abstract
| - Many pets, especially older pets, have gingivitis (inflamation of the gums) or periodontis (recession of supporting bone and gingival attachment) and have to undergo a dental procedure to clean plaque and calculus from their teeth and to extract diseased teeth. Although dental procedures are increasingly common on nondiabetic animals, the procedure is especially important to minimize underlying low grade infections in diabetic animals. That infection may be hindering regulation. Some caregivers report lower blood glucose readings after an animal finishes its post-procedure antibiotics. Because of the extra risks, some veterinarians prefer not to perform a dental procedure on a diabetic animal with high or erratic blood glucose levels unless it is considered an urgent situation. This can create a Catch-22 situation because your pet may have very high or erratic blood glucose levels because of dental infection. If you feel this is the case with your animal, you should discuss this with your veterinarian. You also may want to consider consulting a veterinary dental specialist . A dental procedure requires general anesthesia. General anesthesia poses a risk for any animal (or human), and is a special concern for older or “special needs” animals. Therefore, the caregiver should have a basic understanding of appropriate dental procedures to be able to ask about them beforehand. A dental normally is an outpatient procedure and, barring complications, your pet should come home the same day. The cost of the procedure can vary widely depending on the clinic and the number of extractions, but you can expect to pay between $250 and $1000 in the US for a dental without overnight hospitalization. The veterinarian will send you and your pet home with aftercare instructions concerning feeding, antibiotics, and pain medication. The veterinarian may also recommend ongoing dental care, such as brushing, anti-plaque gels, dental chews, and annual dental procedures. You can expect your pet to be somewhat alert once you get him or her home, but perhaps less than 100% for a couple of days.
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