PROCEDURES Anesthetic Dental Cleaning Scout is anesthetized, intubated, and closely monitored. The doctor examines and evaluates Scout’s dental disease. Teeth are graded on the basis of the amount tartar, gingivitis, and periodontal disease. Full mouth digital X-rays are taken first to evaluate all the teeth and their roots. This helps us determine which teeth need extra care or extraction Every tooth is probed and depths of the gingival pockets are measured and recorded. The doctor reviews both the X rays and the dental chart to determine the appropriate course of action. Tartar is removed with an ultrasonic scaler. This instrument allows us to remove harmful tartar underneath the gum line. Teeth that have severe dental disease are extracted. In teeth that can be saved, an antibiotic gel can be placed in the periodontal pocket. Teeth are polished. Fluoride, then a dental sealant is applied. Surgery Prep and Testing Medications are given to help reduce anxiety and pain related to any pre-ansesthetic procedures,(eg.catheter placement) reducing the amount of anesthesia needed. Less anesthesia is always more safe. Blood tests are done to make that Scout is healthy enough to undergo anesthesia An intravenous catheter is placed so that fluids and medications can be administered directly into the blood. An electrocardiogram (ECG) is transmitted to a cardiologist, who then evaluates the readings and makes recommendations about Scout’s cardiac status and our anesthetic protocols. Scout is given a short acting anesthetic agent and intubated. She is placed on gas anesthesia and oxygen. An assistant is assigned to take Scout’s vitals every 3-5 minutes. Scout is also hooked up to our state of the art monitoring machine which measures oxygen, CO2, ECG, pulse, respiration and blood pressure at regular intervals. Intravenous fluids are given throughout the procedure to maintain Scout’s blood pressure and hydration status. After procedure, Scout sleeps until the anesthesia wears off. Scout is discharged to owner by an assistant with her aftercare instructions. An Elizabethan collar may be sent home so that she can not traumatize her surgery site.