Mobile small animal dentistry:
- Dr. Robertson can be booked for cases on Tuesdays and Thursdays.
- Dr. Robertson will need a technician for assistance with the procedures or a relief technician can be arranged to accompany Dr. Robertson (additional fees will be required for a relief technician).
- Surgical equipment will be provided by Dr. Robertson. Please review the hospital requirements for medication, anesthetic agents, and equipment that you will need to have in stock.
- Dr. Robertson performs high-quality dental care and not high-volume dental care. Safety and performing a complete and effective service are priorities. Cases can take a lot longer than some veterinarians are currently used to.
Types of procedures provided but not limited to:
- General dental cleanings (COHAT'S) - All patients will get a complete set of dental radiographs, a full oral examination with a completed dental chart, scaling of the teeth and polishing (in this order). While the technician is cleaning and polishing I will make the treatment plan and call the owner for consent. Local blocks will be applied and treatments completed.
- Root planing and subgingival curettage +/- perioceutic placement
- Dental extractions including Full Mouth Extractions
- Oronasal fistula repair
- Guided Tissue Regeneration
- Gingivectomy and gingivoplasty
- Odontoplasty and bonded dental sealants
- Restorations
- Oral mass biopsy
- Vital pulp therapy for complicated crown fractures. This is for dogs less than 2 years old and with fractures that are no more than 2 weeks old (ideally less than 24-48 hours old)
- Crown reduction and vital pulp therapy for Class II malocclusions
- Enamel hypoplasia treatment - debridement of diseased enamel and bonded sealants
- Oral mass excision (with limitations)
- Root canal therapy (with limitations)
- Jaw fracture repair (with limitations)
****NOTE: Advanced procedures will incur additional fees. These will be discussed with owners prior to treatment and will be added to their invoice for the clinic to collect payment. A price sheet can be provided.
Dental Protocol - Step by Step
- Pre-surgical exam, weight, and anesthesia plan created.
- IV catheter placed - ideally prior to premedication (when temperament allows)
- Pre-medication
- Anesthesia induction
- Set up heat support and monitoring equipment with the patient in sternal recumbency
- Take maxillary dental radiographs
- Turn the patient to dorsal recumbency within positioning tray/padded bed.
- Take mandibular dental radiographs
- Complete oral exam and dental charting (Dr. Robertson will dictate exam findings to the technician and the technician will record on the chart).
- Local blocks applied if needed
- Phone call to owner for obtaining consent after review of the recommended treatment plan
- Scaling
- Polishing
- Oral surgery/periodontal treatments/biopsies/etc. performed
- Post-op radiographs/intra-op radiographs
- Anesthesia recovery
- Complete medical record and discharge instructions
- Post-op analgesics administered
- Prescription medications prepared for discharge
- Post-op update provided to the owner via phone and discharge arrangements made.
Hospital staff will be responsible for removal of IV catheter, final cleanup of the patient if needed, and discharging the patient to the owner.
Medical Records
- A dental chart, anesthesia chart, and discharge instructions will be completed and made available to the practice for inclusion in the patient's medical record and distribution to the owner.
Staged Procedures
- Although rare, a procedure may need to be completed in 2 stages. This can happen if there is more work identified than anticipated and scheduled for, if a patient is not doing well under anesthesia, and in the case of feline full mouth extraction cases.
- If this occurs then all efforts will be made to get the patient scheduled within a reasonable time frame and fees may be discounted for stage 2.
- Staff DVM's need to anticipate this possibility and prep the owners ahead of their procedure day that this could occur. Owners will be notified over the phone when obtaining treatment consent if I feel their pet's treatment may require staging.
