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Veterinary dental nursing procedures. PATIENT ADMISSION & DISCHARGE. Patient Admission. Prior consultation with vet? Decide on allowed delay between last visit and admission by nurse (without vet) Gather records Mostly computerised nowadays Maybe radiographs, pathology, referral.

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veterinary dental nursing procedures

Veterinary dental nursing procedures

PATIENT ADMISSION & DISCHARGE

patient admission
Patient Admission
  • Prior consultation with vet?
    • Decide on allowed delay between last visit and admission by nurse (without vet)
  • Gather records
    • Mostly computerised nowadays
    • Maybe radiographs, pathology, referral

5888H - Veterinary Dental Nursing

routine vs non routine dental
Routine vs Non-routine Dental
  • Routine
    • Descaling
    • Polishing teeth
    • Gingivitis
  • Non-routine
    • Periodontitis
    • Extractions required
    • Endodontics required
    • Aged animals

dental prophylaxis ‘prophy’

5888H - Veterinary Dental Nursing

authorisation
Authorisation
  • Ensure owner has a full understanding of the procedures likely to be performed. Make it clear that general anaesthesia will be required.
  • Mention the possibility of gingival surgery, root planing, radiographs and extractions.

5888H - Veterinary Dental Nursing

authorisation1
Authorisation
  • Authorisation form as for routine anaesthesia and surgery
  • May also require authorisation for
    • Pathology
    • Radiography
    • Surgery

5888H - Veterinary Dental Nursing

owner contact

È

Owner Contact
  • Contact phone number/s required
    • To advise of unexpected procedures/costs during dental
    • To advise of discharge time

5888H - Veterinary Dental Nursing

before patient discharge
Before Patient Discharge
  • The patient must be
    • Clean
    • Dry
    • Odour free

5888H - Veterinary Dental Nursing

discharge instructions
Discharge Instructions
  • Sometimes by nurse (if has been routine)
    • Make a time?
    • Consult room
    • Explain procedures performed
    • Explain diet, brushing, dentrifices
    • Medications
    • Sutures
    • Follow up appointments

5888H - Veterinary Dental Nursing

patient discharge
Patient Discharge
  • Bestto bring out animal only after discharge instructions have been given
    • So owner not distracted by reunion with pet

5888H - Veterinary Dental Nursing

explaining procedures
Explaining Procedures
  • Use models of teeth
  • Maybe show patients’s dental chart

5888H - Veterinary Dental Nursing

sutures
Sutures
  • Usually dissolving sutures are used
    • So don’t require removal
      • But check with veterinarian anyway

5888H - Veterinary Dental Nursing

medication
Medication
  • Ensure the owner understands use:
    • Antibiotics
    • Analgesics
    • Other

5888H - Veterinary Dental Nursing

post dental diet
Post-dental diet
  • Soft food for 1 week
    • Meat strips may be better than canned or dry food

5888H - Veterinary Dental Nursing

brushing
Brushing
  • Is beneficial if tolerated
    • Ideally daily (as for people)
    • Every 2-3 days also helps
  • Can start gentle brushing one week after gingival surgery
  • Reward for compliance
    • Plenty of praise

5888H - Veterinary Dental Nursing

tooth brush
Tooth brush
  • Must be soft

5888H - Veterinary Dental Nursing

pet toothpaste
Pet Toothpaste
  • Safe to swallow

5888H - Veterinary Dental Nursing

brushing technique
Brushing technique
  • Relaxed environment
  • Initially handling head a mouth only
  • Then ‘finger brushing’ with meat broth/tuna fluid
  • Several days toothpaste on teeth only
  • Impress toothpaste into bristles
  • Hold mouth closed
  • Brush in circular pattern

5888H - Veterinary Dental Nursing

brushing technique1
Brushing technique
  • Gum line most important

5888H - Veterinary Dental Nursing

oral antiseptics
Oral antiseptics
  • Chlorhexidine gel twice daily
    • For first week
    • Applied to a gauze pad then wiped into each side of mouth

5888H - Veterinary Dental Nursing

other oral treatments
Other oral treatments
  • Maxiguard®
    • Zn as an antibacterial, may heal gums

5888H - Veterinary Dental Nursing

follow up appointments
Follow-up appointments
  • Regular check ups to check for recurrence
    • If healthy mouth > 12 mth check
    • If early periodontitis > 6 mth check
    • If severe periodontitis > 3 mth check
  • Encourage & advise owner

5888H - Veterinary Dental Nursing

commercial diet
Commercial diet

5888H - Veterinary Dental Nursing

chew toys
Chew Toys

5888H - Veterinary Dental Nursing

other dentrifices
Other dentrifices

5888H - Veterinary Dental Nursing

other dentrifices1
Other dentrifices
  • First ones under supervision
    • Can choke
    • Can even break teeth on some

5888H - Veterinary Dental Nursing

slide28
S

Em dog

5888H - Veterinary Dental Nursing

raw meaty bones
Raw Meaty Bones
  • Some dogs may never require dental work if they eat a diet containing foods that clean teeth

5888H - Veterinary Dental Nursing

raw meaty bones dogs
‘Raw Meaty Bones’ - Dogs
  • Puppies
    • Minced chicken carcases
  • Adults
    • Whole carcases: rats, mice, rabbits, chickens, quail, fish
    • Meaty bones: sheep, goat, calf, deer, kangaroo
    • Miscellaneous: pigs’ trotters, pigs’ heads, sheep heads, brisket, tail bones, rib bones, fish heads, chicken heads, feet, necks, wings, carcases (meat removed)
    • Offal: liver, lung, trachea, heart, omasum, tripe
    • Table scraps: grate or liquidise veges, not cooked bones

5888H - Veterinary Dental Nursing

owner education
Owner education
  • Start early at puppy preschool / kitten kindy
    • Importance of handling mouth area
    • Use client handouts/ sample T/D etc
    • Pet may require professional cleaning every 6 –18 months like human regular dental visits
    • Explain that periodontal disease can compromise general health due to circulating bacteria eg kidney, liver, heart disease

5888H - Veterinary Dental Nursing

the end
The End

5888H - Veterinary Dental Nursing