Earley Edward T, Rawlinson Jennifer E, Baratt Robert M
J Vet Dent. 2013 Winter;30(4):220-35. doi: 10.1177/089875641303000404.
Common indications for cheek tooth extraction in the horse include dental fracture, periodontal disease, severe decay/ caries, mandibular fracture with alveolar/tooth involvement, and periapical abscess. Complications secondary to extraction of cheek teeth are prevalent. Typical complications may include retained root tip(s), collateral damage of neighboring teeth and alveolar bone, mandibular fracture non-union or delayed union, cemental ankylosis, dilacerated root(s), oroantral/oronasal fistula, palatal deviation of cheek teeth, bone sequestration, sinus involvement, alveolar plug failure, and palatine artery laceration. This paper presents a series of cases that had complications following cheek tooth extraction. Anticipation of problematic extractions, recognition of complications, and appropriate treatment will aid the clinician in managing the inevitable cheek tooth extraction complication.
马颊齿拔除的常见指征包括牙齿骨折、牙周病、严重龋齿、伴有牙槽/牙齿受累的下颌骨折以及根尖脓肿。颊齿拔除后的并发症很常见。典型的并发症可能包括残留根尖、邻牙和牙槽骨的附带损伤、下颌骨折不愈合或延迟愈合、牙骨质粘连、牙根弯曲、口腔鼻窦/口鼻瘘、颊齿腭侧移位、骨坏死、鼻窦受累、牙槽塞失败以及腭动脉撕裂。本文介绍了一系列颊齿拔除后出现并发症的病例。对疑难拔除的预判、并发症的识别以及恰当的治疗将有助于临床医生处理不可避免的颊齿拔除并发症。
