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Beaver Lake Animal Hospital
26325 SE 39th Street
Issaquah, WA 98029
(425)557-0752


Beaver Lake Animal Hospital

26325 SE 39th Street
Issaquah, WA 98029

(425)557-0752

beaverlakeah.com

Dentistry - Unit, Products and Procedures


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Clean teeth lead to healthier, happier pets.

Performing dental prophylaxis and dental treatments

High speed and sonic instruments

Dental Radiographs

Cleaning and fluoride polishing

Fluoride treatment

OraVet Barrier Sealant

-helps prevent plaque and bacteria from attaching to the teeth

Maxiguard enzymatic sprays and gels

CET tooth brushes and enzymatic pastes

Hill's Tartar Control Diet

Oxyfresh Oral Hygiene Solution

Click here to view and/or print a copy of the :Dental Authorization Form

Click here to link to our page on Dental Disorders and Diseases




Dental Evaluation and Prophylaxis

 

Routine full oral examination, evaluation and dental care are recommended yearly for most pets. Many pets have problems not detected by a brief look at the outer tooth surfaces. Once any tartar or gingivitis is apparent more serious oral disease is likely. For the pets that have no pathology, the prophylaxis is to help prevent it.

We dedicate a whole morning for each dentistry we perform.  We only do a single dental service any one morning.  We focus on your pet!

A fee based on the time required and supplies required is assessed for this service:

Cats—usually about $420 – 440, requiring about 40 to 60 minutes time under anesthesia;

 Dogs—usually about $460 to 500, requiring about  60 to 100 minutes under anesthesia.

Costs vary with supplies and time required. Our price reflects the level of care given and includes all that your pet needs to have a safe healthy prophylactic procedure and oral evaluation. It includes the standard preanesthesia lab work, hospitalization, premedications, IV catheter, IV fluids, anesthesia induction, thermal support and multimodal anesthesia monitoring with dental scaling, polishing, fluoride treatment and OraVet application. This is further explained below.

Ask about our $40 off incentive for dentistry.

Let us help you keep your pet as healthy as possible. What we will do:

We will perform a preanesthesia physical exam.

We will listen for heart murmurs or arrhythmias. We will listen to the lungs of your pet.

We will alert you if any irregularities exist. If so, thoracic x-rays will be recommended.

We will not proceed if we feel your pet is not in appropriate health for anesthesia.

 A preanesthesia blood screen will be completed.

We will perform a preanesthesia lab analysis (organ function, electrolytes and hematocrit). Our new technology allows us to perform these tests using only about 3 drops of blood. On some pets, the testing may be completed within the 14 days prior to the scheduled procedure. Not all conditions are readily detected by physical exam. Since dental disease can lead to kidney, liver, lung and/or heart disease, it is important to objectively evaluate your pets’ internal organ systems. A preanesthesia profile allows us to find out enough about your pet’s electrolytes, blood proteins, kidney and liver function, as well as the percentage of red cells to better insure your pet’s ability to undergo a smooth anesthesia. This information will allow us to help your pet through and after today’s procedures. This also allows us a baseline of what is normal in your pet. If your pet is ever sick, we can refer to the baseline for comparison. A CBC will be completed on seniors or other selectively.

If any significant abnormalities are detectedDr. Bennett will contact you to discuss further diagnostics if they are indicated or even to reschedule the planned service.

 A preanesthesia injection will be given.

This injection helps sedate your pet, reduces stress, and offers pain control.

 An intravenous catheter will be placed and IV fluids started.

Just as your doctor would place an IV catheter before anesthesia, so will we. IV catheters allow further IV injections to be given without stress to your pet. Additionally, it is a further security while your pet is under anesthesia. IV fluids are administered to help maintain blood pressure to support organ health and function as well as prevent dehydration.

General anesthesia will be induced.

The heart, respiration and blood pressure will be monitored. We use anesthetic protocols designed to be as safe as possible specific for your pet. Our anesthetic protocol provides for pain control. Most pets wake up minutes after procedures are completed. We provide warmth during and after anesthesia, to prevent the body from cooling and keep your pet as comfortable as possible. With our protocol, most our patients remain sedate and relaxed until later, by design. Most pets are relatively ‘bouncy’ by the time they go home. Since sensitivities vary to anesthesia and sedation, some pets may continue to be more sedate than normal for 24 hours.

 We will evaluate and chart for periodontal disease or other problems with the teeth and oral cavity. Optional dental X-Rays are available. (Currently $63 to 115 depending on size of mouth)

Even pets without noticeable tartar or gingivitis may still have oral pathology. Many times this is not found until the pet is anesthetized and we can fully evaluate all aspects of the mouth and teeth. X-Rays are needed to evaluate above the gum line. We recommend radiographs on all patients but allow them as an elective. We will call you with any findings that should be treated.

