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Veterinary Dentistry: A Team Approach - E-Book

Veterinary Dentistry: A Team Approach - E-Book

Steven E. Holmstrom

(2012)

Additional Information

Book Details

Abstract

From radiology and anesthesia to patient needs and client education, this handy full-color guide covers everything you need to know about veterinary dentistry. Dental procedures are presented first, with chapters on oral examinations, instruments, safety, and anesthesia, followed by coverage of more difficult areas such as endodontics. The book concludes with two very interesting chapters on marketing veterinary dentistry and commonly asked client questions, replete with proper responses. With its comprehensive coverage and team approach, Animal Dentistry is the ideal resource for both technicians and practitioners alike to use in school and professional practice.

  • Clear, heavily illustrated procedures provide a more detailed look at the skills you need to master.
  • Dental terminology is incorporated to help you master the proper language and improve office communication.
  • Inclusion of digital dental radiography develops your understanding of direct radiology versus computerized radiology and the economic considerations of both.
  • Vet Tech Threads include a variety of pedagogical features including learning objective, key terms, chapter outlines, Technician Notes, and more to help you navigate through chapters and focus your learning.
  • New full-color illustrations give you a better picture of concepts, equipment, and procedure details.

Table of Contents

Section Title Page Action Price
Front cover cover
Veterinary Dentistry, 2/e i
Copyright page iv
Contributors v
Preface vi
Table of Contents vii
1 Introduction to Veterinary Dentistry 1
Outline 1
LEARNING OBJECTIVES 1
Key Terms 1
Why Veterinary Dentistry? 2
Dental Anatomy and Dental Terminology 2
General Anatomy 2
Types of Heads 2
Mesaticephalic 2
Brachycephalic 2
Dolichocephalic 2
Maxilla 2
Mandible 3
Cheeks and Lips 3
Tooth Anatomy 4
External Tooth 4
Internal Tooth 6
Gingiva 7
Alveolar Mucosa 7
Attachment Apparatus 7
Dental Formula for the Puppy 7
Dental Formula for the Adult Dog 7
Dental Formula for the Kitten 8
Dental Formula for the Adult Cat 8
Root Structure of the Adult Dog 8
Root Structure of the Adult Cat 8
Furcation 9
Nomenclature 10
Positional Terminology 10
Line Angles 11
Coronal-Apical Directions 12
Between Teeth 12
Occlusion 13
Anatomic and Triadan Numbering Systems 14
Anatomic Numbering System 14
Incisors = I 14
Canines = C 14
Premolars = P 15
Molars = M 15
Primary (deciduous) teeth 15
Shortcut 15
Modification for alphanumeric computers 15
Advantages 15
Disadvantages 15
Triadan Numbering System 16
Quadrant 16
Tooth 16
Rule of 4 and 9 18
Deciduous (primary) teeth 18
Advantages 18
Disadvantage 18
Dental Chart for the Dog 18
Dental Chart for the Cat 18
Dental Charting 20
Chapter 1 Worksheet 24
2 The Oral Examination and Disease Recognition 26
Outline 26
LEARNING OBJECTIVES 26
Key Terms 26
Oral Examination 27
Normal Occlusion 28
Specialties of Dentistry 28
Oral Diseases and Dental Specialties 30
Pedodontics 30
Missing teeth 30
Persistent primary teeth 30
Cranial mandibular osteodystrophy 33
Mandibular periostitis ossificans 33
Fractured deciduous (primary) teeth 33
Supernumerary teeth 34
Peg teeth 35
Third set of teeth 35
Fused and gemini teeth 36
Dilacerated roots 37
Orthodontic Disease 37
Class I malocclusions 37
Spearing (lancing) canines 37
Spearing (lancing) lateral incisors 37
Base-narrowed canines 41
Rostral (anterior) crossbite 42
Caudal (posterior) crossbite 43
Class II occlusion 43
