Dentistry Service

Periodontal Surgery

WAVES HOSPITAL

Periodontal Disease

Periodontal disease is the most common infectious disease affecting dogs and cats in the world. In fact, 85% of pets over 3 years of age suffer from periodontal disease. The word periodontal means “around the tooth”. The periodontal tissues are the gingiva, the periodontal ligament, the cementum and the alveolar bone. Periodontal disease can be limited to the gingiva or can extend to deeper layers to cause periodontitis (bone loss).

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Periodontal Disease

Periodontal disease is the response from your immune system to the accumulation of plaque on the tooth surfaces. Plaque is a mixture of food particles, saliva and bacteria. This material attaches to the surface of the teeth and needs to be removed mechanically (e.g. brushing of the teeth and chewing). If it is not removed, it will mineralise to form calculus (tartar) which cannot be removed with a toothbrush. Calculus is not periodontal disease on its own, but is rather a ‘red flag’ for the existence of periodontal disease. It is the bacteria in plaque that triggers an immune response leading to tissue damage.

Similar to us, cats and dogs continuously accumulate dental plaque and calculus and can eventually develop gingivitis. The gums become inflamed and bleed easily. After prolonged periods of untreated gingivitis, the oral barrier breaks down and the deeper supporting tissues of the teeth such as bone and periodontal ligament are damaged and even destroyed (periodontitis). Gingivitis can be noted during an oral examination however the diagnosis of the presence, severity and extent of periodontitis requires dental radiographs and periodontal probing under anaesthesia.

If teeth with end-stage periodontitis are not treated in time, the bone destruction can extend beyond the tooth roots into surrounding structures. Periodontitis can extend into the nasal cavity causing sneezing when material from the mouth enters the nose, or into the eye socket, causing visible swelling around or behind the eye. It can even weaken the mandibular bone to the point of causing a pathological jaw fracture. This is most common in older small breed dogs. The end-stage of this disease is tooth loss, however, the disease has caused problems for a pet well before this.

Periodontal disease can be painful. However, it is rare that our pets will show obvious signs of oral discomfort. Once the condition is treated, many owners report that their pet is happier and more playful and even less fussy with food.

In addition to pain, bacterial toxins and inflammatory products from our pet’s own immune systems are released into the bloodstream and can damage the heart, liver and kidneys.

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TREATMENT

Treating Periodontal Disease

Treating periodontal disease often involves more than removing plaque and calculus. Dental prophylaxis (‘teeth cleaning’) is an appropriate treatment on its own when the patient does not have periodontitis and no other treatment is necessary. This determination requires dental radiographs and periodontal probing which does require a general anaesthetic. Simply performing teeth cleaning without looking for and treating any underlying disease is of little to no benefit and can even be harmful.

When periodontal disease is diagnosed, treatment involves safely cleaning the tooth roots and restoring the oral barrier. This is achieved through several types of procedures, including root planning, tissue grafting and surgical closure of sites of periodontal disease.

We assess every tooth on a case-by-case basis and in addition to other factors such as:

  • Will daily dental home care be easy to perform on your pet?
  • How motivated and capable are you to provide this home care?
  • Is it in your pet’s best interest to receive multiple anaesthetics to solve this ongoing and progressive problem?

When periodontal disease is advanced, tooth extraction may, at times, be the only option to restore your pet’s mouth to a functional and pain-free state.

Following treatment of periodontal disease, or before it develops, beginning a daily dental home care routine, which includes tooth brushing helps to maintain good oral health, though routine professional veterinary treatment is still necessary.

Our aim is to help you keep your pet’s mouth healthy, comfortable and functional for their lifetime.

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OUR DENTISTRY TEAM

Meet Our Dentistry Team

Brace yourself. We are a team like no other. No fill-ins or tooth faries here, just vets who like the tooth, the whole tooth and nothing but the tooth. Our patients can't read our plaques. Molar bears, vampurrs and canines, we'll treat them all. A functional, pain-free mouth for your pet is our floss-ophy. You know the drill.... click on the link and check us out...let's see if we can get to the root of your pet's problems. It might just be love at first bite.

