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Apicoectomy, not Pulpectomy. Anyone know this procedure ?

Barn Yard Bunnies said:
I know Francis Harcourt Brown has performed the procedure. All I have found is this:-

http://forums.rabbitrehome.org.uk/archive/index.php/t-328146.html?

I can't open this link

http://www.google.co.uk/search?sour...n___GB490&q=pulpectomy+francis+harcourt+brown
Click to expand...

That link opens up a google search for "pulpectomy francis harcourt brown" so go to google and type that in

Sorry I dont know what it is without googling it never heard of it before


I hope you find what you are looking for x
 
:wave:

I know now it involves going into the root of the back teeth under the jaw bone and taking out the pulp, which deadens the tooth. Essentially it is reverse root canal treatment as it is done from the very base of the tooth.

It is only recommended for long term dental bunnies, who need dentals every 4 to 6 weeks. Its new and was founded by FHB. Only for a few teeth not all of the teeth and only in the lower jaw.

The long term effect is that over the years the tooth will loosen and eventually fall out and then there is a risk of an abscess. However, once done there will never be any spurs and it a better alternative to extraction, as there will be no teeth realignment.
 
I don't know any more than what's on the thread you linked to, sorry, but am interested to know more too. I don't know how often Marie Kubiak (who posted on the linked thread) comes on the forum but she may be able to point you in the direction of some more info if you drop her a PM.
 
KarenM said:
I don't know any more than what's on the thread you linked to, sorry, but am interested to know more too. I don't know how often Marie Kubiak (who posted on the linked thread) comes on the forum but she may be able to point you in the direction of some more info if you drop her a PM.
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I went and had a look. She hasn't posted anything on RU for a year.

My chinchilla vets does the procedure and I had over a 20 minute talk to him about it. There is very little information on the internet. Its still not widely practiced as it is new but more and more specialist vets are using. I spoke to Yvette and she said her vet in Devon does it too. It seems it is starting with specialist vets and slowly spreading.
 
I discussed this with FHB for Scarlet (wasn't suitable for her so we extracted instead). I think she said she drills into the tooth and pulls the pulp out. It's right that the tooth will eventually fall out.
If anyone is friends with the Bradley buns from Leeds then Jessica had this done so Emma would know about it. Jessica had repeated spurs which is what I think FHB usually uses it for.
 
RedFraggle said:
I discussed this with FHB for Scarlet (wasn't suitable for her so we extracted instead). I think she said she drills into the tooth and pulls the pulp out. It's right that the tooth will eventually fall out.
If anyone is friends with the Bradley buns from Leeds then Jessica had this done so Emma would know about it. Jessica had repeated spurs which is what I think FHB usually uses it for.
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I was told it has to be assessed and x-rayed while there are spurs before it would even be considered and eventually the tooth would fall out but as its so new they don't really know how long this would take. One rabbit he did do this procedure on was over 6 months ago and so far no complications.

I don't know Bradley buns.
 
I have just come back from the BSAVA (british small animal veterinary association) congress where I went to a lecture on tooth extraction in rabbits and then a lecture on rabbit dental abscesses! I would recommend you try and contact the speakers of these lectures as they are world renowned experts. Vittorio Capello was doing the extractions lecture and Angela Lennox the abscesses lecture. I've left the congress proceedings with a friend (I think these have e-mail contacts for these people) but I'll have them back on Monday so I'll send you them then if you think it may help.
 
I worked as an Operating Department Practitioner in hospitals and once a month did a dental list. With an Apicoectomy, an incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip, and a root end filling is applied to prevent reinfection of the root and the gum is sutured.

A Pulpectomy is where all the pulp in the pulp chamber and root canal of a tooth is removed. This tends to be recommended when the pulp has an infection that just won't clear up. A hole is drilled in the tooth and all the pulp dug out for want of a better word, and then it is flushed out with saline to make sure nothing is left behind. The tooth is then filled with an inert substance. Hope this helps.
 
Under anaesthesia the affected roots are located by taking some X-rays. Then an incision is made underneath the lower jaw and the bone accessed. Often there is some bulging of the bone that can be felt. The surrounding tissues are dissected and once the bone is exposed, a burr is used to debride the overlying bone and destroy the germinal layer of the tooth. This prevents new growth so the tooth eventually wears out. The tooth is often lost as the ligaments pull the tooth up towards the mouth where it is worn down but as no new tooth is produced, eventually the tooth disappears. I most often carry out the procedure where I have identified root elongation but there is no abscess.

Hope this helps.
 
rodneyvet said:
Under anaesthesia the affected roots are located by taking some X-rays. Then an incision is made underneath the lower jaw and the bone accessed. Often there is some bulging of the bone that can be felt. The surrounding tissues are dissected and once the bone is exposed, a burr is used to debride the overlying bone and destroy the germinal layer of the tooth. This prevents new growth so the tooth eventually wears out. The tooth is often lost as the ligaments pull the tooth up towards the mouth where it is worn down but as no new tooth is produced, eventually the tooth disappears. I most often carry out the procedure where I have identified root elongation but there is no abscess.

Hope this helps.
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So glad you saw this thread !!

Thanks for your explanation, I have learned something new :D
 
rodneyvet said:
Under anaesthesia the affected roots are located by taking some X-rays. Then an incision is made underneath the lower jaw and the bone accessed. Often there is some bulging of the bone that can be felt. The surrounding tissues are dissected and once the bone is exposed, a burr is used to debride the overlying bone and destroy the germinal layer of the tooth. This prevents new growth so the tooth eventually wears out. The tooth is often lost as the ligaments pull the tooth up towards the mouth where it is worn down but as no new tooth is produced, eventually the tooth disappears. I most often carry out the procedure where I have identified root elongation but there is no abscess.

Hope this helps.
Click to expand...

Thank you very much. :D
 
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