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Dental Cleaning

Dental Cleaning. 12 Step Program…. Why 12?. Dental cleaning must be performed in a certain manner. All 12 steps are important and interlinked When one step is not performed, long term benefits suffer. Step 1. Oral exam on the animal while awake Check for swellings and painful areas

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Dental Cleaning

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  1. Dental Cleaning 12 Step Program…..

  2. Why 12? • Dental cleaning must be performed in a certain manner. • All 12 steps are important and interlinked • When one step is not performed, long term benefits suffer.

  3. Step 1 • Oral exam on the animal while awake • Check for swellings and painful areas • Is there swelling of the eyes? • Is there pain in the mouth? • Examine each tooth individually

  4. Step 2 • Oral exam while under anesthesia • Individual tooth exam for mobility, fractures, malocclusion, and periodontal disease Severe bone loss, rear root mandibular 1st molar tooth due to periodontal disease

  5. Step 3 • Supragingival (above the gumline) plaque and tartar removal • Use forceps, hand instruments, and power scaling equipment • Ultrasonic scaler removes plaque and tartar from the teeth • Only use on crowns and exposed root surfaces Ultrasonic Cleaning

  6. Step 4 • Subgingival scaling, root planing, curettage • Root scaling: removal of plaque and calculus from the root surface • Root planing: Smoothing of roughened root surfaces by removing embedded calculus • Curettage: removal of the gingival pocket’s diseased soft tissue inner surface

  7. Step 5 • Polishing • Smoothes out the defects and removes plaque missed during previous steps • Pumice or polishing paste is used

  8. Step 6 • Irrigation • Diseased tissue and plaque are removed from the pocket (or sulcus) • Water spray is commonly used

  9. Step 7 • Fluoride • Placed on dry teeth and allowed to remain undisturbed for at least four minutes

  10. Step 8 • Post cleaning examination and diagnostics • Individual teeth are examined again to see if anything was missed or more problems were discovered

  11. Step 9 • Charting • Record missing, loose, fractured, and discolored teeth as well as gingival recession and other things

  12. Step 10 • Therapy • Treat lesions if necessary • Records • Must include: • Dental care performed • Follow up recommendations • Antibiotics dispensed • Next radiographs and exam needed info • Home care instructions

  13. Step 11 • Home care instructions • Home care is the single most important procedure the owner can do to maintain oral health • Includes toothbrusing!!

  14. Step 12 • Follow-up progress • Sometimes checked monthly (if it was a severe problem) • Usually checked yearly at exams

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