NEED HELP! CRITICAL CONDITION

[Julian]

Hey everyone i need help asap. My 2 year old black squirrel pumba pulled out his 2 front teeth they are not fully out but bent out facing forwards. I dont know what to do he is in so much pain and he wont eat we gave him pain killers but he is not in good shape he has fluid coming out of eyes and nose from so much pain we contemplated euthanasia but i feel he can fight through this. I also syringe fed him food after his dose of medicam
And he is a bit better im so scared i will loose him. Should i give him a break or should i keep syringe feeding him.

[Julian]

This is a video https://photos.app.goo.gl/A4gZq36vS88rcJPX9

[Julian]

Also a photo
https://photos.app.goo.gl/zmPovP8rtViKZd9T8

[Shellysfriend]

Hey everyone i need help asap. My 2 year old black squirrel pumba pulled out his 2 front teeth they are not fully out but bent out facing forwards. I dont know what to do he is in so much pain and he wont eat we gave him pain killers but he is not in good shape he has fluid coming out of eyes and nose from so much pain we contemplated euthanasia but i feel he can fight through this. I also syringe fed him food after his dose of medicam
And he is a bit better im so scared i will loose him. Should i give him a break or should i keep syringe feeding him.
This one is past my knowledge level, not sure if they will need extraction but would guess so. I’d leave the feeding up to him, I wouldn’t force it yet but as the pain medication takes effect he might get his appetite back. If he’s otherwise healthy I wouldn’t put him down, as they can come back from a lot. I would think the formula is a good call right now.

[Julian]

Okay so i found out one more thing when looking in his mouth which he finally let me do, his front teeth broke at the root and punctured through the roof of his gums Basically like a fish hook through but through his gums which means the need to be pulled but no vet takes wild squirrels

[supersquirrelgirl]

Julian,

Hang in there......take a deep breath! You have come to the right place and TSB will do the best to help.

Let's not talk about "putting down".......Let's get the facts and work on this.

Squirrel weight ??

What pain meds did you give ?? when ??

Do you have a 1mL syringe ??

[supersquirrelgirl]

Okay so i found out one more thing when looking in his mouth which he finally let me do, his front teeth broke at the root and punctured through the roof of his gums Basically like a fish hook through but through his gums which means the need to be pulled but no vet takes wild squirrels

top teeth and bottom gums ??

take close-up pics straight on and side.

[Julian]

Julian,

Hang in there......take a deep breath! You have come to the right place and TSB will do the best to help.

Let's not talk about "putting down".......Let's get the facts and work on this.

Squirrel weight ??


What pain meds did you give ?? when ??

Do you have a 1mL syringe ??


He is around 20oz i gave him meloxicam that my sister ( vet tech ) dosed out for him which is good for 24 hours i gave it to him about 4 or 5 hours ago with a 1ml syringe

[Julian]

top teeth and bottom gums ??

take close-up pics straight on and side.


Thats the best photos i can take right now if you look at the video his teeth resemble a quater of a circle then try to imagine the other quater is sticking through his gums inside his mouth basically making a half circle one side out one side in

[supersquirrelgirl]

Thats the best photos i can take right now if you look at the video his teeth resemble a quater of a circle then try to imagine the other quater is sticking through his gums inside his mouth basically making a half circle one side out one side in

got it. enlarged video and same with photo

from video, his left top tooth is 1/2 down and other half is up into gums - correct ??

same for right top tooth ??

[supersquirrelgirl]

you have no access to friendly Vet or ER for squirrels ??

Sister is Vet Tech - does she have contacts anywhere to help ??

[SamtheSquirrel2018]

Hey everyone i need help asap. My 2 year old black squirrel pumba pulled out his 2 front teeth they are not fully out but bent out facing forwards. I dont know what to do he is in so much pain and he wont eat we gave him pain killers but he is not in good shape he has fluid coming out of eyes and nose from so much pain we contemplated euthanasia but i feel he can fight through this. I also syringe fed him food after his dose of medicam
And he is a bit better im so scared i will loose him. Should i give him a break or should i keep syringe feeding him.

