Dental disease is the most common thing we find, and the most treatable

By three years old most dogs and cats have something worth grading. The grade decides everything that follows: grade two is a clean, grade four is usually an extraction, and about eighteen months of waiting is what separates them.

4grades, and two of them need surgery

A vet examining a dog's back teeth with a dental mirror under a bright lamp

What happens

  1. The grade, awake

    Every consult includes a grade. It takes a minute and gives you the number that decides whether this is a watching brief or a booking.

    A gloved hand lifting a cat's lip to expose the gum line and premolars
  2. Full mouth radiographs

    Two thirds of a tooth sits below the gum. The dental suite at Canning Vale has its own radiography unit, and the films are what keep a healthy-looking tooth over an abscessed root from being left in place.

    A dental radiograph on a screen beside a veterinary dental unit
  3. Scale and polish

    Ultrasonic scaling above and below the gum line, then a polish, under anaesthetic with a nurse monitoring throughout. The polish is what slows the next lot of plaque down.

    An ultrasonic dental scaler being used on an anaesthetised dog's canine tooth
  4. Extractions when a tooth is past saving

    Nerve blocks before, sutured sockets after, and pain relief for five days. Animals eat that evening far more often than owners expect.

    A veterinary dental instrument tray laid out on a sterile drape
  5. Keeping it away

    Daily brushing is the one thing with strong evidence behind it. Dental diets and chews help, and water additives do very little.

    An owner brushing a labrador's teeth with a soft veterinary brush

Only on this page

The grading chart our vets use

Written at Canning Vale and used across all six hospitals, so a grade two recorded in Joondalup means the same thing in Rockingham next year.

GradeWhat it looks likeWhat it takes to fixWhat happens if it waits
0Clean crown, pink gum, no odourBrushing at homeStays at zero with daily brushing
1Mild tartar at the gum line, no rednessBrushing and a dental dietReaches grade 2 in about a year
2Tartar with a red gum margin, some odourScale and polish, extractions unlikelyBone loss starts, and bone loss is permanent
3Heavy tartar, receding gum, loose attachmentScale plus radiographs plus likely extractionsRoots abscess, and the animal eats on one side
4Exposed roots, mobile teeth, strong odourMultiple extractions under a longer anaestheticChronic pain the animal shows in almost no way you would notice

The grade recorded at the last visit is on your reminder email, so you can see whether it moved.

What it costs

From $620scale and polish

Extractions are quoted from the radiographs on the day, and we call you before doing them.

All consult fees

Questions we get asked

Why does it need an anaesthetic?

The two thirds of the tooth that matters sits below the gum, and an awake animal will hold still for neither a probe nor a radiograph. An anaesthetic-free clean tidies the visible crown and leaves the disease behind it.

How risky is the anaesthetic for an older cat?

Bloods first, fluids throughout, a warmed table and a nurse whose only job is the monitor. For most older cats, leaving an abscessed tooth is the larger risk.

Will my pet manage with teeth removed?

Cats with a full-mouth extraction eat dry food within a fortnight. Removing a painful tooth is the change owners notice most, usually inside a week.

How much will it be?

The scale and polish is a known figure. Extractions are quoted from the radiographs while the animal is under, and we telephone you before starting them.

Do dental chews work?

The ones carrying the veterinary dental council seal reduce tartar measurably. They sit well behind brushing and well ahead of doing nothing.

How often is a clean needed?

Some dogs go five years between cleans and some small breeds need one every eighteen months. The grade at each annual check tells you which one you have.

Book dental care

Available at Fremantle, Subiaco, Joondalup, Midland, Canning Vale, Rockingham.