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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

Two regimens of lidocaine infusion in horses undergoing laparotomy for colicmembers
Various lidocaine protocols are described for horses undergoing Colic surgery. This interesting prospective, randomized clinical study compares the effects of administering or not administering a loading intravenous (IV) bolus of lidocaine prior to its constant rate infusion (CRI). Effects investigated during isoflurane anaesthesia were end-tidal isoflurane concentration (Fe′ISO), cardiovascular function, anaesthetic stability and the quality of recovery.
Thirty-six client-owned horses were enrolled.

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