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.
Removal of 11 incompletely erupted, impacted cheek teeth in 10 horses using a dental alveolar transcortical osteotomy and buccotomy approach. To describe surgical technique and outcome in 10 horses with impacted cheek teeth that were removed by a transcortical osteotomy and buccotomy technique. Methods: Case series. Methods: Horses (n=10) with impacted cheek teeth. Methods: Medical records (2002-2008) of horses with impacted cheek teeth requiring removal were reviewed; surgical technique and outcome were determined. Results: Exodontia of 11 cheek teeth was performed surgically in 10 horses; 3 horses had complications (residual swelling of the mandible) that resolved and all horses returned to their previous use. Conclusions: Transco...
Post mortem survey of peripheral dental caries in 510 Swedish horses. Peripheral caries (PC) of equine teeth is a poorly described disorder that can cause serious clinical problems if it progresses. Objective: To assess the prevalence, sites and severity of PC in a population of Swedish horses. Methods: A post mortem study of 510 equine skulls was performed in 2 Swedish equine abattoirs. Results: PC only affected the cheek teeth (CT) and was present in 6.1% (31/510) of skulls. It affected mainly the peripheral cementum, and 87% of PC in the 29 affected mature horses occurred in the 3 caudal CT (Triadan 09-11). Concurrent infundibular caries involving most maxill...
A survey of equine oral pathology. Dental abnormalities in horses can lead to weight-loss, poor performance, pain, behavioral abnormalities, and illness. Despite this impact, the occurrence and type of dental disease in horse populations is infrequently reported in veterinary medicine. The purpose of this cross-sectional survey of horses presented for slaughter at a processing plant in Western Canada was to measure the prevalence of equine oral abnormalities, examine associations between the most common abnormalities, and consider the relationship between the age of horse and types of abnormalities observed. The horses used in ...
A study of the thickness of cheek teeth subocclusal secondary dentine in horses of different ages. There is limited knowledge on the thickness of subocclusal secondary dentine in equine cheek teeth (CT). Objective: Subocclusal secondary dentine is of consistent thickness above different pulp horns in individual horses and its thickness increases with age. Methods: 408 permanent CT were extracted post mortem from 17 horses aged 4-30 years, with no history of dental disease. The CT were sectioned longitudinally in the medio-lateral (bucco-palatal/lingual) plane through each pulp horn, and the thickness of the secondary dentine overlying each pulp horn was measured directly. Results: The suboc...
Occlusal fissures of the equine cheek tooth: prevalence, location and association with disease in 91 horses referred for dental investigation. Fissures of the occlusal surface of the equine cheek tooth are poorly understood and their association with dental disease is unknown. Objective: To describe the prevalence and location of occlusal fissures in the cheek teeth (CT) of a group of horses referred for dental investigation/treatment, and determine association with intercurrent dental disease. Methods: Digital video recordings of oral endoscopic examinations for all horses referred to the Rossdales Equine Hospital for dental investigation from November 2006 to June 2009 were reviewed. Location of occlusal fissures in relation to bot...
Anatomical studies of maxillary cheek teeth infundibula in clinically normal horses. Although clinical disorders of equine maxillary cheek teeth (CT) infundibula are common, anatomical knowledge of these structures is poor. Objective: Anatomical examinations of sectioned CT infundibula will better define their shapes and sizes and allow identification of infundibular cemental variations and changes. Methods: Cheek teeth were extracted post mortem from 33 horses, aged 3-30 years, without a clinical history of dental disease. The CT were sectioned longitudinally in the bucco-palatal plane through the widest aspects of both infundibula. The infundibular surfaces were then assesse...
The prevalence of secondary dentinal lesions in cheek teeth from horses with clinical signs of pulpitis compared to controls. With the advent of detailed oral examination in horses using dental mirrors and rigid endoscopy, secondary dentinal lesions are observed more frequently. More information regarding the association of secondary dentinal defects with apical dental disease would improve the sensitivity of oral examination as a diagnostic aid for pulpitis. Objective: To assess prevalence and severity of secondary dentinal defects observed on examination of occlusal surfaces of cheek teeth (CT) from horses showing clinical signs of pulpitis compared to asymptomatic controls. Methods: Records from all cases of equin...
