my dog under anesthesia or my cat under anesthesia. What
(18:34):
do you say to that.
Speaker 3 (18:35):
You should be I'm always nervous when my dog or
cat has to go under anesthesia too. So the thing
we want to look at is the risk versus the benefits,
And when we're working in the dogger cat's mouth, the
huge benefit is that you can properly diagnose and treat
your dogger cat's oral disease and get rid of any
painful teeth that they may have. So when we're done
(18:57):
with the dentistry and oral surgery procedure, your dog or
cat goes home with a pain free mouth, and that's
one thing that we can count on. So general anesthesia
in dogs and cats and in our patients is the
same as it is with humans. So we go through
a complete evaluation of the patient prior to general anesthesia.
We do preoperative lab work, bloodwork to check kidney and
(19:19):
liver function, make sure they're not anemic. We sometimes may
do a chest X ray. We may ask for an
evaluation from a cardiolosis if there's a heart murmur. So
we do everything we can to make sure that that
patient's properly prepared for anesthesia and we can minimize the risk,
and we know if there's pre existing conditions, how to
adjust our anesthetic protocol. And then we choose drugs that
(19:42):
are based on that individual patient. It's not always a
one size fits all. We use pre medication which has
pain medication in it, and that it's pain medication on
board before we start any kind of painful procedure. Our
patients breathe in gas anesthesia, just like you would if
you went to the hospit for a procedure. They're intubated,
(20:02):
so they're airways protected, and they're monitored by our nurses.
And that monitoring involves lots of different things. It involves
the nurse actually being there to monitor your dog or
your cat while it's under anesthesia, and it also involves
us monitoring their heart rate and rhythm with any kg.
We monitor the amount of oxygen in their red blood
(20:22):
cells with a pulse oximeter. We monitor the amount of
carbon diox they breathe out, and we monitor their blood pressure.
They're on ivy fluids during the whole procedure. They have
patient warming devices that help them keep warm because their
temperature goes down during the procedure. And like I said,
they have a dedicated nurse who's going to monitor their anesthesia.
(20:44):
So we do everything we can to minimize the risk
of our patients under anesthesia. Doctor Josie, both you and
I would be pelling a big fat life. We looked
at our people and said, there's no risks. There's always
some risk, but we do everything we can tip certainly
minimize that.
Speaker 1 (21:01):
Yeah, And the reality is the overwhelming majority, overwhelming majority
do great. And I always think like and you know,
I'll say to the owner, Okay, well if we don't
do anesesia and we do nothing, we never clean your
dog's teeth. I see these pets. They come in, they're ten, eleven, twelve, thirteen,
fifteen years old, and they have teeth that are rotting
out of their mouth. They are We even get something
(21:23):
called too, through abscesses where the infection is so bad
around the root of the tooth that it starts to
come out of their cheek and have draining tracks on
the side of their face. I mean, they are in
what I would have to imagine is probably excruciating discomfort.
And so although there is some risk involved with anesesia,
I think that that greatly outweighs the downside to not
(21:45):
doing it and the discomfort that they potentially would be
going through for years and years not having that dental procedure.
And like you said, we do. I don't think people
realize all the things that we do on the back
end that, just like in human medicin them are monitoring
them so closely. We're doing pre op and postop and
all taking all these measures to make it as safe
(22:06):
as possible.
Speaker 3 (22:07):
Yeah, when I was a younger person, but younger, my
dad taught me that if I had changed the oil
in my car every three or five thousand miles, whatever
it was, then that my car would last longer. And
the same thing goes for your pet's oral healthcare. If
we address the issue when it's minor, and we're addressing
issues when the dog or cat has just ginger itis,
(22:29):
just inflammation of the gum tissue, and we're putting those
patients under anesthesia to evaluate what's going on underneath the
gum line. We're light years ahead than if we wait
and say no, no, no, not a big deal, not
a big deal, not a big deal. And then you
and I are having conversations with pet parents that are yes,
the risk is high, and yes your pet could die,
but we don't have any choice right now because your
(22:51):
pet's not eating. So I really don't, I mean neither
of us like those cases where we're looking clients at
the eye going oooh, and we're thinking, wow, I wish
would have dressed this sooner, because now our anthetic chris
is up higher because now we've got a sick patient
on top of a really badly diseased amount. So I
think that changing the oil in the car is a
(23:12):
way better idea for maintenance than wait until the car
breaks down.
