Thursday, April 16, 2009

Will My Cat be Safe Under Anesthesia/Teeth Cleaning?

Hi, my cat is six years old, twelve pounds and due for a teeth cleaning. I%26#039;ve heard stories about pets not waking up from anesthesia and I%26#039;m wondering if this is common or a freak thing that happens. Thank you!

Will My Cat be Safe Under Anesthesia/Teeth Cleaning?
Well, my cat just went under anesthesia for an operation and he was fine. That is just a freak accident that happens usally when the cat is really old. Cats live along time so 6 years isn%26#039;t an old cat. Just relax and your cat will be fine.
Reply:It%26#039;s pretty safe. If death was common, they would not use it. Most of it relies on how good the vet is and if he knows what he is doing.
Reply:If your vet is not using the isofluorine gas for anesthesia then find a vet who does use it. It is a freak thing that can happen. I can only say that my Cameo had her teeth cleaned every year from age 15 to 22 and had no problems.





Her last cleaning was very expensive - she went in in the morning and was given fluids, had the cleaning around noon, and stayed to receive more fluids in the afternoon before she came home. While under anesthesia she was on a heart monitor and blood pressure cuff. Those were extraordinary measure because of her advanced age.





There should be no problems with a six year old cat. My 16 yr old cat just had a routine cleaning last month.
Reply:Get preoperative bloodwork. The price for it can be wildly different at each vet. Mine charged $25, I%26#039;ve heard quotes as high as 80 so call around. The bloodwork can determine whether or not its safe for the pet to be put under and a good vet will use it to make an informed decison as to whether the benefits of the procedure outweigh the risk.
Reply:When we clean a cats teeth, we do labwork first to determine overall health--kidney and liver function especially. They receive a complete physical exam. They receive an IV catheter and IV fluids to combat dehydration and to keep blood pressure normal. Heart, oxygen and blood pressure are monitored. They are placed on a warm pad and are given warm fluids. They are induced with propoflo (just about the safest anesthesia there is) and intubated and maintained on Isoflurane. A CVT does the monitoring and cleaning. Antibiotics are dispensed as needed, depending on degree of infection. Pain medication is given as well as dispensed if there are any extractions. After the procedure, they are monitored and placed on warming pads until fully awake and walking. Several hours later they are offered food. We send them home at the end of the day. It is rare for us to have anesthetic problems, as we do everything we can to assure a safe and healthy outcome. Individual reactions can not be predicted, but it is very uncommon at our practice. You can ask your vet what protocol they use and make an informed decision. By the way, most of the pets who need dental cleanings are rather elderly and they do great, too! :) I persnally clean my pets teeth whenever I need to, and I don%26#039;t worry one bit.
Reply:For an elective procedure such as dentistry, your vet will recommend lab work prior to anesthesia. ( Just like your Dr. would require of you ).


It costs more, but it will let your Vet know about the basic health of your cat before administering anesthesia. This is important because if there is say, a liver situation going on, the Vet probably would elect to wait for the dental. (take care of the liver, then the teeth.)


I would also have fluids run during the procedure. Once again this costs more, but keeps your cat hydrated and leaves an open line for additional meds, should they be necessary.


I bet your cat will be ok, although no one can predict.


Different anesthetics are available nowadays and your Vet can pick which combinations are the best for your pet.
Reply:We use Isoflorane where I work %26amp; it is very safe.Anesthesia is always a risk, but it is a very small % of pets who have a problem.It is more likely your cat gets gingivitis or an abscessed tooth from lack of dental care.So keep your cat healthy %26amp; clean those teeth!
Reply:Anesthesia deaths were more common years ago, though they were rare even then.





With improved gas anesthesia and the modern monitoring equipment, anesthesia deaths are now very unusual. They can still happen, of course, because nothing is sure in life, but I work at a busy clinic and in the six years I have been there, we have had no anesthesia deaths and only one serious adverse reaction -- a cat whose body temperature got very low during recovery. She recovered well once we got her on a heating pad and applied hot water bottles.





Ask if the cat is going to be intubated and if a vet tech will be monitoring the cat during the procedure. The answer to both questions should be yes. If not, I would take the cat elsewhere.
Reply:As in all things, unforeseen things can happen. Vets take great precautions, and that usually starts with blood tests. That allows them to know if there are any underlying problems so they can tailor the anesthesia.