The impact of regional climate on the evolution of mammals: a case study using fossil horses. One of the classic examples of faunal turnover in the fossil record is the Miocene transition from faunas dominated by anchitheriine horses with low-crowned molar teeth to faunas with hipparionine horses characterized by high-crowned teeth. The spread of hipparionine horses is associated with increased seasonality and the expansion of open habitats. It is generally accepted that anchitheriine horses did not display an evolutionary increase in tooth crown height prior to their extinction. Nevertheless, to test whether anchitheriines showed any changes interpretable as adaptation to local condit...
Two- and three-dimensional computed tomographic anatomy of the enamel, infundibulae and pulp of 126 equine cheek teeth. Part 1: Findings in teeth without macroscopic occlusal or computed tomographic lesions. Dental disorders are of major clinical importance in equine practice; however, the knowledge of normal dental anatomy, especially that of the pulp remains incomplete. Computed tomography (CT) is being used increasingly in the diagnosis of dental disease, although the normal 2- (2D) and 3-dimensional (3D) CT anatomy has not yet been fully described. Objective: To describe the 2D and 3D CT appearance of the enamel, infundibulae and pulp of normal equine cheek teeth. Methods: One-hundred-and-twenty-six cadaveric cheek teeth with eruption ages of 0.5-19 years were evaluated; CT scans of each tooth...
Two- and three-dimensional computed tomographic anatomy of the enamel, infundibulae and pulp of 126 equine cheek teeth. Part 2: Findings in teeth with macroscopic occlusal or computed tomographic lesions. Dental disease often presents a diagnostic challenge in the horse. Computed tomography (CT) is increasingly used in the evaluation of head related disease in the horse, but the CT appearance of the most common dental diseases of horses has not yet been fully described. Objective: To describe the CT appearance of the peripheral enamel, pulp, infundibular enamel and cement in equine cheek teeth with macroscopic occlusal or CT lesions. Methods: In this study, 126 cadaveric cheek teeth with eruption ages of between 05 and 19 years were evaluated for lesions of their infundibulae, pulp and enamel u...
Clinical dental examinations of 357 donkeys in the UK. Part 1: prevalence of dental disorders. Dental disorders have a high prevalence in older donkeys and horses, but the nature and pathogenesis of many of these disorders have yet to be established. Objective: The identification and determination of the prevalence of important dental disorders in different age groups in a large single population of donkeys, to establish a better understanding of the nature and pathogenesis of these disorders. Methods: A prospective cross-sectional study was performed on the donkey population at The Donkey Sanctuary with detailed oral examinations of 357 donkeys within 7 different age groups (age range ...
Clinical dental examinations of 357 donkeys in the UK. Part 2: epidemiological studies on the potential relationships between different dental disorders, and between dental disease and systemic disorders. Dental disease has been shown to be a risk factor for weight loss and colic in horses. No extensive clinical studies in donkeys have investigated the potential relationship between different dental disorders, or between dental disease and systemic disorders. Objective: To determine possible associations between dental disease and body condition score, weight loss, the need for supplemental feeding and prevalence of colic in donkeys of all ages, and to gain a better understanding of the pathogenesis of dental disease by the determination of associations between different dental disorders. Metho...
Dimensions of diastemata and associated periodontal food pockets in donkey cheek teeth. Equine cheek teeth (CT) diastemata often cause deep periodontal food pocketing and are therefore regarded as a painful dental disorder of equidae. However there appears to be no information available on the size or shape of these diastemata. This post mortem study examined 16 donkey skulls (mean age = 32-years) containing 45 CT diastemata to define the anatomical shape and dimensions of these diastemata, and of the associated periodontal food pockets that occur with this disorder. Diastemata were found to more commonly involve mandibular (56.0%) compared with maxillary CT (44.0%), and 71.0% of...
Chronology and sequence of emergence of permanent premolar teeth in the horse: study of deciduous premolar ‘cap’ removal in Thoroughbred racehorses. There are few published data to support the ages of emergence of permanent dentition widely reported in horses. Objective: To clarify the chronology and sequence of permanent premolar (PM) tooth emergence in Thoroughbred racehorses. Methods: A prospective study was undertaken in which records were kept of deciduous PM 'cap' extractions performed during routine dental examinations in Thoroughbred racehorses. Mixed effects multiple regression analysis was used to relate the observed ages, measured in days, for PM 'cap' extractions simultaneously with different predictive variables. Care was take...
