Peer-reviewed veterinary case report
Surgical management of compound odontoma in two horses.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2004
- Authors:
- Brounts, Sabrina H et al.
- Affiliation:
- Department of Veterinary Clinical Sciences · United States
- Species:
- horse
Plain-English summary
Two horses were brought in for problems related to their mouths; one had swelling in the lower jaw and the other had a noticeable change in the shape of the upper jaw. Both horses were found to have tumors related to their teeth, known as compound odontomas, which were confirmed through X-rays. The first horse underwent a single surgery to remove the tumor, but unfortunately, a fracture happened during the procedure, which was fixed with a special device and feeding through a tube. The second horse required several surgeries to completely remove the tumor, and a custom dental bridge was made to close a hole that formed in the mouth afterward. Both horses were diagnosed with compound odontomas, which are benign tumors, and while they can be treated successfully, it may take multiple surgeries to fully resolve the issue.
Abstract
Two horses were admitted for evaluation of mandibular swelling (horse 1) or maxillary distortion (horse 2). Both horses had radiographic evidence of tumors of dental origin that had the appearance of a compound odontoma. Extensive surgical resection was performed for treatment. Horse 1 was treated with 1-stage surgical resection, but an iatrogenic fracture occurred during surgery, which was managed successfully with a type I external fixator and extraoral alimentation. Horse 2 was treated in multiple stages to remove all portions of the tumor. To manage an extensive orosinal fistula, a custom-designed dental bridge was constructed to occlude the fistula. For both horses, the histopathologic diagnosis was compound odontoma. Compound odontomas are benign, locally expansive tumors of dental origin. Compound odontomas can be treated successfully; however, multiple surgeries may be necessary.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/15552320/