Class III occlusions 43
Mandibular prognathism 43
Maxillary brachygnathism 44
Asymmetric Skeletal Malocclusion 44
Iatrogenic orthodontic disease 46
Oropharyngeal Inflammation 46
Examples of the Appearance of Various Regional Oral Inflammatory Diseases 49
Juvenile Periodontitis 51
Adverse Conditions of the Tooth Surface 53
Stains 53
Abrasions 53
Attrition 53
Abnormalities of Enamel Formation 53
Enamel hypoplasia 55
Caries 55
Foreign Bodies 57
Endodontic Disease 57
Fracture classification 57
Fractures of specific tooth types 58
Incisors 58
Canines 60
Premolars 60
Molars 61
Tooth discoloration 62
Luxations 63
Avulsions 63
Electric cord shock 65
Tooth Resorption 65
Oral Medical Disease 65
Oronasal fistulas 65
Uremic ulceration 66
Oral Neoplasia 66
Nonclinically aggressive 66
Canine oral viral oral papillomatosis 66
Granulomas 66
Cheek chewing granulomas 67
Gingival hyperplasia 67
Peripheral odontogenic fibroma 67
Odontomas 67
Ulcerative eosinophilic stomatitis 69
Clinically Aggressive Tumors 69
Acanthomatous ameloblastomas 69
Malignant melanomas 69
Fibrosarcomas 71
Squamous cell carcinomas 71
Chapter 2 Worksheet 76
3 Dental Instruments and Equipment 78
Outline 78
LEARNING OBJECTIVES 78
Key Terms 78
Organization of the Dental Department 79
Hand Instruments 79
Explorers 83
Shepherd’s hook 83
Pigtail explorer 83
Periodontal Probes 84
Calculus Removal Forceps 84
Scalers 85
Curettes 85
Curette and Scaler Care 86
Testing for sharpness 88
Visual inspection 88
Sharpening stick 88
Sharpening equipment 88
Flat stone 88
Sharpening technique 89
Flat stone 89
Conical stone 94
Power Scalers 95
Ultrasonic Instruments 95
Magnetostrictive 96
Ultrasonic metal strips/stacks 96
Ultrasonic and combination electric motor handpieces 97
Ultrasonic ferroceramic rod 97
Inserting ultrasonic inserts 97
Piezoelectric 97
Energy nodes 100
Medicaments in irrigating solutions 100
Ultrasonic tips 100
Sonic Scalers 101
Rotary Scalers 102
Dental Units for Polishing and Drilling 102
Electric-Powered Systems 102
Air-Powered Systems 102
Air-Compressor Systems 103
Compressor care 104
Handpieces 106
Low-speed handpieces 106
Low-speed attachments 106
Care of low-speed handpieces 106
Prophy and contra angles 107
High-speed handpieces 108
Changing high-speed burs 108
Bur selection 110
Types of burs 110
Pear-shaped burs 110
Crosscut fissure burs 110
Inverted-cone burs 110
Round burs 111
Diamond burs 111
Finishing burs 111
Care of high-speed handpieces 111
Lubrication 111
Defective turbine 112
Changing turbines 112
Three-Way Syringes 113
Lighting and Magnification 114
Chapter 3 Worksheet 115
4 Personal Safety and Ergonomics 117
Outline 117
LEARNING OBJECTIVES 117
Key Terms 117
HAZCOM 118
Safety Requirements for Veterinary Dentistry 118
Types of Hazards 119
Eye Protection 119
Mouth and Lung Protection 119
Masks 119
Hand and Skin Protection 119
Hand Washing 120
Hand-Washing Agents 120
Hand-Washing Technique 120
Glove Concerns 120
Sharps 121
Eye Shields 121
Safety with Products 121
Material Safety Data Sheets 121
Labels 122
Composite Restoration Materials 122
Toxins 122
Repetitive Motion Disorders 122
Ergonomics in the Workplace 122
Neutral position 123
Preventive procedures 124
Fitted gloves vs. ambidextrous gloves 124
Mechanical dentistry 125
Instrument handles 125
Patient positioning 125
Strengthening exercises 125
Lifestyle Ergonomics 128
Preventing injury away from the workplace 128
Ergonomic Operatory Chairs and Tables 129
Dental chairs 129
Ergonomic tables 129
Chapter 4 Worksheet 134
5 Local Anesthesia 135
Outline 135
LEARNING OBJECTIVES 135
Key Terms 135
Infiltration Blocks 136
Equipment 136
Technique 136
Regional Blocks 137
