Hypothyroidism and severe dental disease

RE: Hypothyroidism and severe dental disease

Clive Ansell — Tue, 14 Feb 2017 09:52:01 GMT

[quote user="Stephen Courtney"]I'd be inclined to start a sensible level of supplementation , provide antibiotic cover and analgesia for a couple of weeks then get the dental done. Once healed then decide if you can get the dog of thyroid supplements and retest later.[/quote]

Just what I'm doing, dog is so much happier on treatment and the malar abscess is reducing in size, so no rush for dental work and will stabilise first prior to an anaesthetic

If the bradycardia persists despite thyroid meds, will run an ecg, but funds are limited as ever.

TT4 was almost zero, less than 1 and TSH was off the scale high. Will retest at 2-3 weeks and go from here.

RE: Hypothyroidism and severe dental disease

Clive Ansell — Tue, 14 Feb 2017 09:49:15 GMT

[quote user="Mark Rowland"]

Hi Clive

Hope you are well.

[/quote]

Hi Rodney,

Very well and firing on all 4 cylinders -thank you, and trust you are well too?

RE: Hypothyroidism and severe dental disease

Mark Rowland — Mon, 13 Feb 2017 22:36:51 GMT

Hi Clive

Hope you are well.

I would check the result. Ive not seen a zero before.

As you know its obviously too old for autoantibodies

Can you get a t4 tsh ratio?

That would help.

If ti passed clinically otherwise I would do the dental. May be euthyroid as suggested

Best Rodney

RE: Hypothyroidism and severe dental disease

Stephen Courtney — Mon, 13 Feb 2017 22:26:57 GMT

It can be very difficult to tell between sick euthyroid and hypothyroid, but I'm not sure a total T4 would be zero even with awful teeth.. did you get a TSH?

I'd be inclined to start a sensible level of supplementation , provide antibiotic cover and analgesia for a couple of weeks then get the dental done. Once healed then decide if you can get the dog of thyroid supplements and retest later.

Assuming the malar abscess isn't causing cellulitis - if the face is swollen and the animal is in serious pain you need to do the dentistry now.

RE: Hypothyroidism and severe dental disease

Evelyn Barbour-Hill — Mon, 13 Feb 2017 22:24:02 GMT

[quote user="Clive Ansell"]Is there a link between hypothyroidism and being prone to dental disease in any way?[/quote]

Interesting thought, but I don't think so. (Peter Southerden will probably now pop up with half a dozen papers that suggest a link )

The trouble with looking for associations with periodontitis is that periodontitis is so common anyway.

Do we know the causes of hypothyroidism or is it "idiopathic"?