Equine dental disease part 4: a long-term study of 400 cases: apical infections of cheek teeth.
Abstract: Of 400 horses referred because of equine dental disease, 162 suffered from primary apical infections of their cheek teeth (CT), including 92 with maxillary CT infections and 70 with mandibular CT infections. Maxillary swellings and sinus tracts were more common (82 and 26% incidence, respectively) with infections of the rostral 3 maxillary CT, than with infections of the caudal 3 maxillary CT (39 and 5% incidence, respectively). Nasal discharge was more commonly present with caudal (95%) than rostral (23%) maxillary CT infections. Mandibular CT apical infections commonly had mandibular swellings (91%) and mandibular sinus tracts (59%) and these infections were closely related to eruption of the affected CT. A variety of treatments, including medical treatment, apical curettage, repulsion and oral extraction of affected teeth were utilised in these cases, with oral extraction appearing to be most satisfactory. Infections of caudal maxillary CT with a secondary paranasal sinusitis were most refractory to treatment, with a complete response to the initial treatment achieved in just 33% of these cases. Most other cases responded fully to their initial treatment. The long-term response to treatment was good in most cases.
Publication Date: 2000-06-03 PubMed ID: 10836472DOI: 10.2746/042516400776563581Google Scholar: Lookup
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- Journal Article
Summary
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The research is about a long-term study of equine dental disease, particularly focusing on primary apical infections of cheek teeth (CT) in 400 horses, the common symptom presentation based on location of infection, and the efficacy of various treatments administered.
Scope of the Study
- The sample size in this study included 400 horses referred due to dental issues. Out of these, 162 horses suffered from primary apical infections of their cheek teeth (CT).
- The horses with CT infections were further divided into those with maxillary CT infections (92) and those with mandibular CT infections (70).
Findings on Symptom Presentation
- It was observed that maxillary swellings and sinus tracts were more prevalent (with an incidence rate of 82% and 26% respectively) in horses with infections of the front three maxillary CTs, as compared to those with infections of the back three maxillary CTs (with an incident rate of 39% and 5% respectively).
- The presence of nasal discharge was observed more frequently in horses with infections of the back three (or caudal) maxillary CTs (95%) than in those with infections of the front three (or rostral) maxillary CTs (23%).
- Horses with mandibular CT apical infections frequently exhibited mandibular swellings (91%) and mandibular sinus tracts (59%). These infections were closely related to the eruption of the affected CT.
Treatment Methods and their Efficacy
- Different treatment strategies were implemented, including medical treatment, apical curettage, repulsion, and oral extraction of the affected teeth.
- Oral extraction appeared to be the most satisfactory treatment method.
- Infections of the caudal maxillary CT that also resulted in secondary paranasal sinusitis proved to be most resistant to treatment. Only 33% of these cases showed a complete response to their initial treatments.
- Most other cases responded fully to their initial treatments, indicating that the long-term response to treatment was good in most instances.
Cite This Article
APA
Dixon PM, Tremaine WH, Pickles K, Kuhns L, Hawe C, McCann J, McGorum BC, Railton DI, Brammer S.
(2000).
Equine dental disease part 4: a long-term study of 400 cases: apical infections of cheek teeth.
Equine Vet J, 32(3), 182-194.
https://doi.org/10.2746/042516400776563581 Publication
Researcher Affiliations
- Department of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Scotland, UK.
MeSH Terms
- Animals
- Anti-Bacterial Agents / therapeutic use
- Anti-Infective Agents / therapeutic use
- Horse Diseases / drug therapy
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- Mandibular Diseases / drug therapy
- Mandibular Diseases / pathology
- Mandibular Diseases / surgery
- Mandibular Diseases / veterinary
- Maxillary Diseases / drug therapy
- Maxillary Diseases / pathology
- Maxillary Diseases / surgery
- Maxillary Diseases / veterinary
- Penicillins / therapeutic use
- Periapical Abscess / drug therapy
- Periapical Abscess / pathology
- Periapical Abscess / surgery
- Periapical Abscess / veterinary
- Radiography
- Sinusitis / drug therapy
- Sinusitis / pathology
- Sinusitis / veterinary
- Streptomycin / therapeutic use
- Sulfonamides / therapeutic use
- Tooth / diagnostic imaging
- Tooth / pathology
- Tooth Diseases / drug therapy
- Tooth Diseases / pathology
- Tooth Diseases / surgery
- Tooth Diseases / veterinary
- Tooth Extraction / veterinary
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