Cheek Teeth In Horses Research Articles

Complications after surgical extraction of cheek teeth in horses

The aim of this article is to summarise the factors that influence the occurrence of complications after surgical extraction of teeth in horses. This is influenced not only by the choice of method, but also by the age of the horse, the position of the tooth, the experience of the person performing the procedure and the available diagnostics methods. It should be emphasised that the procedure is performed only when there is no possibility of further conservative treatment and an increasing clinical condition may be an important risk factor for complications. Further studies focusing on the topic are needed to fully assess the number of complications and the links between their occurrence and the relevant factor.

Unilateral, Rostral Maxillary Sinusitis Resulting from Displacement and Retention of an Alveolar Plug in a 4-Year-Old Horse.

Sinusitis is a common occurrence in horses and often develops secondary to dental disease. Extraction of cheek teeth in horses is associated with variable degrees of complications and although postoperative displacement and retention of alveolar plugs has been identified as one such potential complication, few cases of resulting sinusitis have been reported. This manuscript describes a four-year-old Thoroughbred mare that was presented for chronic unilateral left-sided mucopurulent nasal discharge after extraction of the left maxillary second molar tooth two months earlier. Radiographic and computed tomographic (CT) examinations revealed a well circumscribed, soft tissue opacity in the left rostral sinus compartment. Intraoral examination revealed feed impacted in the alveolus of the extracted tooth and an oral sinus fistula. Upper airway endoscopy showed thick, purulent material at the nasomaxillary aperture. Sinoscopy showed unexpectedly clean frontal, dorsal conchal and caudal maxillary sinuses. The alveolar dental plug associated with previous exodontia became apparent within the sinus and was removed through the sinoscopy portal. Repeat endoscopies confirmed progressive clearance of the sinusitis during hospitalization. Unilateral nasal discharge returned three months later. An abscess within the sinus had formed. Complete resolution of the sinusitis was achieved after lancing the abscess and further sinus lavage. Sinoscopy through a frontal sinus trephination portal proved useful in diagnosis and treatment. Detailed evaluation of structures allowed for rapid establishment of adequate drainage and communication between all sinus compartments without osteoplastic surgery.

Studies on Age-Related Changes in Equine Cheek Teeth Angulation and Dental Drift.

BackgroundCheek teeth (second through fourth premolars and first through third molars) diastema is a common and painful equine disorder caused by the absence of effective tight interdental contact between these teeth. Limited objective information is available on the angulation of equine cheek teeth that control dental drift or on mesial or distal equine cheek teeth drift that should normally prevent this disorder.ObjectivesTo measure the angulation of the mesial and distal cheek teeth in horses of different ages, quantify age-related cheek teeth mesial and distal dental drift, and measure the cheek teeth row length in horses of different ages.Study DesignRetrospective review of computed tomographic images of equine heads.MethodsCase details and CT images from clinical equine cases that had undergone standing CT head examination were collated.Three sets of measurements were acquired from each head. “Head size” calculated as the distance between the caudal aspect of the orbit and the caudal aspect of the naso-incisive notch was used to standardize measurements in different sized heads. The length of the cheek teeth rows measured from the mesial aspect of the Triadan 06 occlusal surface to the distal aspect of the Triadan 11 occlusal surface. The rostro-caudal (antero-posterior) position and angulation of the mandibular and maxillary Triadan 06 and 11 teeth were measured in relation to reference lines drawn on CT images.ResultsSignificant mesial drift occurred in the maxillary and mandibular Triadan 11s. Despite their distal angulation, the upper and lower Triadan 06s also drifted mesially. The mean angulation of Triadan 06 and 11 mandibular teeth (17.8 and 26.2°, respectively) was almost double that of maxillary teeth (9.2 and 13.3°, respectively) with both Triadan 11s having greater angulation than the 06s. Cheek teeth angulation only significantly decreased in the mandibular 06s. Cheek teeth arcade lengths decreased with age, but these decreases were not significant.Main LimitationsLimitations include the relatively small sample size.ConclusionsIn the population of horses used for this study, age related mesial drift occurred in both Triadan 06 and 11s, and the angulation of these teeth did not decrease with age in most arcades.

Standing intraoral extractions of cheek teeth aided by partial crown removal in 165 horses (2010-2016).

