• Cost of the procedure (anywhere from $300-$,1,000)
• Chewing food on only one side of the mouth
• Trying to bite when you touch around face (sign of pain)
• Always acting hungry (because they are unable to eat with bad teeth)
• Not wanting to eat (hurts to eat)
There are four stages of gum disease.
3. Stage III- presents Established Periodontal Disease. This stage appears as edema, inflammation and the beginning of pocket formation. This marks the change from gingivitis which is reversible
with treatment, to periodontitis which is controllable with therapy, but not curable. The patient presents with extremely strong “smelly breath”.
To clean the teeth:
Teeth cleaning is accomplished with the use of both hand scalers and ultrasonic power scalers. Both should be used. Hand instruments include scalers, curets, explores, and probes.
Steps of the prophy:
There are six steps to the complete prophy.
The first step is the oral examination.
mobility of a tooth. Teeth are anchored in the jaw by the periodontal ligament. Unfortunately due to trauma or disease, teeth can become mobile.
Grade I mobility- indicates slight movement up to 1 millimeter.
Grade II mobility- indicates movement up to 2 millimeters.
Grade III mobility-signifies movement of 3 millimeters or more.
The second step to the prophy is removal of tartar and calculus from the crown. This can be performed by either a hand scaler or a power scaler. The mechanical power scaler works by vibrations that knock off the calculus. The scaler is used with constant motion across the teeth.
The third step of the prophy is the removal of deposits below the gumline. This is also called sub gingival scaling and planing of the root surface. Hand curets are used for this procedure.
The fourth step of the complete prophy is polishing the teeth. Scaling creates minute scratches on the enamel. If left untreated, these scratches attract plaque which can lead to early gingivitis. To remove these imperfections the teeth are polished with prophy paste. Polishers used to deliver paste to the teeth are electric slow speed or air driven slow speed. Polishing removes the rough tooth surfaces that were created by plaque and calculus as well as by the scaling procedure. The goal is to get the crown surface as smooth as possible so that plaque does not have gouges to build up
Scheduling the next appointment is essential to the prophy visit. Dental care does not end once the teeth are cleaned. Long term dental programs are outlined individually by the veterinarian for each patient. Some animals need monthly rechecks while others without observable disease can be reexamined yearly. Most middle aged dogs and cats should have a minimum of two per year. Patients with grade IV periodontal disease need reexaminations every two or three months. Grade I gingivitis cases are rechecked every six to twelve months. Those patients with Grade II and III gingivitis can usually be reexamined every six months.