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Topic:Dental Health
Dental health in horses encompasses the study of the structure, function, and maintenance of equine teeth and oral tissues. It involves understanding the anatomy of horse teeth, which are adapted for grinding fibrous plant material, and the common dental issues that can arise, such as malocclusions, sharp enamel points, and periodontal disease. Regular dental examinations and treatments are essential for ensuring proper mastication and overall well-being. This topic covers the research and findings related to equine dental anatomy, common dental pathologies, and the impact of dental health on nutrition and performance. The collection includes peer-reviewed studies and scholarly articles that explore diagnostic techniques, treatment strategies, and preventive care practices in equine dentistry.
Anatomical assessment of endodontic debridement challenges in severely diseased equine cheek teeth. There is a lack of knowledge on orthograde endodontic techniques in horses and endodontic case selection is mostly empirical currently. Objective: To explore the efficacy of endodontic debridement in severely diseased cheek teeth that are currently deemed unsuitable for endodontic treatment, find where debris is left behind, compare intercanal communications with those described in healthy cheek teeth, explore the effects of endodontic repair mechanisms on endodontic debridement and to investigate the presence of accessory canals and apical deltas in infected parts of the pulp system. Methods:...
Germline Pathogenic Variant in the APC Gene Suggestive of Gardner Syndrome in a Pony. A 12-year-old pony mare was presented for evaluation of dental disease and nasal discharge. At presentation, clinical signs included bilateral nasal discharge, cutaneous masses, and numerous hard enlargements involving the bones of the skull, maxilla, mandible, and cervical vertebrae. Oral exam revealed advanced dental disease with hard enlargements adjacent to and between numerous cheek teeth. Radiographs and computed tomography confirmed the presence of severe dental disease and proliferative bone lesions disseminated along the skull, hyoid apparatus, and cranial cervical vertebrae. The bony...
Epidemiology of open and closed diastemata in equine cheek teeth and associations with periodontal pathology. Cheek-tooth diastemata are a common dental abnormality in horses and are considered a major predisposing factor for periodontal disease. However, the influence of diastema type and anatomical location on disease severity remains incompletely understood. To determine the prevalence and distribution of open and closed cheek-tooth diastemata and evaluate their association with periodontal disease severity in horses, while assessing the influence of age, sex, jaw location and laterality, fifty equine cadaver heads obtained from an abattoir were examined. Diastemata were identified through visual a...
Comparative study of dental age estimation methods against known chronological age in Nigerian local horses. Dental age estimation in horses is very important in the context of quality healthcare, breeding programs, and welfare management. However, information on the most suitable dental age estimation methods for Nigerian local horses is not available in the literature. We evaluated and compared dental age estimates based on six dental age estimation methods with known chronological ages of Nigerian local horses to establish the most accurate techniques for this population. A cross-sectional study of 180 Nigerian local horses was conducted in Ibadan, Nigeria. Six dental age estimation methods (erupt...
Ectopic eruption of a permanent mandibular tooth in a miniature horse: case report. Developmental and eruption abnormalities are common and can result in progressive dental diseases. Ectopic eruption of the affected tooth may be the result of these processes. This study aims to report the occurrence of a permanent mandibular tooth in a horizontal position, with retention of the corresponding deciduous tooth, in a miniature horse. A 2-year-old female miniature horse was admitted to the veterinary hospital with a hard swelling on the left mandibular ramus, which had been growing continuously for three months. After a complete evaluation, it was concluded that the swelling was t...
Equine dental destructive disorders: an epidemiological survey in northern Germany. Destructive lesions of the peripheral and infundibular cementum are increasingly recognized in equine dentistry. While similarities to human caries have been noted, current evidence does not conclusively support this classification. This study aims to assess the prevalence, distribution, and potential risk factors associated with these lesions in a defined horse population. Unassigned: A total of 114 horses from northern Germany underwent standardized oral examination between 2021 and 2023. Clinical data on peripheral and infundibular lesions, diastemata, and influencing factors such as age an...
Chlorhexidine is Superior to Ozonized Water in the Reduction of the Oral Cavity Microbiota of Horses. In equine husbandry, oral cavity procedures are commonly performed and may be associated with complications, including extraoral diseases, potentially resulting from bacterial contamination and inadequate antisepsis. Bacterial resistance to antimicrobials is a major issue for healthcare professionals, including veterinarians that may misuse these pharmaceuticals. Therefore, developing novel methods for antisepsis is desirable. This study aims to test the effectiveness of a 100 µg/ml ozonized injectable water solution versus 0.12% chlorhexidine mouthwash. Fifty adult equines had swab samples...
