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Mandibular Extractions in Cats

Mark M. Smith, VMD, DACVS, DAVDC, AVDC and ACVS Founding Fellow of Oral & Maxillofacial Surgery, Center for Veterinary Dentistry & Oral Surgery, Gaithersburg, Maryland

Dentistry & Periodontology

|June 2020|Peer Reviewed|Web-Exclusive

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Full-mouth tooth extraction is indicated in cats that have stomatitis, generalized tooth resorption, and/or severe periodontal disease. Each tooth, including the root, must be entirely removed. Surgical extraction requires familiarity with the following techniques:

  • Mucoperiosteal flap development
  • Buccal bone removal (ie, alveolectomy)
  • Crown sectioning of multirooted teeth
  • Crown–root segment elevation and removal
  • Removal and contouring of rough bone margins (ie, osteoplasty) at extraction sites
  • Debridement of diseased periodontal tissue
  • Lavage of extraction sites with dilute chlorhexidine
  • Mobilization of mucoperiosteal flaps
  • Wound apposition using absorbable suture in a simple interrupted pattern

This image gallery demonstrates these techniques for extraction of incisor teeth, as well as canine, premolar, and molar teeth of the mandibular quadrant. Intraoperative views were obtained from a feline cadaver.

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