We will remove the tartar off the tooth crowns.

Deeper subgingival scaling/curettage will be completed as needed.

This is also known as closed root planing, which is a dental treatment but cannot be ignored. When a pocket of periodontal bone loss is found the subgingival root surface is scaled/cleaned as best as possible.

 We will polish the teeth.

The polish is important to smooth the enamel surface of the crown to help delay the recurrence of plaque and tartar.  We polish the teeth 2 times, first with a fine grit, then with a very fine pumice.

We will apply a fluoride treatment to the teeth.

We will apply OraVet sealant that will temporarily inhibit bacterial adhesion.

We recommend you purchase the home version and apply it to your pet’s teeth 1-2 times weekly. The initial professional application will last about 10 days. We will show you how to apply the product on your pet 7 to 10 days after the dentistry. Even if you brush your pet’s teeth regularly, this product can significantly reduce tartar. The product will not brush off.

 We will make recommendations if we think further diagnostics or treatments are indicated for your pet for any reason.

For your peace of mind, we will call you when your pet is in recovery.

 The following is a sample of the authorization choices that you will be presented with when your pet is admitted for dentistry service. If you have any questions, please call and ask before the day services are scheduled.

I am the owner/agent for described animal and I authorize and request the services listed on this form. I understand, and accept that when anesthesia is involved, there are always inherent risks, including death.

My pet appears to be healthy (no illness, vomiting, etc). I have indicated any new/unforeseen health concerns on the back of this page.

My pet has not had any food since last night.

I have received estimate # _________ ranging from $_________ to $_________ for the prescheduled services. 

Survey dental radiographs are $ ______

COMPLETE  survey dental radiographs. _______   /   DO NOT COMPLETE survey dental radiographs._______

I understand services/treatments not listed on the estimate are not included and will incur additional charges if performed.  I understand Dr. Bennett will try to contact me if additional treatment is recommended. If I am not available I authorize Dr. Bennett to complete any recommended treatments. I have indicated any additional services I would like performed with a check mark or my initials above. I understand that pain and/or antivomiting medication will be provided if deemed reasonable. I understand that I will be charged for flea medication and a dose will be applied if evidence of fleas is found on my pet today.

For questions I can be reached at                                                                                                           today.

I prefer you TEXT me when my pet is in recovery. I can be reached by text at                                           .

 

 

Signature: ________________________________ Date:                                      

Or

I am the owner/agent for described animal and I authorize and request the services listed on this form. I understand, and accept that when anesthesia is involved, there are always inherent risks, including death.

My pet has not had any food since last night.

My pet appears to be healthy (no illness, vomiting, etc). I have indicated below any new/unforeseen health concerns.

I have received estimate #_________ ranging from $_________ to $_________ for the prescheduled services.

Survey dental radiographs are $_______

COMPLETE  survey dental radiographs. _______   /   DO NOT COMPLETE survey dental radiographs._______

I understand services/treatments not listed on the estimate are not included and will incur additional charges if performed.  I understand Dr. Bennett will try to contact me if further treatment is recommended.  If I am not available no further treatment will be completed and my pet will be recovered from anesthesia.

I have indicated any additional services I would like performed with a check mark or my initials above. I understand that pain and/or antivomiting medication will be provided if deemed reasonable. I understand that I will be charged for flea medication and a dose will be applied if evidence of fleas is found on my pet today.

For questions I can be reached at                                                                                                          today.

I prefer you TEXT me when my pet is in recovery. I can be reached by text at                                           .

 

Signature:________________________________             Date:                                       

26325 SE 39th Street, Issaquah, WA  98029-9115     

(425) 557-0752      

www.beaverlakeah.com    

Beaverlakeahmail@aol.com 


Beaver Lake Animal Hospital

 

Dental Treatment

 

Unfortunately, many times before dental care is provided for pets, dental disease is present. Dental disease hurts. Just as in treating any other disease or injury, dental treatment requires a higher level of skill and knowledge.  It requires increased time and equipment/instrumentation.   It involves additional procedures and medications than if just preventive dental care is required.  A comparison is if you take good care of your car with regular lube, oil and filter changes, and the cost is minimal compared to having to rebuild the engine or transmission.  There is a wide variation in the degree of dental health in pets.

 

Dental health is your choice

 

Dental treatment recommendations will vary from pet to pet.  In veterinary medicine we cannot make proper treatment recommendations until we have fully evaluated the patient while under anesthesia and have a radiographic study.  Once your pet is here, anesthetized and evaluated we will prepare our recommendations and contact you. Be sure to leave a phone number where you can be reached. If you are not available, and have not signed the treatment authorization, we will not complete treatment and the patient will be recovered.  Alternatively, dentistry treatment time can be scheduled separately from the initial oral evaluation and teeth cleaning.  The following is a list of services and approximate cost per service we may recommend:

Pain management is essential.

