EVDF OSLO NORWAY 2025

Nurse Stream | Equine Nurse Stream

Setting Up the Table for Equine Endodontics for veterinary nurses 

Chris Pearce, BVSc CertEM(IntMed) CertES(SoftTissue) DipEVDC(Equine) FNCED MRCVS

Equine endodontic procedures, such as pulp capping or root canal therapy, demand a high level of preparation and precision. Veterinary nurses are essential in creating a clean, efficient, and well-organised workspace that supports successful outcomes for both patient and clinician. Key

Preparation Steps:
1. Dental Unit and Handpieces
• Ensure the dental unit is fully functional, clean, and serviced.
• Check air/water supply, suction, and foot pedal operation.
• Fit sterilised slow-speed and high-speed handpieces. • Select and lay out sterile burs (round, fissure, diamond) in order of use.
2. Patient Preparation • Set up general dental equipment:
- Full-mouth speculum: clean, intact, and securely fitted
- Mouthwash syringe or flushing unit: flushed and working
- Speculum light (if available): charged or with fresh batteries
• Sedate and position the horse with the head supported comfortably.
• Thoroughly rinse the oral cavity with water or chlorhexidine to remove debris and reduce bacterial load.
3. Clean Working Area • Prepare a clean or sterile draped trolley or table.
• Arrange instruments in logical order of use.
• Use separate trays to distinguish sterile and non-sterile areas.
4. Endodontic Instruments and Materials
• Hand and rotary endodontic files
• Irrigants: sodium hypochlorite, saline, EDTA • Syringes, paper points, gauze
• Pulp capping materials: calcium hydroxide, MTA, bioceramics
• Obturating materials (if required)
• Loupes, headlamp, and dental oroscope for magnification
• Intraoperative radiography equipment
5. Restorative Materials • Acid etch, dentine conditioner
• Unfilled resin, bonding agents
• One-step bonding systems
• Light-curing unit
• Composite restorative materials - dual cured, light cured, compactible
• Other materials according to operator preference - self etching resin cement, resin modified glass ionomers, MTA or analogues 6. Support During the Procedure
• Maintain sterility and anticipate instrument needs.
• Handle irrigation, radiography, and instrument exchange smoothly.
• Assist with timekeeping, monitoring, and records.
• Use suction and/or flushing of the oral cavity to avoid material contamination of soft tissues
7. Post-Procedural Care
• Clean and flush the mouth post-op.
• Clean, lubricate (handpieces), sterilise and store all instruments and handpieces.
• Complete records and assist with recovery monitoring. A veterinary nurse’s careful preparation directly contributes to the success and professionalism of equine endodontic procedures.