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CONFERENCE SPEAKERS

 

Dr Rebecca Nilsen BSc BVMS (Hons) MANZCVS (Small Animal Dentistry and Oral Surgery) President Australian Veterinary Dental Society

Dr Rebecca Nilsen owns and operates The Smiling Pet Veterinary Dental Services and WAVES Dentistry. Rebecca graduated from Murdoch University in 2012, working in general practice and emergency medicine. It was during this time that Rebecca noted a need for improvement in veterinary dental care and in 2018 completed her memberships in Small Animal Dentistry and Oral Surgery with the Australian and New Zealand College of Veterinary Scientists. Since 2018 Rebecca has worked exclusively in dentistry as a referral vet for more than 160 clinics in Perth and regional areas. Rebecca practices with the ethos that every animal deserves a pain free mouth. When not at work Rebecca enjoys spending time at the beach with her loveable rescue dog Libby, and catching up with family and friends.

Dr Liv Oginska DVM MRCVS PGCert SAS MAPP

Dr Liv Oginska is a veterinarian, keynote speaker, positive psychology coach, a certified workplace conflict mediator and an emotional intelligence specialist who' 'speaks Human'. For the last 4 years, Liv devoted her veterinary career to supporting both individuals and teams (especially leaders) in becoming more human-savvy. The human-savvy work focuses on helping veterinary and medical professionals create psychologically safe organisations, as well as
sustainable and thriving careers. Liv graduated as a veterinarian from the University of Poland in 2010, worked as a veterinarian in multiple countries in Europe, Australia and North America, and she gained experience and credentials in positive psychology, emotional intelligence and conflict mediation in Cambridge, UK.

Currently, she teaches emotional intelligence at Murdoch University Vet School in Perth, Australia, and she pursues PhD in the topic of emotional competencies among veterinary teams and leaders.

Dr Meng Siak BVMS MANZCVS (Canine Medicine) FANZCVS (Veterinary Dermatology)

Dr Meng Siak graduated from Murdoch University in 2006. He spent a year in private practice before returning to Perth to complete an internship and then residency in Veterinary Dermatology. In 2014, he passed the examinations to become a Specialist Veterinary Dermatologist with the Australian and New Zealand College of Veterinary Scientists (ANZCVS). In 2018, Meng established WAVES dermatology, reconnecting with former colleagues and friends. WAVES Dermatology has since grown to a very busy clinic equipped with the latest equipment including carbon dioxide laser, video-otoscopy and photo biomodulation.

Meng has special interests in resistant bacteria, having published the first paper on MRSP affecting dogs in Australia back in 2012. He continues to update himself on the latest on MRSP and will be doing a follow up research paper on MRSP affecting pets in WA in 2025/2026.

He enjoys sharing his love for all things related veterinary dermatology and has lectured locally, nationally and internationally.

Outside work, he enjoys spending time with his young family and waiting for Spurs or Dockers to win a trophy.

Christie Boucher

With 25 years of experience in education, Christie commenced her career as a secondary school health and physical education teacher. Over the past 20 years, her professional focus has centred on creating and implementing risk management education resources and programs tailored for diverse professional audiences. Christie possesses a keen interest in the role that education plays in risk management by contributing to heightened awareness and behavioural change. Christie is the Risk Services Manager at Guild Insurance.

Dr Paul Davey OAM BSc BVMS

Dr Paul Davey graduated from Murdoch University Vet School in 1992, and has spent over 30 years in small animal practice. He has been a partner in 5 small animal veterinary clinics, and is currently a Clinical Director and Chair of the Clinical Advisory Committee for CVS Vets Australia. He remains connected to Murdoch as a Banksia Association Member, and Senior Adjunct Lecturer in Professional Practice. He was President of the WA Division of the AVA in 2011 and 2013 and prior to that was heavily involved in Graduate Support Programs and Mental Health Initiatives for which he received an Order of Australia Medal. In December 2021 he was elected to the Veterinary Surgeon’s Board, and in July 2022 was selected as the first official member of the new Veterinary Practice Board of WA. Paul is passionate about supporting veterinarians throughout their careers, and is very excited to be part of this terrific program.

Dr Jonathan Wood BVSc GP Cert (Ophthal) MRCVS MANZCVS (Small Animal Medicine)

Dr Jonathan Wood graduated from Sydney University in 2006 and travelled to the United Kingdom shortly after graduation. Jonathan worked as a small animal vet in the UK in a busy mixed practice on the Isle of Wight. Since referral practices were on the mainland, he set about learning as much about ophthalmology as he could. In 2011, he passed a post-graduate examination in Veterinary Ophthalmology.

