Do Oral or Minimally Invasive Cheek Tooth Extraction Techniques Reduce the Incidence of Post-operative Complications in the Horse When Compared to Repulsion Methods?

  • Victoria Anne Colgate Rossdales Equine Hospital Cotton End Road, Exning Newmarket Suffolk CB8 7NN
  • Claire Elizabeth Wylie University of Sydney Sydney New South Wales
  • Timothy Paul Barnett Rossdales Equine Hospital Cotton End Road Exning Newmarket Suffolk CB8 7NN

Published:

2018-07-18

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DOI

https://doi.org/10.18849/ve.v3i3.158

Abstract

PICO question

Do oral or minimally invasive cheek tooth extraction techniques reduce the incidence of post-operative complications in the horse when compared to repulsion methods?

Clinical bottom line

There is evidence that both oral and minimally invasive cheek tooth extraction techniques may reduce the incidence of post-operative complications in the horse when compared to repulsion methods. However, the published literature covering equine cheek tooth extraction techniques is sparse and of low evidential quality, so a definitive answer on the optimal methods available is not easily determined. Bearing this in mind, the results of this PICO suggest the use of oral extraction, after periodontal stretching, as the first line treatment due to its apparently more favourable success rate. Where an alternative approach is required, such as with fractured teeth or loss of clinical crown, which can prevent the use of routine oral extraction methods, results indicate that minimally invasive extraction techniques may result in a better outcome, with fewer complications, than repulsion methods. Further research that accurately categorises the various minimally invasive techniques available and compares them to repulsion and conventional oral extraction methods is needed.

References

Boutros, C.P. and Koenig, J.B. (2001) A combined frontal and maxillary sinus approach for repulsion of the third maxillary molar in a horse, Canadian Veterinary Journal. Apr; 42(4), pp.286-288

Casey, M. B. and Tremaine, W. H. (2010) The prevalence of secondary dentinal lesions in cheek teeth from horses with clinical signs of pulpitis compared to controls, Equine Veterinary Journal. Blackwell Publishing Ltd, 42(1), pp. 30–36. doi: http://dx.doi.org/10.2746/042516409X464104

Coomer, R. P. C. Fowke, G. S. and McKane, S. (2011) Repulsion of Maxillary and Mandibular Cheek Teeth in Standing Horses, Veterinary Surgery. Blackwell Publishing Inc, Jul; 40(5), pp. 590–595. doi: http://dx.doi.org/10.1111/j.1532-950X.2011.00819.x

Dixon, P. M. et al (2000a) Equine dental disease Part 3: a long-term study of 400 cases: disorders of wear, traumatic damage and idiopathic fractures, tumours and miscallaneous disorders of cheek teeth, Equine Veterinary Journal. Blackwell Publishing Ltd, 32 (1), pp. 9-18. doi: http://dx.doi.org/10.2746/042516400777612099

Dixon, P. M. et al. (2000b) Equine dental disease Part 4: a long-term study of 400 cases: apical infections of cheek teeth, Equine Veterinary Journal. Blackwell Publishing Ltd, May; 32(3), pp. 182–194. doi: http://dx.doi.org/10.2746/042516400776563581

Dixon, P. M. et al. (2005) Standing oral extraction of cheek teeth in 100 horses (1998-2003), Equine Veterinary Journal. Blackwell Publishing Ltd, Mar; 37(2), pp. 105–112. doi: https://doi.org/10.2746/0425164054223822

Dixon, P. M. Hawkes, C. and Townsend, N. (2008) Complications of Equine Oral Surgery, Veterinary Clinics of North America: Equine Practice, Dec; 24(3), pp. 499–514. doi: http://dx.doi.org/10.1016/j.cveq.2008.10.001

Dixon, P.M. et al. (2012) Equine paranasal sinus disease: A long-term study of 200 cases (1997-2009): Treatments and long-term results of treatments, Equine Veterinary Journal. Blackwell Publishing Ltd, May; 44(3), pp. 272–276. doi: http://dx.doi.org/10.1111/j.2042-3306.2011.00427.x

Duncanson, G. R. (2004) A case study of 125 horses presented to a general practitioner in the UK for cheek tooth removal, Equine Veterinary Education, 16(3), pp. 166–168. doi: http://dx.doi.org/10.1111/j.2042-3292.2004.tb00289.x

Langeneckert, F. et al. (2015) Cheek Tooth Extraction Via a Minimally Invasive Transbuccal Approach and Intradental Screw Placement in 54 Equids, Veterinary Surgery, Nov; 44(8), pp. 1012–1020. doi: http://dx.doi.org/10.1111/vsu.12409

Lillich, J.D. (1998) Complications of Dental Surgery, Veterinary Clinics of North America: Equine Practice, Aug; 14(2), pp. 399-410. doi: http://dx.doi.org/10.1016/S0749-0739(17)30205-5

O’Neill, H. D. et al. (2011) Extraction of cheek teeth using a lateral buccotomy approach in 114 horses (1999-2009), Equine Veterinary Journal, May; 43(3), pp. 348–353. doi: https://doi.org/10.1111/j.2042-3306.2010.00169.x

Prichard, M. A. and Hackett, R. P. (1992) Long-term Outcome of Tooth Repulsion in Horses. A Retrospective Study of 61 cases, Veterinary Surgery, Mar-Apr 21(2), pp. 145–149. doi: http://dx.doi.org/10.1111/j.1532-950X.1992.tb00033.x

Ramzan, P. H. L. (2009) Oral endoscopy as an aid to diagnosis of equine cheek tooth infections in the absence of gross oral pathological changes: 17 cases, Equine Veterinary Journal. Blackwell Publishing Ltd, Feb; 41(2), pp. 101–106. doi: http://dx.doi.org/10.2746/042516408X343037

Ramzan, P. H. L. Dallas, R. S. and Palmer, L. (2011) Extraction of Fractured Cheek Teeth under Oral Endoscopic Guidance in Standing Horses, Veterinary Surgery. Blackwell Publishing Inc, Jul; 40(5), pp. 586–589. doi: http://dx.doi.org/10.1111/j.1532-950X.2011.00804.x

Reichert, C. et al. (2014) Approaches to cheek tooth removal after failed oral extraction in 23 horses, Pferdeheilkunde, 30, pp. 532–440.

Tremaine, W. H. and McCluskie, L. K. (2010) Removal of 11 Incompletely Erupted, Impacted Cheek Teeth in 10 Horses using a Dental Alveolar Transcortical Osteotomy and Buccotomy Approach, Veterinary Surgery. Blackwell Publishing Inc, Oct; 39(7), pp. 884–890. doi: http://dx.doi.org/10.1111/j.1532-950X.2010.00724.x

Vlaminck, L. et al (2008) Radiographic evaluation of tooth drift after cheek tooth extraction and insertion of an intra-alveolar prosthesis in ponies, The Veterinary Journal, Feb; 175(2), pp. 249–258. doi: http://dx.doi.org/10.1016/j.tvjl.2006.12.016

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Vol. 3 No. 3 (2018): The third issue of 2018

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  /  Exotics  /