Heidi B. Lobprise - Small Animal Dentistry

Dedication

Heidi Lobprise has been a member of Pfizer Animal Healths Veterinary Specialty Teamsince 2003. She earned a DVM degree from Texas A&M University in 1983 and becamea diplomate of the American Veterinary Dental College (AVDC) in 1993 after completingher residency at Dallas Dental Service Animal Clinic with Dr. Robert Wiggs. She and Wiggs coauthored two books, Veterinary Dentistry: Principles and Practice (1997) and A Veterinarians Companion to Common Dental Procedures (2000).

2007 Blackwell Publishing All rights reserved

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First edition, 2007

Library of Congress Cataloging-in-Publication Data

Lobprise, Heidi B.

Blackwells five minute veterinary consult clinical companion: small animal dentistry/Heidi B. Lobprise. 1st ed. p.; cm. Includes bibliographical references and index. ISBN 13: 978-0-7817-6230-4 (alk. paper) ISBN 10: 0-7817-6230-8 (alk. paper) 1. Veterinary dentistryHandbooks, manuals, etc. I. Title. II. Title: Five minute veterinary consult clinical companion.

[DNLM: 1. DentistryveterinaryHandbooks. 2. Veterinary Medicine methodsHandbooks. 3. Mouth DiseasesveterinaryHandbooks. 4. Tooth Diseases-veterinary-Handbooks. SF 867 L799b 2006] SF867.L62 2006 636.089'76dc22

2006022612

The last digit is the print number: 987654321

Introduction

In the professional world, Ive heard a goal should be set for two of the following: books and children. I think Im thereand then some! Of course, even with my heavy travel schedule these days, managing to compile the topics for this dental edition of the Five-Minute Veterinary Consult did not place an undue burden on me. To begin with, I dont think my teenage daughter minded not seeing much of me during that time! Also, the efforts of my contributors, and the existence of many solid topics from previous editions literally had me standing on the shoulders of giants. One of those giants I would like to thank in particular: Dr. Robert Wiggsmy former and continuing mentor whose contributions will always be valued, in addition to many excellent images he was able to share. I also would like to thank Dr. Jan Bellows, the original 5 Minute Veterinary Consult dental section editor, for starting the process in previous editions. And of course, in addition to thanking my family for putting up with me, I would also like to thank Pfizer Animal Health and my colleagues for their continued support of veterinary dentistry and my efforts.

In veterinary medicine, dentistry remains one of the most practical, impact ful areas for patient health, yet our efforts at education are still challenging. Most practitioners learn many of their dental skills in their day-to-day practice, so having realistic, relevant resources to guide them in their work is paramount. The effort of this text is to expand the topic discussion of common problems encountered to include basic information on diagnostics and procedures. Great effort has been made to provide step-by-step coverage with extensive photos and images of these skills that can be used on a daily basis to enhance your dental offerings. My goal is to make this book so useful that there will be many dog-ears and page markers because it is taken off the shelf on a regular basis for ongoing learning. From this point, there are other texts that deal with more advanced dental techniques and concepts, but this one will be the workhorse of a typical practice. Just use it!

Section I

Diagnostics

Chapter 1

Oral Exam and Charting

INDICATIONS

Every mouth, every time: a complete oral examination should be performed whenever possible to detect lesions as early as possible.

Make it a part of puppy and kitten exams to start a lifetime of oral care (see ).

• Deciduous occlusion
• Broken or damaged teeth
• Proper eruption sequence
• Brushing and home care instruction

An alert oral exam can give a broad view of oral conditions in most patients.

A complete oral examination can be performed only under general anesthesia and will include physical examination of the oral and dental structures, periodontal probing, transillumination, and intraoral radiography.

EQUIPMENT

Alert Exam

Adequate but gentle restraint

Good lighting

Charts

Complete Exam

General anesthetic components, including monitoring

Good lighting

Mouth gags for accessibility (using caution not to damage teeth or strain the tem-poromandibular joint unnecessarily)

Magnification (if needed)

Periodontal probe/explorer

Mirror (see )

Transilluminator

Charts

Perform an oral exam on every patient possible from early ages on.