Periodontal disease affects over 80% of dogs over three years old yet remains one of the most under-treated sources of chronic pain in companion animals, largely because dogs mask dental discomfort.
Chronic dental pain in dogs is a hidden welfare epidemic. Dogs that continue eating normally may have severe periodontal disease causing constant background discomfort. Owners frequently discover the extent of their dog's pain only retrospectively - when their dog's personality improves dramatically after dental treatment. The welfare case for routine professional dental cleanings and daily tooth brushing is strong. Anesthesia concerns are real but manageable with pre-anesthetic screening and modern protocols, and should not prevent necessary dental care.