{"id":4754,"date":"2019-11-26T11:35:39","date_gmt":"2019-11-26T16:35:39","guid":{"rendered":"https:\/\/todaysveterinarynurse.com\/?post_type=articles&p=4754"},"modified":"2022-02-02T15:38:25","modified_gmt":"2022-02-02T15:38:25","slug":"dentistry-education-for-patients-and-practices","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/dentistry\/dentistry-education-for-patients-and-practices\/","title":{"rendered":"Dentistry Education for Patients and Practices"},"content":{"rendered":"

Oral disease is one of the most prevalent diseases in dogs and cats. 80% of adult dogs and 70% of adult cats have some form of oral disease.\u00b9 Dental problems are a concern of pet owners in dogs and cats, especially if the pet has halitosis (i.e., bad breath). Calculus and gingivitis are the most common conditions diagnosed by veterinarians in animals of all ages. However, we know that 80% of companion animals do not receive dental care at the veterinary hospital.<\/p>\n

Why is the incidence of dental disease so high? Is it due to lack of compliance or the lack of educating the client about the importance of oral health? Pets living longer lives may be one reason that oral disease is more prevalent. Current veterinary medicine improves many aspects of pets\u2019 lives, but dental care is still behind.<\/span><\/p>\n

Why Is Oral Health Ignored?<\/h2>\n

Unfortunately, veterinarians and veterinary nurses do not receive much training in dentistry while in school. Many practices don\u2019t put enough emphasis on dentistry and the importance of a healthy oral cavity. In many small animal practices, dentistry accounts for less than 7% of the gross income.2<\/sup> With 80% of veterinary patients having some level of oral disease,1<\/sup> the percentage of revenue from dental procedures should be much higher.<\/span><\/p>\n

Owners are often afraid of putting their pets under anesthesia, especially for something as routine as dental cleanings. The veterinary team must explain the need for an anesthetized examination, and explain that blood work and a complete exam is performed before the procedure. Veterinary nurses should also discuss the medications used and ensure that the pet will be monitored during the procedure to help alleviate fears. <\/span><\/p>\n

In addition to the fear of anesthesia, the cost of the procedure is often thought to be an obstacle; however, many times, it is not an issue of cost but rather a lack <\/span>of understanding of the value of the procedure. Offering some type of third party payment plans for the clients can also increase the initial and long-term compliance. <\/span><\/p>\n

Why Oral Health Matters<\/h2>\n

Companion animals are now viewed as members of the family and clients are more readily interested in seeking care for their pets. If periodontal disease is left unchecked it can end up negatively affecting other parts of the pet\u2019s body. Talking to clients about the importance of oral care should become as routine as educating about other preventive care, such as vaccinations and heartworm prevention. In the author\u2019s experience, about 25% of clients will accept a recommendation immediately; another 60% will take a little time to accept the recommendations; and the remaining 15% will not accept the recommendation. <\/span><\/p>\n

As veterinary health professionals, it is our job not only to promote dentistry to clients but to also educate our team about the importance of good oral health. How can we do this? The team can attend webinars on the subject or the practice can host an in-clinic training session with a veterinary dentist or a Veterinary Technician Specialist (VTS) in Dentistry to help the team learn as much as possible about dentistry. <\/span><\/p>\n

Having the entire team understand the importance of oral health and the treatment options the practice can provide means a consistent message will be communicated to clients. All members of the veterinary team must be excited and motivated about promoting oral care and dental treatments and project that enthusiasm to the client.<\/span><\/p>\n

Opportunities for Communication<\/h2>\n

The receptionist must project a positive attitude regarding dentistry and home care. How your receptionist handles phone shoppers is essential. The receptionist should avoid quoting prices over the phone. Instead, develop a script that can be used by the receptionist for phone shoppers, such as, \u201cWe would like to provide an accurate estimate for proper dental care of your pet. Therefore, we would love to see your pet, perform a quick oral assessment, and together develop a treatment plan.\u201d<\/span><\/p>\n

In practices that board pets for clients, the kennel team should be trained to examine the teeth when the pet arrives. The team should show the owner the degree of oral disease and ask if they would like to have the pet\u2019s teeth cleaned during its stay at the kennel. If the client hasn\u2019t packed a toothbrush, offer to give one to them while the pet is boarding; later, the client can incorporate daily brushing of the pet\u2019s teeth at home. This simple check-in procedure helps emphasize the importance of oral care to the client.<\/span><\/p>\n