Oral endoscopy as an aid to diagnosis of equine cheek tooth infections in the absence of gross oral pathological changes: 17 cases. Removal of cheek teeth in all but the aged horse or pony is a serious undertaking with potentially deleterious sequellae. Rigid endoscopy permits detailed examination of the oral cavity and erupted dental tissues and has the potential to assist in the correct identification of the diseased tooth. Objective: To document oral endoscopic findings associated with infected equine cheek teeth in cases without gross oral pathological changes and thereby determine the usefulness of rigid oral endoscopy as an aid to diagnosis of such infections. Methods: Records of all cases of equine cheek tooth remov...
[Characterization of age dependent alterations of the cup of the incisor on the basis of data from Hungarian and German horses]. The authors give a short orientation about the age related parameters of the incisors based on the literature. They examined the question of breed differences with respect to the age determination of horses in the different counties, especially in regard to the English Thoroughbred. In this context they present a new parameter as well as a new approach in data-processing. The cup depth and the yearly abrasion showed high breed-specificity. The relative abrasion indicated that the most intensive wear out is typical for the Thoroughbred. The cup depth and the yearly wear out were different accor...
Nutrition of the aged horse. This article reviews current thoughts on nutrition of the older horse in health and disease. Common causes of weight loss and poor body condition in old horses include dental or oral cavity abnormalities, pituitary pars intermedia dysfunction, and reduced feed intake attributable to competition from herd mates or pain associated with osteoarthritis. Feed intake and body condition may improve after institution of management changes. Thin but otherwise healthy old horses can benefit from a diet that provides 12% to 16% crude protein and includes highly digestible feedstuffs. In horses with sever...
Complications of equine oral surgery. The vast majority of equine oral procedures are dental-related and, unless great care is taken, almost all such procedures have the potential to cause marked short- or long-term damage to other oral structures. This review of the more common complications of oral surgery begins at the rostral oral cavity with procedures of the incisors, and then moves caudally to deal with complications related to procedures of wolf teeth and cheek teeth, including salivary duct disruption and dental sinusitis. Finally, complications associated with maxillary and mandibular fractures are discussed.
[Veterinary dentistry: an update 2008]. Rooted in human dentistry, veterinary dentistry has developed steadily in the Netherlands since the 1980s and is now recognized as an essential discipline of veterinary medicine. The availability of specialized tools and techniques has led to improved treatment outcomes and results, with the choice of treatment being largely determined by the functionality of the dentition and the costs involved. Domestic animals and horses with dental problems should be referred to dental veterinarians. The Working Group Veterinary Dentistry in the Netherlands is an association for skilled veterinarians with ...
Measurement of the Curve of Spee in horses. The Curve of Spee is well known, yet hardly understood in the horse, as there is a striking lack of biometrically related data which could help to explain its biomechanical significance. Older horses display drastic alterations of the Curve of Spee in routine clinical examinations. Since the Curve of Spee is known to be biomechanically related to the masticatory forces in humans, the same may apply to the equine, and masticatory deficits can be expected in the geriatric horse. Quantitative data of the Curve of Spee cannot be obtained directly by means of measurements in the horse's long and na...
Biomechanical evaluation of the equine masticatory action: calculation of the masticatory forces occurring on the cheek tooth battery. The forces generated during equine mastication influence the teeth, as well as the periodontium, the jaw bones, the temporomandibular joints and materials used in dental therapy. Due to the limited accessibility of the cheek teeth located farther caudal in the equine oral cavity the measurement of the masticatory forces on these teeth is virtually impossible. The calculation of such forces is an appropriate, indirect alternative to direct measuring. Hence, a mathematical model, which respects several morphological features of the equine dentition, e.g. the Curve of Spee, is presented. The rele...
The use of oral endoscopy for detection of cheek teeth abnormalities in 300 horses. The main objective of this study was to evaluate an endoscopic examination protocol for routine dental examination in horses. The oral cavities of 300 standing, sedated horses were examined under field and hospital conditions with a rigid endoscope using a standardised technique that included examination of the occlusal, lingual (palatal) and buccal surfaces of all cheek teeth rows. The most common cheek teeth abnormalities detected were sharp enamel edges (present in 96.3% of horses), focal overgrowths (64.3%), fissure fractures (54.3%), diastemata (24.3%) and infundibular hypoplasia/caries (...
