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Periapical curettage in infected mandibular cheek teeth
Infected teeth are not too rare in horses, and they often require intensive and also expensive diagnostic and therapeutic intervention. In this study, a simple technique especially useful for equine practitioners was evaluated and seems very promising.

The study was performed as a retrospective study on eleven horses (3-13 years) with periapical mandibular tooth infection. Hospital records (1992-2002) of horses that had periapical curettage for the treatment of mandibular cheek tooth root infection were retrieved. Clinical signs, radiographic, and surgical reports were reviewed. Outcome was obtained by telephone questionnaire for 7 horses and by physical examination in 2.

Eleven horses (14 infected mandibular molariform teeth) had periapical curettage. Two horses were lost to follow-up. Mean follow-up was 41 months; 2 horses had subsequent tooth repulsion, 7 (78%) horses healed completely although 2 horses still had some local mandibular swelling.

Periapical curettage, which allows alveolar drainage, appears to be a viable treatment option for periapical infections of equine mandibular cheek teeth. It can be performed simply, without expensive imaging or surgical equipment, and thus is useful for both referral and first opinion practice.

Source: Carmalt, James L. & Barber, Spencer M. (2004): Periapical Curettage: An Alternative Surgical Approach to Infected Mandibular Cheek Teeth in Horses. In: Veterinary Surgery 33 (3), 267-271.




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EQUINE

Head computed tomography in equine practicemembers
Computed tomography (CT) has become popular also in the diagnosis of equine patients, including lesions of the head. This retrospective study describes the findings in 59 horses presented with diseases of the head over 8 years that underwent CT examination of this region, including dental or sinonasal diseases (Group A) (n = 42), osseous and/or articular diseases (Group B) (n = 11) and soft tissue diseases (Group C) (n = 6). A very useful new study!

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