There are no guarantees, but if your cat has teeth problems, there is almost a guarantee of serious things happening if it is not attended to.





When my cat had her dental work done, not only were her teeth cleaned, a sealer was put on, and it has been very effective, even several years later. It was done under anesthesia, and she was older than your cat.



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What do you think of Anesthesia-free teeth cleaning for dogs and cats?

This is a service offered in California, Washington and Texas. It is controversial but in the overall light of things, why shouldn%26#039;t this be a service offered to people who have pets too frail to %26quot;go under anesthesia%26quot; or for just a simple routine teeth cleaning?

What do you think of Anesthesia-free teeth cleaning for dogs and cats?
Anaesthesia is not a good thing to do, in general, or we would have our teeth cleaned under anaesthesia too! But if a dog doesn%26#039;t stay calm during it, he must have anaesthesia. If he stays still and calm, there is no reason for it!



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Is it bad to get a teeth cleaning twice in 3 months?

Is it bad to get a teeth cleaning twice in 3 months?

Is it bad to get a teeth cleaning twice in 3 months?
hey if you can afford it or your insurance covers it, then why not? at least you know your mouth is in tip top shape.
Reply:Unusual maybe but it won%26#039;t hurt you physically.
Reply:I get my cleaned twice a year. Twice in 3 months seems odd to me.
Reply:Nope its not a bad idea. It helps make your mouth better so i wouldn%26#039;t say anything is wrong with that.



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Is it bad to get a teeth cleaning twice in 3 months?

is it bad to get a teeth cleaning twice in 3 months?

Is it bad to get a teeth cleaning twice in 3 months?
If your mouth produces a lot of tartar or calculus that the hygienist has to scrape off; then, no, it is not %26quot;bad%26quot; to have another cleaning. If you just want to have a polish done, you may want to contact your dental professional to see about changing your toothpaste, toothbrush, or overall oral habits.
Reply:Now you know what the recommendation is sweetie ! 2 times a year.. you figure that out
Reply:Not at all. The twice a year schedule is an arbitrary creation.





So if you feel the need to get a cleaning again, by all means get it done again. Just don%26#039;t wait any longer then 6 months between cleanings.
Reply:Why not try the all natural and effective dental products from http://www.maximumteethwhitening.com/ and save time, money and effort for the bright and healthy smile you desire!
Reply:Hello,





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What would you estimate a teeth cleaning would cost for someone?

without insurance? When I call to get an estimate they will say 50 or so dollars then they say but you also have to get X rays which are 40.00 each and you have to get 2 of them. This seems super high to me for a teeth cleaning. Thanks

What would you estimate a teeth cleaning would cost for someone?
When I went (I live in Michigan) I payed $100 for a cleaning, dental exam and x rays.
Reply:I would estimate around 100.00 dollars, for the whole thing, x-rays, and cleaning, (without insurance though)
Reply:refuse the x rays
Reply:the teeth cleaning alone where I am costs $90 bucks without anything else=Canada Ontario
Reply:there are so many variables. if they find a cavity or something bad, you might need to get it fixed. bring your checkbook.
Reply:there might be a local college in your area that offers teeth cleanings for cheap. it takes awhile cuz they are students but your teeth are cleaner than if you were too pay for a professional. it usually took me 2 sittings at 12 dollars each, no x-rays required
Reply:I had mine done today. Cleaning and two xrays CDN $133.85
Reply:$75-$100 would be a good estimate.





Unfortunately, you cannot simply walk into a dentist%26#039;s office and get ONLY a cleaning. Dentists have an obligation to treat any ongoing disease process that has to do with the teeth and gums. With this in mind, xrays are needed to diagnose any problems. An oral exam is also part of the initial appointment. All of this is usually done in one sitting along with the cleaning.





This is all for the benefit of your oral health. It is required by direction of state dental boards and ethical bylaws.
Reply:Just make a few phone calls and ask the same stuff. Be sure to say you%26#039;d rather not have x-rays. OR, you have a heart/lung condition that prohibits x-rays. (but you don%26#039;t remember the name of it.) Talking straight to the horse%26#039;s mouth is best.
Reply:I just had my teeth cleaned at the dentist. The cost was $72.00.
Reply:I just had my teeth cleaning and X-rays done today.





