Special Needs: Dental Prophylaxis Surgical Discharge Summary Physical examination findings The pre-surgical physical exam revealed heavy dental tartar, fractured teeth, halitosis, and a hot spot on the right hip area. No other abnormalities were noted. A one year rabies vaccine and one year DHPP vaccine were given after recovery. Testing findings Pre-anesthetic lab work revealed no abnormalities. Surgery Ultrasonic sonic scaling, subgingival curettage, polishing, fluoride application. Dental extractions were required today, including all canines and fractured incisors. The gums appear fairly healthy. The gums were sutured closed at tooth #104 without a gingival flap. The extensive amount of purulent exudate and infection at this area poses a high risk for failure. Please keep an e-collar on Hunter at all times and feed only soft food for the next 14 days. Recovery Post-operative recovery was quiet and uneventful. "Hunter" was offered Science Diet canned A/D and water post-operatively. Hunter ate readily. Prescriptions Please give all prescribed medications as directed on the label. Pain medication should be started tonight at bed time. Tramadol 25 mg by mouth every 8-12 hours as needed for pain for 3 to 5 days. Vetprofen (rimadyl, carprofen) 25 mg by mouth every 24 hours for 7 days for pain and inflammation. A convenia (2 week antibiotic injection) was given while under general anesthesia for the hot spot over the right hip. Clindamycin 150 mg should be given twice daily for the next 30 days due to the infection present in the mouth. Please let us know if you can get these medications from Linne, or if you would like them filled here. If you are not able to medicate Hunter, especially with his pain medications, please return him to the clinic for further care. Follow up care and testing Only small meals and water should be offered tonight, with normal feeding amounts resuming tomorrow morning. Please do not change the diet unless directed otherwise. Canned or moistened food only please for the next 14 days due to the oral sutures. Home care is extremely important for maintenance of a healthy oral cavity. Please return in 2 weeks for a recheck of the mouth and skin (hot spot). Please use the provided ATDR e-collar until then to prevent Hunter from rubbing his oral sutures out and causing post-operative healing concerns.

Description:
Hunter is new to rescue!  Found as a stray, this beautiful boy has had a tough life.  He is so grateful to be in rescue and to have a soft place to put his head down at night.  Hunter had a major dental surgery and had his underdeveloped eye removed as it seems to be infected.  He is acting like a new dog already!  Hunter is so happy and grateful and easy to live with.  He has just started heartworm treatment and if his will to live so far is any indication he will breeze through this period just as well as his other medical issues.  Hunter is a strong and beautiful boy who is ready for the next step to make his life better!