Peer-reviewed veterinary case report
Cheek tooth repulsion treatment in standing sedated horses and ponies
By Coomer, Richard P C et al.·Published in Veterinary surgery : VS·2011·Cotts Equine Hospital, United Kingdom·View original on PubMed →
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Original publication title: Repulsion of maxillary and mandibular cheek teeth in standing horses.
- Species:
- horse
Plain-English summary
A 7-year-old horse with dental disease had trouble with its cheek teeth, which are located in the back of the mouth. When traditional tooth extraction didn't work, the veterinarian used a technique called repulsion to remove the problematic teeth while the horse was standing and sedated. After the procedure, most horses showed improvement, with 59% having no more discharge from their noses. However, some horses needed additional treatment for ongoing sinus issues. Overall, this method was effective for resolving dental problems when other options failed.
People also search for: horse dental disease treatment · cheek teeth extraction in horses · sinusitis in horses after tooth removal
Abstract
OBJECTIVE: To report the technique and results of cheek teeth repulsion in standing, sedated horses. STUDY DESIGN: Case series. ANIMALS: Horses (n = 12), ponies (6). METHODS: Medical records (2006-2009) of horses that had cheek tooth repulsion while standing were reviewed. Inclusion criteria included: maxillary or mandibular cheek tooth disease diagnosed by clinical and radiographic examination where attempted oral extraction failed necessitating repulsion. Horses were sedated and a local nerve block performed. Intraoperative radiographs facilitated instrument positioning and ensured repulsion of all dental remnants. Alveolar cavities were packed postoperatively and secondary dental sinusitis treated with lavage. RESULTS: Median horse age was 7 years (range, 1-30 years). Maxillary (n = 15) and mandibular (5) cheek teeth were removed successfully. One horse was euthanatized 1 week after tooth removal because of concurrent liver disease and 10 horses (59%) had resolution of discharge after the 1st treatment; 41% of extractions required follow-up medical or surgical treatment to resolve signs [6/12 maxillary sinusitis and 1/5 persistent mandibular drainage]. CONCLUSIONS: Standing repulsion of diseased and fractured cheek teeth is an effective means of resolving clinical signs of dental disease when oral extraction fails. Chronic sinus involvement increased the risk of postextraction surgical treatment for sinusitis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21466566/