Speaker 1 (23:16):
I'm really good about getting my pet stentals, but I'm
really bad about getting my car oil changed. I probably
gotta work on that, you know. I think this is
an interesting point. You said that you know, when they
come to us and they're not wanting to eat anymore
because they're in so much discomfort that tends to be
fairly rare. I would say pets are so amazing in
(23:40):
the sense that their fight or flight animals like, they
don't oftentimes show us when they're feeling discomfort. Specifically cats,
I find and so a lot of times I'll find
a fractured tooth, or I'll find a tooth with periodonal disease,
and the owner will be like, oh my god, I
had no idea. They're not acting. I don't think they're uncomfortable.
I think they're totally fine. What do you say to that, I.
Speaker 3 (24:01):
Say that dogs and cats can't raise their pawms say
their mouth hurts. We see cases all the time where
if it was us and we fractured a tooth and
had pulplex boths, we've become calling one eight hundred my
favorite sensus in a nanosecond, like we don't even have
to think about it, and anybody out there who's had
a fractured tooth knows what that feels like. So doctor cats,
(24:22):
like you said, doctor Josie, their main thought is to survive,
where you go to the bottom of the pack, so
they a lot of times will even shift how they're chewing.
If they've got a fractured tooth, with puplex bows or
severe periodonal disease or oral masks, they'll shift and chew
on the other side of their mouth. So when we're
doing our thorough oral exam, we may see that on
(24:44):
the side that's painful, there's a lot of calculus or
brown are tartar build up and decide that's not painful.
It is pretty clean because they're chewing on one side.
So I don't know. There's nothing I've done in my
entire career. In my careers a long one that's had
a bigger impact on how my patients feel. And you've
(25:04):
got clients come in after their doughter cat has a
dentistry procedure and they say, oh my gosh, doctor Josie,
I feel so badly that I didn't do this when
you told me last year or the year before, because
now my dog or my cat's a brand new dog.
My dog's acting like a puppy, my cat's not hiding
under the couch. So our pets do everything they can
(25:27):
to mask discomfort, but there's nothing I've done this. It's
had a bigger impact on how my patients feel and
work in their mouth and fix their mouth.
Speaker 1 (25:34):
Yeah, it really has hands down. Probably I mean, I
think you've rubbed off on me a little bit, but
it's definitely one of my favorite parts of my job.
And oftentimes when I'm bringing a pet in for a procedure,
it's a healthy puppy that I'm spaying, and they leave
and they're you know, they're painful and the owner's kind
of dreading it, and or they're getting a tumor removed.
But dentistry is so special in that they're coming in
(25:58):
it's almost immediate gratification. I'm sure they may be sore
for a day a couple days after, but their whole
demeanor and personality can can change night and day with
getting an alcae tooth removed. So it's really, yeah, for sure,
really awesome as a veterinarian to see.
Speaker 3 (26:17):
I had one client come in. This is just to
share a fun story. She came in and I was
doing a two week recheck after I'd done oral surgery
and her cat and her KTT. It's very severe periodonald
disease and we removed a lot of teeth and the
owner was really worried about the procedure and about anesthesia,
and she came in for that recheck and she looked
at me, said doctor Simmy, and I said yeah. She said,
(26:37):
my cat's a different color. And I said what she said,
my cat's a different color? I said, your cat looks
orange to me. Its color was when it came in. No, no, no, like,
my cat's a different color. Well, what had happened was
that the mouth was so painful that had stopped grooming,
and so in fact, in her perception, that cat was
now a different color because the cat had resumed grooming
(26:59):
and taking care herabae coat, and that cat's tall coat
was totally different to that owner.
Speaker 1 (27:03):
It's amazing. I love those stories. It makes it all
worth it, for sure. So what are some things that
owners can be doing at home? And I mean, of
course this does not supplement in getting a dental procedure
done with your veterinarian. But what can they be doing
to improve their pets oral health at home?
Speaker 3 (27:23):
Yeah, yeah, perfect, Let's just talk about a couple of things. Plaque.
