I am going to give you a specific action step that you can start on this week that will help you tremendously with the efficiency of your dentistry service. Once that is accomplished you can move onto other areas one challenge at a time to transform the entire approach to the patient.
This will create a much less frustrating and stressful service allowing you to flow through each case minimizing anesthesia time and dramatically improving patient care.
But first let's mention those other dental deficiency disorders that are areas that we can improve on as well.
Working in the dentistry service and knowing what challenges you face, I would Imagine you can probably guess what there 4 other dental deficiency disorders are:
- Chronic Radiographic Fatigue Syndrome
- Idiopathic Full Mouth Radiographic Positionitis
- Immune - mediated Surgical Extractions
- Acute Onset Dental Chartitis
So before we tell you how to start improving those here is the first thing that you can do immediately which is going to change your step-by-step protocol:
Do your full mouth series right after induction. That allows you to have the majority of your treatment plan immediately by knowing which teeth you are going to extract.
With that you also have the luxury of not having to go into as much detail when it comes to dental charting on those teeth which saves a ton of time under anesthesia. All you need is the stage of periodontal disease for each tooth as the charting designation. No need to record any other parameters, because the tooth won't be there the next time to check pocket depth, gingival recession etc!
Good question, but the answer is no. Radiographs are for what you can’t see from the marginal bone to the tooth apex.
Because of the positioning or the tube head and senso only if you have massive calculus on the palatal or lingual side of the tooth will the calculus be superimposed over the roots. I have seen this twice in 34 years, both in brachycephalic breeds.
Guess what else, you don’t have to clean the teeth you are extracting! This saves you a ton of time. If you clean first you don’t hzave that luxury of adding significantly to the safety of the procedure by minimizing the time under anesthesia.
The answer is not if you are performing surgical extractions on all teeth, mobile to immobile. The flap exposes all of the mess that you don’t see, especially surrounding teeth with severe perio. All teeth where extraction is indicated should be exposed with a flap, extracted and then the diamond football bur is used to clean up the granulation tissue and contour the bone.
I think you can see where that action step can take you to a place that will make you much more efficient in your dentistry service.
Once you adopt that simple concept there are several other areas of that step by step process that can be quickly institute that will have an even more impact on efficiency.
Then you can work on fine tuning and eliminating the other 4 diseases mentioned. Although those are not the primary disorder of your dentistry service there will be areas of need that can be improved upon.
That is where you can really prosper. Elimination of all traces of all 5 disorders act to synergistically transform your dentistry service. Your evolution to super efficiency will increase your confidence in your procedures, make them less frustrating and make it such that your patients are under anesthesia for much less time.
I challenge you to learn this course as a veterinarian and technician team and implement everything in that course in the next couple of months. If you do, you will reap the benefits for your entire careers and change the lives of the patients you treat for oral disease.
Now, go out and make it a great day!!