Prevention and treatment of periodontal disease can only be accomplished through regular professional care under general anesthesia. Multiple steps are involved in this process and the veterinary/technician team plays a vital role in ensuring quality control, efficiency and completeness.
Correct management of periodontal patients in veterinary practice demands a thorough understanding of veterinary dental radiographic anatomy, periodontal probing and many times open evaluation and direct visualization of diseased areas. Stage III periodontal disease in particular requires advanced skills and familiarization with periodontal pathophysiology to make decisions to attempt to grow new supportive tissue adjacent to compromised teeth or extract them.
Extractions of teeth in dogs and cats are commonly categorized as simple or surgical, Surgical extractions involve periodontal flaps and the removal of bone to expose tooth roots. Simple extractions in some cases are not always simple as their name implies. Fractures during extraction may require surgical methods to complete the procedure.
This author commonly uses lidocaine and bupivicaine combined in the same syringe for regional oral nerve blocks. Lidocaine is not desirable as a sole agent due to its limited effect post administration (1-2 hours).
Extractions in dogs and cats are categorized as simple and surgical. Simple extractions are performed where alveolar bone removal is not necessary to facilitate successful extraction. Examples include deciduous teeth, mobile teeth and incisors.
The largest portion of our dentistry case load in everyday practice involves the treatment of periodontal disease. No other oral malady will present itself more commonly. At the same time proper evaluation of the stage of periodontal disease is determined with probing, visual examination and radiographically.
Radiographic evaluation has fast become a common facet of veterinary dentistry and only practices that utilize dental radiography can practice quality dentistry. Interpretation of radiographic changes that occur in the tooth and surrounding bone take many forms.