Intraoral extraction has long been suggested as the most appropriate technique for cheek tooth removal in the horse. This approach results in an alveolus that will heal by granulation and epithelialization with minimal postoperative care. Repulsion techniques often lead to multiple complications such as persistent fistula, communication between the oral cavity and the maxillary sinuses (oroantral fistula) that may be refractory to treatment, alveolar fracture, sequestration, jaw fracture, and damageto adjacent structures. Oral access may be particularly problematic in small-sized animals. This clinical report describes a technique that allowed access to the oral cavity of a dwarf miniature pony in order to perform intraoral extractions of the right(109) and left (209) maxillary first olar teeth. A 19-month-old, 35-kg, dwarf miniature pony gelding was presented to the referring veterinarian for swelling of the maxilla immediately ventral to the orbit bilaterally and associated with some degree ofinspiratory difficulty.
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