Science · Research library

Research library: the studies behind our guides, graded

The research that shapes our guides, in plain English: what each study found, how strong it is, and what it means for you and your pet.

Short answer: This library lists the studies and sources behind PetdentistCare™ guides, grouped by theme: how common dental problems are, plaque and the oral microbiome, home care and the VOHC register, probiotics, anaesthesia, and horses. Each entry has a plain-English description, the year, what it found, an evidence grade and what it means for pet parents. None of them tested a Petdentist® product. The library is maintained by Biodontic™ and updated quarterly.

How to use this library

Grades follow our evidence standard. Most entries are B, because grade A is reserved for a controlled trial of an exact finished product. Horses are graded on the same scale, for horses only; guidance, registers and definitions are labelled rather than graded. Descriptions are ours and deliberately plain. If in doubt, the linked original wins.

Library maintained by Biodontic™; updated quarterly. Last reviewed September 2026.

How common are dental problems?

How often UK vets diagnose periodontal disease in dogs

Royal Veterinary College VetCompass · 2021 · Dogs · Veterinary records

What it found: Of 22,333 dogs at 784 UK practices, 12.5% were diagnosed with periodontal disease in one year. Dogs under 15 kg were 2.5 times more likely to be diagnosed than dogs of 30 to 40 kg, and dogs aged eight or over three times more likely than dogs aged two to four. Greyhounds (32.2%), King Charles Spaniels (30.1%) and Cavalier King Charles Spaniels (25.3%) were among the breeds most affected.

Grade: B species-specific population evidence

For pet parents: About one dog in eight is diagnosed in any year, and small, older and some pedigree dogs need extra attention.

Read the RVC summary

Periodontal disease in cats under primary veterinary care in the UK

O'Neill and colleagues, RVC VetCompass · 2023 · Cats · Veterinary records

What it found: Of 18,249 cats sampled from more than 1.25 million UK primary-care cats, 15.2% were diagnosed with periodontal disease in a year (95% confidence interval 14.7% to 15.8%). Age was the strongest risk factor: cats over nine had more than six times the odds of cats under three. Siamese (18.7%) and Maine Coons (16.7%) had the highest breed prevalence.

Grade: B species-specific population evidence

For pet parents: Risk rises steeply with age, so a cat's routine and veterinary checks matter more every year.

Read the paper

Signs of oral disease by the age of three

American Veterinary Medical Association · February 2026 · Dogs and cats · Public guidance

What it says: Nearly 80% of dogs and 70% of cats show signs of oral disease by the age of three, a widely quoted lifetime estimate.

Grade: Guidance

For pet parents: A lifetime estimate of signs, not diagnoses in one year, so never set it against the RVC figures. Both say the same thing: dental care is part of ordinary life for most pets.

Read the AVMA release

Plaque, calculus and the oral microbiome

The 48 to 72 hour plaque-to-tartar window used across this site summarises our comparative oral-biology notes rather than one study; primary studies of calculus formation will be added once read and graded.

Porphyromonas gulae and gum disease in dogs: current understanding

Review · 2025 · Dogs

What it covers: What is known about Porphyromonas gulae, a bacterium associated with gum disease in dogs, and what research should tackle next.

Grade: C species mechanistic evidence

For pet parents: Particular microbes thrive in mature plaque at the gumline, which is why daily cleaning there matters. It says nothing about any product.

PubMed record

Microbe-based approaches to gum disease in dogs: where the science stands

Review · 2026 · Dogs

What it found: Probiotic and postbiotic approaches look promising, but veterinary clinical evidence is limited, introduced microbes tend to persist only briefly, and biosafety and regulatory pathways are unresolved. It also looks at newer ideas, such as bacteriophages.

Grade: C review of largely early evidence

For pet parents: Microbiome products are an active research area, not a settled one. Daily cleaning remains the foundation.

PubMed record

How the cat's oral microbiome changes in common oral conditions

Review · 2026 · Cats

What it covers: Studies showing that the oral microbial community of cats shifts in common oral conditions.

