The Dental Table/Chair/Operator Lighting


Veterinary Dental Suite
(Warren Freedenfeld & Associates)
 

Hometown Animal Hospital and Dental Clinic
(Dr. Jan Bellows)
 

Animal Dental Clinic
(Dr. Steven Holmstrom)
 


Dental workstation
(University of California, Davis)
 

Technician exam using telescopic loupes (Orascoptic)
 

Dental work table with anesthetic machine attached Ultima 2000
(Henry Schein)
 

Hand Instruments

Hand instruments allow the veterinarian to thoroughly examine the health status of the oral cavity (periodontal probe, explorer, mirror), remove plaque and calculus (scaler, curette), and reflect and tract periosteum from the bone surface (Molt, Freer periosteal elevators).


Michigan O probe with Williams markings
 

Number 23 shepherd's hook explorer
 

Gracey 12 curette
 

Gracey 13 curette
 

Sickle scaler
 

Molt periosteal elevator
 

Freer periosteal elevator
 

Wing-tipped elevator
 
Click to view larger image
Extraction forceps
 

Dental mirror
 

Instrument Sharpening

Instrument sharpening provides effective hand instruments for scaling, root planning, and soft tissue curettage.


Hand sharpening kit
 

Powered sharpening stone
 

Sterility

Sterility of all instruments used in the mouth is essential to help prevent extension of disease from one area of the mouth to another and from one animal to another.


Double wrap
 

Outside wrap, opened
 

Packs For Different Procedures


Examination pack
 

Extraction pack
 

Periodontal surgery pack
 

Storage by Discipline

Allows for easy recovery of packs used for examination, extraction, periodontal surgery, as well as other dental disciplines practiced in the office.


 

Sterile burs
 

Powered Scalers and Polishers

Scalers and polishers assist in plaque and calculus removal.

Magnetostrictive


Magnetostrictive (Summit Hill Laboratories)
 

 

Piezoelectric


Piezoelectric Unit (Acteon Inc.)
 

Piezoelectric tip
 

Ferromagnetostrictive


IM 3 power scaler
 

Ferromagnetostrictive tip
 

Polishing

Polishing helps to remove plaque and extrinsic stain from the coronal surfaces of teeth. Polishing is accomplished by either using an abrasive agent (pumice or paste) loaded on a rubber polishing cup, or delivered through a specially designed high powered nozzle to deliver a slurry of water and sodium bicarbonate. Disposable polishing cups and prophy angles are preferred by the author due to decreased potential cross contamination.


Metallic polishing right angle attached on a low speed handpiece
 

Pop-on and screw-on polishing cups
 

Disposable polishing angle helps to decrease cross contamination
 

Flour of pumice is mixed with water and loaded on a polishing cup for polishing
 

water - mixture - pumice powder
 

Loading mixture into polishing cup figure
 

Slurry applied to tooth
 

Prophy paste contains an abrasive which cleans and polishes without damage to the tooth surface and provides a high polish that can prevent or delay the re-accumulation of stains and deposits.
 

Clean tongue depressor placed into a bulk container of prophy paste.
 

Prophy paste removed from the bulk container with a tongue depressor in order to avoid cross contamination.
 

Removal of prophy paste from tongue depressor
 

Polishing the tooth with prophy paste
 

Individual prophy paste packets with disposable polishing angle (3M)
 

Air Abrasion

Air-powered device using air and water pressure to deliver a controlled stream of specially processed sodium bicarbonate in a slurry through the handpiece nozzle, also called airbrasive, air-polishing, air-powder abrasive, or air-powered slurry.


Air-polishing unit
(Summit Hill Laboratories)
 

Bicarbonate powder loaded into air abrasion cup
 

Air-polishing maxillary fourth premolar
(Summit Hill Laboratories)
 

High- and Low-Speed Water Cooled Delivery Systems

These systems provide the necessary air under pressure to power handpieces and the air-water syringe to perform many surgical dental procedures.


ULTIMA 250 arm unit
(Henry Schein)
 

Nitrogen-powered portable delivery system
(Nitair CBi)
 

Double compressors Ultima 2000
(Henry Schein)
 

Handpieces


Illuminated high-speed water-cooled handpiece
 

Low-speed handpiece
 

Accessories for Low-Speed Handpiece


Contra-angle
 

Polishing angle
 

Accessories for High-Speed Handpiece


Bur block with assorted friction-grip burs
 

Radiography

Radiography is one of the most valuable tools available, providing diagnostic information to the veterinarian performing oral assessment and treatment.


Image Vet-70 Plus Dental Radiography Unit (AFP Imaging)
 

Radiography unit spanning two operatory tables
 

Dental film (Kodak)
 


Proper position of film and tube for exposure of caudal maxillary premolars
 

Proper position of film and tube for exposure of caudal mandibular premolars
 

Proper position of film and tube for exposure of mandibular incisors
 

Proper position of film and tube for exposure of maxillary incisors
 

Proper position of film and tube for exposure of mandibular premolars
 

Proper position of film and tube for exposure of mandibular incisors
 

Processing

Processing is a series of steps that change the exposed film into a radiograph by producing a visible image on the film. Processing can be performed by hand in a darkroom, automatically through a film processor, or digitally.


Chair-side darkroom (Kodak)
 

Containers for water, fixer, developer, rinse (Kodak)
 

Dental Digital Imaging

Digital imaging has many advantages compared with film systems, including less exposure to radiation, decreased time from exposure to film examination, ease of archiving, and the ability to enhance images for greater diagnostic clarity.


Digital sensor (EVA AFP Imaging)
 

Veterinarian viewing digital image
 

Sensor and tube placement for exposure of caudal mandibular premolars
 

Sensor and tube placement for exposure of mandibular incisors
 

Click on the image to see a larger view

Click to view larger image
Digital intraoral survey images
 

Enlarged mandibular premolars
 

"Spot light" highlighting area of interest
 

Table of Contents
The Smile Book V
The Oral Assessment, Treatment and Prevention Visit
(2005)
Jan Bellows, D.V.M. Diplomate, American Veterinary Dental College
Introduction
Getting Ready
 
Facility Requirements
 
Equipment
Anesthesia
Oral Assessment, Treatment and Prevention
Tables
References

Check out the entire
Smile Book Series

 



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Jan Bellows, DVM
All Pets Dental Clinic
17100 Arvida Parkway
Weston, FL 33326
(954) 349-5800
dentalvet@aol.com