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Author: Subject: Teeth problems
Mags
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[*] posted on 22-2-2019 at 09:19 AM
Teeth problems


Has anyone had teeth removed which aren’t loose in their pony. Fingal has had récurrent unilateral sinus infections. He has been scoped and an X-ray has shown that a top tooth root looks to be the problem. There appears to be a track from the tooth root into his sinus. He has had greeny grass liquid coming down one nostril. Our vet says he would need to be referred and it’s a big operation needing general anaesthetic. He thinks if the recurrence is infrequent we are better treating with antibiotics and dealing with it that way. But I feel it needs sorting but feeling anxious. Anyone had any experience?
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[*] posted on 22-2-2019 at 10:59 AM


Sorry, no experience of that, but :bighug: for a speedy recovery and :goodvibes: for whatever treatment you go for
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[*] posted on 22-2-2019 at 11:47 AM


Sorry no experience but hope it all get sorted :hug:
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[*] posted on 22-2-2019 at 07:08 PM


Many years ago I bought a pony from the riding school I helped out in. He came over from Ireland and had a small hole in his upper jaw which continually drained yellow type pus, this would harden and we would just clean it off daily. The owners had a vet who was with the Royal (Dick) Vet school which in those days seemed to be in the south (now in Edinburgh). They got him to look at it one day and he thought he may well have been kicked in the jaw as a youngster and a tooth had shattered at the root end which had caused this localised infection. Because it was a bit rare in those days, he suggested that they send him to the vet school and let the students operate on him. They did this a bit before I bought him. Once the damage was removed, it healed but leaving the hole forever in his jaw, completely dried up, but it never bothered him before or after the op. Though I'm sure it can't have been pleasant with the flies etc. I can't see why it would be a bigger op than other sorts. Perhaps it might be worth getting in touch with the Royal Dick or Liverpool unless there is a specific one that does teeth and see what they say. I got in touch with Liverpool about melonomas a year or so ago by email and they came back very quickly and were very helpful. Just thought too I use James Arkley as Cara's dentist, he is very experienced, qualified dental technician and lectures, which is why you have to book him a year in advance. Very personable too, might just be worth dropping him an email and seeing what he might say. Sure he must have come across all sorts.

[Edited on 22-2-2019 by vakizz]
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[*] posted on 22-2-2019 at 07:33 PM


Malin had a sinus infection caused by 2 tooth root problems but teeth not loose. Sedation, local & the horsepital created a sinus flap, the teeth retropulsed into mouth + sinus thoroughly debrided :) Worked a treat :) :) Referral should be able to sort :)



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Mags
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[*] posted on 22-2-2019 at 10:27 PM


Quote: Originally posted by L-J  
Malin had a sinus infection caused by 2 tooth root problems but teeth not loose. Sedation, local & the horsepital created a sinus flap, the teeth retropulsed into mouth + sinus thoroughly debrided :) Worked a treat :) :) Referral should be able to sort :)

I don’t even understand that but will try and explain this to my french vet. :o
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[*] posted on 23-2-2019 at 10:12 AM


My last TB (16.2 ex-racer) had an infected lower molar removed which was discharging through an abscess in his jaw. It was attempted under heavy sedation rather than a general and was considered to be a straight forward, if a bit fiddly, procedure to remove the entire tooth with him standing.

Hope it all goes well for Fingal:goodvibes::goodvibes::goodvibes::goodvibes:
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[*] posted on 8-3-2019 at 01:42 PM


Humphrey had a fractured tooth removed - right at the back. He had sedation and local and was in stocks (god help the vets - it took them 3 days). He also had a hole drilled into his sinus through his forehead for it all to be flushed out. It healed well. He later had another fractured tooth removed with sedation and local at the yard by an equine dental vet. All healed well. I think there may be pictures here of the first op .... Will look for them.



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[*] posted on 8-3-2019 at 01:49 PM


http://forum.highlandponyenthusiasts.co.uk/viewthread.php?tid=30687...



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Mags
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[*] posted on 8-3-2019 at 06:42 PM


The problem is the tooth isn’t fractured or loose and is in upper jaw. But thanks Rebecca will take a look. I’ve chatted to my vet and we may make a referral to ask for advice and what they suggest.
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[*] posted on 9-3-2019 at 10:13 AM


There must be something that is irritating or causing the infection under the tooth though, perhaps the root is infected, so I think further investigation is a great idea then you will have a clear idea and hopefully way forward :bighug::bighug:
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Mags
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[*] posted on 9-3-2019 at 02:43 PM


Yes agree. Was just on the X-ray the roots were ill defined compared to the others. But the more you read makes you realise how hard it is to remove them. And then often loosens the adjacent teeth. Taking three days for them to remove Rebeccas pony’s tooth doesn’t reassure me if this can be avoided.
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Mags
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[*] posted on 9-3-2019 at 02:58 PM


You can take a look at X-ray and spot the dodgy root
https://www.instagram.com/p/Buyq6Gpg8NV/?utm_source=ig_share_sheet&a...
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[*] posted on 27-3-2019 at 08:34 AM


Quote: Originally posted by Mags  
Yes agree. Was just on the X-ray the roots were ill defined compared to the others. But the more you read makes you realise how hard it is to remove them. And then often loosens the adjacent teeth. Taking three days for them to remove Rebeccas pony’s tooth doesn’t reassure me if this can be avoided.


They took their time because they could and to avoid GA - he was in stocks and sedated and with LA. A few years later he had the tooth next to it removed by a dental specialist vet in his stable with sedation and under local - it took a couple of hours and was quite bloody - but he recovered quickly. If extraction cant be avoided I would do it sooner rather than later to try to avoid the treppan as that does take a lot of time and careful management to heal.




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Mags
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[*] posted on 27-3-2019 at 11:09 AM


Is the Treppan the hole for the nasal flushing ? That puts me off too. :(
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[*] posted on 27-3-2019 at 10:05 PM


It is, Malin was good as gold when she had one & we had to flush it. Tiny hole with the cannula stitched in place. Will try & post photo on HPA



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[*] posted on 28-3-2019 at 07:01 AM


Thanks L-J. I imagined it a bigger hole and just flushing the hole not with a tube in.
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[*] posted on 29-3-2019 at 07:32 AM


In the "old days" it was...we had a top hurdler in at Bristol when we were students...it had a hole big enough to fit a hosepipe to flush its sinus! Think he was called Subway, I got to exercise him to keep him fit during his stay, he went on to win more races, the hole filled in quickly. Then they realised that hand pressurised garden weedkiller pumps were just as effective as mains water pressure :) so the holes became only a few mm across :) :)



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