With the sudden growth in “anaesthesia-free” dental cleaning offered by groomers and other non-veterinary professionals, it is important to understand the health risks involved within these procedures and why they have been banned by the Royal College of Veterinary Surgeons with support from the British Dental Veterinary Association and the European Veterinary Dental College.
What is anaesthetic free dental cleaning?
As the name suggests, this is the act of cleaning a pets teeth without the benefit of anaesthesia. Often with the use of sharp tools or an ultrasonic scaler. Just like in humans, this process requires the pet to sit still and not move their mouth during the procedure, an act that many humans find stressful enough, never mind our pets who don’t understand what is going on and why. At the end of the procedure you may end up with a pet with teeth that superficially look clean and shiny on the outer surface, but there are many potential problems to consider when assessing dental disease and the “shiny clean teeth” are most likely hiding the problem!
What can go wrong?
There are many concerns with anaesthesia free dental cleaning but the main three are:
- Damage to teeth and gums: The periodontal tissue attaching teeth to gums is very delicate and can be easily damaged, especially if the patients moves their head while conscious during scaling with sharp or ultrasonic instruments. Damage to this tissue may lead to further dental disease or tooth loss.
- Is the periodontal pocket being reached?: One of the most important areas of teeth to assess is the periodontal pocket. This is an area below the gum line that is the most impacted by dental disease. Assessment and cleaning of this pocket is a vital stage of any dental cleaning. It is not possible to do this effectively in a conscious pet. Cleaning and assessing this periodontal pocket below the gum line is considered to be an act of veterinary surgery and, as such, it is illegal for a non-veterinary surgeon to do so or to advertise this service.
- What is being missed?: It is vital to remember that “cleaning” the teeth is only a small part of a dental scale and polish performed at a veterinary surgery. Many oral problems from dental disease through to early detection of oral tumours can only be diagnosed during complete general anaesthesia, some even require the use of dental x-rays. While anaesthesia-free cleaning may result in clean looking teeth, it will also most likely delay the diagnosis of these diseases which may limit treatment options.
So why can I still see this service being advertised?
While the governing body of the veterinary profession, the RCVS, has powers to tackle and punish Veterinary Surgeons and Registered Veterinary Nurses that are acting in a way that is not in the best interest of the health and welfare of our patients. They have limited power to act on non-veterinary professionals advertising and performing acts of veterinary surgery illegally. Technically this would come under the remit of the Trading Standards, but they are notoriously slow to act within the veterinary field.
One of the hopes within the veterinary profession with regards to some of the changes that may follow the CMA investigation is that loopholes within the powers of the RCVS be improved. However, The RCVS and their standards committee have advised members of the public offering these services that they should be aware it is illegal for a non-veterinary surgeon to offer services that include cleaning under the gum line or tooth extraction; and they are also reminding pet owners that are considering using these services that they have a responsibility under the Animal Welfare Act to avoid doing so.
More information on the RCVS stance on this can be found here: (https://www.rcvs.org.uk/document-library/a-statement-on-anaesthesia-free-dental-procedures-for-cats-dogs/)
What does a dental assessment at Mayne Vets involve?
When you book your pet in for a dental assessment with us, your pet will need to be placed under general anaesthesia, so the dental procedure can be performed far more safely and effectively. A dental assessment includes:
- Full mouth dental x-rays
- A dental assessment, to include probing, charting of the teeth and gums
- Scale and polish of ALL surfaces of the teeth
These x-rays and dental charting will be assessed by one of our Veterinary Surgeons, who will then be able to provide feedback and advice on whether treatment, such as tooth extraction, is required.
If the dental assessment reveals that multiple or deep rooted teeth need to be extracted we will arrange this to be done as a second stage procedure. Doing this as a second stage procedure is better for:
– The patient as it reduces the anaesthetic risk for your pet by splitting the procedure over two shorter anaesthetics rather than one longer one.
– The owner as, following the assessment, they have a clearer understanding of what needs to be done, and why and at what cost before the second stage procedure has been started
– The veterinary team as it allows us to plan ahead for all the requirements for the anaesthesia but also, for the dental procedure itself, which can involve complicated and timely extraction of teeth in order for it to be done safely and correctly.
This February we are offering our clients 20% of dental assessments, spaces are limited to don’t forget to give us a call to get your pet booked in. Should your pet need to have a second stage procedure, Pet Health Club members get 10% off if booked in by the end of April.