Corkscrew Technique for Extraction of Premolars and Molars in Standing Sedated Horses: Cadaveric Study and Clinical Cases.
Abstract: Several tooth extraction techniques are described in equine literature, and oral extraction techniques in standing sedated horses are popular among equine practitioners. The objectives of this study were to develop the corkscrew technique for cheek tooth extraction (CSET) in equine cadaver heads and evaluate this technique in clinical cases. We hypothesized that the CSET could be performed safely to extract cheek teeth in standing sedated horses. First, the CSET was attempted and developed in eight equine cadaver heads. Second, the CSET was performed in clinical cases between 2016 and 2020, and the following information was recorded: diagnosis, affected tooth, procedure duration, intraoperative difficulties, tooth size, postoperative complications, medication, hospitalization time, and 1-year follow-up. Sixteen CSET procedures were performed in eight equine skulls with a 75% success rate. In 24 clinical cases, 25 CSET procedures were attempted to extract 22 superior and 3 inferior cheek teeth. CSET was successful in 76% of procedures. Fractures of the tooth and stripping of screw threads were the major complications that led to the failure of CSET. CSET is a viable and safe technique to extract cheek teeth in standing sedated horses. Longitudinal drilling is a must for this technique to be successful.
Publication Date: 2024-05-11 PubMed ID: 38791657PubMed Central: PMC11117256DOI: 10.3390/ani14101439Google Scholar: Lookup
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Summary
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The research article presents a study on the efficacy of the “corkscrew technique” for extracting premolars and molars from horses while they are standing and sedated. It mentions the successful development of the procedure on cadavers first, then its application on live cases. The success rate and complications are discussed, concluding that it is a viable and safe method if correct drilling procedures are followed.
Development of the Corkscrew Technique
- The researchers’ aim was to develop a new method for extracting cheek teeth from sedated horses, called the Corkscrew Extraction Technique (CSET).
- Initially, they attempted and fine-tuned this technique on eight equine cadaver heads. This allowed them to test and refine the method in a controlled environment without risk to live animals.
- The researchers hypothesized that the CSET could be undertaken safely on sedated horses that are standing, bringing about less stress for the animal.
Application on Clinical Cases
- Once the CSET was developed, it was put to test on real horses, over a period from 2016 to 2020.
- The study kept record of the relevant information such as diagnosis, affected tooth, duration of procedure, any intraoperative difficulties, tooth size, post-operation complications, medication given, hospitalization time, and follow-ups after one year.
- 25 CSET procedures were attempted on 24 horses, focusing on extracting 22 superior and 3 inferior cheek teeth.
- The success rate was 76%, suggesting the technique can be applied successfully in the majority of cases.
Complications and Conclusions
- The main complications related to the CSET procedure included fractures of the tooth and stripping of screw threads, both contributed to cases of failure.
- Despite these difficulties, the authors concluded that the CSET is a viable and safe technique for cheek teeth extraction in standing sedated horses.
- It was underlined that undertaking longitudinal drilling properly is essential for the success of the procedure.
Cite This Article
APA
Ferreira JD, Méndez-Angulo JL.
(2024).
Corkscrew Technique for Extraction of Premolars and Molars in Standing Sedated Horses: Cadaveric Study and Clinical Cases.
Animals (Basel), 14(10), 1439.
https://doi.org/10.3390/ani14101439 Publication
Researcher Affiliations
- Méndez Hospital Equino, 14100 Córdoba, Spain.
- Méndez Hospital Equino, 14100 Córdoba, Spain.
Conflict of Interest Statement
The authors declare no conflicts of interest.
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