Minimal Invasive Repulsion (MIR) has gained recognition as a valuable technique in equine dentistry, particularly in situations where conventional oral extraction methods have proven ineffective. Unlike traditional extraction, MIR is reserved for specific circumstances where other methods fail or pose a higher risk, and it offers an alternative approach to removing problematic teeth/toot roots. However, it is important to recognize that MIR is not a first-line treatment and should only be employed when oral extraction has been deemed ineffective or unsuitable.

 This presentation will explore the role of MIR in equine dentistry, focusing on the circumstances that warrant its use and will cover the clinical indications for MIR. Key aspects of the procedure will be discussed, including the use of diagnostic tools like dental radiographs to assess the tooth’s position, structure, and surrounding tissues. The techniques involved in MIR will be outlined, emphasizing careful planning, appropriate sedation, and the use of specialized instruments to perform the repulsion with minimal trauma to the surrounding bone and soft tissues.

 Through clinical examples, this presentation will give practical insights into when and how MIR can be successfully incorporated into treatment plans for horses. The objective is t oprovide a clear understanding of the procedure, its indications, and how to best manage cases requiring this minimally invasive approach.

References
 - Kamps, M., & Barakzai, S. (2024). Equine cheek tooth repulsion using small diameter repulsion pins: 20 cases. Equine Veterinary Journal, 56(6), 1183-1192.
- Pearce, C. J. (2020). Recent developments in equine dentistry. New Zealand veterinary journal, 68(3), 178-186.
- Colgate, V. A., Wylie, C. E., & Barnett, T. P. (2018). Do Oral or Minimally Invasive Cheek Tooth Extraction Techniques Reduce the Incidence of Post-operative Complications in the Horse When Compared to Repulsion Methods?. Veterinary Evidence, 3(3).
- Reichert, C., Conze, P., Roetting, A. K., & Bienert-Zeit, A. (2014). Approaches to cheek teeth removal after failed oral extraction in 23 horses. Pferdeheilkunde, 30(5), 532-540.
- Tremaine, H. (2013). Advances in the treatment of diseased equine cheek teeth. Veterinary Clinics: Equine Practice, 29(2), 441-465.