Standing equine dental surgery.
Abstract: Dental surgeries refer to procedures that affect the dental tissues or their supporting structures. With the development of specific, efficacious, and conservative treatments, morbidity risks have been lowered and chances of benefiting the health of equids improved. Advances in quality of sedation, analgesia, and locoregional anesthesia allow a majority of dental surgeries to be performed in the standing patient. This update focuses on an orthograde endodontic technique, a minimally invasive buccotomy technique, with the potential to combine it with a transbuccal screw extraction technique, and revisits the AO pinless external fixator for fractures of the body of the mandible.
Copyright © 2014 Elsevier Inc. All rights reserved.
Publication Date: 2014-01-24 PubMed ID: 24680207DOI: 10.1016/j.cveq.2013.11.002Google Scholar: Lookup
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- Journal Article
Summary
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The research is about the improvement of standing dental surgery for equines (horses, donkeys, etc.) using advances in sedation and anesthesia, along with minimally invasive techniques, resulting in reduced risks and improved health.
Equine Dental Surgery
- The study places focus on dental surgeries for equines which involve operations on dental tissues and supporting structures.
- Modern treatments, as mentioned in the study, are more specific, effective, and conservative leading to reduced risks of complications and improved health outcomes for the animals.
- Dental surgeries for horses traditionally required the animals be put under general anaesthesia and be laid down. However, advances in sedation, pain management and localized anesthesia now allow most of these surgeries to be performed while the animal remains standing.
Orthograde Endodontic Techniques
- The paper specifically discusses an orthograde endodontic technique. This means a procedure that deals with the inner part of the tooth, typically performed when the pulp of the tooth becomes infected or damaged.
- The use of an orthograde technique suggests an approach from the crown of the tooth, rather than from the root. This is generally considered less invasive and more straightforward than other methods.
Minimally Invasive Buccotomy
- A minimally invasive buccotomy technique is also explored. Buccotomy involves making an incision into the cheek, often to gain access to the mouth or the teeth for surgical procedures.
- This method’s minimal invasiveness indicates smaller incisions, fewer stitches, less trauma to the animal, and a faster recovery time.
Combination with Transbuccal Screw Extraction Technique
- The research also looks at the possibility of combining buccotomy with a transbuccal screw extraction technique. This refers to a method where screws are inserted through the cheek to help extract teeth.
- The combination of these techniques could potentially make the operations even more efficient and less traumatic for the animal.
AO Pinless External Fixator for Mandible Fractures
- Finally, the paper revisits the usage of AO pinless external fixators for treating fractures in the body of the mandible (lower jaw).
- The AO pinless external fixator is a device that stabilizes bone and soft tissue at a distance from the operative or injury focus without penetrating the skin. It provides benefits like minimal invasion, better stability and potentially lower infection risk.
Cite This Article
APA
Menzies RA, Easley J.
(2014).
Standing equine dental surgery.
Vet Clin North Am Equine Pract, 30(1), 63-90.
https://doi.org/10.1016/j.cveq.2013.11.002 Publication
Researcher Affiliations
- Dentistry & Oral Surgery Service, Faculty of Veterinary Medicine, Veterinary Teaching Hospital, University of Helsinki, PO Box 57 (Viikintie 49), FI-00014 Helsinki, Finland. Electronic address: robert.menzies@helsinki.fi.
- Equine Veterinary Practice, Easley Equine Dentistry, PO Box 1075, Shelbyville, KY 40066, USA.
MeSH Terms
- Animals
- Dentistry / methods
- Dentistry / veterinary
- Endodontics / methods
- Female
- Horse Diseases / surgery
- Horses
- Minimally Invasive Surgical Procedures / methods
- Minimally Invasive Surgical Procedures / veterinary
- Mouth Diseases / surgery
- Mouth Diseases / veterinary
- Tooth Diseases / surgery
- Tooth Diseases / veterinary
- Tooth Extraction / methods
- Tooth Extraction / veterinary
Citations
This article has been cited 3 times.- Hermans H, Lloyd-Edwards RA, Ferrão-van Sommeren AJH, Tersmette AA, Schouten JCM, Serra Bragança FM, van Loon JPAM. Comparing Blind and Ultrasound-Guided Retrobulbar Nerve Blocks in Equine Cadavers: The Training Effect. Animals (Basel) 2022 Jan 9;12(2).
- Ferreira JD, Méndez-Angulo JL. Corkscrew Technique for Extraction of Premolars and Molars in Standing Sedated Horses: Cadaveric Study and Clinical Cases. Animals (Basel) 2024 May 11;14(10).
- McAndrews A, Zarucco L, Hopster K, Stefanovski D, Foster D, Driessen B. Evaluation of Three Methods of Sensory Function Testing for the Assessment of Successful Maxillary Nerve Blockade in Horses. J Vet Dent 2025 Jan;42(1):48-54.
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