Pull Teeth In 20 StepsApril 17, 2009 The phrase “It’s like pulling teeth” arose for good reason. It’s one thing to extract a tooth with severe periodontal disease that is barely attached to its surrounding structures, and entirely different to extract firmly rooted teeth. Consider the analogy of an archaeologist working at a dig to successfully remove ancient fossils and intact artifacts. Many indications exist for extraction of a firmly rooted tooth, including endodontic disease, tooth resorption, and crowding of persistent deciduous and permanent teeth. Though extractions occur daily in nearly every practice, many practitioners have not been taught how to effectively and efficiently extract firmly rooted teeth. Here are 20 steps to perfect extraction of firmly rooted teeth. Step 1 Wash the mouth with diluted chlorhexidine oral rinse (0.12 percent) This step protects the operator and the patient by decreasing aerosolization of bacteria during the procedure and lowering the bacterial burden at the surgical site. Step 2 Perform a regional nerve block Extraction of firmly rooted teeth is painful because of the need to raise a mucoperiosteal flap and remove bone. A long-acting local anesthetic such as bupivacaine provides …
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Pig Spa Appointment Includes Visit With The VetApril 17, 2009 On 30 acres in Warwick Township, Pa., two hours south of New York City by bus and one hour northeast of Philadelphia, sits Ross Mill Farm’s Piggy Resort and Spa, a one-stop shopping destination for potbellied pig owners that offers grooming and boarding services, foster care and adoption, behavioral consultations and veterinary care. “We’re single-minded—we’re devoted to the potbellied pig,” said Richard Magidson, co-owner of the farm and resort with his wife, Susan. Customers from Chicago, New York City, Washington, D.C., and the surrounding area drop their pets off at the lodge while they vacation for a week or two or for extended seasonal stays. “People come to us as a destination,” Richard Magidson said. A custom-designed hydraulic lift at the spa holds an individual pig while it receives treatments ranging from Reiki-inspired massage, dander exfoliation, complete facials, mango-scented baths, skin and hair conditioning and a variety of oil and moisturizing treatments, all set to the sound of New Age melodies. If a pig has put on a few pounds, the Magidsons might offer an individualized weight-loss program that includes lower-fat meals and daily laps around the lodge’s indoor track. Every other …
Manufacturers, Veterinarians Target Product DiversionApril 17, 2009 Veterinary product diversion has become an issue of concern to many veterinarians, particularly in light of the growing number of discount pet medication websites. Millions of dollars worth of flea and tick product are sold through online portals and retail pet product stores each year, even though the products’ manufacturers intend the nonprescription products to be sold only by veterinarians. Over the past year, some veterinarians and manufacturers have begun to address product diversion. A new veterinary organization, the Alliance of Veterinary Hospital Owners (AVHO), has highlighted veterinary product diversion as one of its key concerns. Founded in April 2007, the nonprofit organization represents the owners of about 200 veterinary hospitals in 30 states. Its website, www.avho.net, is a portal through which members can discuss issues affecting independent animal hospital owners. The organization has developed a seal of approval program through which it reviews manufacturers’ business practices for their products. The seal is awarded to companies that prove to AVHO members that they are dedicated to ethical business practices and the integrity of their products. One element considered is the company’s commitment to keeping veterinarian-only products out of other sales channels. …
Supplements’ Role In Cancer TreatmentApril 17, 2009 Doctor, what about supplements to help boost my pet’s immune system? Which ones do you recommend?” I hear this question almost daily as an oncologist battling cancer. I wish I knew the answer. In fact, I know we all wish we knew the answer. But what do we really know about supplements to boost immune stimulation? While there is an incredible amount of information available on the Internet (try Googling “immune stimulants for cancer”—680,000 results appear), there is a paucity of credible information on which to make our decisions. And in the era of evidence-based medicine, few published studies qualify as double-blinded and controlled to help us formulate a decision. Oral Supplements In the past decade, several oral cancer supplements have been marketed for this very purpose. Some of the ingredients have included vitamin E, omega-3 fatty acids, L-arginine, grape seed extract, N-acetyl cysteine, coenzyme Q10 and green tea extract. All have shown some positive effects, albeit some in vitro, against tumorgenesis. Nutritional supplements for cancer treatment will continue to be a controversial part of therapeutic intervention.
