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Journal of the American Veterinary Medical Association2023; 261(S2); S96-S101; doi: 10.2460/javma.23.07.0398

Long-term follow-up of equine incisor endodontic treatments using an orthograde technique.

Abstract: This retrospective clinical study was performed to determine the suitability and success rate of endodontic treatment of equine incisors presenting with apical and periapical disease. Methods: All horses presented to a referral equine dental clinic between March 2013 and December 2019 specifically selected as candidates suitable for endodontic treatment were included in this study. Methods: Initial clinical and radiographic presentation of incisor disorder cases suitable for endodontic treatment were recorded (88 incisors) and follow-up examination for long-term viability (8 months to 5 years) was performed in cases involving 32 incisors in total. Results: A total of 68 horses with 88 incisors were included in this study for endodontic restorative treatment. Different dental materials were used, with a temporary 3-layered technique using calcium hydroxide apically and temporary cement and resin composite occlusally most commonly used at the first treatment. Complete obturation with resin composite was performed in 48% of the cases requiring second treatments (50 incisors). Follow-up examination involving 32 incisors showed that successful endodontic treatment was achieved in 75% of the teeth treated. Conclusions: Endodontic treatment of diseased incisors is a viable option in equid patients with a success rate comparable to humans in practice. The use of flowable resin composite as an obturation material has been shown to be successful at either the second treatment or in carefully selected patients at the first treatment.
Publication Date: 2023-09-25 PubMed ID: 37730201DOI: 10.2460/javma.23.07.0398Google Scholar: Lookup
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  • Journal Article

Summary

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This research discusses the suitability and success rate of endodontic treatments for equine incisors suffering from apical and periapical diseases. The study indicated a favorably high success rate and suggests that the use of restorative dental materials, particularly resin composite, can significantly influence the success of these treatments.

Research Methodology

  • Conducted as a retrospective clinical study, this research involved horses presented to an equine dental clinic between March 2013 and December 2019. The chosen horses were deemed suitable candidates for endodontic treatment.
  • The initial clinical and radiographic data for incisor disorders suitable for endodontic treatment were recorded. The sample incorporated 88 incisors.
  • Long-term viability of thirty-two incisors was assessed through follow-up examinations conducted between 8 months to 5 years post-treatment.

Findings and Results

  • A total of 68 horses with 88 incisors were included for endodontic restorative treatment.
  • A 3-layered technique utilized calcium hydroxide apically and temporary cement and resin composite occlusally as restorative materials. This approach was most commonly used in the first treatment.
  • About 48% of cases required a second treatment, during which complete filling with resin composite was performed on 50 incisors.
  • In a follow-up examination involving 32 incisors, successful endodontic treatment was reported in 75% of cases.

Conclusions

  • The study concludes that endodontic treatment is a viable option for addressing incisor disease in equine patients, with a success rate akin to human applications.
  • The usage of flowable resin composite as a filling material proved successful in both second treatments and carefully selected first-treatment patients.

Cite This Article

APA
du Toit N, Pearce CJ. (2023). Long-term follow-up of equine incisor endodontic treatments using an orthograde technique. J Am Vet Med Assoc, 261(S2), S96-S101. https://doi.org/10.2460/javma.23.07.0398

Publication

ISSN: 1943-569X
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 261
Issue: S2
Pages: S96-S101

Researcher Affiliations

du Toit, Nicole
    Pearce, Christopher J

      MeSH Terms

      • Humans
      • Animals
      • Horses
      • Follow-Up Studies
      • Incisor
      • Retrospective Studies

      Citations

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