Dental extraction should be reserved for treatment in cases of irreversible dental disease.Exodontia should be performed with a plan to completely remove the proper tooth without disturbing associated healthy structures.A minimally invasive buccal approach to remove fractured teeth or apical tooth fragments has proven to be a safe and effective technique.Exodontia should not be performed unless it has been determined beyond a doubt, which tooth or teeth are problematic and all methods of medical, periodontic and/or endodontic therapy have been exhausted to arrest the disease process and preserve the tooth. Most equine dental problems requiring extraction are associated with disease in adjacent structures (paranasal, sinuses, etc.). These problems must be properly addressed to resolve the clinical problem. The objective of exodontia should be to carefully plan and execute the extraction while protecting the alveolus and other oral tissues, thereby minimizing complications. Standing oral extraction should be the first choice in removing most diseased equine teeth.1 This method of exodontia has been found preferable in most cases to repulsion and/or buccotomy and produces a shorter healing period with fewer complications.2
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