The veterinarian should be the oral health team leader. They must educate owners that proper dental health will help the pet live longer, healthier lives. The veterinarian should be comfortable recommending dental procedures to clients. They should also schedule dental education training and be supportive of continuing education opportunities for themselves and the rest of the team.<\/span><\/p>\n

Veterinary nurses are essential members of the dental team. A successful dental practice must have a veterinary nurse whose focus is dentistry. This individual can concentrate on emphasizing home care, client education, and follow-up visits. The veterinary nurse\u2019s examination, communication, and therapy skills are vital for a successful practice. Their responsibilities should include performing dental cleanings, oral radiography, charting, assisting in oral surgeries, giving post-operative instructions, maintenance of equipment, and keeping the dental operatory well stocked. They should also keep the veterinary team updated on oral hygiene products. <\/span><\/p>\n

Veterinary nurses should be responsible for client education since they are usually the first and last ones to see the pet and client. Start this education process with your clients at the pet\u2019s first visit. Talk with them about the importance of good oral care by expressing the fact that the mouth is a mirror to the body. Provide handouts explaining the relationship between oral disease and systemic health. Use photos to underscore to clients the repercussions of inconsistent oral care.<\/span><\/p>\n

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PICTURES ARE WORTH A THOUSAND WORDS
\nUse every tool at your disposal to encourage clients to invest in the oral health of their pets. Start the education process with clients at their first visit. Use easy-to-understand language, such as \u201cthe mouth is a mirror to the body,\u201d to explain the relationship between oral disease and systemic health. Use photos to demonstrate the repercussions of inconsistent oral care. Make clear that dogs and cats are very good at hiding pain and their owners are often unaware that their pets have a serious dental problem until it\u2019s advanced. Beatriz Vera\/shutterstock.com<\/p>\n

\n

Good Communication Is Key<\/h2>\n

How we communicate with clients is just as important as what we communicate. Use a relationship-based approach that allows for two-way communication. Remember that both of you share a common goal\u2014keeping the pet as healthy as possible. Use open-ended questions to evaluate and validate the owner\u2019s knowledge and concerns. Ask the owner what they already know about dental disease, so that they are engaged in the conversation. Share additional information that can help them better protect their pet and deepen their understanding of the information being discussed. Ask if they have any questions to ensure they have a good understanding of the information that\u2019s being shared.<\/span><\/p>\n

After the oral exam, review the findings with the owner. In dentistry, treatment is usually completed while the animal is under anesthesia for the oral exam; however, taking the time to review the charts and radiographs after the procedure will be appreciated by clients. Explain the problem and treatments in terms that can be easily understood by your client. By changing your vocabulary, trust and client compliance can be gained. Highlighted below are a few terms that should never be used and words that can be substituted to gain compliance.<\/span><\/p>\n

Dental (dentals): <\/b><\/span>This term has no meaning in veterinary medicine. It is an adjective to describe something, not a noun. The client may not fully understand and may think it is only a tooth brushing. Replace this term with Professional Dental Cleaning, COHAT (Comprehensive Oral Health Assessment and Treatment), OAT (Oral Assessment and Treatment), ATP (Assessment and Treatment Plan) or Periodontal Therapy. <\/span><\/p>\n

Prophy:<\/b><\/span> Unfortunately, most dental procedures are not a prophylactic procedure but a treatment of the oral disease that is already present. Hopefully, some day we will truly perform dental prophylaxis on most of our patients. <\/span><\/p>\n

Periodontal Disease:<\/b><\/span> Many clients may not understand this term unless they have periodontal disease themselves. Use infection<\/i> and pain<\/i> as clients better understand these terms. Periodontal disease is an infection of the tissues surrounding the teeth and can be painful to pets. <\/span><\/p>\n

Recommend:<\/b><\/span> Don\u2019t say, \u201cThe doctor recommends a professional dental cleaning.\u201d A recommendation is just a suggestion. Say instead, \u201cYour pet needs a professional dental cleaning.\u201d Replace should<\/i> with need<\/i> and could<\/i> with must<\/i>: \u201cYour pet needs to have a professional dental cleaning, and it must be scheduled soon to prevent the infection from getting worse and risking tooth loss and systemic health problems.\u201d <\/span><\/p>\n

