The Veterinary Dental Patient - A Multidisciplinary Approach

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Library of Congress Cataloging‐in‐Publication Data

Names: Gawor, Jerzy, author. | Niemiec, Brook A., author.

Title: The veterinary dental patient : a multidisciplinary approach / Jerzy Gawor, Brook Niemiec.

Description: Hoboken, NJ : Wiley‐Blackwell, 2021. | Includes bibliographical references and index.

Identifiers: LCCN 2020021098 (print) | LCCN 2020021099 (ebook) | ISBN 9781118974735 (hardback) | ISBN 9781118974698 (adobe pdf) | ISBN 9781118974681 (epub)

Subjects: MESH: Dentistry–veterinary | Veterinary Medicine | Practice Management, Veterinary

Classification: LCC SF867 (print) | LCC SF867 (ebook) | NLM SF 867 | DDC 636.089/763–dc23

LC record available at https://lccn.loc.gov/2020021098

LC ebook record available at https://lccn.loc.gov/2020021099

Cover Design: Wiley

Cover Image: Courtesy of Jerzy Gawor

Mary Berg Beyond the Crown Veterinary Education, Lawrence, KS, USA

Eva Eberspächer‐Schweda Anaesthesiology and Perioperative Intensive Care, Department for Companion Animals and Horses, University of Veterinary Medicine Vienna, Vienna, Austria

Jerzy Gawor Veterinary Clinic Arka, Kraków, Poland

Michał Jank Division of Pharmacology and Toxicology, Department of Preclinical Sciences, Institute of Veterinary Medicine, Warsaw University of Life Sciences (WULS‐SGGW), Warsaw, Poland

Margo Karriker University of California Veterinary Medical Center, San Diego, CA, USA

Daniel Koch Daniel Koch Small Animal Surgery Referrals, Diessenhofen, Switzerland

Victoria M. Lukasik Southwest Veterinary Anesthesiology, Tucson, AZ, USA

University of Arizona College of Veterinary Medicine, Oro Valley, AZ, USA

Lisa Mestrinho Assistant professor, Faculty of Veterinary Medicine, University of Lisbon, Portugal

Kymberley C. McLeod Conundrum Consulting, Toronto, ON, Canada

Brook Niemiec Veterinary Dental Specialties and Oral Surgery, San Diego, CA, USA

Peter Pascoe Professor emeritus, Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, CA, USA

Zlatko Pavlica University of Ljubljana, Ljubljana, Slovenia

Rachel Perry Perry Referrals, Brighton, UK and Royal Veterinary College, London, UK

Jamie J. Schorling American College of Veterinary Ophthalmologists, San Diego, CA, USA

Paulo Steagall Department of Clinical Sciences, Faculty of Veterinary Medicine, Université of Montréal, Saint‐Hyacinthe, QC, Canada

J. Scott Weese Ontario Veterinary College, University of Guelph, Guelph, ON, Canada

Being doctors, we do not treat diseases: we treat patients. Our patients' quality of life, functionality, and welfare are the most important goals of treatment.

Controlling periodontal disease is a complex action that requires the joint efforts of several people, including the first‐contact vet, the dentist, and the nurse.

Oral injuries and tooth fractures always require general anesthesia, in order to save the patient stress and provide the opportunity for appropriate assessment and treatment. It is again a team effort to carry the patient through all procedures safely.

Oral problems can affect almost all veterinary patients. Over 10% will become emergency patients and require immediate action.

Dentistry is a very important and interesting subject, but regardless of the technique, instrumentation, skills, and materials, it is all about the patient.

Many oral pathologies are camouflaged or go undiagnosed due to patient behaviors (animals do not express their discomfort), limitations in good access to the oral cavity, and prejudices among veterinarians and pet owners. Therefore, it is very important to educate veterinarians and urge them to pay attention not only to obvious signalments but also to signs of coming problems.

Almost every veterinary practice will claim, “We Do Dentistry” or “We Descale Teeth”, but the overall quality of service is poor. Students lack dental education, and as graduates and young veterinarians they go on to neglect dentistry. More is needed than just a book, but we can at least point out herein what we expect from universities.

Pet owners accept the presence of human dentistry as a separate medical discipline, but for some reason they treat veterinary dentistry as a cosmetic addendum to veterinary services.

There is one thing worse than neglecting dental problems: performing poor dentistry. Thus the aim of this book is thus to present the standards of good dentistry in the most common applications. We hope to remind you that every patient is a dental patient, and to offer advice on how to properly manage them. You should maintain an appropriate attitude toward dental and oral problems in dogs and cats. We offer an interdisciplinary approach to the dental patient, providing perspectives from such disciplines as oncology, cardiology, anesthesiology, and radiology.