So what's plaque? I think is owners, it's important for
you to know what black is. When you wake up
in the morning and you run your tongue across your
teeth and it feels like you have socks on your teeth.
That's plaque. It's clear, you can't see it. You go
in the bathroom and take two brush it goes away. Okay.
So that's awesome when that black goes away and you
(27:44):
feel better about things. But what happens in three to
five days for people and per dogs and cats, that
plaque becomes calculous. That's that hard brown stuff. And once
that hard brown stuff accumulates on their teeth, you can
brush to the cows come home, it's not going to
go away. Okay. So the goal with doing home care
is that in between the anesthetized sedi history procedures that
(28:06):
we're going to do for your pet, we would like
to control that plaque and have it not become that calculus.
So to do that, the best option is to brush
your daughter cass teeth David, And most people look at
me and go, yeah, right, that I'm going to do that.
And the fact of the matter is it's a choice
by the owner on whether you make that a priority
(28:27):
or not. We have a dog, true story, who adopted
him from the Chicago Anti Croulty Society. His name's Crosby
and he was about eight months when we adopted him.
And he has a lot of things that he's not
perfect at, but this one thing he's perfect at. Before
his dinner every night, when we say yet kay, he
comes running into the kitchen to get his teeth brush
(28:48):
because he knows after he gets his teeth brush that
he gets to suck. And so he gets his teeth
brush once once a day. And that's the key with
dogs and cats, is the brush once a day and
make it fun. And you can ask your veterinarians about
how to do that. But it's just like teaching your
dog to sit or your cat to chase the ball.
There's lots of things we ask our pets to do
and teach our pets to do, and brushing teeth is
(29:09):
certainly possible if we make it a priority. We only
need to worry about the outside of the two surfaces.
Their tongue does a pretty good job taking care of
the insie. If you look at me or doctor Josie
and you go, there is no way I'm brushing my
daughter cat's teeth. There's other things you can do. There's diets, treats,
twos water additives that help decrease plaq and or calculus.
When you brush your teeth tonight, pet parents, look at
(29:32):
your toothpaste has the ADA Field acceptance on it. That's
the American Sental Association. There's a group in veterinary medicine
called the Veterinary Oral Health Council VOHC, And if you
go to www dot VOHC dot org, there's a list
of products that have the boh S Field Acceptance and
those products we know do how help decrease plaque and
(29:55):
org calculums.
Speaker 1 (30:05):
So you mentioned earlier that the most common tooth we
see fractured in our dog patients specifically is that big
premolar up top, and a lot of times they fracture
it by chewing on hard things at home. Bones, toys.
What kind of chew toys would you recommend that our
dogs should be playing with at home.
Speaker 3 (30:26):
That's a great question, doctor Josie, And I'm really glad
you asked that because as pet parents, we go into
the pet store, and right in the front bin at
the pet store as we walk in our big huge
knuckle bones and femur bones and pig ears and cow hoofs,
and it says your dog must to these because that's
what they did in the while, when in fact, those
(30:47):
are some of the biggest culprits of causing fractured tea.
So what I tell pet parents is when you go
into the pet store or trying to do your dog
a favor, what you want to do is every single
thing you pick up, you want to say to yourself,
south will this give when my dog two's on it?
Or will it not? If the answer is yep, I
can compress it, yep, it bends, yep, it'll give, then
(31:08):
spend your ten ninety nine. But the answer is no,
it's not going to, then put it right back in
the bin. So things that most commonly cause fractured teeth
in our patients are bones, natural bones, raw hide, bones, figures, cowhos, deer, antlers, rocks.
So if your dogs are rock goes to the bottom
(31:29):
of the lake and picks up rocks and throws them
up on the bank, that's probably not awesome. In addition,
tennis balls can be bad. If they chew on tennis
balls all the time, they won't fracture your dog's seat,
but that outer green surface is really abrasive and they'll
sometimes cause your dogs teeth to wear down, so if
you can bend it or compress it, they can have it.
If you can't put it back out on the shelf.
Speaker 1 (31:49):
That's great. I think that's so helpful. And I know
you mentioned the VOHC, but that website has been so
helpful for me. I have a five year old Chihuahua
at home, and he also was a rescue. He is
a feisty little guy and if I tried to say
dente's and brush his teeth, I'm losing a finger, no
doubt about it. So we do our best. There are
(32:11):
some really great dental chews and additives on that website,
and of course he gets his annual dental procedure with me.
