No other procedure performed on dogs and cats does more to help patients than teeth cleaning and after care. A dental prophylaxis is performed not only to clean the teeth, but also to evaluate the oral cavity for any other problems that might be present. The cleaning not only includes what you can see, but also the area under the gum-line, which is the most important part. Before the prophylaxis can begin, the patient must be placed under general anesthetic. This will greatly increase patient comfort and effectiveness of cleaning. In addition, it allows us to place an endotracheal tube in the patient's trachea. This will protect the lungs from the bacteria that are being removed from the teeth.
Step 1. Supragingival cleaning: This is cleaning the area above the gumline. It is usually accomplished by mechanical scalers in our animal patients. This increases the speed that the cleaning can be performed, which decreases anesthetic time.
Step 2. Subgingival cleaning: This is cleaning the area under the gumline. In our patients, this is one of the most important steps. The subgingival plaque and calculus is what causes periodontal disease. This is the most common ailment diagnosed in ALL animal patients. Cleaning the tooth surface will make the teeth look nice, but in reality has done little medically for the patient.
Step 3. Polishing: The mechanical removal of the plaque and calculus causes microscopic roughening of the tooth surface. This roughening increases the retentive ability of the tooth for plaque and calculus, which will buildup faster and increase the rapidity of periodontal disease progression. Polishing will smooth the surface and decrease the adhesive ability of plaque.
Step 4. (Subgingival/Sulcal) Lavage: The scaling and polishing of the teeth will cause a lot of debris to become trapped under the gums. This will cause local inflammation, as well as increase the chance of future periodontal disease. For this reason we gently flush the gingiva with an antibacterial solution, or if periodontal disease is present, we will use saline solution.
Step 5. Fluoride treatment: This is the use of fluoride foam to impregnate the teeth with fluoride, since animals don’t usually get their teeth brushed. The benefits of fluoride are that it hardens the dentin, decreases tooth sensitivity, and is reported to retard the formation of Feline Oral Resorptive Lesions, and be anti-plaque.
Step 6. Treatment planning: This step is where the teeth and entire oral cavity are evaluated, using not only our eyes, but a periodontal probe to determine if there is a periodontal pocket.
Step 7. Dental Charting: All of the pertinent oral findings and treatment rendered and planned in the future is placed on a dental chart in the patients permanent medical record. This will allow the veterinarian to follow the patients progress through the years.
Dental care does not end there. Within 24 hours, plaque has already started to form on the teeth, and the periodontal disease process starts over. This is where Home Care comes in. Imagine what would happen in your mouth if you never brushed your teeth, all the cleanings in the world won’t keep your mouth healthy, this is the same for our pets mouths too!
Home dental care can involve an oral rinse aid added to your pets water, daily brushing, or even special treats to help maintain a healthy mouth. Our knowledgeable staff will help you select the best after care for your pet.