Summit Boulevard Animal Hospital - West Palm Beach, FL
Advanced Pet Dental & Oral Surgery Services Provided
Simple annual and semi-annual professional dental cleaning
Dental Home care products
digital full mouth dental X-rays
advanced dentistry including complex periodontal surgery
Pediatric Interventional Dentistry
Bite evaluations and extraction of retained or fractured primary teeth
Including periodontal surgery and guided tissue regeneration
Including root canal therapy of mature teeth and crown reduction/vital pulp therapy of teeth causing trauma
Including full-mouth extractions for chronic ulcerative paradental disease (CUPS) and feline gingivostomatitis
Including removal of oral tumors, tight lip surgery, surgical treatment of dental cysts, mandibular and maxillary fracture repair using inter-dental wiring and intra-oral splinting
Why is dental care in pets important?
Unlike humans, pets cannot tell you that they are suffering from toothaches. Dental fractures, abscesses, and periodontal diseases cause excruciating pain in pets and people. Pets are known to hide illnesses to avoid being attacked by other predators and continue to eat to survive.
Remember, treatment for dental disease is not expensive. Dental neglect is very expensive.
Why are dental X-rays important?
Since oral disease does not stop at the gumline, intra-oral radiographs of the root structure and surrounding bone are necessary to diagnose diseases below the gumline and to develop a treatment plan. Without the use of dental radiographs, we are prevented from seeing two-thirds of the tooth structure. There are many indications for dental radiographs, including the following: red or swollen gums, bleeding gums, broken teeth, missing teeth, feline resorptive lesions, loose teeth, abnormal periodontal pocket depth around teeth, worn teeth, and discolored teeth.
Day of Dental Procedure:
No food or water should be given after midnight the previous day. We require a pre-anesthetic veterinary examination, pre-op Electrocardiogram, pre-op blood work chemistry panel and complete blood count. For cats older than eight years of age, a thyroid level is also needed. In addition, patients at risk for hypertension should have their blood pressure measurements obtained. If patients have had a history of unexplained weight loss, then chest radiographs and an abdominal ultrasound may be recommended prior to anesthesia.
Most dental procedures patients go home the same afternoon with written instructions and home dental care instructions.
Cost of Dental Care:
Dental disease is a hidden disease and the cost cannot be determined until the patient undergoes anesthetic procedure to enable a thorough oral exam, oral probing, and for intra-oral dental radiographs to be taken and evaluated to determine the extent of dental disease and the treatment plan.
After a review of the dental radiographs and oral probing/exam, Dr. Arun and his staff will be able to give general cost estimates by phone. Please keep your phone with you at all times to help us communicate with you during the entire dental procedure.
The above picture shows a minimal accumulation of tartar with normal and healthy appearing gingival tissue. The same tooth under dental X-Rays show a different severe stage 4 advanced periodontal disease.
WHY WE RECOMMEND DENTAL X-RAYS WITH EVERY DENTAL PROCEDURE?
The point to be made with the above two pictures are that periodontal disease absolutely cannot be properly or fully appreciated in a conscious dog or cat because the problem is located below the gingiva, out of sight. As an example, the photo of a four-year-old Jack Russell Terrier, there is at least one tooth with end-stage periodontal disease that required extraction. That is despite the fact that all the teeth in the photo appear to have minimal calculus accumulation and the gingival tissue in the photo all looks healthy and normal.
In the radiograph below (Figure 2) we see the left maxillary fourth premolar (208). The linear density is a soft, rubber probe (gutta percha point) placed into the periodontal pocket around the mesio-palatal root of this tooth (208). The probe extends about 85% of the length of the palatal root and so we have about 85% attachment loss. That is well beyond end-stage periodontal disease (Stage IV) There is also almost total bone loss around the left maxillary second molar to the far right (210).