Vet360 Vol 4 Issue 4 August 2017 Vet 360 - Page 36

DENTISTRY endotracheal tube every time the animal is rotated (Figure 9). ULTRASONIC SCALING Hearing loss Probability: Extremely rare To prevent this complication, avoid the “jack ham- mer” effect by using the side of the ultrasonic scaler vs. the tip to remove plaque and calculus, and only spend seconds on each tooth; if more time is needed come back after addressing other teeth. Tooth discoloration secondary to pulpitis Probability: Rare To prevent this complication, avoid excessive heat transfer from the ultrasonic scaler by ensuring proper water spray, and only spend seconds on each tooth; if more time is needed come back after addressing other teeth. EXTRACTIONS Air embolism from the dental drill Probability: Extremely rare To prevent this complication, try to avoid entering the mandibular canal during the extraction process. An air embolus can be created by inadvertent injection of a mixture of air and water through the dental drill vet360 Issue 04 | AUGUST 2017 | 36 Figure 9. Pneumomediastinum, pneumothorax, and pneumoperitone- um secondary to tracheal rupture. directly into the mandible entering the superior vena cava and right atrium. So, how much information to share? We should include a similar discussion as my sister’s surgeon before dental procedures requiring general anaesthesia. Veterinarians are held to reasonable community standards. What would a typical doctor disclose? Tell them what a typ- ical client needs to know. It’s just good practice and part of our practice acts. Of course there is a fine line between in- forming and scaring clients out of needed care. This is where the art of practice comes into play. Let your client know that these complications are for the most part extremely rare and you and your staff take every precaution to prevent them. Also convey the small risk is worth the reward of a pain-free functional mouth.