MSPCA-Angell Headquarters

350 South Huntington Avenue, Boston, MA 02130
(617) 522-7400
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Angell Animal Medical Centers – Boston

350 South Huntington Avenue, Boston, MA 02130
(617) 522-7282
angellquestions@angell.org
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Angell West

293 Second Avenue, Waltham, MA 02451
(781) 902-8400
For on-site assistance (check-ins and pick-ups):
(339) 970-0790
angellquestions@angell.org
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Angell at Nashoba – Low-Cost Wellness Care

100 Littleton Road, Westford, MA 01886
(978) 577-5992
angellquestions@angell.org
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Animal Care and Adoption Centers – Boston

350 South Huntington Avenue, Boston, MA 02130
(617) 522-5055
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Animal Care and Adoption Centers – Cape Cod

1577 Falmouth Road, Centerville, MA 02632
(508) 775-0940
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Animal Care and Adoption Centers – Nevins Farm

400 Broadway, Methuen, MA 01844
(978) 687-7453
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It’s More Than Just “A Dental”: The Ever Important COHAT and What it Means for Your Pet’s Health

What is a
COHAT?
COHAT stands for Comprehensive Oral Health Assessment and Treatment

  • Teeth (Visual, radiographic, probing)
  • Facial Bones, TMJ
  • Gums and Cheeks
  • Tongue
  • Tonsils
  • Salivary Glands
  • Lymph nodes
  • Back of throat, Roof of Mouth
  • Airway
Who Needs
a COHAT?
  • Every dog and cat, annually
  • An awake oral examination is a good initial assessment, but can only reveal so much
Why Is
Anesthesia
Necessary?
  • It is impossible to fully evaluate the oral cavity, back of the throat, and teeth during an awake exam
  • A complete cleaning involves scaling above and below the gum line on all tooth surfaces
  • Radiographs can only be taken when your pet is fully anesthetized

Can you imagine your dog or cat holding a bite-wing?

Anesthesia
is Safe
  • Every patient gets a complete physical examination prior to the procedure and has a personalized anesthetic protocol designed by a board-certified veterinary anesthesiologist
  • Premedication is given to decrease anxiety, an intravenous catheter is placed to allow fast, direct access for drug administration
  • A dedicated CVT (certified veterinary technician: a specially trained and licensed professional) monitors every 5 minutes throughout the procedure
    • Heart rate and rhythm
    • Oxygen levels
    • Blood pressure
    • Temperature
    • Safe anesthetic depth
Complete
Oral
Examination
and
Cleaning
  • The entire mouth and back of the throat are examined
  • The entire surface of each tooth and around each tooth is examined and probed
  • Each tooth is cleaned above and below the gum-line
  • Teeth are polished to smooth each tooth surface and delay tartar accumulation
Dental
Disease
Can Be
Hidden
  • Much of the tooth structure lies below the gum line
  • Radiographs are essential for diagnosing and treating disease
Oral Health
is Linked
to Systemic
Health
  • Provide a mouth free of pain and infection
  • Infection/inflammation in the mouth can lead to infection/inflammation elsewhere in the body
Extractions
  • All extraction sites are closed with dissolvable sutures
  • Some extractions are performed using advanced surgical techniques
    • Gingival flaps
    • Removal of overlying bone
    • Sectioning of multi-rooted teeth
Recovery
  • Patients are discharged same day (with a few exceptions)
  • Pain is managed with oral medication for less than a week post-op
  • Patients are limited to soft food for 2 weeks
Home
Care
  • Daily brushing is essential!
  • Veterinary Oral Health Council (VOHC)-approved products (VOHC.org)
    • Treats
    • Gels
    • Wipes
    • Diets
    • Water Additives

 

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