Vet360 Vol 4 Issue 4 August 2017 Vet 360 | Page 34

DENTISTRY
Figure 4. A root fragment remaining from an extraction of the
maxillary fourth premolar.
Figure 6A. A nasogastric feeding tube.
Oronasal or oral antral fistula
Probability: Rare to moderate
Prevention: Prepare a gingival flap to facilitate closure
without tension. Let the client know that if a fistula
occurs and becomes clinically significant, surgical
closure is advised (Figures 5A and 5B).
Figure 6B. Pharyngostomy feeding tube placement.
(Oesophgostomy tube preferred - Editor)
Figure 5A. An oral nasal fistula.
Tongue protrusion after multiple incisor or quadrant
extractions
Probability: Moderate
Prevention: Let the client know that tongue protrusion has
little to no effect other than cosmetic (Figures 7)
Figure 5B. An oral antral fistula.
Anorexia
Probability: Moderate for one to two days
Prevention:
1. Provide pain relief as well as anti-inflammatory and
appetite-stimulant medication.
2. In cases of full-mouth extractions in debilitated cats
and other major oral surgical procedures, place a
nasogastric or pharyngeal feeding tube (Figures 6A
and 6B). (Oesophgostomy tube preferred - Editor)
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Figure 7. A right-sided tongue protrusion after rostral mandibulecto-
my to remove an invasive oral melanoma.