The cleaning cost $95. X-rays cost $64. So its $159 total without insurance. Thankfully I had a dental discount plan in effect and it reduced both costs of cleaning to $56 and X-rays to $34. So I just had to pay $90 for the visit.
Reply:I%26#039;d say anywhere from $50 to $800. There are different types of cleanings, and there is no way that we could tell you on here without seeing x-rays and seeing in what condition your teeth are in. How long has it been since you%26#039;ve been to a dentist? When was the last time you had your teeth cleaned? You also have to factor in x-rays, which if you were a new patient at my office and were over 21, I would take a full set of x-rays on you (18 films) and then you also have to factor in the cost of the doctor%26#039;s exam, which legally, you have to have. More information would be helpful, so hopefully this helps.



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I need to get a deep teeth cleaning while having a minor heart condition?

My gums have been hurting and swollen lately, so I went to see a dentist, who told me that I have the big pockets (more 5mm) and I need to get a deep cleaning and more. However, I recently was told by my physician that I might have a minor heart murmur. So my dentist won%26#039;t see me until I get a release from my physician/cordiologist. The problem is that my first appointment with a cardiologist is only next month and I am not sure how long it will take to get results about my heart murmur.





Should I try to get a form signed by my physician instead? She doesn%26#039;t know much about my heart since it was discovered lately. Am I putting my heart in danger of getting some bacteria if I get this form signed without serious check-up and diagnoses of my heart? Or will this waiting for seeing a cardiologist first hurt my teeth? I don%26#039;t want to increase my heart condition by using antibiotics at the dentist office but neither I want to lose my teeth by not treating them! Please help!!!!

I need to get a deep teeth cleaning while having a minor heart condition?
The reason that they want you to be released by a physician is because the %26#039;deep cleaning%26#039; can potentially release bacteria into the blood stream and cause an infection on the heart valve(s) and lead to irreversible valve damage and the need to surgically replace it in the future or death.





In young women, it is not uncommon to have mitral valve prolapse. This can be verified by Echo which can be ordered by any physician but it is a cardiologist who is trained to interpret the image.





The dentist is covering his/her butt if there should be a problem in the future.





Ask the dentist while you%26#039;re waiting if there is anything like a mouth rinse you can use while you%26#039;re waiting,in combination with daily flossing.





I was able to decrease my pockets from 4/5 to 3s with just flossing a mouth rinses.
Reply:WELL SWEETIE, I HAVE TO GO THROUGH THE SAME THING WHEN I HAVE DENTAL WORK DONE.. IF I WERE U, I WOULD CALL UR FAMILY DOCTOR AND TELL HIM ABOUT UR TEETH CONDITION, ALMOST ALL DOCTORS WILL CALL U IN SOME ATTIBIOTICS,, I AM SUPRISED UR DENTIST DIDNT,,,,GOOD LUCK
Reply:As a previous responder said, the chief danger is bacterial endocarditis, bacterial growth on the heart valves. There are several standard prophylactic antibiotic protocols to prevent this. Perhaps your doctor would be willing to prescribe one of these antibiotics to take about an hour before cleaning. Some protocols call for taking a second dose after the dental visit, too.
Reply:Your dentist is overreacting. All you need is a prophilactic course of ABx prior to and after the proceedure. When teeth are cleaned you risk bacteria entering the blood stream. If you have a murmur, the blood can not get flushed through your heart completely and you risk getting endocarditis. Antibiotics are taken to prevent this. That%26#039;s all you need and your dentist should be able to prescribe it. I think I%26#039;d find a new dentist.
Reply:Heart murmur can be a sign of many heart diseases.


Before any invasive procedure such as dental care, people with valvular heart diseases need to to prophylatic (preventing) antibiotic because of high risk for developing infectious endocarditis, a life threatening infection that is caused by the trapped bateria attaching to your heart valves. These bacteria will damage your heart certainly, and with each heart beat, there%26#039;s risk that the bacteria will be transported to throoughout your body, causing whatever damage that it will do.





To my belief, I dont suggest you go to have your teeth done.


