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Dental Problems

Incisor malocclusions (where the occlusal, or biting surfaces, do not match) typically are seen in rabbits in two different instances. First, in young rabbits born with facial abnormalities or suffering early facial trauma, and second, in older rabbits suffering with molar malocclusion.

All rabbits have two upper and two lower incisors, as well as two small peg teeth that grow in behind the upper incisors. As all teeth in the rabbit's mouth are open rooted, they grow continuously throughout life, requiring proper contact with the opposing teeth for normal wear. Consequently, any rabbit suffering from malocclusion is affected with a life-long problem. Overgrown, maloccluded incisors can curl inward, perforating the upper palate, penetrating lips, tongues, cheeks and nostrils, and prevent the rabbit from eating. When rabbits are unable to eat or drink, life-threatening metabolic changes rapidly ensue.

In rabbits with maloccluded incisors, incisor grinding offers a temporary solution, allowing the rabbit to eat. Please note the key word: grinding. Clipping can be painful to the rabbit, and runs the risk of splintering the remaining incisor below the gumline.

X-ray of aligned teeth.

Photo of misaligned teeth

Splintering can set the rabbit up to develop a tooth root abscess, which can in turn become a life-threatening problem. Please, do not clip, or allow anyone else to clip you pet's incisors! Grinding offers a quick, safe way to level out maloccluded incisors.

For young rabbits affected with incisor malocclusion, a more permanent solution can be offered by way of incisor removal. Under general anesthetic, all incisors and peg teeth are removed. As long as the roots are also extracted intact, the problem teeth never regrow. In the occasional instance where a root breaks, it can later be extracted once the tooth regrows beyond the gum line. Pet rabbits do not need the incisors for survival, and rapidly resume normal activity and diet.

Finally, older rabbits presenting with changes to the occlusal surfaces of their incisors are an alarm flag for molar problems. In this instance, evening out the incisors is like masking a symptom: there is a more serious problem at hand, requiring a thorough evaluation of the oral cavity.

Information Supplied by Dr. J. Sawyer, BSc, MSc, DVM
Millennium City Veterinary Hospital
Pickering, Ontario

Read more:

Gilly-Monster: The tale of a toothless bunny

Links to related articles:
Open Wide! Rabbit Dental Disease - by Jeffrey Jenkins, DVM
Oral Health in Rabbits - by Carolynn Harvey, DVM
When Teeth turn to Tusks - by Diana Petty
Causes and Treatment of Common Dental Problems in Rabbits - by Jeffrey Jenkins, DVM
Rabbit Dental Disease - by Susan Brown, DVM

 

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