The Vet Dental Show

Dr. Beckman's International Veterinary Dentistry Institute offers courses in all areas of vet dentistry.

Online & Live Courses for Vets and Techs https://veterinarydentistry.net/

To register for the January 12th Training: https://ivdi.org/vdp

In this episode of The Vet Dental Show, Dr. Brett Beckman, a board-certified veterinary dentist, dives into recognizing and treating Canine Chronic Ulcerative Stomatitis (CCUS)—a painful and often overlooked condition in dogs. Learn how to spot subtle signs of oral discomfort, such as behavioral changes and resistance to oral exams, and understand the critical steps for diagnosis and treatment. Dr. Beckman also discusses pain management strategies and when to consider referrals for complex cases.

Podcast Details Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM

In this episode of the Vet Dental Show, Dr. Brett Beckman continues his insightful conversation with Dr. Trudi Bowden. Following the success of part one, this episode dives deeper into the structure of dental practices, the importance of having a dedicated dentistry lead, and practical advice for implementing dental consultations in a veterinary setting. Dr. Bowden shares her journey of expanding dental services, overcoming challenges, and the critical role of passion and confidence in achieving success in veterinary dentistry.

• Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
• Guest: Dr. Trudi Bowden, IVDI Instrcutor
• Sponsor: Veterinary Dental Practitioner Program

1. Introduction: Overview of the episode and a recap of part one.
2. Importance of a Dedicated Dentistry Lead: The role of having a go-to person for dental consultations in a practice.
3. Free Dental Consultations: How Dr. Bowden used free 30-minute dental consultations to build trust and expand dental services.
4. Client Education and Marketing: Strategies for communicating the value of dental services to clients.
5. Overcoming Challenges: Handling price objections, building confidence, and the impact of client education on practice success.
6. Training and Mentorship: The importance of training support staff and mentoring others to maintain high standards in veterinary dentistry.
7. Growth and Demand: The growing demand for quality dental care and the challenges of managing a busy dental clinic.
8. Closing Remarks: Encouragement for veterinarians to persevere through challenges and continue improving their dental skills.

• "Passion without confidence or experience is difficult, but when combined, it makes all the difference."
• "We were price shopping, but the passion and commitment led to an 80% success rate in scheduling dental procedures."
• "Failure is not a failure; it's just a reason to get better."

• 00:00 - 00:30: Introduction and recap of part one
• 00:31 - 02:00: Importance of a dedicated dentistry lead in practice
• 02:01 - 03:30: Implementing free dental consultations to build client trust
• 03:31 - 05:00: Client education and how to market dental services
• 05:01 - 06:30: Overcoming challenges in communicating the value of dental services
• 06:31 - 08:00: Training support staff and mentoring in veterinary dentistry
• 08:01 - 10:00: Growth in demand for quality dental care and managing a busy clinic
• 10:01 - 12:00: Encouragement and closing remarks

[Veterinary dentistry, dental consultations, client education, veterinary dental practitioner, practice growth, veterinary mentorship, overcoming challenges in veterinary practice, Dr. Brett Beckman, Dr. Trudy Bowden]

• Introduction: Welcoming listeners, recap of part one, and introduction to part two.
• Dedicated Dentistry Lead: The importance of having a specialised dentist within a practice.
• Free Consultations: Using free consultations to build trust and expand dental services.
• Client Education: Strategies for effectively communicating the importance of dental care to clients.
• Overcoming Challenges: Building confidence, handling price objections, and improving client conversion rates.
• Training and Mentorship: The significance of training support staff and mentoring other veterinarians.
• Growth and Demand: The rising demand for quality dental care and the challenges of managing a full clinic.
• Encouragement: Inspiring words for veterinarians to keep improving their skills and overcoming obstacles.

• IVDI.org/INV - Submit your request for an invitation to the Veterinary Dental Practitioner Program.

Quick Summary: Dr. Brett Beckman discusses the causes, treatment, and management of enamel hypoplasia and other dental defects in young animals, focusing on hypocalcification, trauma, and systemic diseases like distemper. He shares key insights into treatment options, extraction methods, and preventive care to maintain optimal oral health in young patients.

Guest, Cast, and Crew Information:

• Host: Brett Beckman, Board Certified Veterinary Dentist
• Guest: None
• Sponsored by: Veterinary Dental Practitioner Program

Main Talking Points:

1. Causes of enamel hypoplasia and the role of systemic diseases.
2. Identifying brittle and compromised teeth in young patients.
3. When extractions are necessary and special considerations for brittle teeth.
4. The importance of radiographic monitoring and pulp cavity analysis.
5. Managing patient sensitivity and appropriate home care options.

Interesting Quotes:

• "Teeth compromised by enamel hypoplasia are more brittle due to the lack of proper calcification, making them prone to fracture."
• "In young animals, even a brief fever can disrupt the formation of enamel, leading to hypoplasia."

Timestamps:

1. [00:00] – Introduction and overview.
2. [01:20] – Heather’s question: How brittle are hypoplastic teeth?
3. [03:30] – Extraction concerns for hypoplastic teeth.
4. [05:45] – Radiographic monitoring and bone loss.
5. [09:20] – Nutritional deficiencies and enamel formation.
6. [11:10] – Managing systemic diseases like distemper and their effect on enamel.

