1. Small Animal Veterinary Dentistry, LLC a veterinary practice limited to dentistry What happens when your pet is getting their teeth cleaned Small Animal Veterinary Dentistry (757) 772-6781

2. What does a professional cleaning entail? 1) Conscious oral exam 2) Sedated oral exam 3) Radiographs 4) Transillumination 5) Supragingival (above the gums) scaling 6) Subgingival (below the gums) scaling 7) Polishing 8) Irrigation 9) Fluoride treatment Small Animal Veterinary Dentistry (757) 772-6781

3. First Step is the Conscious Oral Exam Small Animal Veterinary Dentistry (757) 772-6781

4. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

5. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

6. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

7. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

8. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

9. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

10. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

11. The Oral Examination Conscious Exam Small Animal Veterinary Dentistry (757) 772-6781

12. Second Step: Sedated Exam 1.Visual inspection of all oral tissues 2.Probing for periodontal pockets 3.Probing of all dental hard tissues for caries, resorptive lesions or bone loss 4.Transillumination of suspected non- vital teeth 5.Oral Radiographs Small Animal Veterinary Dentistry (757) 772-6781

13. The Oral Examination Exam under Anesthesia Small Animal Veterinary Dentistry (757) 772-6781

14. The Oral Examination Exam under Anesthesia Small Animal Veterinary Dentistry (757) 772-6781

15. The Oral Examination Exam under Anesthesia Small Animal Veterinary Dentistry (757) 772-6781

16. The Oral Examination Exam under Anesthesia Small Animal Veterinary Dentistry (757) 772-6781

17. The Periodontal Probe Exam 1. Measurement of sulcus depth 2. Measurement of gingival recession 3. Quantification of attachment level 4. Assessment of attached gingiva 5. Identification of tooth irregularities 6. Determination of bleeding tendency Small Animal Veterinary Dentistry (757) 772-6781

18. Complete Dental Prophylaxis The Probe Exam Small Animal Veterinary Dentistry (757) 772-6781

19. Complete Dental Prophylaxis The Probe Exam Small Animal Veterinary Dentistry (757) 772-6781 You cannot tell by visual exam alone

20. Complete Dental Prophylaxis The Probe Exam Small Animal Veterinary Dentistry (757) 772-6781

21. Complete Dental Prophylaxis The Furcation Problem Small Animal Veterinary Dentistry (757) 772-6781

22. Complete Dental Prophylaxis The Furcation Problem Small Animal Veterinary Dentistry (757) 772-6781

23. Complete Dental Prophylaxis The Furcation Problem Small Animal Veterinary Dentistry (757) 772-6781 Grade 2 Furcation exposure

24. Transillumination Transillumination is used to help determine if a tooth is vital. It is best performed on larger younger teeth. This test is used in conjuction with radiographic findings. A light is shown through the crown of the tooth. If the tooth is healthy the blood vessels absorbs all the colors of the light except red, hence the tooth has a pink glow to it. Small Animal Veterinary Dentistry (757) 772-6781

25. The Complete Dental Prophylaxis Transillumination Small Animal Veterinary Dentistry (757) 772-6781

26. The Complete Dental Prophylaxis Transillumination Small Animal Veterinary Dentistry (757) 772-6781

27. The Complete Dental Prophylaxis Transillumination Small Animal Veterinary Dentistry (757) 772-6781

28. The Complete Dental Prophylaxis Radiographic Exam Radiographs are taken while under anesthesia to evaluate the health of the tooth and periodontium. Small Animal Veterinary Dentistry (757) 772-6781

29. The Complete Dental Prophylaxis Radiographic Exam Small Animal Veterinary Dentistry (757) 772-6781

30. Taking Radiographs of a Black Bears Molars Small Animal Veterinary Dentistry (757) 772-6781

32. Complete Dental Prophylaxis Periodontal Pockets Small Animal Veterinary Dentistry (757) 772-6781 Vertical bone loss

33. Complete Dental Prophylaxis Periodontal Pockets Small Animal Veterinary Dentistry (757) 772-6781 Periodontal pocket

34. Complete Prophylaxis 1) Visual and sedate examination 2) Supraginigval (above gums) scaling 3) Subgingival (below gums) scaling*** one of the most important steps most over looked! 4) Polishing 5) Irrigation 6) Fluoride treatment Small Animal Veterinary Dentistry (757) 772-6781

35. Complete Dental Prophylaxis Supragingival Calculus Removal Small Animal Veterinary Dentistry (757) 772-6781

36. Complete Dental Prophylaxis Supragingival Calculus Removal Small Animal Veterinary Dentistry (757) 772-6781

37. Subgingival Scaling 1.Cleaning below the gums is one of the most important & most complicated steps of a professional scaling. 2.Special tools and training is needed to be done correctly to not cause harm 3.Requires anesthesia CANNOT do on an awake animal. 4.If done properly & at home care performed gingiva can re-attach and boney pockets can be reduced. Small Animal Veterinary Dentistry (757) 772-6781

38. Special Curettes to clean below the gums Small Animal Veterinary Dentistry (757) 772-6781

39. Complete Dental Prophylaxis Subgingival Calculus Removal Small Animal Veterinary Dentistry (757) 772-6781

40. Complete Dental Prophylaxis Pocket Reduction Small Animal Veterinary Dentistry (757) 772-6781 Closed root planing Follow-up 8 months later

41. Complete Dental Prophylaxis Pocket Reduction Small Animal Veterinary Dentistry (757) 772-6781

42. Polishing Polishing helps smooth the tooth surface to help retard plaque accumulation Small Animal Veterinary Dentistry (757) 772-6781

43. Complete Dental Prophylaxis Polishing Small Animal Veterinary Dentistry (757) 772-6781

44. Complete Dental Prophylaxis Irrigation Small Animal Veterinary Dentistry (757) 772-6781 Removes pumice grit from sulcus Disinfects the sulcus with chlorhexidine Flushes away discharge and flecks of calculus Use air/water syringe, water pik, or blunt needle

45. Complete Dental Prophylaxis Irrigation Small Animal Veterinary Dentistry (757) 772-6781

46. Complete Dental Prophylaxis Fluoride Treatment Small Animal Veterinary Dentistry (757) 772-6781 Desensitizes root dentin Remineralizes exposed root dentin

47. Small Animal Veterinary Dentistry (757) 772-6781

48. I hope you enjoyed the presentation and have a better understanding what is done when your pet is getting their teeth cleaned. Small Animal Veterinary Dentistry (757) 772-6781