Ptyalism on recovery from dental

RE: Ptyalism on recovery from dental

James Colver Cert. Ed, RVN — Sun, 27 Nov 2016 20:12:31 GMT

It would be a good idea to do a clinical audit on this.

1) In time, it might identify what the problem is

2) Even if it doesn't, other things will be learned along the way

3) It's good practice anyway and you can show it to RCVS for PSS :)

I don't have any suggestions additional to what's already been said, but good luck :)

RE: Ptyalism on recovery from dental

molladog — Fri, 25 Nov 2016 16:10:18 GMT

[quote user="Karen Roberts"]if you do find out the cause could you let us know? x[/quote]

I certainly will, still not 100 % sure yet though....................

RE: Ptyalism on recovery from dental

Karen Carver — Fri, 25 Nov 2016 08:43:32 GMT

ah! also if they're placing the polisher on the teeth before rotating the polishing cup can generate much more heat too. Ask them to poilsh their thumbnail is always a good way to show heat is generated!

if you do find out the cause could you let us know? x

RE: Ptyalism on recovery from dental

jojofruits — Wed, 23 Nov 2016 18:19:01 GMT

What Alison said.....

RE: Ptyalism on recovery from dental

Alison Clare Hickman — Tue, 22 Nov 2016 16:05:26 GMT

Hi,

re polisher speed - I was taught to keep this as slow as possible and allow the prophy paste to do the work (equivalent of me using a soft toothbrush on myself with a good toothpaste and use a slow circular motion) as otherwise excessive friction would more than likely cause damage to the enamel - as you outline... so possibly this IS the cause. ???

However, I 100% agree that a team think-tank and discussion is the best way to tackle the issue, as no-one gains confidence or improves their education from a finger-pointing session - it's never a constructive way to overcome a hurdle in my experience Similarly, gathering evidence after the discussion might also be a good move to prove or disprove any theories; this IMO is far better than gathering it before any talks are held as, again, it might come across as an accusation/witch hunt rather than a humble investigation to improve things... I've seen it happen even to the most innocent of people with the utmost altruistic of motives (unfortunately )

You absolutely sound like an eminently sensible, fair-minded and lovely person so my apologies if I speak as if you don't already have these things in mind! I'll shuffle back under my rock!

Here's hoping you get to the root of this (hahahah...sorry!)

Ali h

RE: Ptyalism on recovery from dental

molladog — Tue, 22 Nov 2016 13:42:39 GMT

The scaler settings are always the same for both vets but she does keep turning up the polisher speed !!!! arrghhh

RE: Ptyalism on recovery from dental

Karen Carver — Tue, 22 Nov 2016 13:22:22 GMT

Have you checked that vet isnt turning the scaler setting up. If this happens the scaler acts as a hammer and damages enemal, which in turn will expose dentine = very sensitive!

RE: Ptyalism on recovery from dental

Celine — Mon, 21 Nov 2016 16:16:43 GMT

I'm confused, do you actually have a theory about what is causing this? I think you need to raise it to the whole team, via your HN or whatever, but you'll need to have kept good records of all animals involved for a couple of months I would say, so you can prove that it is an actual problem, and also some photos of affected animals. I'd be cautious about being the person who points out that it's one particular vet it's happening with tho, maybe present the hospital sheets in the meeting and leave it to others to notice the trend... Evidence Based Medicine at all times!

RE: Ptyalism on recovery from dental

molladog — Mon, 21 Nov 2016 13:13:25 GMT

I know, but how if I can't prove what it is ?

RE: Ptyalism on recovery from dental

jojofruits — Mon, 21 Nov 2016 13:01:37 GMT

this needs proper addressing....

RE: Ptyalism on recovery from dental

molladog — Fri, 18 Nov 2016 14:04:44 GMT

just finished another scale + polish and poor cat has shoestring drool,

RE: Ptyalism on recovery from dental

KizzieB — Thu, 10 Nov 2016 21:54:48 GMT

I've noticed that some vets are unaware that they are putting their fingers into the animals eye as they restrain the head with their non dominant hand. (Gloves on of course) Have you noticed any conjunctivitis along with the other problems you have mentioned??

Maybe they are putting too much pressure on the side of the head as they restrain it??

Perhaps the gag (if used) is too big or the jaw forced too far open. I personally don't like gags but each to their own .

RE: Ptyalism on recovery from dental

molladog — Thu, 10 Nov 2016 08:38:37 GMT

[quote user="jojofruits"] overzealous scaling of teeth? polisher set too fast?[/quote]

This was one of my thoughts as the other vet is very careful about polishing speed, I am always reminding this vet to turn down the polisher speed + not spend too much time on each tooth, also she keeps using the point of the scaler on teeth rather than the side.

However, we did 4 dentals yesterday + none of them hypersalivated after recovery !! Still need ideas please,

RE: Ptyalism on recovery from dental

Madeleine Lind — Wed, 09 Nov 2016 20:39:42 GMT

depending On the type of tube, could it be the cuff is not inflated? have Seen in some clinics, some of the small tubes have a cuff as well.

the drooling would not be drool, but Water from the dental unit

RE: Ptyalism on recovery from dental

jojofruits — Wed, 09 Nov 2016 15:59:44 GMT

different gloves? using alcohol gel on gloves?

is the vet taking dental xrays to ensure all roots are out properly etc.. could it be pain? are they using nerve blocks? is there plenty of water coming out of the machine?

Is the vet a bit heavy handed? or doing what, believe it or not some vets do where they just chop the tops of the teeth off and leave the roots in ( shocking! but true!)

pinching of tongue or overzealous scaling of teeth? polisher set too fast?

RE: Ptyalism on recovery from dental

Alison Clare Hickman — Wed, 09 Nov 2016 09:28:32 GMT

Could it be being a bit too heavy-handed with the throat pack and damaging/irritating oral/throat tissues?

Now, I feel like I am participating in a Quiz, lol. What IS the answer?! What are your thoughts, you've said you have some but haven't shared them yet.

Ali h

RE: Ptyalism on recovery from dental

Celine — Wed, 09 Nov 2016 08:27:50 GMT

Is this particular vet a bit heavy-handed with holding the jaw open too hard or not gentle with tissues? Some hold onto the tongue like a bungy cord ...

RE: Ptyalism on recovery from dental

molladog — Wed, 09 Nov 2016 08:22:23 GMT

are they rinsing off all of the prophy paste thoroughly after a scale and polish I have seen this happen when paste residue has been left and not rinsed to the cats satisfaction.

Hi Sal,

Unfortunately this vet rinses very well using the dental machine flush, the other one just wipes mouth with a bit of damp cotton wool so can't see it can be that.

RE: Ptyalism on recovery from dental

Sal the 1st — Tue, 08 Nov 2016 19:29:40 GMT

are they rinsing off all of the prophy paste thoroughly after a scale and polish I have seen this happen when paste residue has been left and not rinsed to the cats satisfaction.

RE: Ptyalism on recovery from dental

molladog — Tue, 08 Nov 2016 12:05:21 GMT

[quote user="Alison Clare Hickman"]

Just a thought... is it anything to do with how the vet intubates? Irritating the trachea / oropharynx area?

Ali h

[/quote]

Possibly, they do have different ways of intubating but it only happens after dentals, spays are fine. I have a couple of thoughts on why it may be happening but want to see if anyone has the same ideas.

RE: Ptyalism on recovery from dental

Alison Clare Hickman — Tue, 08 Nov 2016 11:36:22 GMT

Just a thought... is it anything to do with how the vet intubates? Irritating the trachea / oropharynx area?

Ali h