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Only after the patient has been anesthetized can a complete and thorough oral evaluation be successfully performed. 33

Credentialed veterinary technicians and veterinary assistants have a prominent role in canine and feline dental care. 

Pathogens and debris such as calculus, tooth fragments, plaque, water spray, and prophy paste are aerosolized during dental procedures. The safety of the operator is ensured during dental procedures by using radiographic, oral, respiratory, skin, eye, and ear protective devices.

The client should be told that their pet needs a comprehensive, anesthetized oral exam and dental radiographs in order to perform a preventive cleaning or dental-periodontal therapy.

It is critical to have a written protocol to avoid misunderstanding regarding an anesthetized oral exam. 

Anyone performing oral surgical or periodontal procedures should be familiar with dental nerve block techniques, including a thorough knowledge of oral anatomy and analgesic agents and their application.

In select cases in which teeth cleaning, polishing, and extractions are not anticipated, heavy sedation may be appropriate and sufficient to collect limited baseline information. This page lists the considerations when considering sedation or general anesthesia in veterinary dentistry.

Prevention of periodontal disease begins at the first visit, either for a puppy or kitten, as well as for a new adult patient. 

Medications to consider for outpatient veterinary dental anesthesia.

Contributors to the 2019 AAHA Dental Care Guidelines for Dog and Cats