Page 438 - WSAVA2018
P. 438

 25-28 September, 2018 | Singapore
tissues will not heal.
EXTRACTION OF MULTI ROOTED TEETH:
Section all multi-rooted teeth into single rooted pieces. The roots of almost all multi-rooted teeth are divergent and this will cause the root tips to break off if extractions are attempted in one piece. Root fracture can occur even if a tooth is relatively mobile to start with. With mobile teeth, the sectioning step alone often allows for simple extraction.
The best tool for sectioning teeth is a bur on a high- speed air driven hand piece. Besides being the quickest and most efficient tool for the job, it also has air and water coolant that will avoid overheating the tooth. Many different styles of burs are available, however this author prefers a cross-cut taper fissure bur (699 for cats and small dogs, 701 for medium dogs and 702 for large breeds).
The best way to section the teeth is to start at the furcation and work towards the crown of the tooth. This method is used for two major reasons. First, it avoids
the possibility of missing the furcation and cutting
down into a root, which subsequently weakens the root and increases the risk of root fracture. In addition, this method avoids the possibility of cutting through the tooth and inadvertently damaging the gingiva or alveolar bone.
After the tooth has been properly sectioned, follow the above steps for each single rooted piece. In some cases, the individual tooth pieces can be carefully elevated against each other to gain purchase.
Key Points:
· Proper preparation and mindset are crucial
· Small/sharp instruments are the most effective
choice
· Gentle elevation and patience are necessary for successful outcomes
· All teeth can be broke down into simple single root extractions
· Dental radiographs are an invaluable resource
Easyjet
What Easyjet did well was to improve the utilisation of their key equipment and resources to reduce costs. Veterinary clinics increasingly have to invest in ever
43RD WORLD SMALL ANIMAL VETERINARY ASSOCIATION CONGRESS AND 9TH FASAVA CONGRESS
WSV18-0106
SVA PRACTICE MANAGEMENT
LEARNING FROM THE BEST - LESSONS FROM OTHER BUSINESSES TO TRANSFORM YOUR CLINIC
M. Moran1
1Vets in Business Limited, The Head Honcho, Bridgwater, United Kingdom
LEARNING FROM THE BEST – LESSONS FROM OTHER BUSINESSES TO TRANSFORM YOUR CLINIC
Mark Moran, BSc. MBA Vets in Business Limited Ashcott, TA7 9QS Somerset, United Kingdom mark@vetsinbusiness.co.uk
Market forces combine to create innovation, which in turn can occasionally lead to a business making such
a profound transformation that their business sector is irreversibly changed. Many such examples exist, and in this session I look at some of those that have a particular relevance to the veterinary profession and identify the practical lessons that we can draw from the success of these 21st Century market leaders to help us to transform our own veterinary clinics
Virgin Airlines
What Virgin did well was to make the customer experience whilst using their primary service as comfortable and pleasurable as possible. They identified by speaking to long haul flyers what is was that frustrated them most about flying, and set about designing a service that addressed their needs. They introduced
a whole range of service innovations that we take for granted when travelling today, such as Limousine service from home to airport, kerbside check in, airport lounges, and on board entertainment. They have also continued to innovate.
So, it we ask our own clients today, what issues do they have in our clinics today? Clients will tell us that they are often kept waiting on uncomfortable chairs, or that their pet was stressed by the close presence of other species, that they were anxious that their children didn’t touch things, that their phone calls were unanswered, that lab results were not phoned through, etc. etc. What would your clients say, and what could you change in your clinic that would address their concerns.
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