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Abnormally protruding areas of displaced cheek teeth and secondary overgrowths can lacerate the oral soft tissues, such as the cheeks and tongue, and cause bitting and quidding problems. In some cases, deep periodontal disease can occur due to deep food pocketing. This can lead
 
Abnormally protruding areas of displaced cheek teeth and secondary overgrowths can lacerate the oral soft tissues, such as the cheeks and tongue, and cause bitting and quidding problems. In some cases, deep periodontal disease can occur due to deep food pocketing. This can lead
to a [[Upper Respiratory Tract Disorders - Donkey#Sinus Disease|'''secondary sinusitis''']] (sometimes with food actually filling the sinus – termed an oro-maxillary fistula). Likewise maxillary or mandibular bone infections can occur.
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to a [[Sinus Disease - Donkey|'''secondary sinusitis''']] (sometimes with food actually filling the sinus – termed an oro-maxillary fistula). Likewise maxillary or mandibular bone infections can occur.
    
Smaller abnormal protrusions or overgrowths can be removed with a rasp but larger areas will require a motorised tool for removal. If very extensive food pocketing is present, or if the angle of displacement is severe, the displaced tooth may have to be extracted and these extractions are readily performed ''per os'' in the sedated donkey. An excellent response
 
Smaller abnormal protrusions or overgrowths can be removed with a rasp but larger areas will require a motorised tool for removal. If very extensive food pocketing is present, or if the angle of displacement is severe, the displaced tooth may have to be extracted and these extractions are readily performed ''per os'' in the sedated donkey. An excellent response
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