Training Staff for a Veterinary Dental Programme.
The very first step in implementing a dental programme is for the entire practice to decide to make dentistry important. When everyone is on the same page, owners receive a unified message about dental health. If dentistry is important to only a few staff members, owners often receive mixed messages about their pets’ oral health, which inadvertently sabotages any efforts to grow dental services. The best way to ensure the entire practice is promoting the same message is to have a clear understanding among all staff members about what the message is. This can be accomplished at regular staff meetings and the main points agreed on by the entire staff. Every staff member, from the receptionist to the veterinarian should feel comfortable explaining the practice’s views on oral care and what treatment options it can provide. Receptionists and nurses should understand dentistry services, terminology and products dispensed. Veterinarians need to be trained to “open the mouth,” and discuss the oral health of every patient that walks through the practice door – whether it be for a vaccination, skin, ear or any other presenting problem. It really helps to have a dental ‘champion’ to help drive the program. This may require extra dentistry training in order for them to understand dental anatomy, pathophysiology, radiology and procedures.
Introducing Dentistry to the Veterinary Consultation.
Dental disease must be discussed in detail at the consult and the reasons why even Grade 1 dentals need to be performed. This involves discussing the consequences of periodontal disease with the risk to vital organs, bone infection, tooth loss and excruciating pain etc. Using the vet dental charts to show the owner photos and radiographs of dental pathologies can help with this client education. Taking a close-up photo, will confirm in the client’s mind that you consider their pet’s dental disease to be a real problem that needs care. The picture will also allow the client to see the oral disease without prolonged handling of the pet’s mouth, show other family members at home, remind them of your recommendations, compare photos taken before and after the dental procedure and allow you to permanently document your records. To enforce in the owner’s mind that a dental procedure is necessary, the veterinarian needs to make strong recommendations such as “Fluffy needs to have a dental procedure, and she really needs it now.” Discussions on cost need to be left until the very end, once the client understands the importance of the recommended procedure.
Encourage Immediate Action.
Physically walking the client to reception and saying to the receptionist, “we need to book Fluffy in for some dental work next week, can you please book that in”, will increase your uptake of dental procedures massively. Consider asking non compliant owners to sign a form declining your recommendations for a dental procedure.
When a recommendation is made by the veterinarian that dentistry should be provided, reminder cards should be generated.
Necessary Veterinary Dental Equipment
The business owner must actively contribute towards purchasing proper dental equipment and educating staff to diagnose and perform the procedure. Equipment needs to be modern and in good working order, for staff to remain enthusiastic about promoting dental procedures. As well as an efficient high-speed drill, reliable scaler and polisher, the ability to take dental radiographs is a vital component to make dentistry work. Published studies have shown that without dental x-rays pathology is missed in up to 75% of pets as a significant amount of dental pathology lies underneath the gingival margin and therefore can’t be visualised. It can be utilised to confirm missing teeth; diagnose diseases, such as periodontal and endodontic conditions; and confirm treatment procedures, such as complete tooth extraction. Dr David Clarke recommends, and uses in his own practice the Acteon X-Mind dental generator and the Sopix DR sensor.
Dental Homecare for Pet Owners
The goal of a dental homecare programme is to maintain a healthy oral cavity free from plaque, which in turn prevents gingivitis (and therefore periodontitis and periodontal disease).
It should be started in young pets to prevent periodontal disease and in older pets with existing disease after a professional clean and client education. With adequate homecare and plaque removal, periodontal disease never progresses past a mild gingivitis.
Your clinic dental motto should be ‘to prevent gingivitis’. This is achieved when the entire clinic staff is ‘on board’. One of the key ingredients in the maintenance of periodontal disease is that all staff members are trained and well-versed in the pathophysiology of periodontal disease and home care products available and recommended by your clinic. The MAXI/GUARD® range of products are excellent for owners that may not have the inclination or time to brush their pets teeth and for pets that won’t tolerate teeth brushing. MAXI/GUARD® is also great to use after a dental procedure, when it isn’t possible to feed a hard diet or brush the teeth, and it is recommended that it be dispensed routinely with every dental.