 

Some dentistry procedures are painful. Local anesthesia/nerve blocks and/or systemic pain medication(s) will be used and prescribed for any procedure that might cause pain.   Approx cost $35 to120 for intra and post op pain treatment

 

Antibiotics are commonly used for veterinary treatment of dental diseases

 

Antibiotics are important when your pet is treated for dental disease. Treatment of dental disease releases bacteria from those tissues and into the bloodstream.  Systemic antibiotics are used to control/stop that as well as help clear up the infection in the mouth.  Approx cost $30 to 60 for intra and post op antibiotics

 

We will treat gum disease if indicated.

 

A gingivectomy is removal of excess gum tissue that may be a source of pain for your pet or be creating a pocket. These pockets provide a home for bacteria to hide, and lead to periodontal disease. If tissue looks questionable, we will recommend biopsy of these tissues. Most of these tissues are benign growth, but a cancerous tumor may appear similar.  Doxirobe gel may be applied which will provide appropriate antibiotics directly to the gum line for an extended time. Approx cost $30 to 60.

 

Closed root planing (subgingival scaling) with Doxirobe gel placement.

 

When a pocket of periodontal bone loss less than 5 mm is found the subgingival root surface is scaled and smoothed without surgical flapping open of the gingiva.  The pocket will be lavaged with an antiseptic then Doxirobe gel may be applied into the pocket.  Doxirobe is a gel that slowly over several weeks releases the antibiotic doxycycline that fights infection, inhibits tissue destruction and helps keep debris and plaque from filling in the defect.  It may allow periodontal bone to recover.  Approx cost $25 to 40 per tooth treated.

 

Open root planing with Doxirobe gel placement.

 

When a pocket of 6 mm or greater is found the tooth is significantly compromised.  To try to save the root we can complete open root planing. Only the doctor will perform open root planing.  A gingival flap will be made surgically to provide adequate access to the tooth root.  The root will then be cleaned of plaque, tartar and foreign substances and in some cases be smoothed.  The pocket will be lavaged with an antiseptic then the gingival flap will be resutured back into place. We may use a bone graft product (Consil�) to stimulate bone growth to try to regain some of the lost periodontal bone.  Approx cost $60 to 100 per tooth treated.

 

Odontoplasty and acrylic bonding sealants.

 

Dental fractures are often painful and treatment varies depending on the fracture type encountered.  Fractures with exposed pulp (the central core of the tooth) never heal spontaneously, and should receive endodontic treatment or be extracted.  

Dental fractures that expose the dentin (a layer around the pulp, but under the enamel) are often associated with pain from nerve stimulation and/or bacterial migration.  A tooth may have some capacity to heal itself when the fracture is only into the dentin and not into the pulp.  However, during the healing process, the tooth may be painful and at risk for developing an endodontic infection.

On teeth with only dentin exposure (no apparent pulp exposure) from fractures, smoothing and sealing with acrylic bonding sealants may help protect the tooth from pain and endodontic infection.  These teeth may be salvaged from needing root canals in the future.  Since the time when a fracture has occurred is not generally known, it is impossible to determine if the tooth will heal or continue with endodontic disease.  Teeth that have had sealant treatment for a fracture should be re-radiographed every 6 to 12 months to ensure there is no continued endodontic disease.  Approx cost $60 to 80 per site treated.

 

Tooth extraction will be recommended for any unsalvageable tooth we feel is diseased or will otherwise causing chronic pain.

 

Surgical extraction of teeth requires additional time, instrumentation, products and skill.   Alternatively, we will alert you if we feel a tooth can be treated with endodontics.  We will refer you to a board-certified specialist if you elect this option, rather than extraction.  We will call you to give you the choice. Be sure to leave a phone number where you can be reached. If you are not available, we will use our judgment. We may use a bone graft product (Consil�) to stimulate bone growth/strengthening to help prevent mandibular fractures after extractions.  Approx cost $40 to 200 per tooth treated.  (Although we cannot quote for services we do not provide, endodontic root canals generally have been quoted before between $600 and 900 when completed by a board certified veterinary dentist)

 

 

 

We will make recommendations if we think further diagnostics or treatments are indicated for your pet for any reason.

For your peace of mind, we will call you when your pet is in recovery.

 

Professional periodontal treatment (PPT) can improve the quality of a pet's life by reducing pain, infection and odor from their mouths.   PPT when done properly is very rewarding for the patient particularly if the owner is willing to continue regular in-home dental hygiene.   However for those that cannot allow recommended therapy, please know that we want to help your patient and will try to come up with alternative options to help your pet.

 

 

26325 SE 39th Street, Issaquah, WA  98029-9115

 

(425) 557 0752 

 

 July 2013

 


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