(Veterinary dentistry, enamel hypoplasia, brittle teeth in young animals, tooth extractions, dental defects, systemic diseases in animals, canine distemper, enamel formation, dental care for puppies and kittens)

Key Points Summary:

• Enamel hypoplasia makes teeth brittle and prone to fractures, especially in young patients.
• Systemic diseases like distemper and fevers can cause enamel defects if they occur during enamel formation.
• Monitoring dental health through regular radiographs helps catch defects early.
• Special tools and techniques are required for successful extractions and restorations in hypoplastic teeth.

Affiliate & Sponsor Links:

• Sponsored by: IVDI
• Link: https://ivdi.org/inv

In this episode of The Vet Dental Show, Dr. Brett Beckman, a board-certified veterinary dentist, shares valuable insights into pain management, anesthesia protocols, and best practices in veterinary dentistry. The episode discusses the cautious use of lidocaine in cats, the role of bupivacaine for effective local blocks, and the potential applications of Renia for managing chronic pain in refractory stomatitis cases. Packed with actionable advice, this episode is a must-listen for veterinarians and technicians looking to elevate patient care in their practice.

Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM

• Question: Should lidocaine be used with caution in cats?
• Answer: Yes, lidocaine can potentially cause seizures in cats, especially when used as a continuous rate infusion (CRI).
• Recommendation: Replace lidocaine with bupivacaine for local nerve blocks to ensure longer-lasting analgesia (6-10 hours). Use lidocaine sparingly and with proper discretion.

• Discussion:
• Historically, lidocaine was applied to the larynx for intubation in cats.
• Dr. Beckman and his team now prefer using a blunt cannula for safer intubation without the risks associated with lidocaine.

• Case Example: Use of Renia (NK1 antagonist) in refractory stomatitis
• Mechanism: Blocks Substance P at the postsynaptic membrane to prevent ascending pain signals.
• Clinical Context: Effective for managing chronic pain when combined with ketamine (NMDA receptor antagonist).
• Outcome: While Dr. Beckman’s team hasn’t used it extensively, anecdotal feedback from the veterinary community is positive.

• Best Practice: Use 0.5% bupivacaine for local nerve blocks in cats and small animals.
• Dosage: 0.2 mL per foramen ensures safety and efficacy.
• Rationale: Provides prolonged analgesia compared to lidocaine, minimizing the risk of complications.

1. Transition to bupivacaine for local nerve blocks to enhance patient comfort and safety.
2. Consider using Renia for managing chronic pain in severe stomatitis cases.
3. Adopt safer intubation techniques, such as using blunt cannulas, to mitigate risks in feline patients.
4. Leverage evidence-based pain management protocols to improve patient outcomes.

Sponsor Mention: This episode is brought to you by the Veterinary Dental Practitioners Program. Learn more and request an invitation at ivdi.org/inv.

Closing Note: "I hope you enjoyed this episode filled with actionable items to elevate your dentistry practice. Implement these tips today and see the long-term benefits for your patients and practice!"

If you're ready to take your dentistry skills to the next level, visit ivdi.org/inv to join the Veterinary Dental Practitioners Program!

Quick Summary: In this episode of the Vet Dental Show, Dr. Brett Beckman shares practical advice for veterinary dental teams. Topics covered include using mouth gags during surgery, managing incisor extractions, handling complex tooth extractions, and using tools like the Vetome. Dr. Beckman also discusses the importance of choosing appropriate methods for specific malocclusions and the pros and cons of referrals versus in-house procedures.

Guest, Cast, and Crew Information:

• Host: Dr. Brett Beckman, Board Certified Veterinary Dentist
• Guest: None
• Sponsored by: IVDI

Main Talking Points:

1. Using syringe barrels as mouth gags in different-sized animals.
2. Tips for incisor extractions and dealing with difficult suture closures.
3. Managing extraction of complex teeth, especially lateral incisors.
4. The value of the Vetome tool for easy extractions.
5. Treating class II malocclusion with mandibular canine extractions.
6. Why the mandibular second molar extraction can be particularly challenging.

Interesting Quotes:

• "When it comes to extractions, slow, deliberate movements ensure better control and prevent fractures."
• "The Vetome has been a game-changer in how we approach extractions—efficient, precise, and effective."

Timestamps:

• [00:00] – Introduction and overview.
• [01:10] – Discussion on using mouth gags and practical techniques.
• [04:05] – Tips and tricks for incisor extractions and managing dehiscence.
• [07:30] – Importance of the Vetome tool for easy and efficient extractions.
• [10:20] – Treating class II malocclusions and mandibular canine extractions.
• [12:50] – Managing the mandibular second molar extraction challenges.

(Veterinary dentistry, mouth gags, tooth extraction, incisor extraction, Vetome, dental surgery tools, class II malocclusion, canine tooth extraction, veterinary dental procedures, periodontal disease)

Key Points Summary:

• Use syringe barrels as mouth gags for different animal sizes, ensuring comfort.
• Avoid flaps in simple incisor extractions; they often lead to dehiscence.
• The Vetome is an invaluable tool for efficient extractions in challenging cases.
• Class II malocclusions can be treated with mandibular canine extractions if other treatments are not viable.
• The mandibular second molar presents specific extraction challenges due to its deep placement and thick bone structure.

Affiliate & Sponsor Links:

• Link: IVDI.org/inv