Veterinary Dentistry CTVT Chapter 36 DRG 692 704

Veterinary Dentistry CTVT: Chapter 36 DRG: 692 -704

Student Objectives CTVT pgs 1217 -1229 �Recognize a patient’s overall dental health status �Perform routine dental prophylaxis safely and efficiently Recognize, describe, and use common dental instruments �Understand client education regarding home care �Prepare to be the dental technician senior term �Prepare for VTNE

Veterinary Dentistry �American Veterinary Dental College Organization recognized by the American Board of Veterinary Specialties of the AVMA �Board Certified Veterinary Dentists �GCVS and TAMU

Vet Tech Dental Organizations �NAVTA is responsible for governing and overseeing Veterinary Technician Specialists (VTS). Examples: Dentistry, anesthesia, emergency and critical care, internal medicine, behavior, zoo, etc. Opportunities for advanced training in dentistry: � Academy of Veterinary Dental Technicians (AVDT) credentials LVTs as specialists in dentistry Requires 3000 hours experience then…secure a mentor, maintain case logs, write case reports, pass a specialty exam, and attend extra CE courses. See www. avdt. us for further info.

Legal Aspects � The American Veterinary Dental College (AVDC) considers it appropriate for the veterinarian to delegate maintenance dental care and various dental tasks to LVTs. � Texas Administrative Code: Chapter 573 (d) In dogs and cats, a licensed veterinary technician under direct or immediate supervision of a veterinarian may extract loose teeth or dental fragments with minimal periodontal attachments by hand without the use of an elevator.

Dental Tasks for Veterinary Technicians �Oral examination and charting �Professional dental cleaning Prevention and treatment �Taking and developing dental radiographs �Taking impressions and making models �Performing nonsurgical, subgingival root planning �Client education Home care and prevention

Client Education is Important! �Dental disease can lead to: �This can be prevented! Home care Annual exam Annual professional dental prophylaxis

Why is it exciting? !

History and Extraoral Examination �Dental procedures require ___________ �Before animal is anesthetized: 1. Obtain a proper history 2. Ask about general medical info, medications, nutrition, treats, toys, etc. 3. Perform an extraoral exam on the pet Palpate muscles of the face Look for ____ and _____ discharge Palpate mandibular salivary glands Palpate ________ lymph nodes

Intraoral Examination (Awake) �The entire mouth should be evaluated, however we do only a quick exam while awake: Access patient’s _____ Check for persistent ______ teeth or missing teeth Evaluate overall appearance of __________ Estimate stage of periodontal disease Goals: 1. 2. 3.

Intraoral Examination- Anesthetized �Once anesthetized, a more thorough exam can be done: 1. Soft tissue Pharynx- evaluate for inflammation/neoplasia/lesions Tongue- check for lesions Mucosa- should be pink or pigmented; no lesions seen

CUPS �Ulcerations of the ____ adjacent to diseased teeth Caused by the bacteria in plaque Very painful!

Know What’s Normal! �Hard palate- covered in ____ Examine closely in ________ breeds �________ - bump that is midline, caudal to maxillary incisors �_____ salivary ducts on quadrants 1 &2 Appear as bumps dorsal to maxillary 4 th PM and 1 st M

Intraoral Examination- Anesthetized 2. Teeth Number, fractures, mobility, etc 3. Periodontium Inflammation, periodontal pockets, bone loss, etc. *Radiographs are often necessary to access the complete oral health status

The Periodontum The periodontum composes the structures that attach the tooth to the jaw and provide support & resistance to normal, functional forces.

The Periodontum 1. Gingiva = gum tissue surrounding teeth Healthy gingiva can be pink or pigmented The margin lies closely against the crown of the tooth The gingival _____ is the shallow groove between the tooth and the gingiva. Normal depth is _______ in canines; up to ______ in felines Called a ______ when deeper.

The Periodontium 2. Cementum is a bone-like tissue that covers the root surface. It is stronger than bone but not as strong as enamel. It is capable of repairing itself. 3. Periodontal _____ attaches cementum to the alveolar bone.

The Periodontium 4. Alveolar bone forms the tooth socket. Blood vessels and nerves run through the alveolar bone Furcation area-