Hi Julian:
I'm so sorry about Pumba's tooth issue. Did he catch his teeth on a portion of his cage or what actually happened!

I must give you my usual disclaimer and that is that I am not a Veterinarian nor am I a dentist and my comments are my own offered solely as personal comments and do not constitute any sort of professional diagnosis or opinion.

With that out of the way; I believe what is going on with poor Pumba is actually very serious! For the tips of the upper incisors to actually move so far forward as they appear to be doing without the teeth fracturing (breaking off--which would have been far better had this happened); there are most likely fractures of the skull at least around the root regions of both upper incisors. If the incisors are intact as they appear to be and with the tips of the teeth displaced so far outward the bases of these two teeth (at the root areas) must be rotated downward through the hard palate which forms the roof of the mouth! This truly requires a specialist and sedation to facilitate an examination and to determine whether or not there is a reasonable likelihood of repairing the damage! It's far easier for me to say this than for it to happen in BC but Pumba need emergency Veterinary care!!!!

If only you lived in Florida, Pumba could be seen by Dr. Emerson at the Ravenwood Veterinary Clinic in Port Orange as she is a Squirrel Dentist and Squirrel Veterinarian. It may be worth asking her to make some suggestions. Here is a link to Ravenwood Veterinary Clinic. Dr. Emerson is the only one there who treats Squirrels; https://ravenwoodvet.net

My concern is also your concern and that is that not only is Pumba suffering in the extreme, he must have specialized Veterinary care, he must be provided adequate analgesia (pain relief) and he will need liquid nutritional support!

I hope that one of our members knows of a Vet near you who would be able evaluate Pumba first thing in the morning! I know that you thought about euthanasia and the reason you did is that you love your little Squirrel! Ideally, if it was available, I would try to get Pumba seen immediately by a Veterinarian so that there is no extended suffering while contemplating a definitive plan!

I am so very sorry about Pumba and I can't help but be concerned about what must be his extreme discomfort!

Regards,
SamtheSquirrel

[Julian]

got it. enlarged video and same with photo

from video, his left top tooth is 1/2 down and other half is up into gums - correct ??

same for right top tooth ??

Yes same for his right tooth they have broken off and ar just held on through his gums and a bit from the roof there is about 2 cm on inside mouth amd outside

[Julian]

Hi Julian:
I'm so sorry about Pumba's tooth issue. Did he catch his teeth on a portion of his cage or what actually happened!

I must give you my usual disclaimer and that is that I am not a Veterinarian nor am I a dentist and my comments are my own offered solely as personal comments and do not constitute any sort of professional diagnosis or opinion.

With that out of the way; I believe what is going on with poor Pumba is actually very serious! For the tips of the upper incisors to actually move so far forward as they appear to be doing without the teeth fracturing (breaking off--which would have been far better had this happened); there are most likely fractures of the skull at least around the root regions of both upper incisors. If the incisors are intact as they appear to be and with the tips of the teeth displaced so far outward the bases of these two teeth (at the root areas) must be rotated downward through the hard palate which forms the roof of the mouth! This truly requires a specialist and sedation to facilitate an examination and to determine whether or not there is a reasonable likelihood of repairing the damage! It's far easier for me to say this than for it to happen in BC but Pumba need emergency Veterinary care!!!!

If only you lived in Florida, Pumba could be seen by Dr. Emerson at the Ravenwood Veterinary Clinic in Port Orange as she is a Squirrel Dentist and Squirrel Veterinarian. It may be worth asking her to make some suggestions. Here is a link to Ravenwood Veterinary Clinic. Dr. Emerson is the only one there who treats Squirrels; https://ravenwoodvet.net

My concern is also your concern and that is that not only is Pumba suffering in the extreme, he must have specialized Veterinary care, he must be provided adequate analgesia (pain relief) and he will need liquid nutritional support!

