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Fractured tooth removal

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    Originally posted by Simkie View Post

    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 :-/
    I don't own a horse who will stand for floats w/o sedation, so I wouldn't even think of using the ones you mentioned!!


      Original Poster

      This dentist doesn’t use power floats. Which didn’t really work for my horse because he has a snaggle tooth for one of his incisors that has nothing to grind on which a power float would probably take care of better. Without a doubt only sticking with my vet from now on. Uggggh I can’t believe I totally failed my horse in that regard. Smh


        Original Poster

        Henry just finished having his tooth extracted. The whole thing took about 2.5 hours and came out intact. He will be staying overnight so they can check the packing tomorrow. They left the other tooth in since it’s not causing him any problems. He will be coming home on antibiotics. So relieved that everything went well.


          Original Poster

          So here is the aftercare just to follow up. He is on antibiotics twice a day for 14 days. Bute for 4 days weaning down. 20 dry pounds of Timothy pellets soaked per day for 5 days, no long stem forage, after 5 days the next 3 days will be reintroducing hay but keeping the soaked pellets out, and then he should be fine to go back to all hay. There was no off time required so I did ride him today and he was pretty fresh but too soon to tell any difference in his comfort level. He still has purulent drainage coming from his nose but that should clear up soon with the antibiotics. In 3 months he will get a float from his vet and they will remove the packing from where the tooth was removed. Here is a picture of his tooth.


            I'm sorry you've had to go through this, but that's a pretty cool souvenir! Hope he has a very boring, uneventful recovery

            (I hope you do report the dentist to the state veterinary board!)


              Original Poster

              A little update.
              Henry finished his antibiotics but the drainage never completely went away. It turned clear towards the end but 24 hours after finishing the antibiotics turned into abundant putrid discharge again. He’s going in for a sinus flush on Monday. I hope that’s all it takes.


                Original Poster

                Here is another update.
                Henry had his sinus flush today. Under heavy sedation a 14 gauge needle was inserted through the bone into his sinus cavity. A liter of LR with betadine was flushed through his sinus and a ton of infectious material came out. After the flush a tube of antibiotic paste was administered directly into the sinus cavity. He returns tomorrow to the vet for another flush and another tube of antibiotic. He’s also now on doxycycline after the SMZ failed to clear the infection. I hope this is all it takes!

                I am attaching a video for those that enjoy this kind of stuff. He
                Henry gets a sinus flush. 14 gauge needle to the sinuses. I hope we got it all out!


                  long story short: one of my mares blew an abscess out the side of her face, was eventually determined to be a severely fractured tooth. after surgery last fall to take out all of the pieces, she's been fine since. coincidentally, her infection was also resistant to SMZ's, so she was on doxy as well. good luck with your guy!
                  Different Times Equestrian Ventures at Hidden Spring Ranch


                    Original Poster

                    Originally posted by Timex View Post
                    long story short: one of my mares blew an abscess out the side of her face, was eventually determined to be a severely fractured tooth. after surgery last fall to take out all of the pieces, she's been fine since. coincidentally, her infection was also resistant to SMZ's, so she was on doxy as well. good luck with your guy!
                    Thank you! He had a 2nd flush today and is staying the night for a 3rd flush. Hopefully we can be in the clear soon!


                      You may want to consider contacting the equine dentist about contributing to some of the vet bills. He may have professional liability insurance. Although if he was acting outside the scope of his license then they will likely deny it. But he may feel guilty enough to chip in a little bit of funding.
                      Oh, well, clearly you're not thoroughly indoctrinated to COTH yet, because finger pointing and drawing conclusions are the cornerstones of this great online community. (Tidy Rabbit)


                        Original Poster

                        Just an update, I’ve been locked out of my account for a while because I forgot my password.

                        Henry still has persistent mucus coming out of his left nostril. Specialists have reviewed his radiographs and see nothing that would cause it. It’s no longer infected but it’s still there and unsightly. My vet suggested I see a dental specialist that can float the upper molars in such as way that mastication will be less traumatic on the blunted ends of the roots in the molars. The typical treatment for this is pretty extreme in removing all upper molars. I’d rather he just live with a snot nose on one side. But we will try the different floating technique that the specialist has had great success with.


                          My friend had a horse with sinus drainage for 2 yrs. Numerous vet calls, horse eating well. Had sinuses scoped, had numerous dental exams by different vets/equine dentists. They finally said allergies, but then drainage turned whitish/yellow and she had head x rays done and they found a molar fractured at root. Had it removed, 2 weeks of antibiotics. Horse is fine. No more nasal drainage.


                            A friend of mine had a horse that had an abscessed molar extracted. Unfortunately it came out in pieces and the horse had recurrent drainage for almost a year. He finally had a head CT and they found a small piece still in there, lying flat against the bone so not visible in plain radiographs. Removed that and he healed up completely.

                            Adams Equine Wellness


                              Original Poster

                              We completed a horse trial this weekend and I noticed he had some inspiratory whistling on the left. As if it were a septal defect or obstruction. My vet did suggest that he was suffering from long term inflammation which I just found out is associated with nasal polyps. I called my vet today and left a message to see about getting a nasal scope and if necessary a sinuscopy. Not thrilled about another hole in my horses head but you know.