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This bacteria buildup in plaque causes gingival inflammation and indirectly stimulates activation of the host immune system. [11] Severe gingivitis in dogs can further advance into periodontal disease in which the periodontal tissues begin to degrade and, if left untreated, can lead to tooth loss. [11]
Plaque and calculus deposits are a major etiological factor in the development and progression of oral disease. An important part of the scope of practice of a dental hygienist is the removal of plaque and calculus deposits. This is achieved through the use of specifically designed instruments for debridement of tooth surfaces.
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Gingivitis due to plaque can be reversible by removal of the plaque. However, if left for an extended period of time, the inflammation may begin to affect the supporting tissues, in a progression referred to as periodontitis. [24]: 96–97 The gingivitis response is a protective mechanism, averting periodontitis in many cases.
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The devocalization procedure does not take away a dog's ability to bark. Dogs will normally bark just as much as before the procedure. After the procedure, the sound will be softer, typically about half as loud as before, or less, and it is not as sharp or piercing. [3] Most devocalized dogs have a subdued "husky" bark, audible up to 20 metres. [4]
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