A routine dental evaluation & cleaning is done under deep sedation.  This is the only way to get a complete look at each tooth and supporting tissues surrounding each tooth.  During the procedure, the veterinarian and nurse will:

• Perform a complete scaling of the surface of each tooth.  This is done with both hand instruments and ultrasound scaling equipment.
  
  
• Probe the gum line around each tooth to evaluate for pockets where tartar and infection may buildup.
  
  
• Evaluate each tooth crown for any defects.
  
  
• Clean tartar and debris from under the gum line.
  
  
• Take dental x-rays of all teeth and tissues to evaluate if any periodontal therapy is necessary or if extractions are required.
  
  
• Treat periodontal disease as appropriate …. Such as using an antibiotic/Heska to pack pockets around teeth so that those pockets can heal.
  
  
• Polish each individual tooth to a smooth finish to make it more difficult for tartar to adhere to the teeth.
  
  
• During this procedure, your pet’s vital signs are constantly monitored including heart rate and oxygen saturation; their airway is maintained; and their comfort is supported with warming equipment, deep sedation and pain medications if needed.  Prior to deep sedation patients have IV catheters put in place and receive fluids while under deep sedation to support circulation and blood pressure.