Early Iron Age horse exploitation in Thrace (Bulgaria) inferred from dental attrition and vertebral pathology. To assess pathological lesions observed in an Early Iron Age (8th-century BCE) horse to gain insight into equine use and management in the past. Methods: The study is based on a nearly complete adult horse skeleton recovered from a pit at an archaeological site near Chirpan, Thracian Valley, southern Bulgaria. The assemblage is radiocarbon dated to the 8th century BCE and represents one of the few well-documented Early Iron Age equine skeletons from Bulgaria. Methods: Preserved skeletal elements were examined macroscopically following standard zooarchaeological and palaeopathological protocols...
Odontoblasts in Equine Hypsodont Teeth-How They Cope with Permanent Occlusal Wear. Horses' hypsodont (high-crowned) teeth face permanent dental wear. This is compensated for by a continuous eruption, which requires a high adaptability of odontoblasts; otherwise, the dental pulp would be exposed. Here, we report on how equine odontoblasts respond to the challenge of maintaining a high production rate of dentin. We analyzed CD90, a marker of odontoblastic differentiation, and nestin, a marker of mature odontoblasts, in equine pulpal tissue via immunofluorescence. For comparison, we examined the hypselodont (ever-growing) incisors and brachydont (short-crowned) molars of rats. ...
Surgical Removal of a Large Maxillary Sinus Mass Containing Three Dental Structures in a Standing Horse. Dental masses such as odontogenic masses, heterotopic polydontia, or ectopic supernumerary teeth have been documented in the equine head. This is the first case report of a large maxillary sinus mass with 3 ectopic teeth in an adult horse. A 14-year-old warmblood gelding was presented for evaluation of chronic right-sided nasal discharge. After imaging exploration, surgery was performed on the standing horse with a conchofrontal sinus trephination and a large maxillary bone (MB) sinusotomy. The examinations revealed a sinusal mass in the right maxillary sinus covered by sinusal mucosa and surr...
The use of hay nets and slow feeders as feeding methods in horse management: A semi-systematic review. Hay nets and slow feeders are designed to mimic natural grazing by prolonging forage intake, thereby supporting digestive health and reducing stress-related behaviours. Their design and use, however, can influence effectiveness and may introduce risks. Objective: This semi-systematic review evaluated the use of hay nets and slow feeders in feeding horses, focusing on their impact on feeding time, behaviour, forage management and health management. Methods: A semi-systematic search across PubMed, ScienceDirect, Google Scholar, and Scopus identified 26 full-text studies published between 2009 an...
Horses diagnosed with pituitary pars intermedia dysfunction do not have shorter life expectancies but experience more medical events during their lifetime. The frequency of comorbidities in horses with pituitary pars intermedia dysfunction (PPID) in first-opinion practice is unknown. It is hypothesized that horses with PPID would have more frequent medical events and be euthanized at a younger age. Unassigned: This was a case-control retrospective study. Medical records ranging from 1996 to 2024 including 132 horses diagnosed with PPID and 274 controls matched by age and breed were reviewed. Variables associated with PPID were evaluated with a Fisher exact or Mann-Whitney U test followed by conditional logistic regression. Results were reported a...
Intraligamentary anaesthesia: a local anaesthesia technique in equine dentistry. The injection of a local anaesthetic into the periodontal ligament (PDL) to achieve desensitisation of the pulp, periodontium, and adjacent tissues is a well-established technique in human dentistry, particularly in paediatric patients. This approach, commonly referred to as intraligamental or intraligamentary anaesthesia (ILA), has been widely adopted due to its effectiveness and relative simplicity. The aims of the present publication were: (1) to provide a review of the literature, (2) to describe an ILA technique adapted by the authors for use in equine dentistry, and (3) to evaluate this ...
Cheek tooth repulsion aided by computer-assisted surgery in 16 equids. This retrospective case series reports on the use of computer-assisted surgery (CAS) to perform cheek tooth repulsion in 16 equids. Thirteen of the 16 subjects in this case series had a mandibular cheek tooth repulsed, and 3 had a maxillary cheek tooth removed. Surgery was performed on all subjects under general anesthesia, and all but one were placed in lateral recumbency. All cheek teeth were successfully removed by navigated repulsion, except in one case where additional intraoral sectioning was performed. In one horse, a surgical approach through the contralateral nasal conchae was made to...
