Surgical tooth extraction in cats and dogs. Part 1: basics of dental extractions

Abstract

Background: Dental extractions in their various forms (collectively known as exodontics) are exceedingly common treatments in first-opinion practice. Despite being something even the most seasoned colleagues often dread performing, it is a skill all veterinary surgeons, including new graduates, are expected to be confident in. However, veterinary dentistry is commonly undertaught in universities and so many of us end up being taught these skills in practice by our colleagues, who, in most cases, haven't had a significant level of formal training themselves and feel less than positive about the task. Therefore, it is no wonder that many vets begin to sweat at the idea of a geriatric cat with tooth resorption that's been booked in for extractions just before evening consultations. Fortunately, with but a small amount of knowledge and a modicum of practice, dental extractions can quickly become hugely rewarding and potentially transformative for patient welfare. Aim of the article: The intention of this two-part series is to provide readers with the comprehensive knowledge needed to successfully perform dental extractions. This first part focuses on clinical anatomy, dental instrumentation and the basic principles of extractions. Part two, to be published in a subsequent issue, will focus on closed and open extractions, from initial flap design to closure.