The Dental Cleaning Procedure
The dental cleaning or dental prophylaxis is a multifaceted procedure. In many aspects, it is quite similar to our own dental cleaning at our dentist’s office. The glaring differences are
1) the need for general anesthesia to perform a proper cleaning on our pets
2) the greater degree of periodontal disease typically found in our pets
After preanesthetic evaluation and the induction of a light plane of anesthesia, the teeth and oral cavity are examined closely for evidence of oral cancer, tooth damage, periodontal disease, etc..
Any fractured or visibly damaged teeth are evaluated and full mouth dental x-rays are performed to evaluate each tooth fully. Nearly 50% of dental disease occurs below the gum line and cannot be detected unless dental x-rays are performed!
If an extraction is required, a local anesthetic (Novacaine) is injected to numb the area prior to the extraction. The teeth are scaled to remove the heavy tartar and calculus using an ultrasonic scaler. This is followed by hand scaling to remove bacteria and plaque beneath the gum line (one important reason anesthesia is required!).
Once the teeth are clean, they are polished with a low speed handpiece to smooth the enamel surface to help resist tartar formation & attachment. Fluoride is then painted heavily on all tooth surfaces and allowed to soak for several minutes prior to rinsing. If elected, a barrier sealant is then applied to further slow tartar formation in the future. If indicated, antibiotics and pain medication are administered according to the patient’s needs. They are gently awakened from the light plane of anesthesia and may generally go home within a matter of hours.
The pictures on the right are examples of BEFORE and AFTER photographs of two patients receiving dental cleanings. Both have significant periodontal disease although both were fairly young at the time of these procedures. When you consider what dogs and cats are inclined to put in their mouths and their lack of personal hygiene, it’s not surprising their mouths get so bad so young. Could you imagine if you didn’t brush your teeth (much less floss!) for a few years? Not a pretty image!