Molar extraction

A molar extraction is sometimes necessary when a tooth is severely damaged, inflamed, or affected by caries or other dental conditions. Examples include root canal infections, fractures, or infundibular caries. In the past, most extractions were performed under general anesthesia using the “repulsion” technique (pushing the tooth out from above). Today, this procedure is carried out in a much safer and more animal-friendly way.

Techniques for molar extraction

At SMDC, more than 95% of molars are extracted with the horse standing, under light sedation and using local and/or nerve block anesthesia for optimal pain relief.

Depending on the condition of the tooth and surrounding structures, we choose one of the following techniques:

  • Oral extraction
    In this method, the entire molar – or, if necessary, individual parts of it – is removed through the mouth using special extraction forceps. This is the least invasive technique and is preferred when the crown is still sufficiently intact.
  • Minimally invasive buccotomy
    In cases where the clinical crown is missing or the molar is severely affected (for example, by advanced caries), a small incision (about 10 mm) is made in the cheek. The tooth is carefully loosened and gently extracted from the jaw using a threaded pin placed in the tooth.
  • Segmentation
    If the molar is fragile or severely damaged, it is carefully divided into several sections. These fragments are then removed individually, minimizing the risk of damage to surrounding structures.

Before the extraction, the situation is assessed with advanced imaging (X-ray or CT scan) to ensure a safe and targeted approach. The extraction is performed by veterinarians specialized in equine dentistry, supported by the multidisciplinary SMDC team.

After the procedure, you will receive clear aftercare instructions, and if desired, we will guide the follow-up process in collaboration with your own veterinarian or dentist.

Having your horse treated at SMDC

Together with the best specialists in their fields, we provide the most optimal support for your horse.

Feel free to contact us to discuss the options for your horse.