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would you do a sleeping dental w/out pre-op testing?

post #1 of 4
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My dog just won't cooperate for a standing dental so we need to put her out. She is just shy of 6yo and eats all raw food. She seems super healthy. I can go to an inexpensive spay/neuter clinic for $150 with no pre-op testing or I can go to a full-service vet and pay more than twice that, but she will have blood work and an EKG.

WWYD?
post #2 of 4
Our 12yo has had to have general for two dental procedure. Our vet always recommends (in fact, this may be a requirement) full pre-op testing. I would do it.
post #3 of 4
I don't know about the EKG, but I'd do the blood work assuming she doesn't have any known health issues. Then again I've never had a dental done so I don't know if an EKG is standard. I think a regular dental is better than a "standing" one though because they can really get under the gums and do a more thorough job.
post #4 of 4
Ok....This is why bloodwork is done:
It checks blood glucose levels, liver and kidney function, full CBC (checking for anemia and clotting levels and any hidden infections).
We do not do dentals at our hospital without having bloodwork done in the past 6m (unless 2 or under). All dentals have iv fluids and during the anesthetic we have them fully monitored with blood pressure, heart rate and respiration being monitored. Older patients we may do EKGs on during the anesthetic.
BTW.....a complete dental cannot be done on an awake patient. Much of the cleaning is done under the gumline. Plus if there are any issues dental xrays may be done which again cannot be done on an awake patient. Oh and most places that do preop work they will likely be more on top of monitoring too.
I couldn't even hazard a guess on the number dentals I have done in the past 14y and I completely recommend full workup before hand.
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