In 2012, Jonathan returned to Australia, settled in Western Australia, and has been involved in ophthalmology since then.

Jonathan joined Perth Animal Eye Hospital in 2021, completing a residency in Veterinary Ophthalmology. In 2023, he was admitted as a member of the Australian and New Zealand College of Veterinary Scientists after passing the Small Animal Medicine examination. He has a keen interest in retinal diseases and the management of glaucoma.

Jonathan currently works at Perth Animal Eye Hospital as an Ophthalmology Registrar

Dr Ellie Drynan BVSc MANZCVS DACVAA

Dr Ellie Drynan graduated from the University of Sydney in 2002. Following graduation she worked in both mixed and small animal practice in Melbourne, London and then back here in Perth. In 2007 she commenced an anaesthesia residency at Murdoch University and in 2013 obtained her Diplomate of Anaesthesia and Analgesia. In 2017 she joined the WAVES family providing an anaesthesia service for all animals but particularly for the critically-ill patients.

Dr Katrin Swindells BVSc MANZCVS DACVECC

Katrin is a 1994 Sydney University graduate who spent three years in small animal practice before finding that emergency work was her vocation. In 2001, she started a residency at Murdoch University, became a Diplomate of the American College of Veterinary Emergency and Critical Care in 2006 and then spent five years in academia at Murdoch.

Katrin is a director of WAVES and has worked there as a criticalist since opening in 2013. She remains fascinated by all aspects of ECC and is passionate about helping the veterinarians, interns and residents who work with her, develop their emergency and critical care skills in a supportive environment. She is also committed to providing advice and support to the profession on their difficult cases.

Katrin has three children (two of whom are adults) and a very supportive husband who was essential to making everything possible.

Dr Luke Bradley BSc DVM MANZCVS (Avian Medicine and Surgery, Unusual Pets)

Dr Luke is a special interest Exotic Veterinarian with memberships in both Avian Medicine and Surgery and Unusual Pets, who graduated from the University of Melbourne in 2018. Since graduating Dr Luke has been working for the Unusual Pet Vets in Perth where he is now the Vet Manager at the Murdoch clinic.

Dr Luke grew up with a menagerie of Birds and Reptiles and going down the exotic's pathway was always going to be the only way. If he is not working, then you are most likely to find him working away on his hobby farm amongst the variety of animals and fruit trees in his orchard.

Dr Nicole Lobry de Bruyn BSc BVMS MANZCVS (Feline medicine and Animal Behaviour) 

With over 30 years’ experience as a vet in private practice Dr Nicole is one of the most highly qualified Animal Behaviour Veterinarians in Western Australia. She is one of only a handful of veterinarians in Perth with the highly respected membership in Veterinary Behaviour MANZCVS obtained through examination. 

Nicole helps pass on this passion through the teaching of Animal Behaviour (all species) to undergraduate vet students at Murdoch University.

Nicole is a member of the Australian Veterinary Association and the special interest group in Animal Behaviour. She is also a certified Fear Free Professional.

Dr Nicole can assist clients with any behavioural problem they may be experiencing with their companion animal - canine or feline. She follows the latest scientific approach, relies on a positive communication style with her patients and clients and will work to find the best outcome.

Dr William Gow BSc BVMS DVSc DipACVP (Clin Path) 

Dr William Gow graduated from Murdoch University with a Bachelor of Science, and a Bachelor of Veterinary Medicine and Surgery in 2009. After this, he went on to work in a small animal general practice in Perth, WA, for two years.

William commenced his residency in Veterinary Clinical Pathology in 2012 at the Ontario Veterinary College, University of Guelph in Canada. He also completed a research project and written thesis investigating circulating microRNA profiles in dogs with multicentric lymphoma and was awarded a Doctor of Veterinary Science (DVSc) degree. In 2015, William joined IDEXX as a Clinical Pathologist after completing his residency. In 2018, William achieved his board certification for Clinical Pathology with the American College of Veterinary Pathologists (ACVP).

William’s areas of professional interest include cytopathology, haematopathology and bone marrow pathology, including haematopoietic neoplasms. He also enjoys helping clients with complicated cases.

Dr Zoe Devine BSc BVMS MANZCVS (Veterinary Behaviour)

Dr Zoe developed her passion for behavioural medicine early in her career, as she believes the mental well-being of an animal is just as important as the physical. Since graduating from Murdoch University in 2017, she has worked in several clinics, including interstate, to refine her skills in treating both physical and mental diseases in all species.

