ISSN 2398-2977      

Mouth: buccotomy

pequis

Synonym(s): Lateral buccotomy


Introduction

  • Buccotomy provides access to selected cheek teeth for their removal.
  • Removal of other cheek teeth is limited by their depth within the surgical site and the vessels, ducts and nerves which course through the overlying soft tissues.
  • If sinusitis   Paranasal sinuses: bacterial sinusitis  is present, other concurrent methods will be needed to treat this.

Uses

  • Removal of first three maxillary or mandibular cheek teeth.
  • Occasionally may be indicated for removal of 4th maxillary cheek tooth.
  • Surgical approach to the affected tooth via a horizontal, semi-circular or occasionally a vertical approach though the cheek.
  • To facilitate posterior anchorage of U-bar used to stabilized fractures of the premaxilla.

Advantages

  • Identification of correct tooth to be removed reducing the risk of inadvertent removal of the wrong tooth.
  • Reduced risk of inadvertent damage to adjacent teeth.
  • Aftercare is more simple compared to repulsion techniques   Teeth: repulsion  .

Disadvantages

  • Risk of damage to other structures during dissection of the soft tissues of the cheek, eg dorsal and ventral branches of the facial nerve, parotid duct and buccal venous plexus.
  • Procedure more tedious and time consuming than oral extraction   Teeth: extraction   or repulsion   Teeth: repulsion  .
  • Additional surgical treatment of sinusitis required, if present.

Requirements

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Prognosis

  • Excellent, provided none of the above have occurred.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Hawkins J F & Dallap B L (1997) Lateral buccotomy for removal of a supernumerary cheek tooth in a horse. JAVMA 211 (3), 339-340 PubMed.
  • Howarth S (1995) Equine dental surgery. In Pract 17 (4) 178-187 VetMedResource.
  • Lane J G (1994) A review of dental disorders in the horse, their treatment and possible fresh approaches to management. Equine Vet Educ (1), 13-21 WileyOnline.

Other sources of information

  • Easley J A (1999) Equine Tooth Removal. In: Equine Dentistry. Eds: Baker G J & Easley J. W B Saunders. pp 220-249.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code