Diseased cheek teeth in horses often require invasive extraction techniques that carry a high rate of complications. Techniques and instrumentation were developed to perform partial crown removal to aid standing intraoral extraction of diseased cheek teeth in horses. To analyse success rates and post-surgical complications in horses undergoing cheek teeth extraction assisted by partial crown removal. Retrospective cohort study. This study included 165 horses with 194 diseased cheek teeth that were extracted orally assisted by partial crown removal between 2010 and 2016. Medical records were analysed, including case details, obtained radiographs, surgical reports and follow-up information. Follow-up information (≥2 months) was obtained for 151 horses (91.5%). There were 95 horses examined post-operatively by the authors and, 16 horses by the referring veterinarian; in 40 horses, post-operative follow up was obtained by informal telephone interviews with the owner. Successful standing intraoral extraction of cheek teeth was obtained in 164/165 horses (99.4%). Twenty-five of these horses (15.2%) required additional intraoral extraction methods to complete the extraction, including minimally invasive transbuccal approach (n = 21) and tooth sectioning (n = 4). There was one (0.6%) horse with intraoral extraction failure that required standing repulsion to complete the extraction. The intraoperative complication of fractured root tips occurred in 11/165 horses (6.7%). Post-operative complications occurred in 6/165 horses (3.6%), including alveolar sequestra (n = 4), mild delay of alveolar healing at 2 months (n = 1), and development of a persistent draining tract secondary to a retained root tip (n = 1). Specialised instrumentation and additional training in the technique are recommended to perform partial crown removal in horses. Horses with cheek teeth extraction by partial crown removal have an excellent prognosis for a positive outcome. The term partial coronectomy is proposed for this technique.

Description of a technique for orthograde endodontic treatment of equine cheek teeth with apical infections

SummaryAn orthograde endodontic method, similar to that used in human dentistry, is described for use on endodontically diseased permanent cheek teeth in horses. The technique has been adapted to meet the anatomical and physiological differences between hypsodont and brachyodont teeth and is performed in sedated horses. The techniques of debriding the pulp cavity and use of dental materials which fulfil the requirements for equine teeth are presented here. The results of this technique appear to be promising but have yet to be evaluated in a peer‐reviewed study. By using orthograde endodontic therapy on sedated horses it is now possible to save endodontically diseased permanent cheek teeth.

The use of radiography for diagnosis of apical infection of equine cheek teeth

SummaryDespite recent developments in advanced imaging, radiography remains the most commonly employed imaging modality for investigating apical infection of cheek teeth in horses. Radiographic technique, knowledge of the normal anatomy and horse compliance are paramount for acquiring good quality dental radiographs. Interpretation of subtle pathology can be difficult for even the most experienced radiologist; however, in more chronic cases, identification of dental abnormalities is easier.

A New Parahippine Equid from the Early Miocene of Florida and the Origin of Cementum-Covered Cheekteeth in Horses

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The incidence and distribution of peripheral caries in the cheek teeth of horses and its association with diastemata and gingival recession

Although considered relatively common in horses, there is little information on the prevalence, distribution and aetiology of peripheral caries of the equine cheek teeth (CT). The objective of this study was to investigate a possible association between this lesion and diastemata or 'gaps' between the CT which facilitate the entrapment of food material. Video recordings of oroscopic examinations of all dental cases at an equine hospital over a 3-year period were reviewed, and the location of all diastemata, peripheral caries, trapped food, and of gingival recession were recorded. A total of 108 cases met study inclusion criteria and 298 diastemata and 445 CT with peripheral caries were noted. Diastemata were found predominantly in the mandibular arcades (80%) and 75% of animals had at least one diastema. Peripheral caries was uniformly distributed between the maxillary and mandibular CT, being most prevalent on the most caudal three teeth (87%). Overall, diastemata were not associated with peripheral caries at either a tooth or individual patient level. However, a highly significant association was found between the presence of trapped food within diastemata and gingival recession.

Removal of 11 Incompletely Erupted, Impacted Cheek Teeth in 10 Horses using a Dental Alveolar Transcortical Osteotomy and Buccotomy Approach

To describe surgical technique and outcome in 10 horses with impacted cheek teeth that were removed by a transcortical osteotomy and buccotomy technique. Case series. Horses (n=10) with impacted cheek teeth. Medical records (2002-2008) of horses with impacted cheek teeth requiring removal were reviewed; surgical technique and outcome were determined. Exodontia of 11 cheek teeth was performed surgically in 10 horses; 3 horses had complications (residual swelling of the mandible) that resolved and all horses returned to their previous use. Transcortical buccotomy technique is effective for removal of incompletely erupted impacted cheek teeth in horses and has a good long-term prognosis for remission of clinical signs. Transcortical buccotomy approach is an effective technique for removal of unerupted impacted equine cheek teeth.

Computed tomography of the upper cheek teeth in horses with infundibular changes and apical infection

Infundibular changes are frequently encountered computed tomographic studies of the equine maxillary cheek teeth but the possible importance of this finding is not known. Infundibular caries is a possible cause for pulpitis and apical infection in some horses. To study the relationship between the 2 pathologies and the frequency of changes. The maxillary cheek teeth 108-208, 109-209 and 110-210 of 25 horses were evaluated using computed tomography and both the prevalence of infundibular and apical infection changes as the possible link with apical infection evaluated statistically. The prevalence of infundibular changes was high in both normal and diseased teeth. Both apical infection and the occurrence of infundibular changes were more prevalent in 109-209 and 110-210. In spite of this, the 2 processes could not be linked to one another. No differences were noted between the left and right sides. A direct relationship between the 2 processes was not established statistically and other underlying causes for the high occurrence of both apical infection and infundibular changes in diseased and normal 108-208, 109-209 and 110-210 are considered.