Equis ISSN 2398-2977

Mouth: buccotomy

Synonym(s): Lateral buccotomy

Contributor(s): Debbie Archer, Bud G E Fackelman

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

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Preparation

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Procedure

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Aftercare

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Outcomes

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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 Wiley Online Library.

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.


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