Friday, May 3, 2013

Bite (Occlusal) Evaluation in cats and dogs

Do you know the normal number of teeth in cats and dogs?
To evaluate the bite and to determine if it is right, you should know the correct number of teeth and thier normal alignmant.  The number of teeth and the correct alignment is discussed below.

Normal Bite in Dogs
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Normal scissors bite; upper incisors overlap
lower incisors (front view).

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Normal scissors bite; lower canine fits between
upper third incisor and the upper canine.  Also
notice the interdigitation of upper and lower
premolar teeth (side view).

Normal Bite in Cats
Cats are carnivores like dogs. Their normal occlusion is similar to dogs with significant differences.  The upper and lower incisor teeth normally align similar to dogs, with the upper incisors slightly overlapping the lower incisors.  In some breeds the incisors align tip to tip (or level).  This is sometimes referred to as a "level bite".  Notice in the photo below that the lower canines align similar to dogs with the lower canine between the upper canine and the upper third incisor.  This is viewed from the front rather than from the side as in dogs.

 
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Cat with normal bite; upper incisors just overlap
the lower incisors (also with periodontal disease).

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Same cat as above with normal premolar relationship
(and with severe periodontal disease).  The upper
premolars interdigitate with the lower premolars as in dogs.

The upper maxilla (jaw) is slightly wider than the lower
mandible (jaw).  This alignment allows the shearing of
food.  All of cat's teeth have pointed tooth crowns.


Abnormal occlusions are abnormal bites
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Persistent lower canines or "mixed dentition"
Never "wait" to remove the primary teeth!

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Persistant upper canine and incisor teeth in a
"mixed dentition".  Dr. Kressin removed these
primary teeth and the supernumerary upper
fourth premolar teeth!

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Harry Potter front view.  Harry has a malocclusion. 
Both jaws are shorter than normal and the right
mandible (lower jaw) is longer than the left mandible.



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Harry Potter left side view.



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Harry Potter right side view.



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Harry Potter front view of the bite.
Left mandible (jaw) is shorter than the right.
The left lower primary (baby) canine tooth
"locks" with the left upper primary canine tooth.
The left jaw has stopped growing forward and is
shorter than normal.  The right lower jaw is also
shorter than normal but longer than the left side.
This is called "wry" bite.


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Notice three of the four primary canine teeth
have failed to exfoliate (fall out).  This results
in misalignment of the canine teeth.



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This view from the underside of Harry Potter demonstrates the "crooked" or
"wry" alignment of the lower mandibles (jaws).  Dr. Kressin recommends the
removal of the primary teeth when the secondary teeth are erupting to help
avoid the interlock of teeth. 

After the primary teeth have been extracted, the jaw length discrepancy may normalize.  If trauma persists from the malocclusion, crown reduction with vital pulpotomy and pulp capping or dental extractions are viable treatment options.
Remember we want to provide a comfortable bite.

Dogs have teeth too and it is useful to know the correct number and alignment of teeth!


Puppies have 28 teeth and adult dogs normally have 42 teeth (dental chart).  It is very important to monitor the transition from the primary (baby) dentition to the secondary (adult) dentition.  During this transition period, the dentition is called a "mixed dentition" (see photos above).  Abnormal bites (malocclusions) can develop as a result of failure or slow exfoliation (loss) of the primary teeth or failure or slow eruption of the secondary teeth.  Abnormalities of this transition from the primary to the secondary teeth can result in minor or major malocclusion that may be potentially painful for these dogs.  The primary teeth need to be removed immediately in an attempt to avoid the development of malocclusions!  To perform these procedures appropriately, dental radiographs are required.

Cats have Teeth too and it is useful to know the correct number and alignment of teeth!
Kittens normally have 26 teeth and adult cats have 30 teeth (dental chart).  The transition from the primary (baby) teeth to the secondary (adult) teeth is quicker in cats than in dogs. Our clinical experience of malocclusions is significantly lower in cats than in dogs however malocclusions do occur in cats.  These abnormal occlusions (bites) can result in problems for cats.  Teeth hitting teeth or soft tissues can be uncomfortable.

The question is whether the bite is right!
The bite is right when it is normal.  The "scissors bite" refers to the normal relationship between the upper and lower teeth.  This is also called the normal occlusion.  The upper incisors overlap the lower incisors when the mouth is closed (top photo).  The lower incisor crown tips rest on the inside cingulum of the opposing upper incisor teeth.  The lower canine teeth fit in between the upper third incisor and the upper canine without touching either of them with the mouth closed.  In viewing the teeth from the side with the mouth closed, the premolar teeth of the upper and lower dental arcades interdigitate very much like the teeth of a "sheers scissors" (see photo above).  Additionally; the upper fourth premolar tooth, overlaps the lower first molar tooth.  These teeth function to tear food apart when chewing.  These teeth are frequently referred to as carnasial teeth and are often injured (fractured) when very hard objects are chewed by dogs.  We recommend prevention of chewing hard objects in an attempt to avoid fractured teeth!

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