One recommendation is talking to your doctor and tell him about your heart murmur and your needed dental procedure and if antibiotic should be used before to prevent %26quot;Infectious Endocarditis%26quot;. Every doctor should know this prophylatic antibiotic before dental procedure with people with heart infection like that. Talk to him about those 2 concerns.
Reply:You won%26#039;t risk your heart condition by using antibiotics. These are important to take if you have a heart condition and need this type of dental trearment as it helps prevent bacteria going to the heart. You will need to speak with your cardiologist as I know it is a problem with my son as he has a conduit and the bacteria tends to go to foreign objects in the body. I don%26#039;t think murmers are a problem as they don%26#039;t have a foreign object inserted. I have a heart murmer and have not had to have antibiotics. It is always best to check and be sure. It is too late once the infection has occured. Better to be safe than sorry.



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I need to get a deep teeth cleaning while having a minor heart condition?

My gums have been hurting and swollen lately, so I went to see a dentist, who told me that I have the big pockets (more 5mm) and I need to get a deep cleaning and more. However, I recently was told by my physician that I might have a minor heart murmur. So my dentist won%26#039;t see me until I get a release from my physician/cordiologist. The problem is that my first appointment with a cardiologist is only next month and I am not sure how long it will take to get results about my heart murmur.





Should I try to get a form signed by my physician instead? She doesn%26#039;t know much about my heart since it was discovered lately. Am I putting my heart in danger of getting some bacteria if I get this form signed without serious check-up and diagnoses of my heart? Or will this waiting for seeing a cardiologist first hurt my teeth? I don%26#039;t want to increase my heart condition by using antibiotics at the dentist office but neither I want to lose my teeth by not treating them! Please help!!!!

I need to get a deep teeth cleaning while having a minor heart condition?
My daughter has had a V murmur since birth. She%26#039;s an adult now and has had her teeth cleaned twice yearly since the age of 4. Ask for an antibiotic to be prescribed and take it 4 hours before your scheduled cleaning.





You%26#039;ll be fine.





Keep that Cardio appt. You%26#039;ll be relieved to know how functioning most murmurs really are.
Reply:The best thing to do is ask your Dr and he/she will be able to tell you the best course of action to take. Depending on how bad the cleaning is you might have to go on antibiotics. Don%26#039;t take any chances.
Reply:They used to want to put you on antibiotics in advance just in case. It doesn%26#039;t seem to be as big a deal now as it was a few year ago. Call your cardiologist and explain the situation; it shouldn%26#039;t require an office visit
Reply:A heart murmur is a common thing. Your dentist is correct in that cleaning teeth does release a lot of bacteria into the blood stream and the dentist does not want bacteria landing and growing on your heart. You will want to talk to your regular doctor, he/she will likely give you an antibiotic to take shortly prior to you teeth getting cleaned. This is a standard procedure to anyone who has a heart issue.
Reply:In April of this year, the American Heart Association recommended a stop to the practice of using preventative antibiotics prior to dental treatment in all but a few cases. This is a drastic change from the past, and many health care providers are either unaware of it, or are being overly cautious about discontinuing a practice they have done for many years.





Please read the link, print it out, and take it to your dentist or physician. You may not need to take antibiotics after all. ONLY your doctor can make that determination, however, and I%26#039;m NOT a doctor.





This is a highlight from the AHA article:


The current practice of giving patients antibiotics prior to a dental procedure is no longer recommended EXCEPT for patients with the highest risk of adverse outcomes resulting from BE (see below on this card). The Committee cannot exclude the possibility that an exceedingly small number of cases, if any, of BE may be prevented by antibiotic prophylaxis prior to a dental procedure. If such benefit from prophylaxis exists, it should be reserved ONLY for those patients listed below. The Committee recognizes the importance of good oral and dental health and regular visits to the dentist for patients at risk of BE.





Added: I think you should either call or visit your dentist and ask him to read the AHA article. There was a summary of it in JADA, the dental journal. It is possible you don%26#039;t NEED to premedicate if all you have is a past heart murmur.
Reply:1. Listen to the Deborah Ray Show (www.HealthyTalkRadio.com). She has an excellent alternative dentist on once per week. (Dr. Koulacz). Dr Koulacz teaches that mouth germs cause heart disease.





2. Blend up a bulb of garlic with water and vitamin C. This is the %26#039;mother of all mouthwash%26#039;.


After a few days there will be no germs left anywhere in your mouth.


Drink this for a few days and ditto for the entire body.


A bonus is that your energy level will increase dramatically as the germs die.



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