Small Animal Veterinary Dentistry, LLC a veterinary practice limited to dentistry What happens when...

Small Animal Veterinary Dentistry, LLC

a veterinary practice limited to dentistry

What happens when your pet is getting their teeth cleaned

Small Animal Veterinary Dentistry (757) 772-6781

What does a professional cleaning entail?

• 1) Conscious oral exam• 2) Sedated oral exam• 3) Radiographs• 4) Transillumination• 5) Supragingival (above the gums) scaling• 6) Subgingival (below the gums) scaling• 7) Polishing• 8) Irrigation• 9) Fluoride treatment

First Step is the Conscious Oral Exam

The Oral ExaminationConscious Exam

Second Step: Sedated Exam

1. Visual inspection of all oral tissues2. Probing for periodontal pockets3. Probing of all dental hard tissues for

caries, resorptive lesions or bone loss 4. Transillumination of suspected non-

vital teeth5. Oral Radiographs

The Oral Examination Exam under Anesthesia

The Periodontal Probe Exam

1. Measurement of sulcus depth2. Measurement of gingival recession3. Quantification of attachment level4. Assessment of attached gingiva5. Identification of tooth irregularities6. Determination of bleeding tendency

Complete Dental ProphylaxisThe Probe Exam

You cannot tell by visual exam alone

Complete Dental ProphylaxisThe Furcation Problem

Grade 2 Furcation exposure

Transillumination

• Transillumination is used to help determine if a tooth is vital. It is best performed on larger younger teeth. This test is used in conjuction with radiographic findings.

• A light is shown through the crown of the tooth. If the tooth is healthy the blood vessels absorbs all the colors of the light except red, hence the tooth has a pink glow to it.

The Complete Dental ProphylaxisTransillumination

The Complete Dental ProphylaxisRadiographic Exam

• Radiographs are taken while under anesthesia to evaluate the health of the tooth and periodontium.

The Complete Dental ProphylaxisRadiographic Exam

Taking Radiographs of a Black Bear’s Molars

Complete Dental ProphylaxisPeriodontal Pockets

Vertical bone loss

Complete Dental ProphylaxisPeriodontal Pockets

Periodontal pocket

Complete Prophylaxis

• 1) Visual and sedate examination• 2) Supraginigval (above gums) scaling• 3) Subgingival (below gums) scaling*** one of

the most important steps most over looked!• 4) Polishing• 5) Irrigation• 6) Fluoride treatment

Complete Dental ProphylaxisSupragingival Calculus Removal

Subgingival Scaling1. Cleaning below the gums is one of the most

important & most complicated steps of a professional scaling.

2. Special tools and training is needed to be done correctly to not cause harm

3. Requires anesthesia CANNOT do on an awake animal.

4. If done properly & at home care performed gingiva can re-attach and boney pockets can be reduced.

Special Curettes to clean below the gums

Complete Dental ProphylaxisSubgingival Calculus Removal

Complete Dental ProphylaxisPocket Reduction

Closed root planing

Follow-up 8 months later

Complete Dental ProphylaxisPocket Reduction

Polishing

Polishing helps smooth the tooth surface to help retard plaque

accumulation

Complete Dental ProphylaxisPolishing

Complete Dental ProphylaxisIrrigation

• Removes pumice grit from sulcus• Disinfects the sulcus with chlorhexidine• Flushes away discharge and flecks of

calculus • Use air/water syringe, water pik, or blunt

needle

Complete Dental ProphylaxisIrrigation

Complete Dental ProphylaxisFluoride Treatment

• Desensitizes root dentin

• Remineralizes exposed root dentin

I hope you enjoyed the presentation and have a better understanding

what is done when your pet is getting their teeth cleaned.

Small Animal Veterinary Dentistry, LLC a veterinary practice limited to dentistry What happens when...

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