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
- Chronic Step-by-Step Deficieny Virus
- Immune - mediated Surgical Extractions
- Acute Onset Dental Chartitis
One more thing before we give you this killer action step. This course is intended for technicians however if you are a veterinarian you will benefit just as much or more than your technician. The elimination of radiographic positionitis in your dentistry service with properly trained technicians, will pay dividends in efficiency, revenue, patient care and lowered stress and frustration levels for your entire career.
Here is the first and the biggest thing that you can do immediately when you are trying to treat a radiographic positioning disorder. Minimize the parameters that are involved with taking radiographs and use angles to adjust the tube head to get the right position every time.
Every single position that we take in our dogs and cats, large and small can be nailed down to the position of the tube head, the position of the sensor and the orientation of the tube head from an angle stand point.
The image below is a page from my book - the Veterinary Dental Radiographic Technique and Positioning Guide:
This shows you in every single circumstance, what position that tooth head needs to be.
If we take the head position of the patient out of the icture by having the patient positioned in sternal ecumbency for all of the maxillary shots like you see in the image below, that way we don't have to move the patient at all and we can use those angles to take every maxillary shot. Small dogs that would be 5 in large dogs that would be 7.
In this case for the caudal maxillary view in the dog the angle of the tube head is 60 degrees. You can also see the sensor placement and what the resulting image will look like if you follow those parameters. If it doesn’t look like that one or multiple of those conditions is missing.
Once the maxillary arcade is complete we turn the patient and position them so we eliminate the ositioning dilemma variable by putting the patient in the dorsal recumbency with a mandible parallel to the table. We use this position for all of the mandibular arcade again using angles and not moving the atients head.
This allows us to get our full mouth radiographs series as quickly as possible with minimal or with practice o takes.
- Caudal Maxilla 60 degrees
- Rostral Maxilla 45 degrees
- Maxillary Incisors
- Caudal Mandible Parallel
- Rostral Mandible 50 Degrees
- Incisors 45 degrees
I think you can now appreciate how important it is to eliminate those variables and to use those angles to streamline your full mouth radiographic series in your cats and dogs patients. It is not something that is easily acquired, it takes training and it takes guidance.
Until now was very difficult to do, requiring travel and all of the associated expenses to make that happen.
But now you can attend a 6 hour Virtual Wetlab for Veterinary technicians. You don't have to be an LVT or have credentials in order to experience this.
It is taught by my dental technician Annie Mills, LVT, VTS (Dentistry), it is the First Ever Virtual and Only Virtual WetLab.
This course constitutes 6 Hours of Race CE including nerve blocks, periodontal procedures and much more with an emphasis on rad positioning and feedback.
Eliminate the frustration in the dentistry service with positioning retakes and time spent getting your full mouth series completed.
Technicians can practice with instruction to master radiographs to get from induction to the procedure in a fraction of the time. The stress level in the dentistry service during procedures will melt away just as it has in the several thousand practices that have taken the live version of this course over the years.
I challenge you to take this experience and implement everything you learn 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.
If you are a veterinarian this is THE most impactful and practical CE for your technicians that you can invest in.
Now, go out and make it a great day!!