Dr Zoe holds her membership to the ANZCVS in Veterinary Behaviour, which she obtained in 2022. She was awarded the Robert Jones Award for the highest mark achieved in that year. She is also a Fear Free Certified Professional. Continuing education is important to Zoe, and she has presented on the topic of fear-free handling and other behavioural topics to a number of student and industry groups.

Zoe enjoys the complexities and nuances of behavioural medicine. The human-animal bond is a focus for Zoe and is front of mind within her tailored treatment plans. A holistic approach is implemented, engaging the family unit plus other industry professionals such as vets, vet nurses, trainers, other specialty centres or pet physiotherapists to assist with the behavioural problem

Dr Timothy Foo BSc BVMS MANZCVS (Radiology) MVetStud DipECVDI

Born and raised in Sarawak, Malaysia, Tim made the move to Perth in 2005 before earning his veterinary degree from Murdoch University in 2010. After four years in general practice, his passion for diagnostic imaging led him to the University of Sydney Veterinary Teaching Hospital, where he completed a 4-year residency and achieved board certification in diagnostic imaging in 2019. Sydney wasn't just a career milestone - it was also where Tim met his wonderful wife, the greatest highlight of his time there. 

Swapping Sydney's humidity for Perth's sun-drenched coastline was an easy decision, and Tim joined WAVES in 2019. Tim is focused on expanding WAVES' services and fostering a strong and compassionate imaging team - one that values empathy, patient care and collaboration to ensure the best possible outcomes for every pet. 

Amanda Clews RVN Cert. VNES, TAE

Amanda graduated from Applied Vocational Training in 2006 - She started in small animal practice to build her skills and knowledge whilst also working casually in an Emergency & Critical Care clinic. She joined The Amanda graduated from Applied Vocational Training in 2006 and started her career in small animal practice, gaining valuable experience in Emergency & Critical Care.

In 2016, she joined The Unusual Pet Vets and earned the City & Guilds Nursing of Exotic Species certification in 2017. Since 2018, Amanda has been managing the Murdoch team, she most enjoys managing patients in with emergency & critical care presentations and medical management & treatment for exotic species.

At home, Amanda is surrounded by a diverse range of pets, including a cockatiel, a rainbow lorikeet, two bobtail lizards, two jumping spiders, two badumna spiders and a border collie.

Claire Deamer RVN APVN (AHMW) DipVNZS 

Claire is a dedicated registered veterinary nurse in Perth, Western Australia, who began her veterinary career in 2003 while still at school, working in small animal general practice. Over the years, she has gained experience in various settings, including a university teaching hospital, a pet crematorium, and an emergency center.

She joined The Unusual Pet Vets in 2017 and soon earned her Diploma in Exotic Animal Nursing. Recently, she has embraced her new role as Perth Nursing Trainer for UPV.

Outside of work, Claire enjoys life in the Perth Hills with her husband, three kids, three dogs, one cat, two cockatiels, seven chickens, three emus, a woma python, a tarantula, and a horse. 

Kara Airey Cert IV RVN CCRVN HCert Bus.,Fear Free (TM) Certified

Kara spent the first 15 years of her career as a specialist surgical vet nurse in Perth and in Dublin, Ireland.  Through these roles her passion for caring for patients during their post operative recovery led her to further studies in veterinary rehabilitation.  She returned to Perth in 2022, and finalised her training to become a Certified Canine Rehabilitation Veterinary Nurse in 2024 through the Canine Rehabilitation Institute.

Kara's special interests are in post-surgical and neurologic rehabilitation.  She is a self-proclaimed 'cat lady' with two cats who travelled both to and from Ireland with her.

Dr Nick Lai BVSc MANZCVS Registrar in Medical Oncology

Dr Nick graduated from the University of Sydney in 2015, and moved to Perth to begin a rotating internship in a referral practice.

He attained membership of the Australian and New Zealand College of Veterinary Scientists (ANZCVS) in Small Animal Medicine in 2019, before moving back to Sydney to complete a three year residency program in medical oncology. This residency program has taken him to externships at the University of California (Davis), the University of Wisconsin (Madison) and The Harry Perkins Institute of Medical Research.

Nick's clinical interests include canine and feline lymphoma, as well as cancer immunology.

