Showing posts from January, 2017

Periodontal Disease-Professional Care and Home Care Part 1

Centers for Oral Care New England & New York Animal Dental Health Services No. 16~ 20 January2017 DH DeForge, VMD Fellow of the Academy of Veterinary Dentistry

Periodontal Disease-Professional Care and Home Care~ Part One of a Three Part Series

Treatment of advanced periodontal disease is a multi-step process.  The term Comprehensive Oral Health Assessment and Treatment has been adopted by most veterinary dentists to describe the complexity of Periodontal Disease Diagnostics and Treatment.
After a Dental Cleaning: After a dental cleaning under general inhalation anesthesia, your local doctor of veterinary medicine will initiate a consultation concerning the stage of Periodontal Disease that has been identified.  Sometimes your veterinarian will recommend medications, as a first-line of treatment, before resorting to advanced surgical periodontal care algorithms and/or referral to an animal dentist.   This is directly dependant on the severity of your pet’s g…

Consil® Putty Bioglass® no15

Centers for Oral Care No. 15 -- 19Jan2017 Fellow of the Academy of Veterinary Dentistry 1-800-838-3368
Consil® Putty Bioglass®

Consil® Synthetic Bone Graft Particulate has been utilized at Silver Sands Veterinary Center and at the Centers for Oral Care, for years, in periodontal and osseous defects. Originally earmarked in alveolar ridge maintenance following extraction and treatment of infrabony osseous defects, its scope of utilization has broadened significantly through the years. Consil® is an osteoconductive bioactive device used for grafting osseous defects.
Consil® has expanded into oral trauma care with oral orthopedic applications, repair of oronasal fistulas, and filling of defects after mass or cyst removal from the oral cavity. The clinical and radiographic findings demonstrate that the Bioglass® particles are progressively replaced by bone. Whenever a tooth is extracted, nature will remove the bo…

Indirect Radiowave Radiosurgery Coagulation--no14

Centers for Oral Care No. 14 -- 19Jan2017 Fellow of the Academy of Veterinary Dentistry 1-800-838-3368 DonDeForge100@gmail.comand

Indirect Radiowave Radiosurgery Coagulation
For hemostasis of soft tissue, the Partially Rectified Radiowave Radiosurgery waveform is chosen. It must be remembered that this waveform produces increased lateral heat and tissue shrinkage. It should not be used for coagulation in close proximity to bone or when performing osseous surgery. The Ball Shaped, #135, or Pencil Point, #117, electrode tips, [Ellman International], are commonly chosen for this procedure.
Normally, the area must be free of blood for the coagulation to occur. This means removal of blood or constant daubing or rinsing to keep the blood pool away from the electrode tip during coagulation. With Indirect Radiowave Radiosurgery Coagulation [IRWRSC], a 1"x1' gauze square becomes a sandwich interface between the active electrode tip an…

Oral Radiosurgery: CSI--no13

Centers for Oral Care No. 13 -- 19Jan2017 Fellow of the Academy of Veterinary Dentistry 1-800-838-3368

Oral Radiosurgery: CSI
As veterinary oral surgeons we face "CSI" situations within the oral cavity each and every day of our clinical lives. There is no subjective pain and not always a direct pathway to the pain site. We must use all of our senses, diagnostic tools, and history data from the client-advocate to make a diagnosis and treatment decision.
The main diagnostic tool of the oral surgeon is oral radiology1 . Detailed extra and intra oral exams must also be completed to elucidate areas of pathology.
Once a treatment algorithm is initiated and surgery is found to be indicated, the best technology must be on site to provide both excellent cutting and coagulation with rapid local hemostasis. The surgical-cutting technology must be versatile with minimal trauma to the patient. Radiosurgery prod…

Preface & Forward--no12

Centers for Oral Care No. 12 -- 19Jan2017 Fellow of the Academy of Veterinary Dentistry 1-800-838-3368

Preface by Jeffrey A Sherman, DDS, FICD, FACD
Radiowave Radiosurgery is one of the most important and versatile instruments in the field of surgery today. Its numerous usages range from performing surgical incisions to establishing hemostasis. Radiowave radiosurgery offers the advantages of a safe, fast, and efficient incision with a better field of visibility. The pressureless cut of radiosurgery, offers minimal bleeding which often requires no suturing.
Radiowave Radiosurgery is the terminology applied to the most advanced form of electrosurgery. The radiowave radiosurgical instrument uses a high frequency radio signal to perform the incisions previously accomplished with the lower frequency electrosurgical instrument. The high frequency radio signal produces a finer, less traumatic incision and therefo…

Feline Stomatitis II

Centers for Oral Care No. 11 -- 19Jan2017 A BLOG by DH DeForge, VMD Fellow of the Academy of Veterinary Dentistry 1-800-838-3368 DonDeForge100@gmail.comand

See Blog #5 for Feline Stomatitis Part I Dr. DeForge Develops Breakthrough Surgery for Treatment of Cat Stomatitis Part II Feline Stomatitis Radiowave Radiosurgery with GBR: PART II
The Treatment of Feline Stomatitis: A New Surgical Protocol Combining Radiosurgery with Guided Bone Regeneration [GBR] utilizing Consil®/Bioglass® Synthetic Resorbable Bone Graft Particulate.

The classic treatment of feline Stomatitis with whole mouth extraction or extraction of the teeth distal to the canine teeth has proven to be non-productive.
Anywhere between 50-65% of these felines have only short term improvement with a return of the oral inflammatory condition in 6 to18 months.  On the other hand, the alternative surgery, herein described, utilizing Radiowave Radiosurgery to create ful…