Puppy Dental Assessment Char
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1Puppy Dental Assessment Chart
Treatment
Owner:
Code:
Prophylaxis
Periodontal Surgery
Restorations
Patient:
Breed
Age
Sex
Weight
Date
Curettage
Biopsy (Bone/Tissue)
Crown (Cap)
Exploration
Curettage (Open)
Crown Lengthening
Fluoride Treatment
Flap (Double Reverse/Open
Crown Preparation
Left
Right
Hand Scaling
/Reposition/Sliding)
Fillings _____
Polishing
Gingivectomy/Gingivoplasty
Post
Root Planing
Graft (Gingiva/Bone)
Exodontics
Ultrasonic /Sonic
Guided Tissue Regeneration
Varnish (Sealing)
Implant
Alveoloplasty
Laser Surgery
Crown Reduction
Oral Surgery
Splinting (Periodontal)
Extraction
Sutures (Abs/Non Abs)
Epulis Removal
Extraction (Deciduous)
Fistula Repair
Extraction (Root Remnant)
Orthodontics
Fracture Repair (Bone)
Flap Gingival
Fractured Tooth Repair
Acrylic (Devices)
Hemisection/Section
Frenectomy/Frenotomy
Brackets
Odontoplasty
Impression/Stone Model
Elastic Device
Root Amputation
Laser Treatment
Expansion Device
Sutures (Abs/Non)
Mandibulectomy
Impression/Stone Mode
Other_____________
Maxillectomy
Inclined Plane
Other
Mucoperiosteal Flap
Orthodontic Device
Odontoplasty
Splinting
Antibiotic Injection
Ostectomy
Synthetic Bone - Consil
Endodontics
Pins
Discuss Homecare
Pulp Capping (Indirect)
Apicoectomy
Program
Reimplant Tooth
Pulp Capping (Direct)
General Anesthesia
Splint (Acrylic)
Pulpotomy (Vital)
Local Anesthetic Pain
Splinting (Interdenal)
Root Canal
Block
Sutures (Abs/Non)
(Single/Double/Triple)
Occlusal Assessment
Tumor Removal
Calcium Hydroxide
Oral Radiography _____
Wiring (Interdental)
Gutta Percha (points)
Subgingival Antibiotic –
Wiring (Interosseu)
GP (Thermoplastic)
Doxirobe
Other______________
Post-Operative Pain Inj
Pre-Anesthetic Check
Code Key
Pre-Anesthetic Pain Med
AB
Abrasion
ONF
Oral Nasal
Routine Home Dental Care
AT Atrition
Fistua
The efficient daily use of a soft bristled toothbrush, with appropriate animal toothpaste, is still the
CA
Caries
PE
Pulp Exposure
only proven method for long term control of plaque and gum disease.
DT
Deciduous
TR
Tooth
Chewing exercise is beneficial as it stimulates natural tooth cleaning and protection mechanisms.
Tooth
Resorption
In general hard chewing objects are not a good idea as many animals damage their teeth and gums on them,
E/D
Enamel Defect
1 Enamel Only
and swallowed pieces can cause serious problems. Avoid feeding soft sticky foods and never give items
E/H
Enamel
2 Into Dention
containing sugar or oil/fat as treats.
Hypoplasia
3 Into Pulp
Special Instructions
FX
Fracture
4 RL#
{ } No food tonight
G/B Buccal
w/Extensive
{ } No chew bones or toys for ______ days
Granuloma
structural
{ } Feed light meal tonight
G/E Gingival
damage
{ } Soften food for ______ days
Enlargement
5 Crown Lost-
{ } Oral rinse
GR Gingival
RRT
Root Tip
{ } Pain medication dispensed to go home
Recession
Remains
{ } Antibiotic medication dispensed to go home
OM
Oral Mass
SN
Supernumery
{ } Medical progress examination in 7 days and again in ______ months
ST
Stomatitis
Dr. Brett Beckman, FAVD, DAVDC & Dr. Nossaman, FAVD
Dallas Veterinary Dentistry & Oral Surgery
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Parent category: Medical