03/28/2025
This Month's MIP (Most Interesting Patient):
You may recognize Lindy as our monthly prevention mascot. Lindy belongs to Dr. Lamont, and is a 4 year old Miniature American Shepherd. As Lindy has gotten older, she began to build up tartar and calculus on her teeth. Dr. Lamont regularly performed home dental care (brushing teeth and dental chews every 24-48 hours), but just like with people, even with brushing daily, eventually a dental cleaning is needed to remove the hardened calculus from the teeth and reduce gingivitis and periodontal disease.
Lindy came to the clinic for a routine dental cleaning - this is an anesthetized procedure, so Lindy was fasted from the night before.
Lindy was given a pre-medication injection in the muscle to provide sedation and pain relief, and then an IV catheter was placed, and medications were then given into the vein to induce anesthesia. A tube is placed into the trachea, and anesthesia is then maintained throughout the procedure with an inhaled gas anesthetic.
After inducing anesthesia, Lindy was hooked up to the different monitoring equipment we have for monitoring heart rate, breathing rate, oxygen and CO2 levels, blood pressure, and temperature - this allows us to make sure she is at the correct depth of anesthesia, and make sure anesthesia is as safe as possible.
Lindy's teeth were cleaned with an ultrasonic cleaner to remove the calculus, and then the teeth were polished to smooth any microabrasions from the scaling - this is important to make sure there are no grooves/rough surfaces for tartar to accumulate on in the future.
After cleaning and polishing, Dr. Lamont probed and evaluated each tooth and the soft tissue structures of the mouth, evaluating for any mobile teeth, pocketing, masses, or missing teeth. Lindy was missing a couple premolars and molars, so radiographs were taken to ensure these teeth were truly missing, and not just unerupted below the gumline - this is very important to evaluate for, as unerupted teeth are at risk of forming a dentigerous cyst. Luckily, Lindy's teeth were truly missing, so no further workup or extraction was needed.
All of Lindy's teeth probed normally, so she was taken off of anesthesia and allowed to slowly wake up. Once she was swallowing on her own, her endotracheal tube was removed. She was a bit groggy for a couple hours after anesthesia and sleepy that night, but was back to her normal self the next morning, with pearly white, healthy teeth!