The Editor

Jeanne R. Perrone, MS, CVT, VTS (Dentistry), is owner and facilitator of VT Dental Training, which provides consulting and dentistry skills training for veterinary staff, and serves as an online adjunct instructor for the Veterinary Technician program in dentistry at St. Petersburg College in St. Petersburg, FL, USA.

Contributors xii Foreword by Judy Ozier xiii Foreword from Academy of Veterinary Dental Technicians xv Preface xvi Acknowledgments xvii 1: The Basics 1Gerianne Holzman Anatomy of the Skull 2 Odontogenesis 10 Anatomy of the Tooth 13 Directional Terminology 16 Training, Key Terms, and Videos (Dental anatomy, Directional terminology, Tooth numbering): Online only 2: The Examination Room and the Dental Patient 21Mary Berg Introduction 22 The Client Interview 22 The Oral Examination: Conscious Patient 23 Communicating with Clients 25 The Dental Estimate (Treatment Plan) 26 Training and Key Terms: Online only 3: Components of the Dental Operatory 29Benita Altier Components of the Dental Operatory: The Big Picture 30 Operatory Functionality 30 Dental Delivery Units 31 Dental Handpieces 36 Summary of Power Equipment 41 Dental Tables and Chairs 41 Organizing the Dental Operatory 44 Personal Protection 44 Ergonomics 47 Training, Key Terms, and Supplemental Figures: Online only 4: Anesthesia and the Dental Patient 51Annie Mills Introduction 52 Anesthesia for the Dental Patient 52 Anesthetic Equipment 53 Monitoring Anesthesia and Common Complications 56 Pain Management in the Dental Patient 60 Training, Key Terms, Video (Operatory final), and Document (Anesthesia cheat sheet): Online only 5: The Dental Cleaning 65Julie McMahon Introduction 66 Common Instrumentation for the Dental Cleaning 67 The Dental Record 69 The Dental Cleaning Procedure 73 Cleaning the Teeth Using the Power Scaler 81 Dental Cleaning with Hand Instrumentation 82 Polishing 84 Recovery 86 Home Care 86 Equipment and Instrument Care 89 Training, Key Terms, Supplemental Figures, Videos (Basics of the dental cleaning), Presentation (Skillbuilder for basics of the dental cleaning), and Documents (Brushing the teeth and Developing a home dental health care plan): Online only 6: Dental Radiology 93Laurel Bird Radiography in Veterinary Dentistry 94 The Dental X-Ray Unit 94 Dental Radiographic Image Media and Capture 97 Positioning for Taking Dental Radiographs 107 Care and Storage of Images 123 Anatomy on the Dental Radiograph 124 Troubleshooting 127 Advanced Imaging 129 Training, Key Terms, and Video (Dental radiograph positioning): Online only 7: Common Dental Conditions and Treatments 131Jeanne R. Perrone, Sara Sharp, and Patricia A. March Introduction 132 Periodontal Disease 132
Jeanne R. Perrone What is Periodontal Disease? 132 Pathogenesis of Periodontal Disease 132 Clinical Signs 134 Radiographic Signs 134 Treatment and Therapies 137 In Conclusion 141 Training, Key Terms, Supplemental Figures, Presentations (Stages of periodontal disease, Flap procedures, Dental extractions, Oronasal fistula), and Videos (Periodontal hand instrumentation, Extraction instrumentation): Online only Endodontic Disease 141Sara Sharp Anatomy of the Pulp 141 Indications for Endodontic Therapy Due to Trauma 142 The Endodontic Exam 142 The Endodontic Treatment 143 In Conclusion 149 Training, Key Terms, and Supplemental Figures: Online only Malocclusion 150Patricia A. March Normal Occlusion 150 Types and Treatments of Malocclusions 151 Position Statements 153 Treatment of Malocclusions 153 In Conclusion 156 Training, Key Terms, and Supplemental Figures: Online only Jaw Fracture Management 156Patricia A. March Types of Jaw Fractures and Their Treatment 156 Diagnosis of Jaw Fractures 157 Jaw Fracture Management 157 Jaw Fracture Repair 158 Home Care 160 Training, Key Terms, Supplemental Figures and Presentation (Tape muzzle): Online only Oral Tumors 160Patricia A. March Benign Oral Tumors and Treatments 162 Malignant Oral Tumors and Treatments 164 Charting and Preparation of Samples 166 Training, Key Terms, and Supplemental Figures: Online only 8: Feline Dentistry 169Jennifer Crawford and Billie Jean (Jeannie) Losey Introduction 170 Gingivostomatitis 170Jennifer Crawford Symptoms of Gingivostomatitis 171 Diagnostics 173 Oral Evaluation 173 Treatments 174 Aftercare 176 Summary 177 Key Terms and Supplemental Figures: Online only Eosinophilic Granuloma Complex 177Billie Jean (Jeannie) Losey Causes 178 Symptoms 178 Diagnostics 178 Treatments 179 Key Terms and Video (Eosinophilic granuloma complex): Online only Feline Tooth Resorption 180Billie Jean (Jeannie) Losey Definition and Symptoms 180 Stages of Tooth Resorption 182 Diagnostics 184 Charting 185 Treatment 185 Key Terms, Training, Supplemental Figures, and Video (Tooth resorption): Online only 9: Dentistry and the Exotic Patient 187Kathy Istace Challenges of Exotic Dentistry 188 Rodent Dentistry 188 Caviomorph Rodents (Guinea Pigs, Chinchillas, Degus) 188 Murine Rodents (Rats, Mice, Hamsters, Gerbils) 188 Oral Examination of Rodents 191 Anesthesia and Pain Management 191 Common Dental Problems of Rodents 193 Dental Instruments 195 Husbandry and Home Care 195 Supplemental Figures and Video (Pocket pet dentistry for the veterinary technician): Online only Miscellaneous Small Pets 196 Hedgehogs 196 Sugar Gliders 196 Rabbit Dentistry 196 Oral Anatomy and Dentition of Rabbits 197 Oral Examination of Rabbits 197 Anesthesia and Pain Management 198 Common Dental Problems of Rabbits 201 Dental Instruments 203 Husbandry and Home Care 203 Supplemental Figures: Online only Ferret Dentistry 204 Oral Anatomy and Dentition of Ferrets 204 Common Dental Problems of Ferrets 206 Dental Instruments 207 Husbandry and Home Care 207 Supplemental Figures: Online only Dental Radiography for the Exotic Patient 208 Materials and Equipment 208 Rodents and Rabbits 208 Ferrets 211 Supplemental Figures: Online only Training, Key Terms, and Documents (Dental assessment charts for rabbit, guinea pig, chinchilla, rat, mouse, hamster, and ferret): Online only 10: Discharging the Dental Patient 213Patricia Dominguez Discharge Instructions: What You Need 214 The Importance of Photographs and Radiographs 218 Managing Recheck Visits 220 Reminders: How Often Should Dental Patients Return? 221 Training, Key Terms, and Supplemental Figure: Online only Appendices 223 1. Home Oral Health Care Interview Form 223 2. Canine Dental Chart 225 3. Feline Dental Chart 227 4. Dental Procedure Estimate 229 5. Dental Procedure Release Form 230 6. Dental Radiograph Template 231 7. Discharge Take Home Instructions Example 233 8. Discharge Take Home Pictures: Simple Example 235 9. Discharge Take Home Pictures: Detailed Example 236 Index 245