Cronodent I, 3D interactive manual for self-learning of the dental chronology of equines. One of a veterinarian's routine tasks is animal identification, with age being a crucial factor in the identification and evaluation of individuals. Knowledge of the morphological changes in animal dentition used to determine their age is essential in veterinary education. Today's students increasingly prefer innovative learning tools that incorporate 3D anatomical models over traditional 2D resources. As part of a teaching innovation project at the University of Córdoba, Spain, new educational materials were developed to aid students in identifying the age of animals using 3D images of equin...
Radiographic Evaluation of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) in Horses Living Under Natural Conditions in Iceland. Outside of Iceland, the Icelandic horse is prone to the development of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH). The aim of this study was to determine the radiographic prevalence and clinical signs of EOTRH in elderly horses (≥15 years) in Iceland. The rostral oral cavity of 170 horses (aged 15-30 years) was examined clinically. In addition, husbandry and nutritional management history was recorded by use of a questionnaire. Radiographs (2-4 views) of 188 horses were evaluated, findings were categorized by numerical staging of the condition and collated with clinica...
Factors Influencing the Intra-Oral Movement of the Bit: A Cadaveric Study. Bit-related trauma is a welfare issue in equestrian sports; therefore, a proper understanding of how the bit behaves inside the mouth is of importance. The objective of this study is to investigate the influence of bit design (snaffle bits/single/double-jointed; ring/eggbutt and curb bits), size, rein tension, and rein angle on the intra-oral movement of the bit in ex vivo specimens. The lateral and posterior movement of different bits was measured on cadaver heads under different circumstances. This ex vivo model, while not fully replicating natural conditions, provided insight into potential...
Risk factors associated with gastric disease prevalence in extensively kept horses in Iceland evaluated four times in a calendar year. It is unknown whether the high prevalence of Equine Squamous (ESGD) and Equine Glandular (EGGD) Gastric Disease in extensively grazed Icelandic horses in the autumn/winter is seasonally driven. Objective: To determine the prevalence of, and risk factors for, gastroscopically significant ESGD (ESGD:score of ≥2/4); gastroscopically severe ESGD (ESGD:score of ≥3/4) and gastroscopically significant EGGD (EGGD:score of ≥1/2) in extensively pasture-managed Icelandic horses at four timepoints. Methods: Prospective longitudinal cohort. Methods: Gastroscopy was undertaken in 80 Icelandic horses (...
Microbiome and Dental Changes in Horses Fed a High Soluble Carbohydrate Diet. This study investigated the oral microbiome of horses maintained on a high soluble carbohydrate diet based on sugarcane, in comparison to those fed a pasture-based diet composed of spp., aiming to identify associations between dietary intake, the composition of oral microbial communities, and the occurrence of dental caries and diastemata. A total of 20 healthy horses, both male and female, with an average age of 9 ± 3 years and weight of 400 ± 100 kg, without a defined breed, were selected. They were divided into two groups: the High Soluble Carbohydrate Group (HSCCG), consisting of 10 hor...
Possible association of short-term complications and antimicrobial use in standing equine cheek tooth extractions 2018-2022. Despite growing concerns about antimicrobial resistance, prophylactic antimicrobials continue to be routinely administered in many procedures, including dental extractions. Further evidence-based research is needed on whether their use influences post-operative complication rates. Objective: To identify risk factors for short-term complications, associations between complications and antimicrobial use as well as factors leading to antimicrobial use in equine (standing) cheek tooth extractions. Methods: Retrospective analysis of clinical records. Methods: Data were extracted from records of hor...
Aetiological relevance of haematological, biochemical and endocrine parameters on equine odontoclastic tooth resorption and hypercementosis (EOTRH). The dental syndrome EOTRH is a painful, progressive dental disease with an unknown aetiology. The often painful nature of EOTRH emphasises the need for a better knowledge of the underlying pathogenic mechanism and risk factors. A comparative analysis of haematological, biochemical and endocrine values in EOTRH-affected and non-affected horses has not been described. Objective: To compare haematological, biochemical, and endocrine parameters in EOTRH-affected and non-affected horses to detect risk factors for horses developing EOTRH. Methods: Cross sectional. Methods: Blood samples of 154 Icela...
