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PATIENT ADMISSION & DISCHARGE
Veterinary dental nursing procedures
PATIENT ADMISSION & DISCHARGE
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Patient Admission
• Prior consultation with vet? – Decide on allowed delay between last visit
and admission by nurse (without vet)
• Gather records– Mostly computerised nowadays– Maybe radiographs, pathology, referral
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Routine vs Non-routine Dental
• Routine– Descaling– Polishing teeth– Gingivitis
• Non-routine– Periodontitis– Extractions required– Endodontics required– Aged animals
dental prophylaxis ‘prophy’
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Authorisation
• Ensure owner has a full understanding of the procedures likely to be performed. Make it clear that general anaesthesia will be required.
• Mention the possibility of gingival surgery, root planing, radiographs and extractions.
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Authorisation
• Authorisation form as for routine anaesthesia and surgery
• May also require authorisation for– Pathology– Radiography– Surgery
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Owner Contact
• Contact phone number/s required– To advise of unexpected procedures/costs
during dental– To advise of discharge time
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Before Patient Discharge
• The patient must be– Clean– Dry– Odour free
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Discharge Instructions
• Sometimes by nurse (if has been routine)– Make a time?– Consult room– Explain procedures performed– Explain diet, brushing, dentrifices– Medications– Sutures– Follow up appointments
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Patient Discharge
• Best to bring out animal only after discharge instructions have been given– So owner not distracted by reunion with pet
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Explaining Procedures
• Use models of teeth
• Maybe show patients’s dental chart
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Sutures
• Usually dissolving sutures are used– So don’t require removal
• But check with veterinarian anyway
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Medication
• Ensure the owner understands use: – Antibiotics– Analgesics– Other
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Post-dental diet
• Soft food for 1 week– Meat strips may be better than canned or
dry food
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Brushing
• Is beneficial if tolerated– Ideally daily (as for people)– Every 2-3 days also helps
• Can start gentle brushing one week after gingival surgery
• Reward for compliance– Plenty of praise
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Tooth brush
• Must be soft
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Pet Toothpaste
• Safe to swallow
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Brushing technique
• Relaxed environment
• Initially handling head a mouth only
• Then ‘finger brushing’ with meat broth/tuna fluid
• Several days toothpaste on teeth only
• Impress toothpaste into bristles
• Hold mouth closed
• Brush in circular pattern
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Brushing technique
• Gum line most important
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Oral antiseptics
• Chlorhexidine gel twice daily– For first week– Applied to a gauze pad then wiped into
each side of mouth
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Other oral treatments
• Maxiguard® – Zn as an
antibacterial, may heal gums
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Follow-up appointments
• Regular check ups to check for recurrence– If healthy mouth > 12 mth check– If early periodontitis > 6 mth check– If severe periodontitis > 3 mth check
• Encourage & advise owner
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Commercial diet
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Chew Toys
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Other dentrifices
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Other dentrifices
• First ones under supervision– Can choke– Can even break teeth on some
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
S Em dog
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Raw Meaty Bones
• Some dogs may never require dental work if they eat a diet containing foods that clean teeth
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
• Puppies– Minced chicken carcases
• Adults– Whole carcases: rats, mice, rabbits, chickens,
quail, fish– Meaty bones: sheep, goat, calf, deer, kangaroo– Miscellaneous: pigs’ trotters, pigs’ heads, sheep
heads, brisket, tail bones, rib bones, fish heads, chicken heads, feet, necks, wings, carcases (meat removed)
– Offal: liver, lung, trachea, heart, omasum, tripe– Table scraps: grate or liquidise veges, not cooked
bones
‘Raw Meaty Bones’ - Dogs
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
Owner education
• Start early at puppy preschool / kitten kindy– Importance of handling mouth area– Use client handouts/ sample T/D etc– Pet may require professional cleaning every 6 –18
months like human regular dental visits – Explain that periodontal disease can compromise
general health due to circulating bacteria eg kidney, liver, heart disease
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
The End
5888H - Veterinary Dental Nursing
PATIENT ADMISSION & DISCHARGE
