THE DAY HAS ARRIVED
No breakfast for Lucky on dental day. He may have water, but he should have no food after 10pm the night before.
ARRIVAL & PREP
Lucky should arrive at the clinic between 7 and 8 am. Take him for a quick walk before he arrives.
Lucky is shown to his quarters for the day, but he doesn’t take too long to settle in. The technician will take blood to run his pre-anesthetic blood screen (some pets will have had this done a few days before). He is weighed to make sure all medication doses are accurate, and he is prepped for his intravenous catheter (IV). The IV is where he receives some of his medications and, most importantly, fluids during the procedure. IV fluids help maintain hydration and blood pressure during anesthesia.
After a physical exam by the Doctor, Lucky is then given some pre-anesthetic medications. These medications include light sedatives (to minimize future anesthesia and to control pain) and antibiotics (to prevent the bacteria from causing problems anywhere else as the teeth are cleaned).
About 15-30 minutes later, Lucky is anesthetized with a short acting injectable medication that allows him to be intubated (to place a plastic tube into Lucky’s trachea which he will breathe through). Once intubated, Lucky breathes a controlled mix of oxygen and anesthesia. The amount of the anesthetic in the mix is constantly adjusted throughout the procedure to maintain Lucky at just the right level, just enough to keep him asleep.
Lucky is immediately hooked up to monitors that measure the amount of oxygen in his blood, blood pressure, body temperature, heart rate and respiration. His vitals are monitored continuously and his anesthetic level is adjusted as needed. He is also given IV fluids at this time.
The dental technician begins cleaning Lucky’s teeth immediately, using an ultrasonic scaler that vibrates at very high speed. The scaler vibrates the tartar off the teeth without damaging the enamel. As a rule, this is the part of the dental that takes the most time. The teeth are cleaned below the gum line as well, and then the doctor evaluates the teeth for any pockets, damaged teeth, abscesses, or irregularities.
Extractions: If there are any teeth that are “bad” or suspicious the doctor will determine if they need to be extracted. This requires utilization of dental radiographs (x-rays) as well as physical examination. The doctor only extracts teeth if necessary. Most of the time if the tooth is bad enough to be removed, Lucky hasn’t been chewing with that tooth, and so he won’t miss it. In fact, once the bad teeth are extracted Lucky will probably feel better and be happier. Clients often comment that they did not realize how painful their pet was until they saw how much better they felt once the teeth were extracted! The goal of routine dentals is to keep the teeth healthy and prevent the need for extraction.
Once the scaling and extractions are complete, the teeth are polished with a high speed rotary polisher, kind of like the rotating heads that buff out your floors or car after a wax. This smoothes out microscopic abrasions to the enamel, and makes it more difficult for the bacteria to hold on and buildup more tartar.
Time for Lucky to wake up. Anesthesia will probably have lasted anywhere from 30-90 minutes depending on how involved the procedure was. Recovery is different with each dog. Lucky will hang out for a couple of hours until he feels like he’s ready to walk around. Some patients are a little nauseous after anesthesia, and will need a little help combating that, but most recover uneventfully. Lucky can go home, often by 3 in the afternoon.
Once at home, Lucky should take it easy. He should avoid stairs, and be allowed to sleep undisturbed. He might want a little something to eat, which should be OK, but it’s best to wait until the next day for a full meal. If he had any extractions, he will have to eat canned food for a few days ( or soften his dry food with warm water and allow to soak 10-15 minutes).
Home dental care will start in about 1 week. At Lucky’s release the technician will work with Lucky’s human to determine the best home care regimen for him.