Newt’s Fractured Premolar

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Newt, a 20-year-old Quarter horse used for team roping was presented to Red Oak Animal Hospital for evaluation. Newt had a unilateral (one-sided) foul smelling nasal discharge from his left nostril. Due to his age and clinical signs, a tooth problem was suspected. Oral examination revealed a fractured premolar.

Newt, a 20 year old Quarter horse used for team roping was presented to Red Oak Animal Hospital for evaluation. Newt had a unilateral (one-sided) foul smelling nasal discharge from his left nostril. Due to his age and clinical signs a tooth problem was suspected. Oral examination revealed a fractured premolar and radiographs confirmed it and revealed the abscess area.

Tooth roots of some of the upper cheek teeth are located in the sinuses. When infection occurs it may cause a discharge from the nostril on the same side. Treatment of the condition was discussed with the owner, Derek Conrad. It was decided that extraction of the affected tooth was our best option.
John Brochu, a certified Equine Dental technician assisted with the tooth removal. Mr. Brochu has worked with us at Red Oak Animal Hospital for 20 years. The procedure was accomplished with the aid of standing sedation. The premolar was still very firmly attached in spite of infection. The tooth was removed intact.

Newt had some residual nasal discharge which cleared up in about a week with antibiotics. He was roping again shortly thereafter.