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Extracted upper cheek teeth complete with germinal tissue

It is possible to extract the upper cheek teeth through the mouth although there are few indications. Abscesses behind the eye are the most common reason. Repeated spurs on the upper cheek teeth are rare, especially on the caudal maxillary cheek teeth. Repeated spurs are another indication for extraction and this is why the illustrated teeth were removed. The surgery was not easy because elongated apices of the most caudal cheek teeth can penetrate the bone of the alveolar bulla, that is adjacent to the large venous sinus that is behind the eye. Dramatic haemorrhage can occur if the sinus is punctured. Bleeding is less likely to be a problem in surgery to cure retrobulbar abscesses because the abscess capsule forms a barrier that protects the retrobulbar venous sinus.
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