![]() The choice of antibiotic and protocol for delivery is controversial. Clinical judgment should be used in diagnosis of the infection and the use of antibiotic therapy. Therefore animals with gross infections (marked swelling, pus formation, fever, lymphadenopathy, and elevated WBC count) chronic stomatitis, multiple extractions, may also benefit from receiving antibiotics prior to treatment. ![]() Preventive antibiotic therapy will also aid in controlling wound infections. Geriatric or debilitated animals, patients with a pre-existing heart or system disease or immunocompromised patients should receive preventive antibiotic therapy. The use of preventive antibiotics should only be necessary in patients that are not able to cope with this treatment induced bacteremia. Bacteremia will typically clear in approximately 20 minutes. The main objective of preventive antibiotic therapy is to prevent treatment induced bacteremia. Questions are often asked about the use of prophylactic antibiotic therapy in patients who present for a dental prophylaxis. These are all helpful in the educational element of dental prophylaxis. The use of plastic models that have a healthy side and a diseased side is a hands-on way to show disease. Pictures of healthy mouths versus diseased mouths are another useful tool. Visual aids such as posters in the treatment rooms showing the progression of oral disease and the impact on the internal organs can be used to gain the client's interest. Education should include an explanation of the disease progression starting with dental plaque formation advancing to calculus or tartar, gingivitis, eventual destruction of the periodontal tissues, and supportive and subsequent tooth loss.Ī picture is worth a thousand words. There are many ways in which to educate the client on the importance of dental health. A thorough dental prophylaxis consists of educating the client, an oral examination, charting disease process, pathology and anomalies, radiographs, both supra and sub-gingival plaque and calculus removal, hand scaling, polishing, irrigation and home care instructions. Performing a complete dental prophylaxis entails much more than removing plaque and calculus from the teeth.
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