What a Dental Actually Involves, and Why It Isn't Cosmetic
A pet dental is easy to mentally file under grooming, but the disease underneath the visible tartar is the part that actually matters.
September 10, 2026 · 3 min read

"Does my dog really need a dental?" is one of the questions we hear most at Bethany Animal Hospital, usually from an owner who's looked at the tartar on their pet's back teeth and assumed this is mostly about appearance. It isn't. Dentistry is one of our core diagnostic and treatment services because what's happening below the gumline matters far more than what you can see above it.
Why 'Just a Cleaning' Undersells It
Periodontal disease is one of the most common conditions seen in adult dogs and cats, and it starts with plaque that hardens into tartar along and under the gumline. Left alone, that buildup irritates and eventually damages the gum tissue and the bone holding each tooth in place. A pet can be eating normally and still be dealing with a fair amount of discomfort, because animals are good at not showing pain in their mouths. That's exactly why a dental isn't optional maintenance, it's treatment for a real disease process that's already underway by the time tartar is visible.
It's a slow process, which is part of what makes it easy to overlook. A dog or cat doesn't wake up one day with periodontal disease, it builds gradually over months and years of normal chewing and normal plaque formation, the same way it would in a person who never saw a dentist. The difference is that a pet can't tell you their mouth hurts, and most won't stop eating just because chewing has become uncomfortable. By the time an owner notices a real change in behavior, the disease underneath has usually had a long head start.
What Happens During a Pet's Dental
A proper dental goes further than what you'd notice from the outside. Our dentistry service includes a full examination of the mouth, cleaning above and below the gumline where the real disease lives, and digital radiographs when we need to see what's happening at the root, since a tooth can look fine on the surface and still have a problem underneath. That combination, a hands on exam paired with imaging, is what tells us whether a tooth just needs cleaning or needs more than that.
Why an Anesthesia-Free Cleaning Isn't the Same Thing
You may have come across anesthesia-free dental cleanings advertised somewhere, and it's worth understanding why we don't consider that equivalent to a full dental. Scraping visible tartar off the crown of a tooth can make a mouth look better without addressing what's happening beneath the gumline, which is exactly where periodontal disease actually lives. A pet also has to hold still and tolerate a dental probe going under the gum tissue for that part of the exam to happen safely and thoroughly, which isn't realistic while they're awake. It's a big part of why we treat dentistry as a real procedure with real oversight, not a quick cosmetic pass.
Signs Owners Notice at Home
- Breath that's noticeably worse than usual
- Yellow or brown buildup along the gumline
- Drooling more than normal, or dropping food while eating
- Pawing at the mouth or face
- Reluctance to chew on one side, or favoring soft food
Why We Don't Treat It as Cosmetic
Bad breath is usually the most obvious sign of a disease that has already progressed. We'd rather address it while it's still manageable than wait until a tooth is causing real pain or has to come out. If you've noticed any of the signs above, or it's simply been a while since your pet's teeth were checked, we're happy to take a look at your pet's next visit and tell you honestly whether a dental makes sense right now.
We also don't treat every dental the same way. A younger dog with mild tartar and a senior cat with more advanced gum recession are dealing with different stages of the same disease, and what each of them needs looks different too. Part of the exam before we ever schedule anything is figuring out where your specific pet actually stands, so you're never being asked to commit to more than what your pet's mouth actually calls for.
Call our office at (815) 239-6938 to ask about your pet's dental health or to schedule an exam. For a quick question by text, our text only line is (815) 991-4556.
Bethany Animal Hospital, (815) 239-6938
Call (815) 239-6938More articles
Heartworm and Tick Prevention for DeKalb County Pets
Mosquito season and tick season both run longer than most Sycamore pet owners expect, and prevention only works if it's kept up all year.
Senior Pet Care: Why We Check Blood Work Twice a Year
A senior dog or cat can change more in six months than a younger one does in a full year, which is the whole reason our senior visits happen twice as often.