Is cleaning this dogs teeth going to help him. No. Then why do we continue to approach the client of the patient with periodontal disease and talk about cleaning teeth. Not all patients present with this proufound degree of periodontal disease. Greater than 80% of the cases that I treat are related to periodontal disease. 90% or more of the cases that you will treat are going to be periodontal related. Therefor arm your staff with the knowledge of how to recognize and treat periodontal disease, show them the importance of early recognition and train them to maximize compliance with pictures and client education.
Take a picture of the pet. Take a picture of the pets mouth.
We have to show them pictures similar to that of their pet and then show them what we might expect on xray. TAKE a picture of the clients pets mouth and then show them a similar picture and stage with that level of disease.
Early furcation exposure and decreased density of bone on the mesial aspect of the distal root.
THE ASSOCIATION OF BARTONELLA SPP. INFECTION WITH CHRONIC STOMATITIS IN CATS. KL Dowers , MR Lappin. Colorado State University, Fort Collins, CO. Stomatitis is a debilitating disease in cats that leads to oral pain, anorexia, weight loss, and occasionally euthanasia in intractable cases. The syndrome is thought to have multiple causes; recent work suggests that Bartonella spp. may play a role in some cases. Establishing a causative link between bartonellosis and stomatitis would justify routine testing of stomatitis cases and might suggest use of alternative antibiotic therapies, such as azithromycin. The objective of this clinical study was to determine the prevalence of Bartonella spp. DNA in blood and B. henselae serum antibodies in client-owned cats with histopathologically documented stomatitis as well as age- and geographically-matched healthy control cats. Blood and serum samples from 34 affected cats and 34 age-matched healthy control cats were submitted by veterinarians from around the United States. DNA of Bartonella spp. was amplified from blood via a previously validated polymerase chain reaction (PCR) assay and serum antibody titers against B. henselae were determined by ELISA. All cats were tested for FeLV antigen and FIV antibodies. For cases where oral biopsy samples were obtained at the time of blood sampling, the PCR assay was also performed on tissue samples. Survey information regarding housing status (multiple or single cat households), previous FeLV and FIV testing, flea exposure, vaccination history and history of upper respiratory infections (URI) were collected for both affected and control cats, and lesion details and treatment trials were collected for affected cats. No significant differences in the prevalence rates for PCR-positive cats between affected (8.89%) and control cats (8.89%) nor for antibody-positive cats between the affected group (67.6%) and the control group (58.8%) were found. The only survey factor with significant correlation with stomatitis was history of URI [p<0.05]. Of the 18 oral tissue samples submitted, only 1 was PCR-positive. This study underscores the difficulty of correlating Bartonella spp. test results with clinical disease in individual cats because of the high prevalence rates of antibody-positive animals within the healthy population, as reported in this and other studies. Treatment with anti- Bartonella spp. antibiotics may still be appropriate in refractory stomatitis cases, but a larger scale epidemiologic study should be conducted to further assess the usefulness of Bartonella spp. antibody and PCR testing of cats with chronic stomatitis.
Macro allows you to get very close to the subject and take very detailed images of your subject. Awake or anesthetized patients.
Digital camera’s range from early models that were 1 megapixel currently costing around $100 to 11 megapixel digital slr’s camera’s costing $7000. Currently the affordable upper range is about 5-6 megapixel. Depending upon your interest in photography 3-5 megapixel cameras are likely the range you should be looking. The constantly evolving technology in this sector create not only new camera’s in the same line every 6-12 months but also bargains for those that are happy settling for last years model. This will allow you to print quality 5x7 prints. And some very good 8x10. Focal distance one inch
Look under lens systems. Macro focus range 1.3 cm
International Organization for Standardization
Get from 40 to 1800 pictures with a 3 megapixel camera and 128 MB Compact flash card. Average size to produce a good 8x10 and Show the camera and how easy it is to take out the disc and insert it into the laptop. Explain the images come up on the desktop and you can view them immediately. If we have time I will demonstrate how easy it is to create custom handouts for clients using pictures taken during dentistry at the end of the program.
Whatever you imagined it wasn’t the letters DOG. It was a picture of some type of creature represented by the word formed by the letters DOG. So as you can see with this simple example the words you say in the exam room can conjure up some very vivid images in the minds of the client IFFFFFFF and only if they have a reference for those words. Does the client have a refernce for periodontal disease. Maybe but most likely not. Just as each of you had a totally different image that came to mind when we said the dog each client will have a totally different image come to mind when we talk about dentaldisease in the exam room. Take for example periodontal disease. If a client had a bad experience with peridodontal disease personally they will likely remember the pain and bleeding that accompany it. However they may have no visual reference. AND if they do is it an accurate reference or further yet is it the picture we want them to have. We can create pictures, using sigital cameras to demonstrate to clients exapmles of the images we want them to associtate our words with.
More specific pathology
Take a picture of their pet and show them graphically what is happening
What can happen if tings are left untreated
Three year old poodle presented for prophy. Periodontal disease present 109, 110 requiring extraction. No pathology here
Can be used to educate clients in other aspects of veterinary medicine. Ophthalmic disease. Medial canthal trichiasis
This is the most common example we use to give to clients to create a more vivid picture of the problem. Periodontal disease. We do several things with this: Notice that we use descriptive terms: significant inflammation, considerabel tartar We let them know that xryas will be needed by mentioning that most patients have bone loss and inf below an that xryas are needed. We are presenting them with our recommendations. We are asking them to act Please make and appoitment.
Boarding and grooming
Create a surgical procedure sheet with the components of the the procedure.
Maximizing Client Compliance in Veterinary Dentistry.
Maximizing Client Compliance with Digital Imaging Brett Beckman, DVM, FAVD, DAVDC, DAAPM