Extraction of cheek teeth using a lateral buccotomy approach in 114 horses (1999-2009)

O’Neill, Henry; Boussauw, B.; Bladon, B. M.; Fraser, B. S. L.

doi:10.1111/j.2042-3306.2010.00169.x

Cited by 35 publications

(51 citation statements)

References 22 publications

(40 reference statements)

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“…Post-operative radiographs were obtained to demonstrate successful extraction of the tooth. The alveolus was packed with dental wax (Henry Schein) e or polyvinylsiloxone (PVS, DenMat Holdings) f following extraction [2,4,5,7,16,17]. All horses were treated with post-operative anti-inflammatories and antimicrobials at the discretion of the surgeon.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Exodontia of diseased cheek teeth in horses can present many challenges to even the most experienced clinician. Cheek teeth with significant endodontic disease or crown fractures can fail during conventional intraoral extraction methods, leading to more invasive extraction methods such as repulsion and invasive lateral buccotomy . Complication rates from these procedures vary from 30 to 70% .…”

Section: Introductionmentioning

confidence: 99%

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Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010–2016)

Rice¹,

Henry

2017

Equine Veterinary Journal

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Section: Surgical Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010–2016)

Rice¹,

Henry

2017

Equine Veterinary Journal

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“…These features cause uneven wear of the mandibular teeth, possibly leading to excessive wear and increasing the risk of dental caries and secondary pulpitis. Other factors, such as the tooth's age and anticlinal positioning, may play a more important role in the disease process of cattle mandibular CT infection; this is the case for equine patients, whose dental arcades are also anisognathic but have a greater prevalence of maxillary CT infection …”

Section: Discussionmentioning

confidence: 99%

Cheek teeth apical infection in cattle: Diagnosis, surgical extraction, and prognosis

et al. 2019

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Objective To report the clinical presentation, treatment, and outcome of cattle undergoing surgical extraction of apically infected cheek teeth (CT). Study design Short case series. Animals Nine adult cattle. Methods Medical records were searched for cattle having a diagnosis of apical infection of CT that were treated with surgical extraction between 2005 and 2017. Data retrieved included clinical examination, ancillary tests, surgical procedure, and outcomes. Results The main presenting complaints were mandibular swelling and decreased appetite and milk production. In total, 7 mandibular and 3 maxillary CT were extracted, 7 molars and 3 premolars that were distributed more frequently on the left dental arcades (n = 7 CT). Two cattle had no visible external lesions. Radiograph images revealed that lucency surrounded all affected tooth roots. Mandibular teeth were removed by lateral buccotomy with removal of alveolar bone plate or retrograde repulsion, and maxillary teeth were removed by repulsion through a maxillary sinus flap. Most common bacterial isolates consisted of anaerobic bacteria (6/11 isolates) and Truperella pyogenes (3/11 isolates). The most common complications included inability to remove the tooth intact (n = 4 cattle) and surgical site infection (n = 5). All cattle remained in their herd after treatment. Conclusion Surgical extraction of CT was achieved in all 9 cattle. The postoperative morbidity was high but without long‐term consequences on animal productivity. Clinical significance Surgical extraction of CT is a successful treatment for apical infection in cattle.

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“…In addition to causing 18% of endodontic and subsequent apical infection of maxillary cheek teeth (Dacre et al 2008a), advanced infundibular caries may progress to midline sagittal cheek teeth fractures, most commonly in the 12 to 20-year-old age group, with the 09 teeth being overrepresented in such cases (Henninger et al 2003;Dacre et al 2007;O'Neill et al 2011). These fractures were initially termed 'idiopathic fractures' (Dixon et al 2000) but more recently have been termed infundibular caries-related cheek teeth fractures (Dixon et al 2014).…”

Section: Discussionmentioning

confidence: 99%

Treatment of maxillary cheek teeth apical infection caused by patent infundibula in six horses (2007–2013)

Pearce

2015

Equine Veterinary Education

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Summary Six young horses presented with clinical signs of maxillary cheek teeth apical infection (bilateral in 2 horses) that included the presence of rostral maxillary swellings with discharging sinus tracts and were unexpectedly found to have no evidence of endodontic infection in 7 affected teeth. The apical infection of these teeth was attributed to infundibular dysplasia that allowed inoculation of the periapical tissue with contaminated oral contents. Treatment was by debridement and obturation of affected infundibula from their occlusal aspect using techniques normally used for endodontic therapy. Five out of 6 cases showed resolution of clinical signs over a mean follow‐up period of 19 months (range 6–48 months). These cases demonstrate that patency of the infundibular apex is a potential cause of cheek teeth apical infection in young horses, which can be successfully treated by debridement and subsequent infundibular restoration.

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Extraction of cheek teeth using a lateral buccotomy approach in 114 horses (1999-2009)

Abstract: Performing a lateral buccotomy is a justified treatment alternative for the surgical removal of equine CT following unsuccessful attempts by standing oral extraction, offering advantages over alternatives such as retropulsion, endodontic therapy and periapical curettage.

Cited by 35 publications

References 22 publications

Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010–2016)

Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010–2016)

Cheek teeth apical infection in cattle: Diagnosis, surgical extraction, and prognosis

Treatment of maxillary cheek teeth apical infection caused by patent infundibula in six horses (2007–2013)

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