I hope that one of our members knows of a Vet near you who would be able evaluate Pumba first thing in the morning! I know that you thought about euthanasia and the reason you did is that you love your little Squirrel! Ideally, if it was available, I would try to get Pumba seen immediately by a Veterinarian so that there is no extended suffering while contemplating a definitive plan!

I am so very sorry about Pumba and I can't help but be concerned about what must be his extreme discomfort!

Regards,
SamtheSquirrel

Yes iv called every vet across vancouver bc and none will take him i dont know what too do im afraid if worse comes to worse i have to take this into my own hands and remove them myself that he will bleed too much for his little body

[supersquirrelgirl]

Julian,

Understand your loving concern and knowing your little one in extreme pain. Please consider waiting until morning when more TSB members wake-up and login. Members are located all over the country and have Vet/Rehab connections that might be able to help. Doing something yourself is very high risk of inducing pain shock and that could be fatal. Many TSB members are located in eastern time zone so they will be ahead by 3 hours and will read your post first.

Mr.SSG

[SamtheSquirrel2018]

Yes iv called every vet across vancouver bc and none will take him i dont know what too do im afraid if worse comes to worse i have to take this into my own hands and remove them myself that he will bleed too much for his little body

Thanks for trying Julian to find a Vet!

I just read your other posts and what you have mentioned about the incisor poking through the roof of the mouth is exactly what I was suggesting in my post had to be also going on if the teeth hadn't broken of (i wish they had!). BUT, more so, what I was getting at is that for the upper incisors to have become so displaced while still remaining intact, the supporting bone must also be damaged (fracture/broken). This is evident in the roof of Pumba's mouth and with out a doubt, there must be other local but fairly extensive damage to the bone as well. IF you pull the teeth, it will further displace bone and will be beyond uncomfortable.

I have some suggestions if you feel that you must pull the teeth as you cannot in any way contain the certain further major damage to the surrounding bone and other structurers that will result if you pull a curved tooth straight out rather than along its curvature! PLEASE consider WAITING until morning as SSG has suggested and hopefully someone will have a suggestion for a Vet!

Also, Pumba is going to need an antibiotic whether or not the teeth are pulled as he is at high risk for infection from oral bacteria! An almost ideal antibiotic for this setting would be Amoxicillin plus Clavulanate. Do you have this available or any other antibiotics available? They do not need to be Veterinary medications! Virtually everyone administering antibiotics to their Squirrels based upon the dosing instructions we offer to our members when antibiotics are necessary are using human antibiotics!

Meloxicam is an analgesic (pain medication) and an antiinflammatory medication but it will only be minimally effective with Pumba's particular injuries! I know this is probably all that is available and thank you for using it but I know that Pumba is still in considerable pain. Do you have any other pain medications available? I would certainly like to have Pumba sedated and relieved of most of his discomfort!

Also, Julian, it is not that important that Pumba has food right now BUT he must have water! Please try giving him warm water via a 1cc syringe (withOUT a needle). Formula such as Fox Valley or Esbilac POWDERED Puppy Milk Replacer will also be potentially beneficial because they will provide some extra hydration in addition to the water and will also provide nutritional support!

Regards,
SamtheSquirrel

[Julian]

Thanks for trying Julian to find a Vet!

I just read your other posts and what you have mentioned about the incisor poking through the roof of the mouth is exactly what I was suggesting in my post had to be also going on if the teeth hadn't broken of (i wish they had!). BUT, more so, what I was getting at is that for the upper incisors to have become so displaced while still remaining intact, the supporting bone must also be damaged (fracture/broken). This is evident in the roof of Pumba's mouth and with out a doubt, there must be other local but fairly extensive damage to the bone as well. IF you pull the teeth, it will further displace bone and will be beyond uncomfortable.