Dr Candice Yeo BSc BVMS MANZCVS (SAIM) Resident in Internal Medicine

Candice graduated from Murdoch University in 2015. After this she worked in general practice in Singapore for five years. Candice then moved back to Australia, completing an ECC internship at North Shore Veterinary Hospital followed by an internal medicine internship at QVS in Brisbane.

She then started her residency. Candice successfully attained membership of the Australian and New Zealand College of Veterinary Scientists (ANZCVS) in
Small Animal Medicine 2023, followed by membership of the Australian and New Zealand College of Veterinary Scientists (ANZCVS) in feline medicine
in 2024. Candice commenced a residency program approved by the European College of Veterinary internal medicine at WAVES in March of last year.

Candice is passionate about all things feline; she loves the management of chronic feline medical conditions at WAVES and continues this feline
obsession at home with her feline friend Butternut.

Dr Heidi Lehmann BVSc (Hons) BVMS, PGCert, MVSc, MPhil, MANZCVS, DACVAA Registered Specialist in Veterinary Anaesthesia

After completing veterinary school at Murdoch University, Heidi worked for a few years in small animal general practice south of Perth before she undertook a three-year specialty training programme in Veterinary Anaesthesia and Analgesia back at Murdoch, becoming a board-certified specialist of the American College of Veterinary Anaesthesia and Analgesia.

Moving to New Zealand to gain research experience in animal welfare, Heidi worked clinically in the Massey University Veterinary Teaching Hospital teaching and mentoring both undergraduate and postgraduate students. In 2021 Heidi returned to home shores working as a Senior Lecturer in Veterinary Anaesthesia at Charles Sturt University in NSW, followed with a private practice stint in Melbourne, and finally last year, returning home to WA.

Heidi maintains an interest in mentoring young vets in anaesthesia and analgesia and has a particular interest in anaesthesia for critically ill patients, both large and small.

Chantelle Alexander RVN

Chantelle Alexander, also known as Channy, began her veterinary journey in 2005 as a kennel hand at Kenwick Vet. Transitioning from general practice to Murdoch University in 2010, she found her true calling in Emergency and Critical Care nursing. With over a decade at WAVES, Channy continues to embrace her love for ECC alongside her WAVES family. Outside of work, she finds joy in her family, friends, and faithful Labrador companion Tyson.

Dr Eben Martin BVSc MANZCVS (ECC) FANZCVS (SAS) Registered Specialist in Small Animal Surgery

Following graduation from the University of Melbourne in 2010 with a Bachelor of Veterinary Science, Eben continued to work in his home town of Melbourne in small animal general and emergency practice. In 2015 he lived in the UK and worked in small animal practice, whilst playing semi-professional cricket. Upon returning later that year, he became partner in a large practice in the northern suburbs of Melbourne and in 2016 obtained membership to the Emergency and Critical Care Chapter of the Australian and New Zealand College of Veterinary Scientists by examination. Although Eben had worked primarily in emergency practice, his passion always lay with surgery and in 2018 Eben moved to the sunny Perth to begin a 12 month internship at WAVES. During this same year he obtained membership into the Surgical Chapter of the College by examination, and in 2019 Eben began a three year surgical residency training program at WAVES. Upon completion of his residency training program, Eben obtained his Fellowship within the Australian and New Zealand College of Veterinary Scientists in 2023, granting him the qualifications necessary to be registered as a specialist in small animal surgery. Although a long way from family and friends, Eben and his partner love living in Perth, and consider it their home away from home. Although Eben enjoys all facets of surgery, he has particular interests in orthopaedic surgery, neurosurgery and trauma surgery.

Dr Ally Davis BSc BVMS GradDipEd MVetClinStud

Ally completed her Bachelor of Veterinary Medicine and Surgery at Murdoch University in 2016. After graduating she spent three years as a General Practitioner in the South West Region of Western Australia. In 2020, Ally relocated to Melbourne to pursue further training in Small Animal Surgery, completing a one-year surgical internship in a referral centre in central Melbourne. In 2021, Ally returned to Perth to continue her surgical training, completing a one-year specialty training program and three-year residency in Small Animal Surgery at The Animal Hospital, Murdoch University. During this time she completed a Diploma in Higher Education and a Masters in Veterinary Clinical Studies, and is currently completing a Research Masters. Her areas of research have included canine soft tissue sarcomas, surgical management of anal sac disease, and the feline microbiome. Ally enjoys all aspects of surgery and working within a team to provide a high standard of care to pets and their owners.