Equipment 138
General Technique 138
Technique 138
Rostral maxillary 138
Caudal maxillary 138
Rostral mandibular 139
Caudal mandibular 146
Chapter 5 Worksheet 149
6 Pathogenesis of Periodontal Disease 150
Outline 150
LEARNING OBJECTIVES 150
Key Terms 150
Periodontal Disease 151
Systemic Effects of Periodontal Disease 151
Etiology 151
Types of Bacteria 152
Location of Plaque 152
Patient Response 152
Pathogenesis 153
Initial Signs 153
Periodontal Disease Classification 154
Chapter 6 Worksheet 165
7 The Complete Prophy 167
Outline 167
LEARNING OBJECTIVES 167
Key Terms 167
Preparation for the Procedure 168
Anesthesia Induction 168
Steps to the Complete Prophy 168
When to Use Antibiotics? 169
Patient Care 170
Step 1: Preliminary Examination and Evaluation 170
Step 2: Supragingival Gross Calculus Removal 170
Hand scalers 170
Calculus removal forceps 171
Ultrasonic or sonic scalers 171
Power instrument grasp 171
Water flow 172
Insertion 172
Pressure 172
Adaptation 172
Ultrasonic technique 174
Power settings—dial type units 176
Adjusting power with the iM3 42-12 unit 176
Rotary scalers 176
Step 3: Periodontal Probing (and Periodontal Charting) 177
Probing technique 177
Charting 179
Step 4: Subgingival Calculus Removal 181
Hand instrument technique 181
Modified pen grasp 181
Adapting to the tooth 181
Step 5: Detection of Missed Plaque and Calculus 181
Application of disclosing solution 182
Air-drying 184
Step 6: Polishing 184
Step 7: Sulcus Irrigation and Fluoride Treatment 186
Step 8: Application of A Sealer 189
Step 9: Periodontal Diagnostics 189
Periodontal radiographs 189
Step 10: Final Charting 189
Step 11: Home Care 189
Nonprofessional Dental Scaling (NPDS) 189
Chapter 7 Worksheet 193
8 Home-Care Instruction and Products 194
Outline 194
LEARNING OBJECTIVES 194
Key Terms 194
Client Education 195
Demonstration 195
Tips for difficult cases 195
Advanced techniques 196
Visual Aids 197
Plaque Control and Home Care 197
Toothbrushing 197
Brushing devices 198
Brushing Agents 198
Home-Care Products 201
Plaque-removing chews 203
Water additives 203
Dog and Cat Foods 203
Dog and Cat Chew Products 207
Enzyme Toothpastes 207
Antibacterial and Anticalculus Products 207
Rinses/brushing agents 207
Chlorhexidine 207
Water additives 207
Zinc 212
Fluoride gels 212
Selecting the Appropriate Home-Care Product 213
Other Home-Care Aids 213
Plaque-Removing Chew Toys 213
Chapter 8 Worksheet 215
9 Periodontal Therapy 216
Outline 216
LEARNING OBJECTIVES 216
Key Terms 216
Scaling 217
Root Planing 217
Root Planing: Technique 218
Periodontal Debridement 218
Changes in Instrumentation Theory 218
Cementum Removal 219
Benefits of Ultrasonic Periodontal Therapy 219
Ultrasonic Tips 219
Local Antibiotic Therapy 219
Doxirobe 221
Arestin 221
Conclusion 221
Chapter 9 Worksheet 226
10 Feline Dentistry 227
Outline 227
LEARNING OBJECTIVES 227
Key Terms 227
Feline Chronic Ulcerative Gingivostomatitis 228
Cause 228
Tooth Resorption 230
Cause 230
Diagnosis 231
AVDC Stages 231
Treatment of Tooth Resorption 234
Prevention of Tooth Resorption 234
Feline Orofacial Pain Syndrome 234
Chapter 10 Worksheet 240
11 Dental Radiology 241
Outline 241
LEARNING OBJECTIVES 241
Key Terms 241
Indications for Dental Radiography 242
Unerupted or Impacted Teeth 242
Periodontal Disease 243
Endodontics 243
Exodontics 243
Routine Dental Procedures 244
Contraindication for Dental Radiology 244
Dental Radiographic Equipment and Materials 244
Veterinary Medical Machines 244
Dental Machines 245
Intraoral Film 246
Description 246
Dental Radiographic Film Sizes 246
Digital Radiology 246
Protective Measures 253
Radiographic Technique 253
Placing film 253
