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Fractured tooth removal

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    Fractured tooth removal

    During my horse’s last teeth floating the dentist fractured his #9 upper molar on the left. 3 weeks later I found out about the fracture because my horse had unilateral putrid discharge from an abscess that had ruptured out of his sinus cavity. We treated with antibiotics and a few months went by with no problem. My vet said that if it abscessed again the tooth would have to come out. The #9 tooth on the other upper side is also fractured but has never abscessed. Would it make sense to prophylactically remove that tooth as well?

    I am worried about him having that upper gap with nothing to grind down the lower molar.

    I will ask my vet all of these questions, his surgery is in the first week of March and he is continuing to ooze nasty snot all over the place.
    I want to hear from other people that have had their horses have to get teeth removed. What was the recovery like? How long were they out of work? What is the maintenance like? Did the vet have trouble removing the tooth? My vet says cost is determined by how difficult it is to remove the tooth and since he is only 8, it might take a long time to get it out. So far I’ve heard that he only needs a few days off of work and other people have had to have their horses have several weeks off due to dental surgery.

    thank you

    #2
    I had a mare who had a fractured upper molar removed once - just under standing sedation. She tolerated it well and was back to work the next week. I think we fed her mush for a few days, too. And this was at age 21. However, she did not have any infections. The empty space never gave her any additional issues.

    Comment


      #3
      Friend’s horse had this done last year as I think a 10yo. His was a tooth or two more forward but it was done on the farm and he recovered well. He was having a lot of nerve issues prior to extraction and that took a while to calm down (the tooth had a cavity). The space is expected to close up. He will need to be checked / floated more frequently but not expecting anything crazy. I think he’s about due for his first recheck.

      Comment


        #4
        I had a horse that had hit her head hard enough to fracture an upper molar in her skull, and it grew out in pieces. She had not had any dental care prior to my ownership.

        She had no issues with it, and we just floated her on a regular six month schedule to make sure the pieces weren't causing her problems, and remove any that were loose.

        If the non abscessing tooth isn't causing problems or pain, I'd at least have the discussion with the vet about leaving it in place?

        Comment


          #5
          How do you know the fracture was caused by the dentist if you didn't discover it until weeks after the dental appointment?
          "Random capitAlization really Makes my day." -- AndNirina

          Comment


            #6
            Originally posted by PeteyPie View Post
            How do you know the fracture was caused by the dentist if you didn't discover it until weeks after the dental appointment?
            That was the first thing that came to my mind too!

            Comment


              #7
              I bought a mare years ago who was very grumpy and it took a few years to figure out what was wrong. Dr. Tom Allen found a fractured tooth and he said he thought he could get it out but it would take multiple visits but a much better outcome than the risks of drilling and pounding out the tooth. It took three visits but he got it and we never had any complications. She had a 100% personality change for the better after the removal.

              Comment

                Original Poster

                #8
                Originally posted by PeteyPie View Post
                How do you know the fracture was caused by the dentist if you didn't discover it until weeks after the dental appointment?



                Because my horse required twice the amount of sedation during his float with a regular straight rasp and even with a twitch he wasn’t sedated enough. He pulled back a few times causing the rasp to hit his teeth a few times. It was not a great experience but I trusted the dentist, hindsight is 2020. I don’t think it was intentional of course and it fits the timeline enough for an infection to start brewing and an abscess to rupture through the sinus cavity.

                Comment


                  #9
                  Originally posted by Equestrianette View Post

                  Because my horse required twice the amount of sedation during his float with a regular straight rasp and even with a twitch he wasn’t sedated enough. He pulled back a few times causing the rasp to hit his teeth a few times. It was not a great experience but I trusted the dentist, hindsight is 2020. I don’t think it was intentional of course and it fits the timeline enough for an infection to start brewing and an abscess to rupture through the sinus cavity.
                  Just curious, but why don't you think the fractures were already in place, and the pain of having them messed with was enough to cause the horse to blow through the sedation? Sure, the dentist should have noticed, but it sounds like this person wasn't the best, so...?

                  Comment


                    #10
                    You wrote that the other lower 09 was also fractured. 09‘s are the most frequently fractured molars in horses. It’s more likely that he had a tendency for this issue and the timing was simply unfortunate. I can’t imagine how a rasp could be swung with that much velocity to break a tooth that far back in the mouth. That being said there is never a good reason to twitch a horse to get them to stand for a float. Appropriate sedation will always allow a float to take place without the use of a twitch or other restraints.
                    http://www.traditionalequinedentistry.com/

                    Comment

                      Original Poster

                      #11
                      Originally posted by Toothgrinder View Post
                      You wrote that the other lower 09 was also fractured. 09‘s are the most frequently fractured molars in horses. It’s more likely that he had a tendency for this issue and the timing was simply unfortunate. I can’t imagine how a rasp could be swung with that much velocity to break a tooth that far back in the mouth. That being said there is never a good reason to twitch a horse to get them to stand for a float. Appropriate sedation will always allow a float to take place without the use of a twitch or other restraints.
                      Yes he said that the sedation available to him is not as good as what my vet could have used to sedate him. So now I have to go to my vet instead from now on. None of his lower teeth are fractured, two on the top are.

                      There was no pain associated with that float as the reason why the sedation wasn’t working. He was really “up” that day, cold and windy. He stood for the dentist a year prior without a problem likely with the same sedation.

                      My vet says their pain from a fractured tooth and an abscess isn’t the same like when we have those issues, that’s why he continues to eat without a problem and be ridden without problem.

                      Hopefully it’s easily removed with minimal recovery and just twice a year dental work.