Analysis of dental dust and aerosol emissions during odontoplasty: assessing potential respiratory health risks. Equine dental disorders, such as sharp enamel points and focal overgrowths, are common in horses and are often treated with motorized dental grinding tools. These tools, while effective, produce dust and aerosols that may pose health risks to veterinarians and nearby individuals. This study aimed to assess the health risks associated with dental dust and aerosols generated during equine odontoplasty. Using a realistic setup, air concentrations of inhalable and respirable dust, crystalline silica, and airborne microorganisms and endotoxins were measured in 12 groups of horses undergoing odontop...
Understanding horse domestication and horse health care in the ancient world. Many of the most important equine health problems - and their solutions - relate to the role of horses as a domestic animal, especially in riding and other kinds of transport. Recently, new discoveries from the archaeological sciences have rewritten our understanding of early horse domestication, suggesting that the first ancestors of domestic horses emerged in the Black Sea Steppes of western Eurasia at the turn of the second millennium BCE. This new chronology places horse domestication within a wider trajectory of early animal transport, including cattle and donkey, across western Asia and ...
Forces on the Incisor Teeth During Odontoplasty of the Cheek Teeth in Sedated Horses. Mouth specula with incisor bite plates shift the pressure from all teeth exclusively to the incisors in the opening phase which leads to increased forces on dental, osseous, and soft tissue structures of the horse's head. The potentially pathological character of these forces is described clinically by single reports of maxilla and mandible fractures occurring during the use of opened mouth specula. This study describes these forces on incisor teeth in horses during odontoplasty of cheek teeth under sedation. Measurements were documented using a modified "Günther" mouth speculum fitted with a...
Intranasal Dental Repulsion of a Displaced Cheek Tooth in an Arabian Filly. This case report documents an unusual cheek tooth (CT) displacement in a 3-year-old Arabian filly. The horse was referred to the clinic for loss of appetite and right-sided facial deformity. At admission, an oral inspection was performed, followed by a dental radiographic examination. The radiographs showed a very oblique vertical angulation (135°) of the CT 106 compared to the other premolars (107 and 108 CTs) (40°). In consideration of the clinical and radiographic findings, surgical extraction of the 106 CT was indicated. Due to the unique positioning of the displaced tooth, traditional e...
Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) in Icelandic Horses in Germany: A Correlation Between Clinical and Radiographic Findings. Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a widespread dental disease with an unknown aetiology, mainly affecting the incisors and canine teeth of senior horses. Being clinically asymptomatic in early stages but progressively destructive and painful in many cases highlights the need for improvements in early diagnosis of EOTRH. This study describes how clinical and radiological findings correlate with distinguishing EOTRH-specific symptoms from non-specific findings. Clinical and radiographic examinations of the rostral oral cavity were performed in 154 Icelandic hor...
Characterisation of equine odontoclastic tooth resorption and hypercementosis: A comparative study using microCT and radiography in age-matched controls. Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a painful disorder primarily affecting the incisor teeth of horses over 15 years of age. Clinical signs of the disease include prehension problems, halitosis and in severe cases weight loss. The disease predominately affects the reserve crown and presents as a loss of dental tissue and excessive build-up of cementum. Objective: To determine the radiographic scores of horses with EOTRH and age-matched controls and to increase understanding of EOTRH using microCT to compare teeth from horses with EOTRH and age-matched control...
Inflammation and response to bacterial infection as potential drivers of equine odontoclastic tooth resorption and hypercementosis: A proteomics insight. Equine dental diseases significantly impact a horse's overall health, performance and quality of life. They can result in secondary infections and digestive disturbances, potentially leading to colic. A recently described disease affecting the incisors of horses is equine odontoclastic tooth resorption and hypercementosis (EOTRH). Understanding EOTRH is crucial for early diagnosis, effective management and prevention of its severe consequences. Objective: To determine proteomic differences in incisor cementum in horses with and without clinical EOTRH. Methods: Comparative and observational cli...
Manual versus reciprocating endodontic debridement of equine cheek teeth: Micro-computed tomography findings. In orthograde endodontic treatments, different methods are available to debride the pulp canals of endodontically compromised equine cheek teeth, but their efficacy is unknown. Objective: To explore and compare the efficacy and anatomical changes caused by manual versus reciprocating filing techniques in equine cheek teeth, to explore the presence of instrumentation mishaps described in human dentistry and to explore anatomical complexities of the pulp cavity that often remain uninstrumented using microcomputed tomography (μCT). Methods: Ex-vivo randomised experiments. Methods: Twenty-two ext...
