Case Studies


Case study #1 November 15, 2014
Anesthesia free dental
On September 27, 2014 “Sunny” Gore a female white golden doodle 7 years of age was brought in by her owner for an anesthesia free dental cleaning. Sunny appeared bright alert and responsive, her owner informed us that she had no knowledge of any health problems. The veterinarian on sight cleared Sunny for the procedure.
The dog lay down comfortably and calmly on a thick pillow in the technician’s lap. Her teeth were scraped with a Universal scaler, any thick areas of calculus were removed with a calculus rongeur. All 42 teeth were scaled on all exposed surfaces and also under the gum line. The gingiva are then probed and recorded for any detachment. Then the teeth are polished with a hand held portable electric high speed polisher. Criteria for thoroughness are based on 1) a visual inspection that all calculus is removed on the enamel or tooth root, 2) a black light inspection which will glow approximately 80% of calculus pink, and 3) a tactile inspection feeling for “smooth” enamel surfaces or smoothing out root surfaces.
The following issues were found in the mouth. There were several areas of gum recession and pockets. There were 3 missing upper incisors, and both upper carnassial teeth were fractured. One was superficial, the other had pulp exposure.
Specifically 110 (upper right molar 2) had gum recession. 108 (upper right premolar 4) had a fracture with pulp exposure. 402,401 and 301 and 302 have gingival recession with 6 mm pockets. 208 (upper left carnassial PM4) has an enamel fracture. 210 (upper left molar 2) has gum recession. 309 (lower left molar 1) has a 9mm pocket. There was also slight wearing and staining throughout. All other gingival depths probed less than 1mm deep.
There was a moderate amount of calculus on the teeth and mild amount of bleeding during the procedure.
The veterinarian talked to the owner pointing out the 9 mm pocket of 309 being the biggest concern. The veterinarian recommended that the owner talk to her vet who may recommend X rays and treatment for the diseased area. The owner was instructed how to keep the gum areas clean by brushing or wiping away of the pellica on a daily basis. The owner was extremely grateful that we had discovered these problems and now had the opportunity to take care of them.
The owner did see her veterinarian who did a visual exam and gave the dog a round of antibiotics and the owner was given CET to brush the dog’s teeth with daily. At two weeks the inflammation seemed improved. The owner was told to return in 2 months for a dental under anesthesia to see if the gums have healed. She was told that sometimes the tissue will heal.

 

Case Report #2

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