C09973707 / invoice 10000

Appointment Notes: Injured tooth? Looks pink. Have asked to fast in case anything can happen with it today - BW  ------- Sms reply: YesAppointment Notes: Injured tooth? Looks pink. Have asked to fast in case anything can happen with it today - BW  ------- Sms reply: YesHistory:BIB: ChrisTooth  (104 R upper canine) change noticed on Thurs/Friday. Was initially a bit pink at the bottom but the whole tooth is now discolouring towards pink.  Possibly due to an interaction with a cricket ball - this is the only potential item causing trauma that O can think of.   Other no health concerns - still seems to be eating normally.Examination:104 is more discoloured now than photos sent last week.  Heart and chest sound good.  BCS excellent. Mild bradycardia. Treatment:Admit for a dental xray today to look for the nature of injury and get a width baseline - then can let us know in the future if the pulp cavity is remain at it it's current width (suggests the tooth root has died - a normal one would continue to narrow over the years as it continues to lay down dentine) or root canal might be offered.  O has indicated they are presently not interested in root canal therapy.  Plan:Admit today for dental rads and under GA. Examination: Pre Anaesthetic Exam    Risk Level (1-5):  1Laboratory:   Pre Anaesthetic Lab->    PCV/TP=  54/72IV Fluids:  20g IV catheter placed in R cephalic v. and Hartmann's ran at 5mls/kg/hr which is 195mls     Anaesthesia:    Premed:  1.2ml Methadone 0.3mg/kg and 0.3ml Medetomidine 0.05mg/kg given IM @ 11:35amInduction:Induction with 4mls propofol @ 11:55amMaintenance:   Intubated with size 12.0 cuffed ET tube  Inhalation - with isolflurane at 1-1.25% and oxygen at 2L using rebreathing circuit for 43 mins Extubated at 12:50 pm  Righting at 1pm  Recovery was routine and uncomplicated.    Dental Radiology:Comparative views of 104 and 204 taken and canals are similar in width at this time.  There is no sign of damage or injury to 104 below the gum line and no sign of a tooth root abscess forming at this time. Diagnosis: Pulpitis - most likely secondary to injuryDental treatment:  A thorough oral examination was performed.  All teeth were examined for pockets exceeding acceptable depth (>6mm dog; >2-3mm cat), fractures and/or ginigal recession or root exposure was noted.  The following teeth were missing at the time of dental:  NoneThe following teeth were extracted after oral examination:   NoneMedications Dispensed:Meloxicam 7.5mg tablets - dose is 0.5 tablet SID for 8 days.    Plan:   Re-xray in 6 mo time (approx August) if not other problems are being noticed - ie difficulties eating or excessive tartar build up on the RHS of the mouth. Recommended homecare:  Brushing with a veterinary specific toothpaste and small toothbrush/finger brush – daily is ideal      Vital Signs