Make The Case for Compliance<\/h2>\n

When presenting treatment plans to a client, explain each part of the procedure and why it is vital to the wellbeing of the pet. Focus on the procedure, not the price. Explain that it is difficult to determine the true extent of the oral disease until each tooth can be evaluated under anesthesia and radiographs have been evaluated before a treatment plan can be formulated and fees calculated. If the client has concerns due to cost, explain that periodontal disease is a progressive disease, and without treatment it will get worse. Clinics can also encourage clients to purchase pet insurance early in the pet\u2019s life or offer a third-party payment plan such as Care Credit to help alleviate the sticker shock of any dental or emergency procedure.<\/span><\/p>\n

A modified version of the dental chart can be on a dental report card for the client that will help them understand the problem areas and home care instructions for their pet. A section for diagnosis, treatment, home care, prescriptions, and follow-up visits should also be on this report card. Keep it simple and use bright, cheerful colors with clipart as well as before and after pictures on the take-home sheet.<\/span><\/p>\n

Tips for Home Care<\/h2>\n

Home care is a vital part of periodontal treatment. Treatments will be temporary and unsuccessful if the owner does not comply with home care instructions. For the owner to comply, they must understand the treatment and the recommendation being discussed. Daily tooth brushing is the gold standard, but not every individual can or is willing to brush their pet\u2019s teeth every day. Demonstrate tooth brushing techniques to the client. Telling a client to brush their pet\u2019s teeth without a demonstration is of no benefit to the patient. Demonstrate on one side and observe the client brushing the other side of the mouth. If you use the owner\u2019s pet, you are also able to assess the pet\u2019s temperament and acceptance of the tooth brushing. Investigate other, proven options for home care and follow up with clients on the success of the product. <\/span><\/p>\n

Follow-up exams to evaluate healing and home care are a must. Many clinics include the cost of the follow-up visit in the initial service fees unless additional sedation or anesthesia is required.<\/span><\/p>\n

When discussing home care products that retard plaque and tartar on the teeth of animals, we must also educate the client about label claims. Not all products that say \u201cveterinarian recommended\u201d are suitable for their pets. Always recommend oral health products with solid research to back those claims. The Veterinary Oral Health Council (VOHC) awards products a seal of acceptance if the companies that have applied for this seal have tested their products using strict protocols developed by the VOHC. Products that have this seal are known to have respectable science behind them and have demonstrated the product works. Additional information is available at vohc.org<\/span><\/a>. There are many other chews and treats available that are efficacious but do not have the VOHC seal. Do your homework: ask the manufacturers of dental products specially formulated for dental disease to show you the research that proves the efficacy and safety of these products before recommending these products to your clients. <\/span><\/p>\n

Finally, dental procedures must be done at the same level of perfection as all care in practice. Team members and the practice owner should commit to developing the team\u2019s skills and training so the procedures can be performed properly. A dental cleaning procedure includes a thorough oral examination, radiographs, cleaning the crowns and below the gumline, and any treatments necessary. Refer patients for treatment if it is out of the scope of the training at your practice. <\/span><\/p>\n

Remember, it is the veterinary team\u2019s responsibility to educate, evaluate, demonstrate, and advise clients regarding oral home care. The need for dentistry must be integrated into the practice philosophy and should become as routine as vaccines and heartworm control. The need for routine dental cleanings prevents disease. An oral exam must be part of every checkup, regardless of the reason for the visit. Start early and set the stage for a lifetime of good dental health and an increased lifespan of the pet. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Oral disease is one of the most prevalent diseases in dogs and cats, yet 80% of companion animals do not receive dental care at the veterinary hospital.<\/p>\n","protected":false},"author":1,"featured_media":4755,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[144],"tags":[],"class_list":["post-4754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-winter-2020","column-exam_room","clinical_topics-dentistry"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"\nDentistry Education for Patients and Practices | Today's Veterinary Nurse<\/title>\n<meta name=\"description\" content=\"Oral disease is one of the most prevalent diseases in dogs and cats, yet 80% of companion animals do not receive dental care at the veterinary hospital.\" \/>\n<meta name=\"robots\" content=\"noindex, 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