Periodontal disease affects the majority of adult dogs and causes chronic oral pain that significantly affects quality of life if untreated.
Chronic dental disease causes continuous oral pain that affects eating, behavior, and quality of life. Dogs with significant periodontal disease may be reluctant to chew hard food, show food dropping, facial pain on palpation, and behavioral changes like reduced playfulness. Because dogs rarely vocalize dental pain, owners often don't recognize the suffering until teeth are extracted - after which owners frequently report dramatic behavioral improvements indicating prior chronic discomfort.