12/08/2023
Today, we go behind the scenes to show you what happened when our patient Bobs came in for his dental surgery. There are graphic images of dental surgery, including surgical work, blood
sampling and intravenous catheter placement plus some cute photos of Bobs.
Bobs story:
Bobs belongs to our Practice Administrator Victoria and her wife, Debs. Poor Bobs did not have a good start in life as he was found neglected in a house aged around 5 weeks old, suffering from
Feline Calicivirus (FCV). Fortunately, Victoria rescued him, and with the help of the dedicated veterinary team where she worked previously, barrier nursing Bobs at home for a very long time and
Bobs amazing fighting spirit, he eventually made it through despite also suffering secondary pneumonia. Feline calicivirus (FCV) is one of the major causes of feline infectious upper
respiratory tract disease (cat flu). Typical signs include sneezing, nasal discharge, ocular
discharge,conjunctivitis, ulceration of the tongue, lethargy, inappetence, and fever. Issues
associated with FCV can include chronic gingivitis (gum disease) and stomatitis (inflamed/sore mouth). Poor Bobs has suffered with gingivitis through his life but has always coped well, eaten
very well and until recently, has not shown any signs of this causing him pain. Victoria noticed
though recently, when stroking Bobs around his face and neck, that he was 'chattering' with his mouth and so he had a check up with vet, Michelle, who decided that he needed urgent dental surgery as he had some very damaged teeth that would need assessing under general
anaesthetic. Bobs was admitted and initially had a pre-anaesthetic blood test to check his
overall health prior to anaesthetic. Most of our lab tests are done at the surgery, which means results can be available very quickly. Bobs had an intravenous catheter placed, and he was sedated, anaesthetised, and placed on intravenous fluids to help support his cardiovascular function throughout his procedure. We have a multi parameter machine that enables us to check Bobs heart rate, blood pressure,
SpO2 ( how much oxygen Bobs blood is carrying), a capnograph which measures CO2 (carbon dioxide) in the gas Bobs breathes out, ECG, and body temperature, and also our nurse monitors Bobs with a stethoscope to manually check his heart rate, and she also monitored his breathing. Bobs teeth were sadly too damaged by the virus to be saved, and Michelle had to remove all of his remaining teeth and some roots that were buried in his gums. A gel called Vetigel was used to fill the sites where the teeth were removed as this controls the bleeding very quickly, and Bobs was given local anaesthetic nerve block into his gums (similar to the ones we have at the dentist) to help with post-operative pain. We used K-laser therapy after his surgery on his wounds as this promotes healing and manages pain and inflammation. Bobs recovered very quickly from his anaesthetic and was able to go home later that same day. He was discharged with antibiotics and pain relief and will have another laser therapy session after 3 days. Incredibly, Bobs managed to eat that very same day, enjoying special chicken soup and mousse that were nice and soft on his gums. He has made a full recovery in just a few days and is back to eating his normal diet and no more 'chattering'.