Welcome to the world of equine dentistry performed in a mobile clinic. It is certainly not necessary for one to own and provide a facility such as this to perform proper equine dentistry but, more and more, dental practitioners are looking for ways to provide a safer environment for you and your equine family members. This is our way of providing this for you.

Every effort is made to make the experience as comfortable and non-intimidating as possible for the patient and the client. Participation by the client, their family and friends, as well as photography, is encouraged. An oral camera connected to a monitor has been added to facilitate this process. Much of the procedure may be performed by a team of technicians, but every technique is performed to the international standard established by the International Association of Equine Dentistry, and is completely overseen by Dr. Richard Miller.

Most patients are happy to enter the clinic with minor pre-sedation. We are patient with horses that need a moment of reflection, but we are not in the business of trailer schooling. If your loved

one has issues, please arrange to school ahead of time. We encourage our clients to familiarize their horses with different trailering situations since evacuation in our area is all too common and may well need to be by someone else's trailer.

We administer two grams of phenylbutazone orally unless the patient has been pre-medicated or we are instructed otherwise. We suggest continued treatment with phenylbutazone if the procedure is at all complicated or extended. If you have a patient with separation anxiety issues, we request you let us know in advance, so that appropriate calming medication can be administered ahead of time. Reversal agents have been discontinued due to reports of adverse reactions, but is still available in case of emergency which has not yet occurred in our practice. This change in procedure requires the team to advise you regarding movement of the sedated horse and their return to their quarters.

We allow an hour per appointment but many maintenance procedures require only 30 minutes. Periodontal treatments and composite fillings require extra time and require prior communication. Digital radiography has been added to the list of services offered for your convenience and curiosity, but also prior imaging is becoming necessary as more complicated procedures are being done in an outpatient environment. However, some cases may still be referred to a clinical facility where more sophisticated equipment and expertise is offered.

We suggest maintaining the patient in nearby crossties for 45-60 minutes and then returned to their housing. If the crossties are not available and we must immediately return patients to their homes, we recommend that feed be removed from stalls/pens. An hour after the procedure, soft and wet offerings are well received, but the regular ration may also be offered. Mastication may be compromised for several days, particularly if the procedure was long and difficult, but training can resume on the next day regardless of any feeding issues. We invite questions regarding specific situations that you may think apply uniquely to your horse and we are always interested in medical and behavioral history, even though it may not seem related to a dental problem.

We expect and appreciate one or more 20 amp dedicated electrical circuits and a water source within 50 ft. If these are not available we carry additional hose, that will connect to our sink area which provides hot and cold water. We have no plan B if your water source is interrupted but we do for electricity. An external generator provides power to our AC and air compressor, providing a cool environment and power to our dental instruments when sufficient electricity is lacking at your site. If the latter fails, there is no plan C, so please check your electrical outlets and current capacity ahead of time.

Concrete, blacktop or gravel surfaces are preferred as the constant drain through the floor from oral rinsing and other cleaning activities can compromise a dirt area. Ingress and egress should be consistent with a combined vehicle/trailer length of forty feet. At a minimum, a portable toilet within site of the work area is expected.

Our territory stretches from San Diego to Santa Rosa and north to Grass Valley. Within this area, organizers supply us with one to several days of work in one location. The minimum requirement for a clinic is one day, which may consist of six major new cases or eight to nine minor and/or maintenance cases. We can maintain fees that are devoid of travel charges if these numbers are available. If not, some service fees may apply.