It does sound like Ava may have broken a tooth, inflamed the tooth’s pulp, or damaged the tip of a tooth root while chewing on the hard antler, so you should schedule a visit with her veterinarian.
The teeth that usually break are the dog’s largest and most powerful teeth: the carnassials. Dogs have four carnassial teeth, an upper and a lower on each side, situated with their molars.
Carnivores use their carnassials to chomp down on their kill—or their kibble, depending on individual lifestyle.
Carnassial teeth have multiple deep roots, so when a tooth fracture exposes the sensitive pulp, root canal therapy or extraction may be necessary. Therefore, it’s best to prevent fracture by keeping the dog from chewing on hard objects.
Veterinary dentists point to two rules to determine whether a chew has enough “give” that it won’t break a dog’s teeth. First, you should be able to indent the chew with your fingernail. You'll see the dent from your nail on a hard rubber toy but not on an antler or a hard plastic or nylon toy.
Second is the “kneecap” test. If you bash your kneecap with the toy and it hurts, then it’s too hard for your dog to chew. Personally, I prefer the fingernail indentation test.
The plant contains cardiac glycosides, chemicals that are extremely toxic to the heart. All parts of the plant—flowers, leaves, stems, and especially the roots—are poisonous.
Even the water in a vase of lily of the valley contains enough of these cardiotoxins to poison a cat.
Initial signs of toxicity include vomiting, drooling, and occasionally diarrhea. Then the cat develops a slow heart rate, low blood pressure, and eventually an irregular heartbeat.
Loss of coordination, tremors, and seizures also may occur. Sometimes death is so sudden that no abnormal clinical signs are observed.
If the affected cat reaches a veterinarian quickly enough, the prognosis is good.
You can enjoy lily of the valley in your garden if you keep your cats inside. For instructions on making the transition, talk with your veterinarian or contact me.