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Peer-reviewed veterinary case report

Orbital penetration associated with tooth extraction.

Journal:
Journal of veterinary dentistry
Year:
2003
Authors:
Smith, Mark M et al.
Affiliation:
Department of Small Animal Clinical Sciences · United States

Plain-English summary

In a study involving three cats and two dogs, veterinarians looked at serious eye problems that happened after tooth extractions. In some cases, the tools used during the procedure accidentally caused damage to the eye or even the brain. Unfortunately, three pets had to have their affected eyes removed, and one pet died due to a brain infection. The researchers emphasized that getting early treatment or seeing a specialist in veterinary eye care can help prevent these serious issues. Overall, the findings highlight the importance of careful techniques during dental work to avoid such complications.

Abstract

Three cats and 2 dogs were evaluated for ophthalmologic complications associated with tooth extraction procedures. Orbital penetration leading to ocular and, in one case, brain trauma was secondary to iatrogenic injury from a dental elevator. Outcomes included enucleation of the affected eye in 3 cases, and death from brain abscessation in 1 case. Early treatment or, preferably, referral to a veterinary ophthalmology specialist may prevent such outcomes. Awareness of the anatomical proximity of caudal maxillary tooth roots and the orbit, appropriate interpretation of diagnostic intraoral dental radiographs, and technical proficiency in tooth extraction techniques will minimize these complications in veterinary dental practice.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/12751296/