Parallel technique 253
Bisecting-angle technique 255
Maxillary caudal 258
Maxillary rostral 260
Mandibular rostral 260
Complete study 260
Canine teeth 260
Marking radiographs 262
Trouble spots 262
Maxillary fourth premolar 262
Maxillary second molar 267
Mandibular third molar 270
Maxillary canine 270
Feline caudal maxillary teeth 270
Dolichocephalics, brachycephalics, and toy breeds 271
Efficient radiology 271
Complications in Dental Radiology 272
Failure to Position Film Sensor Properly 272
Blurred or Double Images 273
Elongation of Image 274
Foreshortening of Image 275
Overlapping Dental Structures 275
Radiographic Film Processing 276
Technique 276
Developing Complications 277
Clear film 277
Light film with poor contrast 277
Light film with markings 278
Black film 278
Brown tint 278
Green tint 278
Solution Disposal 278
Film Storage 279
Four Simple Rules for Positioning 279
Radiographic Errors 279
Positioning 279
Radiographic Findings 279
Radiographic Anatomy 279
Normal young patient 280
Normal older patient 281
Periodontal Disease 281
Endodontic Disease 282
Tooth Resorption 282
Retained Roots 282
Chapter 11 Worksheet 286
12 Exodontics (Extractions) 288
Outline 288
LEARNING OBJECTIVES 288
Key Terms 288
Indications for Exodontics 289
Preliminary to Exodontics 289
The Technician and Extractions 289
Instruments for Exodontics 290
Elevators and Root Tip Picks 290
Magnification and Lighting 294
Sterilization of Equipment 294
Sterilization Monitoring 295
Exodontic Principles 295
Root Removal 295
Exodontic Technique 295
Single-root extraction 296
Vertical rotation 296
Horizontal rotation 297
Bone augmentation 297
Suturing 297
Multirooted teeth 299
Premolar extraction 299
Maxillary fourth premolar 299
Maxillary first and second molars 299
Complications of Extractions 300
Loss of Root Into the Mandibular Canal 300
Flap Surgery 302
Conclusion 302
Chapter 12 Worksheet 305
13 Advanced Veterinary Dental Procedures: 307
Outline 307
LEARNING OBJECTIVES 307
Key Terms 307
Periodontal Surgical Techniques 308
Evaluation for Procedure 308
Goal of Periodontal Surgery 308
Instruments and Materials 308
Treatment Techniques 309
Hyperplastic gingiva 309
Gingivoplasty technique 309
Deep periodontal pocket 310
Indications for open flap and root planing 310
Open flap and root planing technique 310
Excessive attachment of frenula 310
Oronasal fistula 312
Follow-Up Recommendations for All Periodontal Surgery 312
Endodontics and Restorations 312
Indications for Endodontic Therapy 313
Advantage of Endodontic Therapy 314
Endodontic Procedures 314
Vital pulpotomy 314
Direct pulp-capping 315
Indirect pulp-capping 315
Standard Root Canal Therapy 315
Endodontic Equipment 315
Barbed broaches 315
Files and reamers 316
Endodontic stops 319
Endo-ring 319
Irrigation materials 320
Cotton or College Pliers 320
Endodontic materials 320
Pluggers 323
Endodontic Technique 325
Radiographs 325
Apicoectomy 325
Restorative Dentistry 325
Composite Restoration 326
Crown Restorations 331
Orthodontics 331
Bite Evaluation 331
Dental Models 333
Materials for making models 333
Technique for making models 335
Chapter 13 Worksheet 342
14 Rodent, Lagomorph, and Ferret Dentistry 344
Outline 344
LEARNING OBJECTIVES 344
Key Terms 344
General Information 345
Rodents 345
Lagomorphs 345
Ferrets 345
Dental Anatomy 345
Dentition in the Rodent, Lagomorph, and Ferret 345
Type of teeth in the rodent 345
Type of teeth in the lagomorph 346
Type of teeth in the ferret 346
Incisor teeth of the rodent and lagomorph 346
Hypsodont cheek teeth of the rodent and lagomorph 347
Periodontal Ligament 347
Adult Rodent Dental Formulas 347
Adult Lagomorph Dental Formulas 347
