So you have decided to bring your pet in for a dental cleaning. Do you know what to expect?

• Prior to the dental procedure an exam is performed to assess your pet’s general health as well his oral health.
• Depending on the pet’s age and other health concerns, pre-anesthetic bloodwork will be performed.  These tests will help evaluate liver and kidney function.
• The cardiovascular system is evaluated and if indicated by a heart murmur or other rhythm changes a cardiac work up may be performed.  This could include radiographs and/or ultrasound imaging.
• An Intravenous Catheter is placed to run fluids to the patient to help maintain blood pressure and keep the kidneys and liver flushed. 
• The pet undergoes general anesthesia for the duration of the procedure.
• Tarter and calculus are removed, from above and below the gum line, by a combination of hand and ultrasonic scaling.
• Loose and diseased teeth are extracted as needed, controlling pain with local nerve blocks.  Sometimes, if most of the tooth is structurally sound, we may refer to a veterinary dentist for crown placement or endodontics.  This occurs more frequently in show or highly trained dogs.
• Cleaning the teeth stirs up a lot of bacteria in the mouth so an injection of antibiotic will be administered during the cleaning.
• If pockets are found around the teeth, they may be treated with local antibiotics as well.
• Scaling the teeth causes micro-etching of the tooth surfaces when debris is removed.  This etching slightly roughens the enamel surface so all teeth are polished post scaling to restore a smooth surface.
• Fluoride may be applied to strengthen tooth enamel.
• Your pet recovers from anesthesia and is given any necessary pain medication and antibiotics prescribed.  Medication may be sent home for additional treatment.
• The veterinarian will discuss a home care protocol for your pet at the discharge appointment.