Treatment of oromaxillary fistulae in nine standing horses (2002-2006). There is minimal published information on equine oromaxillary fistulae that are unrelated to cheek teeth (CT) repulsion or on the conservative treatment of these atypical fistulae. Objective: To report equine oromaxillary fistulae unrelated to CT extraction and describe their management in standing horses. Methods: Case details of oromaxillary fistulae of atypical aetiology occurring at 2 referral centres between 2002-2006, including their treatment and response to treatment were examined. Results: Nine cases of oromaxillary fistula were recorded, mainly in aged horses (median 22 years). Fistu...
Morphology of the occlusal surfaces of premolar and molar teeth as an indicator of age in the horse. The purpose of this study was to investigate the use of cheek tooth occlusal surface morphology as an indicator of age in the horse using a blinded cross-sectional design. Twenty horses of varying age, breed and sex were used. Horses of known age (foaling date) were euthanized for reasons other than dental disease. Following disarticulation of the head and sectioning of the mandibles, cheek teeth were cleaned using running water and photographs were taken of each arcade. Using a computer-based program, the total surface area of each premolar and molar, the outer enamel ridge perimeter distance...
Pathological studies of cheek teeth apical infections in the horse: 2. Quantitative measurements in normal equine dentine. Measurements of primary, regular and irregular secondary dentine and pulp dimensions were made on transverse, sub-occlusal and mid-tooth sections, of 40 maxillary and 42 mandibular control equine cheek teeth (CT) of different ages. Maxillary and mandibular CT primary dentine in different age groups had a mean thickness of 922-1,065 microm and 1099-1,179 microm, respectively, on the lateral aspects, and 1,574-2,035 microm and 1155-1,330 microm, respectively, on the medial aspects of pulp horns. Surprisingly, some increase in thickness was found in some mandibular CT primary enamel in the first ...
The prevalence of oral ulceration in Swedish horses when ridden with bit and bridle and when unridden. Oral soft tissue ulcers are common disorders of horses, but it is unclear if their prevalence is increased by riding horses with a bit and bridle. Oral examinations were performed on 113 horses and ponies, all which had received routine dental floating, that were divided into four groups depending on when they had last been ridden with a bit and bridle. The subjects comprised: group 1, a randomly selected population of ridden horses; group 2, a group of horses examined after being rested at pasture for 5 weeks; group 3, the previous group following 7 weeks of riding with a bit and bridle, and ...
Pathological studies of cheek teeth apical infections in the horse: 5. Aetiopathological findings in 57 apically infected maxillary cheek teeth and histological and ultrastructural findings. Examination of 57 apically infected maxillary cheek teeth (CT) showed one or more viable pulps and minimal apical calcified tissue changes present in recently infected CT. With chronic infections, pulps were necrotic or absent, pulp horns were filled with food if occlusal pulpar exposure was present, and gross caries of dentine was occasionally present. With chronic infections, the apical changes varied from gross destructive changes in some teeth, to extensive proliferative calcified apical changes in others. Infundibular caries was believed to cause apical infection in just 16% of infected (...
Evaluation of the long-term oral consequences of equine exodontia in 50 horses. The aims of this study were to objectively evaluate and quantify the process of post-extraction cheek teeth (CT) dental drift in horses, and to report on associated disorders of CT wear and long-term periodontal health. Fifty horses that had CT oral extraction because of apical infection were prospectively re-examined and a full oral examination, including measurements of some dental parameters, was performed. Narrowing of the extraction space was noted in all cases with complete closure occurring in 18% of horses. The rate of dental drift was calculated as 15.7% of extraction space/year (rang...
Pathological studies of cheek teeth apical infections in the horse: 4. Aetiopathological findings in 41 apically infected mandibular cheek teeth. Examination of 41 extracted, apically infected mandibular cheek teeth (CT) without obvious causes of infection included radiography, computerised axial tomography and decalcified and undecalcified histology. In CT with recent infections, some pulps remained viable, with proliferative soft and calcified tissue changes confined to the apex. With more advanced CT infections, occlusal pulpar exposure was sometimes present (in 34% of the 41 CT), some infected pulp chambers were filled with necrotic pulp or food, and extensive destructive or proliferative changes were present in the calcified apical...