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Materials, instruments, and equipment

An assortment of correct dental surgical instruments is essential for adequate dental care. A “one size fits all” approach to dental surgical equipment is inadequate. Several different sizes of dental luxators, elevators, periosteal elevators, scalers, curettes, and mechanical scaler inserts make for a more comprehensive oral surgery suite. Dental instruments must be in proper working order and properly stored, with defective instruments repaired or discarded and replaced. Other dental materials, consumable dental equipment, and products must not be expired. As with any surgical instruments, all dental instruments must be cleaned and autoclaved between each use and stored in a sterile manner until the next use. Instruments may be autoclaved according to procedure, such as examination materials, suture packs, oral surgery instruments, exodontia instruments, periodontal surgery instruments, and materials. Additionally, materials used for guided tissue regeneration must be sterile and perioceutics used according to manufacturer recommendations. It goes without saying that proper knowledge of instrument use and storage is essential. Single-use items must be discarded after each patient use. If barrier sealants and dentin sealants are used, each must be selected and applied appropriately. References from the 2013 AAHA Dental Care Guidelines provide recommendations and information on ordering equipment.8,75–78 A basic assortment of recommended materials and instruments for veterinary dentistry is listed in Table 3. See the Resource center for additional resources on instruments.

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Necessary materials

Antiseptic rinse
Prophy paste in individual single use tubs (fine grit)
Prophy angle and cups
Hemostatic agents
Needles and syringes
Intraoral dental radiographic capabilities
Equipment to prevent hypothermia: conductive blanket, forced-air warming blanket, circulating water blanket, towels, blankets, IV fluid warmer, dental water reservoir warmer
Gauze sponges
Antimicrobial agents for local application
Resorbable suture material sized appropriately for surgical needs (3-0, 4-0, or smaller)
Bone augmentation/guided tissue regeneration material
Local anesthetic drugs and delivery system

Necessary equipment

A dental machine with tubing and attachments for low and high-speed handpieces, mechanical scaler, suction and pressurized air/water delivery system
Dental radiograph generator (wall, ceiling mount or floor model)
Suction
High- and low-speed hand pieces (two of each)
Pressurized air water delivery system
Autoclave or gas sterilization system
Various sizes of high-speed and low-speed burs (round/cross cut taper/finishing burs)
Power scaler with tips for gross and subgingival scaling (ultrasonic, subsonic, piezoelectric)
Head or eye loupes for magnification

* Disposable items are for single use only.

These guidelines are supported by generous educational grants from
Boehringer Ingelheim Animal Health USA Inc., CareCredit, Hill’s ® Pet Nutrition Inc., and Midmark