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  3. Cheek tooth repulsion aided by computer-assisted surgery in 16 equids

Cheek tooth repulsion aided by computer-assisted surgery in 16 equids

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DOI
10.48620/92001
Publisher DOI
10.3389/fvets.2025.1571539
Abstract
This retrospective case series reports on the use of computer-assisted surgery (CAS) to perform cheek tooth repulsion in 16 equids. Thirteen of the 16 subjects in this case series had a mandibular cheek tooth repulsed, and 3 had a maxillary cheek tooth removed. Surgery was performed on all subjects under general anesthesia, and all but one were placed in lateral recumbency. All cheek teeth were successfully removed by navigated repulsion, except in one case where additional intraoral sectioning was performed. In one horse, a surgical approach through the contralateral nasal conchae was made to facilitate exodontia. This led to considerable hemorrhage and a temporary tracheotomy was performed to ensure airway patency postoperatively. Six subjects needed at least one additional revision surgery to remove either osseous or dental fragments or sequestrated alveolar bone. Outcome was successful in all but one subject, which was euthanized after surgery because a squamous cell carcinoma was diagnosed histologically. The real-time intraoperative guidance provided by CAS allows for controlled and accurate surgical access to targeted dental structures and exodontia of cheek teeth.
Date Issued
2025-10-08
Publication Type
Article
Subject(s)
600 Technology > 630 Agriculture
Language(s)
en
Author(s)
Klopfenstein Bregger, Micaël D.  
ISME Equine Clinic Bern, Surgery  
ISME Universität Bern  
ISME Equine Clinic Bern & Avenches  
Department of Clinical Veterinary Medicine  
de Preux, Mathieu  
ISME Equine Clinic Bern, Surgery  
ISME Equine Clinic Bern & Avenches  
ISME Universität Bern  
Brünisholz, Hervé P.  
ISME Equine Clinic Bern, Surgery  
ISME Equine Clinic Bern & Avenches  
ISME Universität Bern  
Van der Vekens, Elke  
Department of Clinical Veterinary Medicine, Clinical Radiology  
Schweizer, Daniela  
Department of Clinical Veterinary Medicine, Clinical Radiology  
Koch, Christoph  
ISME Equine Clinic Bern, Surgery  
ISME Equine Clinic Bern & Avenches  
ISME Universität Bern  
Additional Credits
ISME Equine Clinic Bern  
Department of Clinical Veterinary Medicine  
Department of Clinical Veterinary Medicine, Clinical Radiology  
ISME Equine Clinic Bern, Surgery  
ISME Universität Bern  
Journal
Frontiers in Veterinary Science
Publisher
Frontiers Media
ISSN
2297-1769
Access(Rights)
open.access
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