Orbital Penetration Associated with Tooth Extraction

Author:

Smith Mark M.1,Smith Eric M.1,La Croix Noelle1,Mould John1

Affiliation:

1. From the Department of Small Animal Clinical Sciences (MM Smith), Virginia-Maryland Regional College of Veterinary, Medicine, Virginia Tech, Blacksburg, VA, 24061; Animal Eye, Care Center (EM Smith), 9043 Gaither Road, Gaithersburg. MD, 20877; Eye Care Clinic for Animals (La Croix), 1892 East, Fort Union Boulevard, Salt Lake City, UT, 84094; and, the University of Glasgow Veterinary School, Division of Small, Animal Clinical Studies (Mould), Bearsden Road, Bearsden, Glasgow G61 1QH

Abstract

Three cats and 2 dogs were evaluated for ophthalmologic complications associated with teeth extraction procedures. Orbital penetration leading to ocular and. in one case, brain trauma was secondary to iatrogenic injury from a dental elevator. Outcomes included enucleation of the affected eye in 3 cases, and death from brain abscessation in 1 case. Early treatment or, preferably, referral to a veterinary ophthalmology specialist may prevent such outcomes. Awareness of the anatomical proximity of caudal maxillary tooth roof, and the orbit, appropriate interpretation of diagnostic intraoral dental radiographs, and technical proficiency in tooth extraction techniques will minimize these complications in veterinary dental practice.

Publisher

SAGE Publications

Subject

General Veterinary

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