Veterinary dental nursing procedures
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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.
Veterinary dental nursing procedures
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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 5888H - Veterinary Dental Nursing
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 • 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
Authorisation • Authorisation form as for routine anaesthesia and surgery • May also require authorisation for • Pathology • Radiography • Surgery 5888H - Veterinary Dental Nursing
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 • The patient must be • Clean • Dry • Odour free 5888H - Veterinary Dental Nursing
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 • 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 • Use models of teeth • Maybe show patients’s dental chart 5888H - Veterinary Dental Nursing
Sutures • Usually dissolving sutures are used • So don’t require removal • But check with veterinarian anyway 5888H - Veterinary Dental Nursing
Medication • Ensure the owner understands use: • Antibiotics • Analgesics • Other 5888H - Veterinary Dental Nursing
Post-dental diet • Soft food for 1 week • Meat strips may be better than canned or dry food 5888H - Veterinary Dental Nursing
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 • Must be soft 5888H - Veterinary Dental Nursing
Pet Toothpaste • Safe to swallow 5888H - Veterinary Dental Nursing
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 technique • Gum line most important 5888H - Veterinary Dental Nursing
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 • Maxiguard® • Zn as an antibacterial, may heal gums 5888H - Veterinary Dental Nursing
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 5888H - Veterinary Dental Nursing
Chew Toys 5888H - Veterinary Dental Nursing
Other dentrifices 5888H - Veterinary Dental Nursing
Other dentrifices • First ones under supervision • Can choke • Can even break teeth on some 5888H - Veterinary Dental Nursing
S Em dog 5888H - Veterinary Dental Nursing
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 • 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 • 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 5888H - Veterinary Dental Nursing
