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Tooth Abscess
 Moderated by: DrDeb  
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JTB
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 Posted: Sun Dec 16th, 2018 07:10 am
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The horse dentist/vet came and checked out Little's teeth and lump. At present the lump is not worrying her so it was decided to let it all be, he floated her teeth as she had some sharp bits to take care of. All looked good in her mouth with nothing looking like it was brewing. If the lump flares up the next step is x-rays.
Many Thanks
Judy

DrDeb
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 Posted: Mon Dec 17th, 2018 02:35 pm
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Judy, you didn't mention a lump before. Please describe size, exact location, whether it is hot now or has ever been hot, and how it palpates (hard like a rock, soft but firm, soft and squishy, etc). Lumps that appear on jaw or skull are almost always something to be concerned about. Let me know. Cheers -- Deb

JTB
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 Posted: Tue Dec 18th, 2018 01:15 am
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Hi Dr Deb,
I tried to attach a picture but it is too big and I don't know how to make it smaller. I will try and Email it to you.

The lump has never been hot. It is on the off side a couple of inches below her eye, in the sinus region, I thought it looked like it could be tooth root level, hence the abscess idea. It is hard and never worries her when ridden or palpated. It is about the size of an old Aussie 50c piece. It got a bit puffy for a week and I thought it was bothering her a little bit then but still not hot. No eye or nose discharge. The puffyness was not there when the vet came just the hard as bone lump.

Many Thanks for you interest.
Cheers Judy

DrDeb
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 Posted: Tue Dec 18th, 2018 03:11 am
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Judy, to change the size of an image  you need some kind of software that is meant for processing images. Common packages are Photoshop, Photoshop Elements, Picture Editor. Your laptop or mainframe might have come with one of these already installed; look through your programs list.

When you find/obtain the software, boot it so that the program opens. Then browse to the file that is the image you want to send me/post in the Forum. Open that image.

Then go to "image", then click on "size". You will see two measures of size:
1. the width X height of the image;
2. the pixel density given as "dpi" (dots per inch).

Steps:
First, select the width to be 5.8 inches. The software will probably have a little sub-menu that lets you specify inches, cm's, tenths of an inch, etc. Once you select the image width, you don't have to worry about the height because (unless the button that locks the width to the height is unchecked), when you change the width the height will change in exact proportion.

Second, select the pixel density to be 300 dpi.

This will create a file of about 8 megs, which should post just right in the Forum. Before posting, you need to save the file. Save it in .jpg format -- use the sub-menu that will appear when you click "file" and "save as" (do not click the button that just says "save"; use "save as"). So you save it as a .jpg, and that's the format that will transmit over the Internet the best, and is also compatible with our Forum software.

After you save your file "as" a .jpg and post it in the Forum, you should also save it again as a .tiff. This costs more memory but guarantees that the file will not degrade over time. NEVER re-save a .jpg image as a .jpg; over the long haul, this creates the same effect as photocopying a photocopy, then photocopying the copy of the photocopy, etc.: eventually the whole image will just be "static".

I do really want to see the photo. Cheers -- Dr. Deb

DrDeb
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 Posted: Tue Dec 18th, 2018 03:32 am
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OK, I just received the image of the lump by EMail. I did forget to mention the alternative to learning how to use Photoshop, and that's called "ask the husband" -- LOL.

Little has a fractured molar, Judy. You need a consult immediately with a licensed veterinarian who has experience in equine dentistry. You need a diagnostic XRay right away, as a first step before deciding what else must follow.

Depending upon the training of the professional you employ, the fractured tooth will be removed (it MUST be removed) either through the mouth, or else by trephination of the skull. Trephination involves cutting a hole through the lump, through the skin and bone overlying the top of the bump. It is actually in many cases more convenient, especially as per the after-care that will be necessary, to do it that way; but intra-orally is fine too.

It's a good thing you've been taught how to have a good relationship with your horse. Unbroke, frightened, self-defensive horses often do not do well with dental surgery after-care, because what it will involve is you needing to pack the empty tooth socket with some kind of antiseptic-soaked gauze daily, and perhaps also apply a little counter-irritant at the direction of the surgeon. The object will be to get the empty alveolus to fill in with granulation tissue as soon as possible, so that when the mare chews she does not drive food material right up the empty alveolus, like a chimney, straight into the sinus where it will provoke a further, and worse, abscess.

So the vet is going to take XRays to determine which tooth is fractured and the nature of the fracture; and then he's going to extract that tooth. The extraction can be done as a stand-up procedure whether it is a trephination or an intra-oral procedure; but it can also be done as a full-anaesthesia laydown. I've seen it done very skilfully by laying the horse down on a clean, grassy lawn; but also of course in a clinical setting on an actual surgical table. Full anaesthesia is more expensive; if it can be done as a standup, it will be less costly. But you must do as the surgeon advises.

You do not have a lot of time before you will have a pussy discharge from the nostril on the affected side. There will not be a discharge from the other nostril, as it is not connected to the source of the pus. Look for increasingly foul breath and for the horse to go off its feed and/or show some signs of mild colic. Again -- do not delay, because all these things will only get worse; this sort of problem cannot self-repair and the horse cannot help himself. Let me know what your veterinarian says. Cheers -- Dr. Deb

Attachment: Judys pony mare Little abscess lump SM.jpg (Downloaded 44 times)

JTB
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 Posted: Wed Dec 19th, 2018 07:07 am
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Wholly shit on so many fronts. I have a lot of photos stored as jpegs thinking they would be fine, I need to go and look at them and see if they are 'fading' will have a play with the reducing the photo size as I have an old photoshop but it always is a mystery to me. Thanks so much for the information on the photos, I was going to ask Hubby but he wasn't around when I was trying to post them. :-)

Poor Little!! How would she have fractured a tooth!!! I took my colt to Massey to be gelded as he had a retained testicle a few months ago. I have contacted the excellent Vet there to see who he would recommend. My Vet/Dentist said it was out of his hands if the lump flared up--needed further treatment. We have a local Vet/dentist who are closer, they might be the best bet for the xray. I will get onto it and keep you posted Dr Deb. Thanks so much for you time and will keep you up to date and send any Xrays.
Best Wishes
Judy and Little

DrDeb
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 Posted: Wed Dec 19th, 2018 03:11 pm
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Another horse probably kicked her in the head. Or else, she bit down on a pebble. Or -- her teeth are badly out of equilibration and the tooth that split is the first molar, the "M1", which is the oldest tooth in the head and the first to wear out with age. Of the three possibilities, I'm betting on "bit down on a pebble" since Little isn't geriatric I believe.

As to Photoshop: anybody at any time who has a question concerning Photoshop can write in here and ask me -- I've been using it since version 1.0 and can probably assist with that, or anything else having to do with graphics manipulation or production. Cheers -- Dr. Deb

JTB
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 Posted: Sun Dec 23rd, 2018 07:32 am
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Many Thanks Dr Deb re the photoshop will have a play making the images postable then start on my next scheme for Photoshop as I really want to get a handle on it for looking at hooves and all sorts of stuff!

Re Little's tooth, everyone's Birdies have flown away for Christmas so it will be mid Jan before I can get anything done.

I can get my usual vet to do the initial x ray and if there is anything further she would probably go to Massey or I can use other local vets who have two vets who do the dentistry. Both lots are away for the break.

Merry Christmas and Happy New Year to all who post and learn from this valuable forum. Huge thanks to you Dr Deb for all your energy and generosity for providing us with the space to learn so much about our friend the Equine.

Best Wishes
Judy and Little


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