I have some suggestions if you feel that you must pull the teeth as you cannot in any way contain the certain further major damage to the surrounding bone and other structurers that will result if you pull a curved tooth straight out rather than along its curvature! PLEASE consider WAITING until morning as SSG has suggested and hopefully someone will have a suggestion for a Vet!

Also, Pumba is going to need an antibiotic whether or not the teeth are pulled as he is at high risk for infection from oral bacteria! An almost ideal antibiotic for this setting would be Amoxicillin plus Clavulanate. Do you have this available or any other antibiotics available? They do not need to be Veterinary medications! Virtually everyone administering antibiotics to their Squirrels based upon the dosing instructions we offer to our members when antibiotics are necessary are using human antibiotics!

Meloxicam is an analgesic (pain medication) and an antiinflammatory medication but it will only be minimally effective with Pumba's particular injuries! I know this is probably all that is available and thank you for using it but I know that Pumba is still in considerable pain. Do you have any other pain medications available? I would certainly like to have Pumba sedated and relieved of most of his discomfort!

Also, Julian, it is not that important that Pumba has food right now BUT he must have water! Please try giving him warm water via a 1cc syringe (withOUT a needle). Formula such as Fox Valley or Esbilac POWDERED Puppy Milk Replacer will also be potentially beneficial because they will provide some extra hydration in addition to the water and will also provide nutritional support!

Regards,
SamtheSquirrel


I have betadine we used it on him when he had a fungal infection its an anticeptic and i also have clindamycin oral solution antibiotics for cats and dogs that i used when our dog got its tooth pulled will that work?

And for the hydration he is drinking water from his dish but maybe not enough so i made a electrolyte solution i found on a rat forrum that is 6 teaspoons of sugar, half teaspoon of salt mixed into 5 cups of water it says that it will replenish him if he is dehydrated

Also we are starting to put him in the steamy bathroom for 15 minutes to help with congestion in his nose and the scabs from dried blood clogging his nose

Also for pulling his teeth i was thinking since they already broke off i can clip his teeth from the front so there is no curve/ basically nothing to pull out from the back/inside

I just feel like pulling them that way is better then him being clumsy hitting his teeth on stuff non stop because of the way they stick out it may also be part of the reason its hard for him to breathe

Let me know if this is all ok and if theres more i can do at home for him. Thanks so much

[SamtheSquirrel2018]

I have betadine we used it on him when he had a fungal infection its an anticeptic and i also have clindamycin oral solution antibiotics for cats and dogs that i used when our dog got its tooth pulled will that work?

And for the hydration he is drinking water from his dish but maybe not enough so i made a electrolyte solution i found on a rat forrum that is 6 teaspoons of sugar, half teaspoon of salt mixed into 5 cups of water it says that it will replenish him if he is dehydrated

Also we are starting to put him in the steamy bathroom for 15 minutes to help with congestion in his nose and the scabs from dried blood clogging his nose

Also for pulling his teeth i was thinking since they already broke off i can clip his teeth from the front so there is no curve/ basically nothing to pull out from the back/inside

I just feel like pulling them that way is better then him being clumsy hitting his teeth on stuff non stop because of the way they stick out it may also be part of the reason its hard for him to breathe

Let me know if this is all ok and if theres more i can do at home for him. Thanks so much

Hi Julian:
Yes the teeth can of course be cut! As far as water, my suggestion would be to use plain water as the primary source of fluids and not an electrolyte solution such as Pedialyte or even one that has a small amount of salt such as your proposed solution. I would also consider obtaining one of the formulas I mentioned for added fluids and nutrition.

