COHAT Flashcards
Which teeth do cats not have on the mandible?
Don’t have 5 & 6
What is dental prophylaxis?
Procedures performed on a healthy mouth, such as oral exam and oral hygiene care, to prevent dental disease
What is a Professional dental cleaning (PDC)
Performed on a patient with plaque and calculus adhered to some of the teeth but otherwise has an essentially healthy mouth or mild gingivitis only
What is periodontal therapy?
Treatment of tooth-supporting structures where periodontal disease exists. This involves the non surgical removal of plaque, calculus, and debris in pockets; and the local application of antimicrobials
What is the collective name for dental prophylaxis, PDC, and periodontal therapy?
COHAT
What does COHAT stand for?
Comprehensive Oral Health Assessment and Treatment
What are the steps to a successful PDC
What are the first steps of a good PDC?
Good oral exam of pet in the room
What are some of the things to discuss with clients before a COHAT?
-Estimate dental status of the pet and discuss preliminary treatment plan with owner
-Discuss possible outcomes and risks
-Provide estimate of treatment cost (more than it will likely cost)
-Ensure good phone numbers for contact during procedure if needed
What to look for during an oral exam?
Malodor/halitosis
Occlusion
Periodontal disease
Tooth lesions
Masses
Pain
What does halitosis mean?
Bad breath
What is occlusion?
The dog’s bite (overbite or underbite)
What does a normal bite described as?
Scissors bite
What is primary dentin?
What the tooth is born with
What is secondary dentin?
Forms over time
What is tertiary dentin?
Reparative dentin
What may explain a black circle inside the tooth?
Used to be a pulp canal, tooth has worn slowly so it’s able to fill pulp canal with reparative dentin
What can be confused for a mass or tumor at the top of the palette?
Incisive papilla (don’t cut it off!)
What is important to ensure when putting animals under anesthesia?
Make sure they have a protected airway, proper monitoring, and warming protocol, PPE, ergonomics
What is one of the first steps in doing a COHAT?
Rinse first with antiseptic solution and gently remove large chunks of calculus with extraction forceps.
Save teeth not break teeth! Excessive force can fracture teeth
Why are full mouth radiographs important?
Radiographs revealed clinically important pathology in cats and dogs with normal oral examination and with patients who had abnormal findings
What is important to remember about ultrasonic scalers?
Must have integrated water to cool
Keeping moving on the teeth, do not spend longer than 8-10 seconds per tooth
What do you use a Universal curet (rounded blunted tip) for?
Used for sub gingival (under the gingiva)
What is the curved sickle scaler for?
Meant for Supra gingival areas only (pointed tip)