AAEP Adds Core Vaccines To Immunization GuidelinesApril 17, 2009 Earlier this year the American Assn. of Equine Practitioners announced its new vaccination guidelines, replacing those established in 2001. “The new guidelines emphasize that considered judgment is key to designing an effective vaccination program; a ‘cookbook’ approach to infectious disease prevention may leave some horses vulnerable to disease,” says Mary Scollay, DVM, chairwoman of the AAEP’s Infectious Disease Committee during the development of the guidelines. The AAEP also wanted to make sure the information was relevant on the ground level as well as on a theoretical level. So the committee comprised 16 of the best and brightest in the world of infectious disease, including both researchers and clinicians. What Prompted Revisions? Past guidelines were available through the website in a condensed form for non-veterinarians as well as in a published form for the member veterinarians. There have been many advances in vaccine technology since then and AAEP needed to update some of the information. “We also felt that the AAEP website was an opportunity to keep the guidelines much more fluid,” Dr. Scollay says. “Advancements are moving along at such a pace, if a new state-of-the-art vaccine comes out tomorrow we have the opportunity to update …
Veterinary Blood Banks Keep Supplies FlowingApril 17, 2009Veterinary Blood Banks Keep Supplies Flowing Veterinary Blood Banks Keep Supplies Flowing cover storiesThe history of veterinary blood banking only reaches back a couple of decades.The history of veterinary blood banking only reaches back a couple of decades.veterinary blood banking, veterinary blood banks, blood banks, pet blood bankLori Luechtefeld For Veterinary Practice News The history of veterinary blood banking only reaches back a couple of decades. But in that time, it has grown substantially and matured quickly. Today, thousands of veterinarians nationwide rely on commercial and nonprofit blood banks for their transfusion needs. Veterinary blood banking industry gains momentum among specialists and general practitioners. "Given the level of animal care and increasing technology and therapy options, the demand for animal blood products has risen significantly," says Ron Harrison, DVM, co-owner of the Veterinarians' Blood Bank Inc. in Vallonia, Ind. In particular, Dr. Harrison says, his facility has seen a dramatic increase in the demand for feline blood products. Mark Ziller, president of the Pet Blood Bank in Lago Vista, Texas, says the veterinary blood banking industry continues to gain momentum among both specialists and general practitioners. "In part this can be attributed to the increased …
New Center To Use Alternative Medicine To Restore Pets’ HealthApril 17, 2009 It’s not every day that a dog gets to lounge in a Jacuzzi, receive an acupuncture treatment or sleep in a room that more closely resembles a bachelor’s pad than it does a kennel run. But that is the type of treatment pet owners can expect their animals to receive at the Restore Health Center, a nonprofit rehabilitation center for dogs and cats. Although the center is still in the planning stage, the land for it has already been purchased in Garden Grove, Calif., and construction is expected to begin this spring. “It will be a unique center for short-term health care,” says W. Jean Dodds, DVM, who is the driving force behind the multi-million dollar operation. “As far as I know, it [will be] the nation’s first center focused on restoring health for dogs and cats with special needs and during recovery.” In addition to acupuncture and chiropractic treatments, Dr. Dodds’ center will also offer herbal therapy, aromatherapy and physiotherapy. A health care center for recovering pets is long overdue, says Dodds, a veterinarian for 42 years. She adds that the center is neither a hospice nor a boarding kennel, but merely an …
Animal Charities Raise Funding To New LevelsApril 17, 2009 Americans gave $260.28 billion to charities in 2005, $8.86 billion of it going toward environmental organizations and groups working for animal welfare, reported Giving USA, a publication of Giving USA Foundation, researched and written by the Center on Philanthropy at Indiana University. This charity sector saw a 16.4 percent increase from the previous year. Cheryl and David Duffield, who contributed $93 million to Maddie’s Fund, the animal welfare organization they created in 1999, topped environmental and animal contributions for 2005. In turn, these charities distribute money toward animal-related causes, many in the form of grants. Maddie’s Fund is an example of money at work. It recently announced spay/neuter grants of up to $200,000 over two years. The grants are for counties with live animal release rates of 40 percent or less—counties where the animal control, traditional and rescue shelters euthanize 60 percent or more of the total shelter population of dogs and cats. In the past several months, other animal charities have announced how they will distribute their funds. Morris Animal Foundation of Englewood, Colo., recently approved $4.3 million in funding for 2007. The money will go toward 55 new and 45 continuing …
Equine Oral HealthApril 17, 2009In April, the American Assn. of Equine Practitioners launched a campaign to promote giving horses thorough oral examinations at least once a year. The campaign runs through 2008 and is designed to reach horse owners. Heightened awareness means clients are becoming more concerned about the practice of equine dentistry. Many seek veterinarians who specialize in dentistry and are up on the latest research and oral health care technologies. Indeed, the basic tool set of an equine dentist—speculums, headlamps, floats, forceps and other extraction devices—may include some newer technologies. Mechanical Restraint Many veterinarians sedate their equine patients during dental exams and treatment, and many employ some form of mechanical restraint to keep a patient still. Effective yet safe and humane restraint is imperative in good dentistry. Often, however, equine patients don't comply. "You can do better quality work, and do it more efficiently, on a still, quiet horse," says Illinois-based Marc Miles, DVM, who has been in equine practice more than 30 years. "You can do a better job of educating clients, too, because you can safely show them what's going on in their horses' mouths without worrying about someone getting hurt." With this in mind, Miles developed the Miles Equine …
Equine Rehabilitation Becomes Team EffortApril 17, 2009Improvements in veterinary medicine, specifically high-tech diagnostics and advanced surgery techniques, have changed the way veterinarians view serious equine injuries. Rather than prompting euthanasia, many injuries are now successfully treated and, in some cases, horses are brought back to pre-injury performance levels. As more options become available to repair injuries, veterinarians are realizing the benefits of—and need for—equine rehabilitation, or physiotherapy. Arlene D. White, PT, M.AnimSt, heads up the equine section of the Animal Rehabilitation Institute in Loxahatchee, Fla., which offers rehabilitation courses for veterinarians, veterinary technicians, physical therapists and physical therapy assistants. White explains that rehabilitation "has been proven in human literature and is now gaining popularity in the veterinary population. [Veterinarians] have begun to see the outcome of a well-designed rehab program. Evidence-based medicine is proving that these techniques work. There is a lot of work to be done in the research aspect, but the future is bright." Narelle Stubbs, B.appSc (PT), M.AnimSt (animal physiotherapy) Ph.D. (equine back pain) agrees: "Within the last 10 years we've started to see a bit of evidence-based research coming out on equine rehabilitation." Stubbs, who conducts physiotherapy research alongside Hilary Clayton, BVMS, Ph.D., MRCVS, at Michigan State University's College of Veterinary Medicine, …