                      Comment


                        #12
                        Originally posted by Equestrianette View Post

                        Yes he said that the sedation available to him is not as good as what my vet could have used to sedate him. So now I have to go to my vet instead from now on. None of his lower teeth are fractured, two on the top are.
                        Ugh. A non vet was sedating your horse? Run (Sounds like you well know that now. So sorry you're in this spot, though.)

                        Maybe consider reporting to the state veterinary board? That's practicing veterinary medicine without a license.

                        Comment


                          #13
                          Originally posted by Equestrianette View Post
                          During my horse’s last teeth floating the dentist fractured his #9 upper molar on the left. 3 weeks later I found out about the fracture because my horse had unilateral putrid discharge from an abscess that had ruptured out of his sinus cavity. We treated with antibiotics and a few months went by with no problem. My vet said that if it abscessed again the tooth would have to come out. The #9 tooth on the other upper side is also fractured but has never abscessed. Would it make sense to prophylactically remove that tooth as well?

                          I am worried about him having that upper gap with nothing to grind down the lower molar.

                          I will ask my vet all of these questions, his surgery is in the first week of March and he is continuing to ooze nasty snot all over the place.
                          I want to hear from other people that have had their horses have to get teeth removed. What was the recovery like? How long were they out of work? What is the maintenance like? Did the vet have trouble removing the tooth? My vet says cost is determined by how difficult it is to remove the tooth and since he is only 8, it might take a long time to get it out. So far I’ve heard that he only needs a few days off of work and other people have had to have their horses have several weeks off due to dental surgery.

                          thank you
                          Your horse was better for a few months and now the same tooth has abscessed again? Is he on antibiotics again?
                          I agree that having an equine dentist (that is not a vet) sedating your horse is problematic. It is not legal and giving twice the usual amount of whatever it was (do you know what it was?) is seldom a solution. There is no way to know whether the "dentist" caused the fractures, but your equine vet should make the call about prophylactic removal of the other tooth. As far as the lower molar is concerned, he'll just need dental care to keep it from getting sharp.

                          Is your vet planning general anesthesia for the procedure? How many surgeries of this type has your vet done? Remember to ask questions.

                          Your horse's recovery time will depend on several factors, so internet advice won't be too helpful. I'm sorry you and your horse have had to deal with this.

                          Comment


                            #14
                            My jenny fractured both of her lower (one on each side) "furthest back" molars. Hauled her to the vet who removed them with regular sedation used for tooth floating. Only wet timothy pellet slush to eat for 5 days, no antibiotics required, all was just fine but the vet did caution that her teeth need checking more frequently(at least twice a year instead of once a year) to make sure the upper opposing molars didn't get so long that they hit the gums where the lower molars once were. That was Sept of 2017, and no grinding down of the upper molars has been required yet.

                            Comment


                              #15
                              Oops, my bad. You wrote upper not lower 09’s although the sentiment remains the same. 09s are prone to fracture.
                              Any non vet dentist who sedates horses should be avoided and reported.
                              http://www.traditionalequinedentistry.com/

                              Comment

                                Original Poster

                                #16
                                Wow thanks you guys I had no idea that equine dentists were not allowed to use chemical sedation. Yikes. See I’m glad I posted this. I did ask about antibiotics for this abscess and my vet said not unless he stops eating. As for anesthesia, I am not too sure, he will be dropped off in the morning and might have to stay one night. She said the tooth could come out easily or it can take hours to get it it just depends on how rotten the tooth is.

                                Comment


                                  #17
                                  Most "equine dentists" have no formal education, some are very talented and educated others should not be left out of a padded cell. In theory they are practicing veterinary medicine w/o a license.
                                  Some riders change their horse, they change their saddle, they change their teacher; they never change themselves.

                                  Remember the horse does all the work, we just sit there and look pretty.

                                  Comment


                                    #18
                                    Originally posted by merrygoround View Post
                                    In theory they are practicing veterinary medicine w/o a license.
                                    If they are sedating horses they are practicing veterinary medicine. Floating teeth, on the other hand, differs from state to state. In Connecticut, floating teeth has been deemed a non-veterinary procedure and the veterinary license clearly spells it out.
                                    http://www.traditionalequinedentistry.com/

                                    Comment


                                      #19
                                      Originally posted by Simkie View Post

                                      Ugh. A non vet was sedating your horse? Run (Sounds like you well know that now. So sorry you're in this spot, though.)

                                      Maybe consider reporting to the state veterinary board? That's practicing veterinary medicine without a license.
                                      Here a equine dentist cannot administer sedation ( and for good reason). There was talk of one traveling around doing dentistry and sedating as well. I am thankful to have an excellent long time equine vet who does all his own dentistry.

                                      Equestrianette why didn't the dentist do a power float? So much easier on the poor horse.

                                      Comment


                                        #20
                                        Originally posted by candyappy View Post

                                        Here a equine dentist cannot administer sedation ( and for good reason). There was talk of one traveling around doing dentistry and sedating as well. I am thankful to have an excellent long time equine vet who does all his own dentistry.

                                        Equestrianette why didn't the dentist do a power float? So much easier on the poor horse.
                                        No where in the US can a non veterinary dentist administer sedation legally, but many still do :-/

                                        Power floats are also often limited to veterinary dentists, although there are some states that allow non vets to use them.

                                        I'm not sure where the OP is, but there's a regionality to these lay dentists and what people think of them. Around here, there are A LOT of them who's shtick is no sedation, no speculum, no power float, and they have PLENTY of clients :-/

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