Grade: C species mechanistic evidence, cats

For pet parents: Cats have their own oral community and their own evidence. Nothing learned in dogs is assumed to apply.

PubMed record

Brushing, chews and water additives

We have not yet added individual trials of brushing, chews or water additives; they will appear once read and graded. Meanwhile, the most useful independent resource is the VOHC register.

The VOHC accepted-products register

Veterinary Oral Health Council · ongoing · Dogs and cats · Register

What it is: The public list of products that have met the VOHC's protocols for helping control plaque and/or tartar, including chews, water additives, powders and toothpastes. Acceptance requires two independent trials with no animals shared between them.

Grade: Register each listing rests on trials of that product

For pet parents: Check any VOHC mention against the register for that exact product, claim and species. In our range, only Petsmile® Professional Pet Toothpaste is accepted: for plaque, in dogs.

VOHC accepted products · How acceptance works

Dental probiotics and postbiotics

Each result belongs to the exact strain, amount and format tested. Full discussion: dental probiotics, decoded.

A heat-treated Lactiplantibacillus plantarum preparation (CECT 9161) in dogs

Florit-Ruiz and colleagues · 2025 · Dogs · Placebo-controlled trial, 60 dogs

What it found: Dogs given the preparation at either of two daily amounts showed changes in plaque-related measures and in the genes of their oral microbial community, compared with placebo. The authors report associations; the preparation is proprietary.

Grade: B for this exact preparation, in dogs

For pet parents: A promising signal for one preparation; not evidence for other strains or products, including ours.

Read the paper

Two live strains, L. plantarum Kmiate-6 and Pediococcus acidilactici Kmiate-15, in dogs

Hu and colleagues · 2026 · Dogs · 21-day intervention, with laboratory work

What it found: After 21 days, the authors reported changes in plaque measures, in salivary markers and in the oral microbial community, including a lower share of Fusobacterium and Porphyromonas. In laboratory tests, the strains slowed the growth of oral microbes.

Grade: B for this combination, in dogs; D for the laboratory work

For pet parents: An encouraging signal from one short study of one combination. Worth watching; not a basis for product claims.

Read the paper

A dog-derived strain, Lactobacillus acidophilus MJCD175

You and colleagues · 2022 · Dogs · Laboratory screening and a small study in dogs

What it found: Strains isolated from healthy dogs were screened in the laboratory. In a small study in dogs, MJCD175 given alone was associated with less Porphyromonas gingivalis DNA in the mouth, while a multi-strain mix did not show the same effect.

Grade: B small study, this strain; D for the screening

For pet parents: More strains is not automatically better, and strains that come from dogs are an interesting research direction.

Read the paper

Three probiotic strains and the oral microbiota of cats

Study in cats · 2024 · 42 days

What it found: Feeding Bifidobacterium animalis subsp. lactis HN019, Lactobacillus acidophilus NCFM and Lactobacillus casei LC-11 for 42 days shifted the microbial community at several sites in the mouth. The authors describe the feline evidence base as underexplored.

Grade: B for these strains, in cats; community measures only

For pet parents: Cat evidence is early. A changed community is not the same as less plaque, and there is no comparable plaque evidence in cats yet.

PubMed record

The international definition of a postbiotic

ISAPP consensus statement · 2021 · Nature Reviews Gastroenterology and Hepatology

What it says: A postbiotic is a preparation of inanimate microorganisms and/or their components that confers a health benefit on the host. Inactivation alone does not make one; the exact preparation needs evidence.

Grade: Definition

For pet parents: “Heat-killed” on a label describes processing, not proof of benefit. Ask for evidence on the exact preparation.

Read the statement

Anaesthesia and professional dental care

AAHA Dental Care Guidelines for Dogs and Cats: non-anaesthetic dentistry

American Animal Hospital Association · 2019 · Dogs and cats · Professional guideline

What it says: Non-anaesthetic (“anaesthesia-free”) dentistry is “not appropriate” for dogs and cats. Cleaning below the gumline, dental X-rays and probing the gum pockets are impossible in a conscious animal; the procedure is stressful, carries a risk of inhaling debris, and can give owners a “false sense of benefit”.

