Preparation for a dental procedure typically just involves withholding food. Sometimes we use Gabapentin or Trazodone which are some of our fear-free meds because we always want to do things in the office to lower the FAS, which is the fear, anxiety, and stress of our patients and our clients. By minimizing these things, we get a better quality of anesthesia and shorten the procedure. That's why we like to preemptively medicate some of the patients, although many of them don't need it. We preemptively medicate them here to make it safer and easier for them.

The problem is they won't show it. The only way to know is to look at imaging because we want to look at the roots. You can flip the lip and look at the crown, but it's the roots; it's the two-thirds of the teeth underneath the gum line where the painful things hide, but you can't see it. I've had dogs with teeth practically falling out of their heads, but the owners didn't know it. When we treated it, the pets were so much more puppy-like. We didn't realize that they had pain.

A dental exam is what I consider an awake oral exam. That's something we do every time your dog comes in for anything, but we usually like to do it twice a year with our wellness visits. We should do a dental procedure at least once a year. Studies show that smaller dogs that don't have home care get bone loss around the teeth. All but one gets bone loss around the teeth within a year. So sometimes it happens faster than we like. A study of all sizes of dogs showed that about 44% had a problem the year after a dental procedure. Only 15% had a problem when there was daily dental home care. That's saying that it is typically needed every year. Every pet needs an anesthetic dental procedure yearly because there might be hidden problems, and some need it more frequently.