Large Animal Dentistry, Equine Farm Animal Hospital, Cornell University, Ithaca, NY 14853, USA.
Animal Dental Care Specialist, 8565 Highway 64, Somerville, TN 38068, USA.
Vet Clin North Am Equine Pract. 2020 Dec;36(3):575-612. doi: 10.1016/j.cveq.2020.08.008.
Dental repulsion techniques reported in the past decades have a high incidence of complications. Although the practice of surgical extractions in horses is limited because of the training, instrumentation, and experience required to perform these techniques, veterinarians should be aware these procedures are available, general anesthesia is not required, and when performed by skilled veterinary dentists they have low complication rates. Surgical techniques are often used after failure of other extraction techniques to remove retained tooth root and fragments or to debride chronically contaminated orofacial lesions. However, surgical extractions should be considered during initial treatment planning of all complicated cases.
过去几十年报道的牙科排斥技术并发症发生率较高。尽管由于需要进行这些技术的培训、仪器设备和经验,马的外科拔牙术的应用受到限制,但兽医应该意识到这些手术是可行的,不需要全身麻醉,并且如果由熟练的兽医牙医进行,其并发症发生率较低。在其他拔牙技术失败后,外科技术通常用于去除残留的牙根和碎片,或清创慢性污染的口腔病变。然而,在所有复杂病例的初始治疗计划中都应考虑进行外科拔牙术。