Dental Care
Stage One
Dental Cleaning and Inspection Only:
Usually a scheduled prophylactic service.
1)Preanesthetic blood evaluation to assess anesthetic risk and any other underlying disease process. Actual tests based on age, and any pre existing medical health issues.
2)Anesthetized cleaning with hand scaler and ultrasonic scaling to remove calculus, tartar and plaque, then polish all teeth and perform oral exam to record each toothStage Two
COHAT (Complete oral health and therapy)
More involved procedure.
1)Pre anesthetic blood evaluation based on age and any preexisting or medical issues.
2)Intra oral dental radiographs prior to therapy.
3)Deep cleaning of all teeth and then examination of all 42 teeth canine and 30 teeth feline.
Inspect for general local gum disease
Root exposure
Root infection
Cracked or chipped teeth with or without pulp cavity exposure
Loose teeth
Broken off teeth with partially or fully buried/retained roots
Other oral/gum disease
Schedule consultation to review findings and plan for optimal therapy to address all abnormal/disease issues.
Stage Three
Extractions and closure as warranted for diseased teeth, post operative radiographs to record procedures and before/after changes.
1)Deep pocketed teeth may be saved if the pocket can be adequately cleaned, and then treated with periodontal antibiotic paste.
2)teeth that have pockets deeper than 5 mm will usually be extracted unless multiple roots with the rest being healthy and well attached.
3)Most extraction sites will be closed, with some exceptions for infected sockets that are left open to drain.
4)post operative pain relief and antibiotics as indicated
5)Re-evaluation, usually in two weeks, to assess degree of
healing and recovery, as well as suggestions to minimize/slow down future disease process.
Note, on a case by case basis, usually discussed at initial presentation, the above stages can be combined for 1+2, 2+3, or 1+2+3