My rationale for my recommendation for plain water and just for illustrative purposes is a sfollows; if an animal is not drinking and becomes dehydrated, the primary loss is really just plain water with very little electrolytes (two electrolytes are what is in the salt solution you mentioned and using the table salt will add the electrolytes sodium and chloride). When an animal has diarrhea as a further example, there is often a balanced loss of electrolytes and plain water so use of an electrolyte solution along with plain water used concurrently is a good option there but these should be controlled separately and not mixed. If given sub-q or IV, one can use 1/2 Normal Saline as an example which provides electrolytes and free (plain) water. The big "hype" about using Pedialyte with "every" dehydrated animal is usually not necessary or even advisable and "plain old dehydration" results in loss of mainly water along with a resulting increase in the concentration of electrolytes just needs mostly plain water. When an animal is profoundly dehydrated and in shock or close to this, they do need to expeditiously increase the volume of fluid in the blood vessels and using an oral resuscitative electrolyte solution in this situation will be more effective initially at replenishing intravascular volume than just plain water!

Clindamycin should be fine. There are some particular risks but it should be more likely effective for the intended use than many other antibiotics and Clindamycin has been used with small rodents including Squirrels so there is an accumulated experiential database although this has been mostly from experience with Rats rather than with Squirrels.

I am again at work but will be following your Thread when I am able. There are also others here who have and will continue to help you and there will be further reading of Pumba's Thread as people awaken and check-in on TSB. We can help you dose the Clindamycin but we will need an recent, accurate digital weight of Pumba preferably in Grams and the form (tablets, capsules) and strength (in milligrams) of the Clindamycin. Any other pain medications available?

Regards,
SamtheSquirrel

[supersquirrelgirl]

Julian,

I strongly suggest you wait on clipping or pulling teeth until all other options are exhausted. I'm concerned the teeth and surrounding area are hyper sensitive right now to pain even with pain killer. Having a sharp pain impulse could trigger shock that will be difficult to handle. Without an x-ray of the damages, you are flying blind that could result in serious consequences.

As Sam indicated, keeping Pumba hydrated is a priority. In a few hours, other TSB members will be checking this posting and may know a Vet that can help. In the mean times, I would minimize his movements and maximize his comfortable.

SSG

[SamtheSquirrel2018]

Julian,

I strongly suggest you wait on clipping or pulling teeth until all other options are exhausted. I'm concerned the teeth and surrounding area are hyper sensitive right now to pain even with pain killer. Having a sharp pain impulse could trigger shock that will be difficult to handle. Without an x-ray of the damages, you are flying blind that could result in serious consequences.

As Sam indicated, keeping Pumba hydrated is a priority. In a few hours, other TSB members will be checking this posting and may know a Vet that can help. In the mean times, I would minimize his movements and maximize his comfortable.

SSG

Yes SSG!

Julian, I don't want to appear to be "going on the record" as being in favor of the "home tooth pulling" as I am not! I am dreading this as while your intentions are obviously the highest, this pulling will simply repeat what Pumba has unfortunately done himself earlier today and further damage to tissues and bone will be inevitable along with another round of agony! This Tooth Pulling is in my opinion; even if you clip the teeth without resulting in further bone and structural damage which to me is doubtful; should be accomplished as a surgical procedure under anesthesia where controlled and careful separation of the teeth from any adherent tissue and the surrounding fragments of bone can be accomplished. I could not imagine how painful the pulling at home would be but it would be extreme! Again, it would also be best to not further disturb the already damaged jaw and skull and that is why this should be conducted as a careful surgical procedure under anesthesia rather than pulling the teeth and taking with them adherent tissues and probably bone fragments as well. Also, to facilitate preservation of any remaining functionality to Pumba's nasal structures and his upper jaw, further damage, IMHO must be avoided! Let's see if other have any suggestions for Veterinarians or Rehabbers!
Regards,
SamtheSquirrel

[Julian]

Hi Julian:
Yes the teeth can of course be cut! As far as water, my suggestion would be to use plain water as the primary source of fluids and not an electrolyte solution such as Pedialyte or even one that has a small amount of salt such as your proposed solution. I would also consider obtaining one of the formulas I mentioned for added fluids and nutrition.

