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Dangers and Necessity of General Anesthetic for Dental Surgery on Older Dog?

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Zen Cohen

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Jul 17, 2002, 1:46:16 AM7/17/02
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I have a 10-yr-old golden retriever (Roofus) with dental problems. My vet
wants to put him under a general anesthetic to work on and possibly extract
a couple teeth. Given what I've heard (anecdotally) about older dogs often
not surviving general anesthesia, I'm pretty nervous about him doing this.

My questions:

1. Is there really a significant danger from putting older dogs under a
general?

2. Is it usually necessary to give a dog a general for dental work?

3. Are there any good alternatives to this?

Thanks in advance,
Mark


Zen Cohen

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Jul 17, 2002, 2:04:47 AM7/17/02
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OK, I found a FAQ that says thge risk can be minimized my having bloodwork
done. Comments?

Also note that if it's important, he had heartworms about 7 yrs ago (he had
em when I took him in as a stray and they were treated back then).


Kim

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Jul 17, 2002, 2:18:18 AM7/17/02
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Not sure where abouts you are from, but general anaesethesia is a pretty
safe thing for pets.

A 10 year old dog with teeth that need extracting is going to be more
comfortable without them anyway.

there is no way I ahve heard of to do dental work like this without a
general anaesethetic.

In the clinic I work in in Australia we would recommend a pre anaesethic
blood test to rule out kidney and liver problems etc then use an anaesthetic
that is suitable for an older patient.

Have one of the vet techs walk you through what happens to him from
admitting to going home, even ask to see where he will be kept and the
surgery area if you like.
Any clinic thats willing to spend the time talking to you, that encourages
and welcomes your concern and questions and is happy to show you behind the
scenes as well as suggesting things like pre anaesethic blood screens is in
my opinion a "good" clinic.
Any clinic that you ask questions like that and get umms and ahhs or they
dont seem to know what to tell you or dont want to show you "out the back" I
personally would avoid.


Its stressful having your pet need an anaesethetic especially as they get
older, I know I worry about my 11 year old lab every time she needs one (and
im the one monitoring her anaesethetic) but if all the precautions are taken
and it is a reputable well know clinic then the risk is really very very
small.

Kim

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Bonnie Jean

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Jul 17, 2002, 6:23:34 AM7/17/02
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Ask if the vet uses Isoflurene (sp?). It is a general anesthetic which
leaves the system very quickly.
Bonnie in NJ

"Zen Cohen" <atu...@hotmail.com> wrote in message

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Hillary Israeli

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Jul 17, 2002, 1:34:37 PM7/17/02
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In <Iw7Z8.27772$88.5...@twister.austin.rr.com>,
Zen Cohen <atu...@hotmail.com> wrote:

*My questions:
*
*1. Is there really a significant danger from putting older dogs under a
*general?

There is a risk from putting ANY dog under a general. The risk is
minimized by the use of an anesthetic protocol with which the practicioner
is comfortable, and by close monitoring of patient status during the
procedure, as well as by pre-anesthetic examination/health
screening/bloodwork to ensure there are no existing contraindications for
any of the drugs the practicioner intends to give the dog.

* *2. Is it usually necessary to give a dog a general for dental work?

Yes, it is. Otherwise you can't control the airway.

*3. Are there any good alternatives to this?

Not in my opinion, if your dog needs dental work.

--
hillary israeli vmd http://www.hillary.net in...@hillary.net
"uber vaccae in quattuor partes divisum est."
newly minted veterinarian-at-large :)

Five Cats

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Jul 17, 2002, 2:33:59 AM7/17/02
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In article <Iw7Z8.27772$88.5...@twister.austin.rr.com>, Zen Cohen
<atu...@hotmail.com> writes

>I have a 10-yr-old golden retriever (Roofus) with dental problems. My vet
>wants to put him under a general anesthetic to work on and possibly extract
>a couple teeth. Given what I've heard (anecdotally) about older dogs often
>not surviving general anesthesia, I'm pretty nervous about him doing this.
>
>My questions:
>
>1. Is there really a significant danger from putting older dogs under a
>general?

I suspect it depends on the anaesthetic used. I would have no worries
about letting my vet anaesthetise my 10yo cat for dental work - they use
an expensive anaesthetic also used on humans (fluo-something) which
works out of the system *very* quickly. Whilst a 10yo dog might be more
like a 15yo cat, I would probably still go ahead as tooth problems
reduce quality of life, are implicated (at least in humans) with other
health problems, and can stop the dog (or cat) eating properly.

