Periodontal disease is the most common disease in dogs over three years old and a major source of chronic, unrecognised pain.
Dental disease causes chronic pain from gum inflammation, root exposure, and tooth resorption that dogs rarely show overtly due to their stoic nature. The systemic effects of chronic periodontal bacteria entering the bloodstream may accelerate kidney and cardiac disease. Regular dental home care from puppyhood dramatically reduces disease burden throughout a dog's life. Owner education about dental disease prevalence and home care implementation is the most important preventive welfare intervention available to veterinarians and the pet industry.