Dental abscesses are widespread problems in rabbits
Dr. Zoltan Szabo 2022-02-24

 

Do you like abscesses and pus? If so, this post is for you!
 
Dental abscesses are widespread problems in rabbits. In this 3D CT, you can see the head of a bunny called "Toffee". Due to the third right mandibular cheek-tooth infection, he developed a huge, 4 cm in diameter, abscess on his chin. The treatment of these abscesses is often challenging, and multiple methods are described in the literature. I find the technique called marsupialisation to be the most effective. During marsupialisation, we remove the top of the abscess, create an opening as big as possible and suture the remaining capsule to the skin. If necessary, the severely affected tooth should be removed too.
 
Still, my experience is that rabbits heal better if the bony structures of the jaw are minimally disturbed. The cavity of the abscess should be thoroughly and repeatedly rinsed to get rid of all the pus. We prefer to use hydrogen peroxide for lavage.
 
The perioperative care also includes antibiotics based on the results of the bacterial culture and sensitivity test and painkillers (meloxicam PO and fentanyl+ketamine+lidocaine CRI IV). Toffee felt much better after the surgery, and he was munching on his hay happily a few hours after he woke up from the anaesthesia. 

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