A long-term study of apicoectomy and endodontic treatment of apically infected cheek teeth in 12 horses.
Abstract: The aim of this study was to evaluate the long-term results of apicoectomy and retrograde endodontic treatment in 12 horses with apical cheek teeth infections. The affected apices were removed using a diamond bur mounted on a dental drill, and after pulp removal the root canals were filed with Hedstrøm files and then alternately flushed with sodium hypochlorite, hydrogen peroxide and alcohol. The pulp canals were dried and filled with endodontic cement and gutta-percha points. An undercut was made in the apical aspect of the root canals that were then sealed with self-curing glass ionomer cement. Follow up information was obtained 38-67 months following treatment and indicated that the treatment had been successful in 7/12 horses (58%), partially successful in 2 horses (17%) and unsuccessful in 3 (25%). With good case selection, apicoectomy can preserve a proportion of apically infected cheek teeth. The use of advanced imaging techniques and improved surgical techniques could increase the success rate.
Publication Date: 2008-11-06 PubMed ID: 18993094DOI: 10.1016/j.tvjl.2008.09.016Google Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
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The research article is about a long-term study on the effects of apicoectomy and retrograde endodontic treatment on horses with teeth infections. The findings suggest that this treatment method can be successful but is dependent on proper case selection, advanced imaging techniques, and improved surgical procedures.
Introduction and Objective
- This research aims to study the long-term results of apicoectomy and retrograde endodontic treatment for horses suffering from infections in their apical cheek teeth. The dental procedures undertaken involve removal of the affected apices, removal of pulp, filing of root canals, flushing and filling, and sealing with self-curing cement. The main goal of the study is to evaluate the efficiency and success of this treatment.
Methodology
- The treatment process involved using a diamond bur mounted on a dental drill to remove the affected apices. Following this, the pulp was removed, and the root canals were filed using Hedstrøm files.
- The root canals were alternately flushed with sodium hypochlorite, hydrogen peroxide, and alcohol in order to clean them before filling.
- The cleaned pulp canals were dried and then filled with endodontic cement and gutta-percha points. Finally, an undercut was made in the apical aspect of the root canals that were then sealed with self-curing glass ionomer cement.
Results
- Information obtained 38-67 months following the treatment suggested successful outcomes in 7 out of the 12 horses (58%). The treatment was partially successful in 2 horses (17%) while it proved unsuccessful in 3 horses (25%).
- It was concluded that, with good case selection, apicoectomy could preserve a considerable proportion of apically infected cheek teeth in horses.
- The study suggested that the use of advanced imaging techniques and improved surgical techniques could potentially increase the success rate of these treatments in the future.
Conclusion
- The study offers valuable insight into long-term outcomes of apicoectomy and retrograde endodontic treatment in horses, showing that the procedure can be effective. However, success is dependent on several factors, such as case selection, and can be further improved with the use of advanced imaging techniques and improved surgical procedures.
Cite This Article
APA
Simhofer H, Stoian C, Zetner K.
(2008).
A long-term study of apicoectomy and endodontic treatment of apically infected cheek teeth in 12 horses.
Vet J, 178(3), 411-418.
https://doi.org/10.1016/j.tvjl.2008.09.016 Publication
Researcher Affiliations
- Clinic for Large Animal Surgery and Orthopaedics, Department IV, University for Veterinary Medicine, Veterinaerplatz 1, A-1210 Wien, Austria. hubert.simhofer@vu-wien.ac.at
MeSH Terms
- Animals
- Apicoectomy / methods
- Apicoectomy / veterinary
- Endodontics / methods
- Female
- Horse Diseases / surgery
- Horses
- Male
- Tooth Diseases / surgery
- Tooth Diseases / veterinary
- Treatment Outcome
Citations
This article has been cited 4 times.- Proost K, Boone MN, Josipovic I, Pardon B, Chiers K, Vlaminck L. Clinical insights into the three-dimensional anatomy of cheek teeth in alpacas based on micro-computed tomography - Part 2: Maxillary cheek teeth. BMC Vet Res 2022 Jan 3;18(1):6.
- Proost K, Boone MN, Josipovic I, Pardon B, Chiers K, Vlaminck L. Clinical insights into the three-dimensional anatomy of cheek teeth in alpacas based on micro-computed tomography. Part 1: mandibular cheek teeth. BMC Vet Res 2021 Oct 22;17(1):334.
- Kopke S, Angrisani N, Staszyk C. The dental cavities of equine cheek teeth: three-dimensional reconstructions based on high resolution micro-computed tomography. BMC Vet Res 2012 Sep 25;8:173.
- Korsós SA, Staszyk C, Boone M, Josipovic I, Vogelsberg J, Vlaminck L. Micro-CT and histological examination of accessory canals in 34 equine cheek teeth. Front Vet Sci 2024;11:1396871.
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