Complications associated with cheek tooth extraction in the horse.
Abstract: Common indications for cheek tooth extraction in the horse include dental fracture, periodontal disease, severe decay/ caries, mandibular fracture with alveolar/tooth involvement, and periapical abscess. Complications secondary to extraction of cheek teeth are prevalent. Typical complications may include retained root tip(s), collateral damage of neighboring teeth and alveolar bone, mandibular fracture non-union or delayed union, cemental ankylosis, dilacerated root(s), oroantral/oronasal fistula, palatal deviation of cheek teeth, bone sequestration, sinus involvement, alveolar plug failure, and palatine artery laceration. This paper presents a series of cases that had complications following cheek tooth extraction. Anticipation of problematic extractions, recognition of complications, and appropriate treatment will aid the clinician in managing the inevitable cheek tooth extraction complication.
Publication Date: 2013-01-01 PubMed ID: 24660307DOI: 10.1177/089875641303000404Google Scholar: Lookup
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- Journal Article
Summary
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This research article discusses the complications that can occur when a horse’s cheek tooth is extracted, and ways to anticipate, recognize and address these issues.
Objective of the Study
- The objective of this study was to understand the potential complications that can arise from the extraction of horses’ cheek teeth. The authors aimed to provide insights about what usually happens during this medical procedure, and how these complications can be managed effectively.
Reasons for Cheek Tooth Extraction in Horses
- Several conditions could necessitate the extraction of a horse’s cheek tooth including dental fracture, severe decay or caries, periodontal disease which affects the structures surrounding and supporting the teeth, mandibular fracture or lower jaw fracture involving the tooth or its socket, and periapical abscess or pus-filled swelling associated with a tooth’s root.
Common Complications
- The paper lists several common complications that may arise from the extraction process. These include retained root tips or pieces of the tooth root left behind, damage to surrounding teeth or the bone supporting the teeth, non-union or delay in healing of jaw fractures, cemental ankylosis which is the fusion of the tooth to the bone due to excessive cementum, and dilacerated roots or severely curved or angled tooth roots.
- Other reported complications include oroantral or oronasal fistula or abnormal passage between the mouth and nasal cavity, displacement of the cheek teeth towards the palate, bone sequestration or death of a small piece of bone, sinus involvement, failure of the alveolar plug which promotes healing after extraction, and palatine artery laceration or tear in the artery on the side of the jaw.
Case Studies and Their Outcomes
- The authors also present a series of cases that experienced complications following the extraction. The purpose of these case analyses was to recognize common patterns in these complications and improve prevention strategies.
Managing Complications
- The researchers highlighted the importance of anticipating problematic extractions, recognizing complications early on, and applying appropriate treatment. This will help the practitioner manage the possible complications that might arise from the tooth extraction in horses.
Cite This Article
APA
Earley ET, Rawlinson JE, Baratt RM.
(2013).
Complications associated with cheek tooth extraction in the horse.
J Vet Dent, 30(4), 220-235.
https://doi.org/10.1177/089875641303000404 Publication
Researcher Affiliations
MeSH Terms
- Animals
- Arteries / injuries
- Bicuspid / surgery
- Cutaneous Fistula / etiology
- Cutaneous Fistula / veterinary
- Dental Pulp Cavity / abnormalities
- Female
- Fractures, Spontaneous / etiology
- Fractures, Spontaneous / veterinary
- Fractures, Ununited / etiology
- Fractures, Ununited / veterinary
- Horse Diseases / etiology
- Horses
- Male
- Mandibular Fractures / etiology
- Mandibular Fractures / veterinary
- Maxillary Sinusitis / etiology
- Maxillary Sinusitis / veterinary
- Nose Diseases / etiology
- Nose Diseases / veterinary
- Oral Fistula / etiology
- Oral Fistula / veterinary
- Oral Hemorrhage / etiology
- Oral Hemorrhage / veterinary
- Oroantral Fistula / etiology
- Oroantral Fistula / veterinary
- Palate / blood supply
- Postoperative Complications / veterinary
- Respiratory Tract Fistula / etiology
- Respiratory Tract Fistula / veterinary
- Tooth Apex / pathology
- Tooth Extraction / adverse effects
- Tooth Extraction / veterinary
- Tooth Fractures / surgery
- Tooth Fractures / veterinary
- Tooth Root / abnormalities
Citations
This article has been cited 4 times.- Klopfenstein Bregger MD, de Preux M, Brünisholz HP, Van der Vekens E, Schweizer D, Koch C. Cheek tooth repulsion aided by computer-assisted surgery in 16 equids. Front Vet Sci 2025;12:1571539.
- Spadari A, Saragoni G, Meistro F, Ralletti MV, Marzari F, Rinnovati R. Intranasal Dental Repulsion of a Displaced Cheek Tooth in an Arabian Filly. Animals (Basel) 2025 Mar 8;15(6).
- Sidwell AE, Duz M, Khan A, Bodnàr R, Hole SL. Effect of Simple Oral Dental Extraction on Systemic Serum Amyloid A Concentrations in Horses. Vet Med Sci 2024 Nov;10(6):e70104.
- Arndt S, Kilcoyne I, Heney CM, Wong TS, Magdesian KG. Bacterial meningitis after dental extraction in a 17-year-old horse. Can Vet J 2021 Apr;62(4):403-407.
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