Rabbit dental abscess

RE: Rabbit dental abscess

janine redman — Sat, 04 Mar 2017 21:16:08 GMT

Could you use flamazine flush , like you would with resistant ear infections?

RE: Rabbit dental abscess

Rob Davis — Sat, 04 Mar 2017 08:51:17 GMT

[quote user="Marie Kubiak"]

I agree with Mark- I worry beads don't elute antibiotic at useful levels for long enough and can cause a foreign body reaction later down the line. I tend to opt for aggressive debridement and marsupialisation with systemic antibiotics (sending the tooth fragment and surrounding bone for c&s is ideal) and flush wounds daily and pack with honey/topical antibacterial.

Marie

[/quote]

If Marie and Mark both advise against beads, that's good enough for me! It will help keep costs down too as they're not cheap. Aggressive debridement, marsupialisation, culture of tooth/bone, honey +/- systemic antibiotics depending on latest C&S results it is then. I will try to remember to take some photos and post progress reports in due course.

Many thanks for the advice.

RE: Rabbit dental abscess

Marie Kubiak — Sat, 04 Mar 2017 08:36:46 GMT

Marie

RE: Rabbit dental abscess

Mark Rowland — Fri, 03 Mar 2017 13:31:42 GMT

I sometimes worry that the beads may themselves cause problems but have used them.

I prefer honey swabs as they eliminate dead space, liquify the pus and encourage granulation whilst killing bacteria.

I suppose if there was evidence of diffuse mandibular osteomyelitis I would consider their use more.

RE: Rabbit dental abscess

Tricia Goulden — Fri, 03 Mar 2017 09:23:11 GMT

I took another swab from the bottom of the abscess yesterday to see if the c & s has changed. The original swab & culture was performed at the patient's previous practice. The rabbit is happy and well. There is pus from the site of the left lower incisor extraction and a soft swelling by the left jaw which I lanced and expressed pus to take the swab. I will report back.

RE: Rabbit dental abscess

Rob Davis — Fri, 03 Mar 2017 08:45:38 GMT

Thanks for that, Mark. What about using amikacin-impregnated beads post-debridement? Any reason not to use honey and beads at the same time?

RE: Rabbit dental abscess

Mark Rowland — Thu, 02 Mar 2017 22:09:01 GMT

The basic rule of abscesses is that they persist until the nidus of infection that has caused them has been debrided

I would be opening this right up, removing and curetting any necrotic calcified material and closing with swabs soaked in Activon (Medical honey)

Replace weekly for a minimum of 4 weeks.

Consider injections of amikacin if there is sensitivity to this.

Guarded px

Goodluck Mark

RE: Rabbit dental abscess

Rob Davis — Thu, 02 Mar 2017 18:24:03 GMT

Hope this works (if so, then thanks, Arlo!)

https://youtu.be/IePnrfy3AVA

RE: Rabbit dental abscess

Rob Davis — Thu, 02 Mar 2017 12:41:20 GMT

[quote user="Evelyn Barbour-Hill"]

[quote user="Rob Davis"]Any other suggestions welcome![/quote]

Suggestion: don't use antibiotic. After debridement, daily (or more often) flushing with: Weak acetic acid? Lime water? Hydrogen peroxide? Salt? Silver sulphadiazine? Colloidal silver? Chlorhexidine?

[/quote]

This is a reasonable suggestion. The owner is already flushing with saline, though this isn't going to do a lot until it's been debrided. Any favourites from this list? Mix them all up together....?

RE: Rabbit dental abscess

Evelyn Barbour-Hill — Wed, 01 Mar 2017 18:44:19 GMT

[quote user="Rob Davis"]Any other suggestions welcome![/quote]

Suggestion: don't use antibiotic. After debridement, daily (or more often) flushing with: Weak acetic acid? Lime water? Hydrogen peroxide? Salt? Silver sulphadiazine? Colloidal silver? Chlorhexidine?

RE: Rabbit dental abscess

Rob Davis — Wed, 01 Mar 2017 18:20:04 GMT

[quote user="Emily Rainbow"]Would love to see the CT images if you can post them?[/quote]

I will see if I can post some. They are much better when able to scroll through the images but I'm not sure how to upload in that form, unless I could save as a video. I will have a play when I've got some time....

RE: Rabbit dental abscess

Rob Davis — Wed, 01 Mar 2017 18:18:20 GMT

[quote user="Evelyn Barbour-Hill"]

[quote user="Rob Davis"] it was suggested that it has antibacterial properties,[/quote]

[/quote]

I have found one paper claiming antibacterial properties, but was small in vitro study - suggested that pH may be mechanism of action, but not very convincing!

RE: Rabbit dental abscess

Evelyn Barbour-Hill — Wed, 01 Mar 2017 17:52:59 GMT

[quote user="Rob Davis"] it was suggested that it has antibacterial properties,[/quote]

RE: Rabbit dental abscess

Emily Rainbow — Wed, 01 Mar 2017 17:50:53 GMT

Would love to see the CT images if you can post them?

May or may not be useful but I often use manuka honey gauze, replaced daily in any small furry abscess that I marsupialise.

Also useful in humans in face of MRSA?