My rationale for my recommendation for plain water and just for illustrative purposes is a sfollows; if an animal is not drinking and becomes dehydrated, the primary loss is really just plain water with very little electrolytes (two electrolytes are what is in the salt solution you mentioned and using the table salt will add the electrolytes sodium and chloride). When an animal has diarrhea as a further example, there is often a balanced loss of electrolytes and plain water so use of an electrolyte solution along with plain water used concurrently is a good option there but these should be controlled separately and not mixed. If given sub-q or IV, one can use 1/2 Normal Saline as an example which provides electrolytes and free (plain) water. The big "hype" about using Pedialyte with "every" dehydrated animal is usually not necessary or even advisable and "plain old dehydration" results in loss of mainly water along with a resulting increase in the concentration of electrolytes just needs mostly plain water. When an animal is profoundly dehydrated and in shock or close to this, they do need to expeditiously increase the volume of fluid in the blood vessels and using an oral resuscitative electrolyte solution in this situation will be more effective initially at replenishing intravascular volume than just plain water!

Clindamycin should be fine. There are some particular risks but it should be more likely effective for the intended use than many other antibiotics and Clindamycin has been used with small rodents including Squirrels so there is an accumulated experiential database although this has been mostly from experience with Rats rather than with Squirrels.

I am again at work but will be following your Thread when I am able. There are also others here who have and will continue to help you and there will be further reading of Pumba's Thread as people awaken and check-in on TSB. We can help you dose the Clindamycin but we will need an recent, accurate digital weight of Pumba preferably in Grams and the form (tablets, capsules) and strength (in milligrams) of the Clindamycin. Any other pain medications available?

Regards,
SamtheSquirrel



Okay so iv contacted every vet including the squirrel dentist in florida and she said i have 3 option, beg a vet to take him...called them all, euthanasia or she ran me through how to cut the teeth and remove then with sedatives. Which is the best bet for me right now i hate to do it but hes my little boy and i just want him to get better

[supersquirrelgirl]

Julian,

Thought about Pumba all night as the pain must be extreme. Meloxicam will start to wear off leaving him in serious agony. His injury is more serious and not limited to his teeth. I'm very concerned his condition will quickly go downhill as pain levels increase, more swelling of nasal passages, and infection set-in. Now is the time to think about Pumba and what's best for him.

You must find a Vet, Rehabber, Wildlife Center, ER Hospital to get Pumba evaluated. Time is short and you have to decide what's the best for Pumba. Above you posted your sister is a Vet Tech, does she know any place that will see Pumba as an exception.

Mr.SSG

[supersquirrelgirl]

Julian,

Have you contacted this place ??

Crittercare Wildlife Sanctuary, Langley, BC
https://www.crittercarewildlife.org/

Maybe they will make an exception for Pumba since its critical.

Maybe offer a donation to motivate them ??

[Julian]

Julian,

Have you contacted this place ??

Crittercare Wildlife Sanctuary, Langley, BC
https://www.crittercarewildlife.org/

Maybe they will make an exception for Pumba since its critical.


Maybe offer a donation to motivate them ??



Tried they said no too they said they will not give him back and just release him to the wild but he has no idea what to even do outside

[Julian]

Julian,

Thought about Pumba all night as the pain must be extreme. Meloxicam will start to wear off leaving him in serious agony. His injury is more serious and not limited to his teeth. I'm very concerned his condition will quickly go downhill as pain levels increase, more swelling of nasal passages, and infection set-in. Now is the time to think about Pumba and what's best for him.

You must find a Vet, Rehabber, Wildlife Center, ER Hospital to get Pumba evaluated. Time is short and you have to decide what's the best for Pumba. Above you posted your sister is a Vet Tech, does she know any place that will see Pumba as an exception.