Grade: Guideline

For pet parents: A proper dental clean and assessment needs anaesthesia, with your vet. Home care protects that work between visits; it never replaces it.

Read the AAHA guidance

Horses

Periodontal disease, diastemata and peripheral caries in UK horses

Suthers and colleagues · 2019 · Horses · First-opinion population study, 932 horses

What it found: Over one year in south-west England and south Wales, 13.9% of horses had periodontal disease, 8.7% diastemata (gaps between teeth where food can pack) and 8.2% peripheral caries. Disease was more common in the lower jaw than the upper, and strongly linked with age.

Grade: B species-specific population evidence, horses

For owners: Oral problems are common and increase with age, so regular checks by a vet or a qualified equine dental technician matter, especially for older horses.

Read the abstract

How management affects oral problems in horses

Frontiers in Veterinary Science · 2026 · Horses

What it found: Diastemata were found in 65.2% of horses under semi-extensive management and 82.6% under extensive management, suggesting that how horses are kept and fed strongly influences oral health.

Grade: B species-specific evidence, horses

For owners: Housing and feeding matter. The figures are far higher than the 8.7% in the UK study because populations and study designs differ: always compare like with like.

Read the paper

What is not here yet

An honest library shows its gaps. Not yet added:

  • controlled studies of brushing, dental chews and water additives in dogs and cats;
  • primary studies of how quickly plaque mineralises into calculus;
  • studies of individual ingredients, such as polyphosphates, kelp and zinc;
  • oral-microbiome research in horses and camels;
  • any study of a Petdentist® product. None has been published yet; when one is, it will be listed here with its methods, grade and limitations.

Know a study we should read? Email [email protected] with the subject “Research library”.

How we grade evidence

Every scientific statement on this site carries a grade: A product-specific controlled trial · B strain- or species-specific study in dogs or cats · C species mechanistic evidence · D laboratory (in-vitro) evidence · E theoretical rationale. The strength of a claim never exceeds the strength of its evidence. Read our evidence standards.

When to see your vet

If you notice loose or wobbly teeth, swelling, discharge, bleeding that does not settle, reluctance to eat, dropping food, drooling, pawing at the mouth or any change in behaviour, please contact your veterinary surgeon promptly. Home care supports professional care — it never replaces it.

Questions people ask

Frequently asked questions

How do you choose what goes in the library?

We list only studies and sources that Biodontic™, our science division, has read, summarised and graded. Each entry gives a plain-English description, the year, what it found, its grade and what it means for pet parents, with a link to the original wherever one is available. We do not list studies we have not read.

Why do some entries say Guidance, Guideline, Register or Definition instead of a grade?

Our A to E scale grades research findings. Professional guidance and guidelines, public registers such as the VOHC accepted-products list, and scientific definitions are important context, but they are not findings about a product or a species, so we label them for what they are.

Why are most entries graded B?

Grade A is reserved for a controlled trial of an exact finished product. Most published research tests a strain, an ingredient or a population rather than a product you can buy, so even an excellent study in dogs or cats is graded B for that strain or species. A product earns an A only with its own trial.

Do any of these studies test Petdentist® products?

No. None of the studies listed here tested a Petdentist® product, and we do not borrow their results for ours. When a Petdentist® study is completed, it will be added to the library with its methods, grade and limitations, so that you can judge it for yourself.

How often is the library updated?

Every quarter. The library is maintained by Biodontic™ and reviewed quarterly, and the date at the top of the page shows the latest update. If you know of a study we should read, email [email protected] with the subject “Research library”.

Can I use this library to work out what is wrong with my pet?

No. The library summarises research about populations, strains and products; it cannot tell you about an individual animal. If you are worried about your pet's mouth, or notice loose teeth, swelling, bleeding or a change in eating, contact your veterinary surgeon, who can examine, diagnose and advise.

How we judge

See how every entry is graded

The A to E standard, the claims lexicon and the VOHC seal, explained in plain English.

Read our evidence standards