But yeah, not every pet is up for brushing. But
with that said, if you have a puppy or you
have a young dog, desensitizing them and getting them used
to it from the get go is going to save
you so many headaches down the line.
Speaker 3 (32:33):
Yeah. And the other huge advantage to brushing your dogger
cat's teeth is that you're in their mouths every single day,
so you know what's normal and you know that they're
not pulling away from you when you're trying to brush
their teeth. And I've had clients who brush their dogger
cat's teeth every day. And I had a cat mom
call me and say, oh my gosh, I brought brush
(32:55):
Welter's teeth every day, and I want to brush his
teeth today. And he pulled away from me and he's
never done that before, and he came in. They brought
him in and we looked at it. Sure enough, he
had a tooth that was painful for him that we
needed to treat. For a dog that has a discolored tooth,
owners brushing their teeth, it's just like yesterday, this tooth
is white. Today it's not white, it's red. There must
(33:15):
be something wrong, and they get on the phone call
orald tumors. We find one way earlier. So there are
advantages besides just making the teeth look good and delaying
the odset of periodontal disease, of having you in the
pet's mouth on a regular basis.
Speaker 1 (33:32):
Absolutely well, thank you so much for coming on today.
This is such a big part of what I do
every day, and I think it's so important to educate
our listeners and create awareness around it because as you
and I know, it is such a huge part of
our pets health and happiness and comfort, and so there's
really nobody better for us to have here today to
(33:54):
answer these questions. So I really appreciate you coming.
Speaker 3 (33:57):
Yeah, thanks, doctor Josie, Thanks for the opportunity. I'm always
happy to talk to pet parents about teeth and oral healthcare.
It's it's one of my passions. And like I said,
there's nothing that will make a bigger impact on how
your pet feels then to make sure you take care
of their mouth.
Speaker 1 (34:11):
Awesome, Well, thank you so much, you bet all right. Awesome.
Speaker 2 (34:18):
That was so great to get to have doctor Cindy
on here and learn so much. I feel like we
don't often talk a lot about dentistry with our pets,
so it's really really awesome.
Speaker 1 (34:27):
Yeah, it is, and it's so important. I mean, as
you all have learned for their overall health and luckily
for her, doctor Cindy is pretty much retired now. So
if people have questions about their pets oral health, I
recommend talking to your vet and then certainly check out
that Veterinary Oral Health Counsel that we talked about, the VOHC.
(34:49):
You can google that and it'll pop right up. And
it's got lots of great resources to learn about what
you can be doing at home for your animals.
Speaker 2 (34:54):
And she obviously is a close friend of yours two
and like you said your mentor, so you can also
you know, submit your question too and ask doctor Josie
and she can get them to her for sure.
Speaker 1 (35:03):
Absolutely.
Speaker 2 (35:04):
All right, now onto one of my favorite parts of
the show.
Speaker 1 (35:10):
All right, paw and order for this week, numero uno.
I would not put coconut oil on my pet or
in its food. I don't know what is going on
with coconut oil, but it is like skyrocketed. People love it.
Speaker 3 (35:24):
Yeah.
Speaker 1 (35:24):
I feel like there was like maybe three or four
years ago it really.
Speaker 2 (35:28):
Became big and then people kind of, you know, it
was like fizzled off a little bit, and now we're
obsessed with coconut oil again. I love using it. And
I will say my vet, when my friend she had
like a really dry nose, she used to tell me
to put on her nose. So now I'm learning we
should not do that.
Speaker 1 (35:42):
I think it's moisturizing. So if it's like a dry
piece of cartilage like the nose, sure, okay, But when
they have cuts or scrapes. People like just like to
slather it on and it's like an ointment. Yeah, it's
like an ointment. Or if they're like, oh they're coats dry,
I'm gonna rub them in coconut oil and then grease
theme up and they come in and they can like
(36:04):
frying egg on them and I just it clogs their pores.
There's really no like medicinal properties to it. I'm just
I avoid it. It also causes diarrhea if you feed it
to them. So yeah, because I've.