Adult Ferret Dental Formula 347
Instruments and Equipment Used to Treat Rodents, Lagomorphs, and Ferrets 348
Common Oral Problems and Diseases in Rodents and Lagomorphs 352
Gingivitis 352
Periodontitis 352
Enamel Hypomineralization/Hypoplasia 352
Tooth Caries 352
Malocclusion 353
Traumatic malocclusion 353
Atraumatic malocclusion 353
Tongue Entrapment 353
Incisor Tooth Overgrowth 354
Cheek Tooth Overgrowth 354
Tooth Abscessation 354
Cheek Pouch Impaction 355
Stomatitis 355
Oral Tumors 355
Slobbers 355
Common Oral Problems and Diseases in Ferrets 357
Tooth Extrusion 357
Tooth Abrasion 357
Tooth Fractures 358
Malocclusion 358
Periodontitis 358
Preparation for Procedures 358
Preanesthesia Examination 358
Preanesthesia Preparation 359
Inhalant Anesthesia 359
Anesthesia Induction 359
Anesthesia Maintenance 359
Intubation 360
Blind intubation 360
Pediatric laryngoscope 360
Otoscope or endoscopic intubation 360
Stethoscope-aided intubation 361
Retrograde intubation 361
Tracheotomy intubation 361
Stabilization and Monitors 361
Complete Oral Examination 362
Palpation and manipulation 362
Visual examination and aids 362
Radiographic examination 363
Charting 363
Treatment 363
Professional Dental Cleaning 363
Floating or Odontoplasty of Teeth 364
Tooth cutters 364
Rasps and files 364
Abscess Treatment 364
Endodontic abscesses 366
Periodontal abscesses 366
Periodontal-endodontic abscesses 366
Extractions 366
Incisor teeth 366
Canine teeth in ferrets 367
Cheek teeth 367
Vital Pulp Therapy 368
Tooth Fillings 369
Drug Treatment 369
Home-Care Instructions 369
Chapter 14 Worksheet 370
15 Marketing Veterinary Dentistry 371
Outline 371
LEARNING OBJECTIVES 371
Key Terms 371
Marketing Strategies 372
Gathering Client Information 372
Practice Brochures 372
Smile Book 372
Posters and Transparencies 372
Newsletters 373
Messages on Hold 373
Handouts 373
Estimate and Consent Forms 373
Recall System 376
Dental Models 376
Special Events 377
Internet Marketing 377
E-Mail Marketing 377
Websites 377
Social Media Sites 378
Marketing in the Examination Room 378
Chapter 15 Worksheet 380
Appendix A Abbreviations for Use in American Veterinary Dental College (AVDC) Case Logs 381
Tooth Identification 381
All Abbreviations in Alphabetical Order 382
Appendix B AVDC-Approved Definitions as of 2011 (With Slight Modifications for Text) 388
Periodontology 388
Flaps in Periodontology and Oral Surgery 388
Location of Donor Site 388
Attachment to Donor Site 388
Tissue to Be Transferred 388
Tissue Thickness 389
Blood Supply 389
Direction and Orientation of Transfer 389
Biopsy 389
Endodontic-Related Terminology 390
Other Endodontic-Related Terminology 390
Tooth Pathology and Restorative and Prosthodontic Procedures 391
Oral Medicine 392
Other Topics 393
Temporomandibular Joint–Related Items 393
Appendix C Dental Equipment Inventory 395
Hospital Inventory 395
Basic 395
Intermediate and Advanced 397
Bibliography 399
Glossary 401
Answers to Worksheets 413
Answers to Chapter 1 Worksheet 413
Answers to Chapter 2 Worksheet 413
Answers to Chapter 3 Worksheet 414
Answers to Chapter 4 Worksheet 414
Answers to Chapter 5 Worksheet 414
Answers to Chapter 6 Worksheet 415
Answers to Chapter 7 Worksheet 415
Answers to Chapter 8 Worksheet 415
Answers to Chapter 9 Worksheet 416
Answers to Chapter 10 Worksheet 416
Answers to Chapter 11 Worksheet 416
Answers to Chapter 12 Worksheet 417
Answers to Chapter 13 Worksheet 417
Answers to Chapter 14 Worksheet 418
Answers to Chapter 15 Worksheet 418
Index 419
A 419
B 419
C 420
D 422
E 423
F 424
G 425
H 425
I 426
J 426
K 426
L 426
M 427
N 428
O 428
P 429
Q 430
R 430
S 432
T 433
U 433
V 434
W 434
X 434
Y 434
Z 434