Mr.SSG

No we have tried everwhere iv set up a phone call with the family vet and am going to plead my hardest

[SamtheSquirrel2018]

Hi Julian:
I have been at work until now and apologize for not being able to keep up on your Thread. I am very concerned about Pumba and have been thinking about him since I first read your original post! How is Pumba doing and have there been any positive contact with a Vet or Rehabber?
Regards,
SamtheSquirrel

[SamtheSquirrel2018]

Okay so iv contacted every vet including the squirrel dentist in florida and she said i have 3 option, beg a vet to take him...called them all, euthanasia or she ran me through how to cut the teeth and remove then with sedatives. Which is the best bet for me right now i hate to do it but hes my little boy and i just want him to get better

Hi Julian; I just noticed this post. Please clarify this post and I will get back with you either by PM or on your thread depending upon what you will say. When you state "which is the best for me right now, I hate to do it but he's my little boy;" are you you referring following the the instructions by I assume Dr. Emerson or are you considering euthanasia? If you are contemplating "cutting the teeth and remove them with sedatives" option, is Dr. E willing to send appropriate "heavy-duty" sedatives to you or do you have these? I'm sure that she told you that if she could do this in her office, she would use inhaled anesthesia so that Pumba would be pain free for the procedure, immobile and relaxed and have no memory of the surgical event! These are the advantages of a good general anesthetic. None of these can we expect with oral sedation!

I am so sorry for little Pumba but I feel very bad for your too, Julian! You are suffering too! You love this Little One and want what is best for him but now that he has sustained this horrible accident, relieving what must be his intense suffering is a worthy and loving goal! If I had my "druthers," I would wish that Pumba could expeditiously go to Dr. E for treatment or that she could come there! Well, no harm in wishing! Thanks again for your love and concern for Pumba!
Regards,
SamtheSquirrel

[Mel1959]

There is a group in Quebec called SOS Ecureuils that helps with squirrels. It’s a Facebook group. Please reach out to them. Let me know by private message if you can't reach anyone.

[Julian]

Hi Julian; I just noticed this post. Please clarify this post and I will get back with you either by PM or on your thread depending upon what you will say. When you state "which is the best for me right now, I hate to do it but he's my little boy;" are you you referring following the the instructions by I assume Dr. Emerson or are you considering euthanasia? If you are contemplating "cutting the teeth and remove them with sedatives" option, is Dr. E willing to send appropriate "heavy-duty" sedatives to you or do you have these? I'm sure that she told you that if she could do this in her office, she would use inhaled anesthesia so that Pumba would be pain free for the procedure, immobile and relaxed and have no memory of the surgical event! These are the advantages of a good general anesthetic. None of these can we expect with oral sedation!

I am so sorry for little Pumba but I feel very bad for your too, Julian! You are suffering too! You love this Little One and want what is best for him but now that he has sustained this horrible accident, relieving what must be his intense suffering is a worthy and loving goal! If I had my "druthers," I would wish that Pumba could expeditiously go to Dr. E for treatment or that she could come there! Well, no harm in wishing! Thanks again for your love and concern for Pumba!
Regards,
SamtheSquirrel

Update we got strong pain killer that also kinda sedates him from our family vet

We gave it to him 2 hours ago and i managed to pull one of his teeth with very minimal bleeding will update in a few hours

[CritterMom]

What does the part that was in the gums look like? Did you get everything or did it break off in the jaw?

I ask because anything left behind will become infected quickly. Can you get your hands on any antibiotics? I would look for Amoxicillin clavulanate, or even plain Amoxicillin but if you have others, let us know. This would help to keep infection at bay until you can find someone to anesthetize and get anything left behind out. It won't make it stop - nothing will until all of the dead bone from the tooth root is removed from the jaw, but it may help keep it under some control for a bit.

[BigNibbler]

Is there any update on this unusual case ?

[supersquirrelgirl]

Is there any update on this unusual case ?

None, I was following closely but no update from the last OP.