Speaker 2 (36:16):
Seen people like take a heaping spoonful and just they
love it, slap it on there, they love it, So
don't feed it.
Speaker 1 (36:22):
I mean, yeah, there's really no benefit to coconut oil.
Speaker 2 (36:25):
Yeah, other than the fact they're very slippery, exactly greasy
if you want it all over the ay.
Speaker 1 (36:30):
Good to know. Number two. I would absolutely positively not
get pet insurance the day after my pet has an
emergency we or even after the day after they're sick.
This is so important if you are getting a puppy
or adopting a dog, get pet insurance right away. Right
the second they have an ear infection, they're vomiting, they
(36:50):
have diarrhea that becomes a pre existing condition, and the
insurance companies will not cover. Yeah, it's just like insurance
for people. Yeah, like you can't do that. Just like
and I have owners coming in being like, can you
just leave this out of the medical note, like basically
asking me to commit insurance fraud. And I'm like, I
love you guys so much. You're like no, but this
is one boundary I will not cross.
Speaker 2 (37:10):
And honestly, I was that person that wished I had
have just, you know, like done it and gotten peture,
got pet insurance from the beginning, right because I had
a Frenchy Boston mix and like they are prone to
having health issues. But I was like, I'm not gonna
need it, so I didn't. And let me tell you,
I really wish I had have had some pet insurance.
Speaker 1 (37:29):
Yes, it's it's really come a long way, and it's
so important. I mean, veterinary medicine, the diagnostics, all the
things that we do can really add up and be expensive,
especially if it's an emergency. So get pet insurance right away.
It is absolutely positively worth it.
Speaker 2 (37:44):
Yes, I am saying do it for yourself because it
will save you in the long run.
Speaker 1 (37:49):
It will all right, what else we got on here.
Speaker 2 (37:50):
Uh.
Speaker 1 (37:51):
Last, but not least, I would not feed my pets
out of a plastic football. A lot of people get
in trouble today. A lot of people don't realize this.
It's not the end of the world. But I see
a lot of my patients come in with chin acne.
So they have like acne just like you and I,
little red pimples and irritation on their chin. And it's
because plastic and ceramic bowls tend to it's a great
(38:14):
place for that bacteria to grow. So stainless steel tends
to be a little bit better for that. And even still,
I would wash your pets food bowls two to three
times a week. They're just like us. They need to
have clean surfaces to eat off of, and it keeps
them from getting sick. And nobody wants chin pimples.
Speaker 2 (38:32):
Oh. I feel like my dear sweet Phoebe, who's up
above right now looking down at us, is like you
could have saved me from all those years of acne, mom,
And like no one has ever told me that. Like she,
I always would keep her bowl clean. But she's a frenchie,
so she's like getting right in there right the dishes,
so yeah, yeah, you don't realize that would be really
nice to know.
Speaker 1 (38:52):
That's why we're here. Nat, thank you for helping me.
Speaker 2 (38:55):
And future puppy that I get and you bring years
in right now is make me want to get one
right now. But stainless steel, I feel like it's also
just like humans, like, using plastics really aren't great for
us or anybody, so stainless steel is the way to go.
What about the glass like ceramic ones, I.
Speaker 1 (39:12):
It really for me, stainless deal is the best. Then
if you need to go to glass, ceramic and then
last not leads to the plastic, but stainless stale far
and aways the best. Okay, cool, good to know.
Speaker 2 (39:20):
Well, I really hope you enjoyed today's episode and any questions,
like I said, you can ask if you have it
about dentistry or anything to do with your pets, you
can ask doctor Josie in our show notes. You can
just submit your questions.
Speaker 1 (39:32):
Yeah, or follow me on Instagram. Feel free to dm
me It's at doctor Josie Vett. And then we're a
brand new podcast, y'all. We need all the likes we
can get, so definitely like us. Leave us any feedback
you have anywhere that you listen to podcasts, We appreciate it.
All right, we'll see you next week.
Speaker 2 (40:01):
She
Popular Podcasts
1. Stuff You Missed in History Class
Join Holly and Tracy as they bring you the greatest and strangest Stuff You Missed In History Class in this podcast by iHeartRadio.
2. Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations.
3. Crime Junkie
If you can never get enough true crime... Congratulations, you’ve found your people.