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Referrals

Chris Pearce has considerable experience in the specialty of advanced equine dentistry. Chris teaches regularly for BEVA on dental CPD courses, and has presented on various dentistry topics at courses and conferences internationally.

We come to you! Referrals are mostly carried out at various partner practices throughout the South, but also on an individual basis if required. Please contact Chris if you would like referral services to be available at your practice.

Referrals can be arranged for:

  • Oroscopic examination with digital image and video recording
  • Sinoscopy of problem sinus cases
  • Periodontal disease – diastema management including widening and interproximal bridging
  • Dental extractions – standing oral, oroscopically guided and minimally invasive techniques
  • Surgical treatments - fronto-nasal flaps, trephinations and transbuccal and transcortical extractions
  • Cavity restorations – infundibular caries, other hypoplastic defects e.g. incisor enamel hypoplasia
  • Endodontic therapy – pulp caps for e.g. fractured incisors, cheek tooth occlusal and apical root canal therapy

 

Chris is able to visit partner practices on a regular basis, for ‘dental clinics’ where cases are referred in from ambulatory veterinary surgeons or from local EDTs.

Image reading service. Chris also offers a free informal head and dental image reading service. For partner practices, Chris will share a Dropbox folder with you which can be installed free on any number of computers and images (Dicom or jpeg) can simply be ‘dropped’ in there from any computer with internet connection (preferably the imaging computer). Referral reports can then also be placed directly in the folder, for viewing or integration with practice management software.

Feel free to contact Chris anytime for an informal opinion on a case or to discuss a referral appointment.

Dental Extractions

Dental extractions are carried out standing under continuous rate infusion of sedative, (often using polyfusion of multiple agents) and local and regional blocks. Most cases are successfully extracted per os using variations of techniques involving gingival reflection, elevation and luxation, oroscopically guided fragment removal and oral screw extractions.

Oroscopic guidance has revolutionised oral extraction of fractured fragments. Direct visualisation and use of modern instrumentation including varieties of picks and elevators, as well as water-cooled burs for sectioning teeth has reduced the number of teeth requiring more invasive surgical procedures.

Surgical Extraction

If oral extraction fails, our default approach is to use standing minimally invasive procedures for surgical treatment. This is either performed using minimally invasive trans-cortical repulsion, or minimally invasive trans-buccal extraction using instruments through a trocar through the cheek to access the tooth for sectioning, elevation or screw extraction (Stoll technique).

If necessary, Chris is experienced in lateral buccotomy surgery for extraction under GA, having performed multiple procedures and presented on results and modifications to the surgical technique.

Arrange a referral

To arrange a referral simply send a brief history and any images to Chris by email below, or ring for an informal chat.