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Extraction of Five Maxillary Cheek Teeth in Four Horses Using a Minimally-invasive Transbuccal Extraction (MTE) Technique
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Aims: To describe a minimally invasive transbuccal approach to extraction of 5 maxillary cheek teeth in 4 horses where clinical crown fracture prevented standing oral extraction.
Methods: Five maxillary teeth with pre-existing coronal fracture or oral extraction failure were selected. A 5 mm skin incision was made in the cheek 3–5 cm beneath the tooth avoiding vital structures. A trocar advanced through the buccal tissues provided direct instrument access. Elevators were used to loosen the tooth. A 4 mm hole was drilled into the tooth under radiographic guidance. A thread was cut and a weighted pin screwed into the drill-hole. The tooth was manipulated and then tapped ventrally into the mouth. The alveolus was curetted and plugged using dental impression wax. The skin incision was closed using simple interrupted sutures. [...]
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