Intranasal Dental Repulsion of a Displaced Cheek Tooth in an Arabian Filly
Authors: A. Spadari, Giuditta Saragoni, F. Meistro, M. V. Ralletti, Francesca Marzari, R. Rinnovati
Journal: Animals : an Open Access Journal from MDPI
Summary
# Editorial Summary Displaced cheek teeth in horses present a significant clinical challenge, particularly when abnormal tooth inclination complicates conventional extraction approaches; this case report documents the successful management of a maxillary cheek tooth in an Arabian filly using intranasal dental repulsion, a minimally invasive technique performed under standing sedation rather than general anaesthesia. The procedure leverages the anatomical relationship between the tooth root and nasal cavity to facilitate extraction through directional force application, avoiding the extensive soft tissue trauma associated with traditional surgical approaches. By preserving standing sedation capability and reducing procedural morbidity, the technique demonstrates potential to expand the range of complex dental extractions manageable without recourse to general anaesthesia—a significant advancement given the inherent risks of equine anaesthesia and extended recovery periods. The case underscores how anatomically informed, minimally invasive alternatives can improve patient outcomes in equine dentistry, though the rarity of this specific pathology and approach means further documentation and comparative assessment across additional cases are essential before broad clinical adoption. Equine practitioners should consider this technique as part of their surgical armamentarium when confronted with displaced cheek teeth exhibiting unusual inclinations, whilst recognising the current evidence base remains limited to case-level reporting.
Read the full abstract on PubMed
Practical Takeaways
- •Consider intranasal dental repulsion as an alternative extraction technique for abnormally inclined cheek teeth that may not respond to conventional approaches
- •Many complex equine dental extractions can now be performed under standing sedation alone, reducing anesthetic risk and recovery time for patients
- •This emerging technique expands your clinical toolkit for difficult dental cases—stay informed as more case reports accumulate
Key Findings
- •Intranasal dental repulsion successfully extracted a displaced cheek tooth in standing sedation without general anesthesia
- •The technique represents a minimally invasive alternative approach for extracting teeth with unusual inclination patterns
- •Standing sedation proved sufficient for this complex exodontia procedure, avoiding general anesthesia risks