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on probing or brushing which occurs prior to a color change
· Periodontal infections have been linked to nu- merous systemic maladies including:
· Diabetes Mellitus
· Heart, lung, liver, and kidney disease
· Early mortality
· Periodontal disease has been associated with numerous severe local effects including:
· Oronasal fistulas
· Oral cancer
· Mandibular fractures
· Ocular infection and blindness
· Osteomyelitis and osteonecrosis
· Class II perio-endo lesions
Key Points of periodontal therapy from the DG
· A professional dental cleaning is an involved procedure with numerous steps.
· All periodontal therapeutic procedures must be performed under general anesthesia.
· Each step must be properly performed to achieve a positive outcome.
· Sufficient time must be allotted for the procedure to have significant clinical benefit.
· Subgingival scaling is the most important step of a professional dental cleaning.
· A complete oral exam and charting is a critical part of the procedure.
· Daily homecare is recommended since plaque accumulates in 24 hours.
· Without homecare, the efficacy of professional periodontal therapy is severely limited.
· Tooth brushing is the gold standard and is most effective on rostral teeth.
· Passive homecare methods may or may not be effective, and any provided benefit will be mainly on the caudal teeth.
· Standard dry dog food is not beneficial for oral health.
How will members benefit from the DG?
The sections on oral pathology provide current diagnostic and treatment recommendations for common oral pathology. The text is supported by numerous
full color pictures as well as dental radiographs. Since this is available on line for free, it can facilitate client communication. This will improve dental compliance, thus improving patient care and practice income.
The anesthesia & analgesia section contains instructions and recommendations for pre-anesthesia testing, drugs, and monitoring. This is the latest information and is
a valuable resource for the practitioner. Further, this section details the most current level of safety, which should further increase compliance
The numerous mentions of the inappropriateness
of NAD will greatly aid practices in decreasing this wholly ineffective practice. The arguments against
this procedure are presented in not only the dental prophylaxis section, but also in the anesthesia and welfare areas. This combination, together with a listing of all the professional associations who oppose it will aid in client discussions.
Finally, but perhaps most importantly, is the section on the welfare aspect of untreated dental disease in small animal medicine. This well referenced section, penned by non-dentists, highlights the plight that our pets face on a daily basis when dealing with untreated dental conditions. By using the term “animal welfare concern” we can improve the acceptance of recommendations on a personal as well as association level. Together we can strive to improve oral care for pets worldwide.
Your Singapore, the Tropical Garden City
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