>
>2. Is it usually necessary to give a dog a general for dental work?

Yes. You can see if the dog will let the teeth be de-scaled without
anaesthetic, but if a tooth has to come out I don't think there is an
alternative unless the dog is sedated up to the eyeballs - which might
not be any safer.

>
>3. Are there any good alternatives to this?

Once the teeth are sorted brush them to prevent the problem recurring.
How often you have to brush them will depend on the dog. Also give it
things to chew to help keep them clean.

>
>Thanks in advance,
>Mark
>
>

--
Five Cats

lm2dhs

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Jul 17, 2002, 3:04:51 PM7/17/02
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Where I live, Los Angeles, there is an anesthesia free teeth cleaning
service. It is done by technicians who scale the dogs teeth without using
anesthesia. I have seen it done. The technicians gently hold the mouth
open and use the scaling tools, just like a human dental hygienist would.
If they discover a problem, they tell you to take the dog to the vet. There
is a maintenance plan, so I take my Missy once a month. These doggie dental
hygienists have managed to save loose teeth by cleaning below the gums.
Somehow, some loose teeth tighten up.

They also do cats. I don't know how they manage to work in animals' mouths
without getting bitten, but they do, and the pets don't seem to mind it. Or
maybe it's just the clientele - people who really care about their pets
probably have calmer, better-behaved pets. My Missy lets the groomer, the
hygienist, and the doctor do whatever they need to do without any
resistance.

Maybe there is such a service in your area.
Patti

"Kim" <days...@yahoo.com.au> wrote in message
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Five Cats

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Jul 17, 2002, 2:12:49 PM7/17/02
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In article <slrnajbart....@manx.misty.com>, Hillary Israeli
<hil...@hillary.net> writes

>In <Iw7Z8.27772$88.5...@twister.austin.rr.com>,
>Zen Cohen <atu...@hotmail.com> wrote:
>
>*My questions:
>*
>*1. Is there really a significant danger from putting older dogs under a
>*general?
>
>There is a risk from putting ANY dog under a general. The risk is
>minimized by the use of an anesthetic protocol with which the practicioner
>is comfortable, and by close monitoring of patient status during the
>procedure, as well as by pre-anesthetic examination/health
>screening/bloodwork to ensure there are no existing contraindications for
>any of the drugs the practicioner intends to give the dog.
>
>* *2. Is it usually necessary to give a dog a general for dental work?
>
>Yes, it is. Otherwise you can't control the airway.

Or the teeth.


>
>*3. Are there any good alternatives to this?
>
>Not in my opinion, if your dog needs dental work.
>

--
Five Cats

Message has been deleted

Hillary Israeli

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Jul 18, 2002, 7:45:27 AM7/18/02
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In <SxfhmhAh...@nevis-view.demon.co.uk>,
Five Cats <cats...@hotmail.com> wrote:

*>* *2. Is it usually necessary to give a dog a general for dental work?
*>
*>Yes, it is. Otherwise you can't control the airway.
*
*Or the teeth.

Oh, IMO you can gork them out enough with sedation not to worry about
being bitten. At least, I have done it in order to do detailed intraoral
exams in aggressive animals. But you can't place an endotracheal tube,
which IMO is required when you're doing a dental, to prevent aspiration of
drek.

arc

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Jul 18, 2002, 7:53:12 PM7/18/02
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Hillary Israeli wrote:


> Oh, IMO you can gork them out enough with sedation not to worry about
> being bitten. At least, I have done it in order to do detailed intraoral
> exams in aggressive animals. But you can't place an endotracheal tube,
> which IMO is required when you're doing a dental, to prevent aspiration of
> drek.


I have an asthmatic cat that is scheduled for a dental next week,
and this thread has made me nervous. I had the opportunity to observe a
days worth of exams, procedures, surgeries, at this vet clinic(where the
dental is scheduled) a couple years ago. There were 2 cat dentals that
day and neither utilized an endotracheal tube. Excuse my ignorance, but
this is what I saw: One shot, cat goes to sleep--dental
performed--second shot, cat wakes up. No tubes.
This clinic has been satisfactory as far as biannual checkups are
concerned (nothing more involved has been required, thankfully), but
should I be looking for a differerent clinic at which to have this
procedure performed? I don't want to risk damaging his lungs,.. or
anything else for that matter.
-angie


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