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.
Evolution of Old World Equus and origin of the zebra-ass clade. Evolution of the genus Equus has been a matter of long debate with a multitude of hypotheses. Currently, there is no consensus on either the taxonomic content nor phylogeny of Equus. Some hypotheses segregate Equus species into three genera, Plesippus, Allohippus and Equus. Also, the evolutionary role of European Pleistocene Equus stenonis in the origin of the zebra-ass clade has been debated. Studies based on skull, mandible and dental morphology suggest an evolutionary relationship between North American Pliocene E. simplicidens and European and African Pleistocene Equus. In this contributio...
Bacterial meningitis after dental extraction in a 17-year-old horse. Dental extractions in horses may result in bacteremia, which can lead to systemic complications. Bacterial meningitis following oral cheek tooth extractions in a 17-year-old Thoroughbred gelding is described in this report. The bacterial meningitis was confirmed by histopathology. The gelding was presented for evaluation of intermittent fever, loose feces, and mild colic signs which started 5 days after cheek tooth extraction. This case illustrates a rare complication associated with oral tooth extraction in a horse and highlights the unusual presenting features of meningitis. Key clinical mes...
Exodontia associated bacteremia in horses characterized by next generation sequencing. Bacteremia resulting from dental surgery is increasingly recognized as a health risk, especially in older and immunocompromised patients. Dentistry-associated bacteremia can lead to remote infections, as exemplified by valvular endocarditis. Emerging evidence points to a novel role played by oral cavity commensals in the pathogenesis of diabetes, respiratory disease, cardiovascular disease, and adverse pregnancy outcomes. Whether dental extraction, a commonly undertaken procedure in old horses, causes bacteremia has not been reported extensively. In a prospective clinical study using next gene...
EOTRH Syndrome in Polish Half-Bred Horses – Two Clinical Cases. The aim of this paper is to thoroughly describe the etiology, diagnostic processes and recommended treatment of equine odontoclastic tooth resorption and hypercementosis (EOTRH). It is a relatively recently described disease. Most recent reports show that it is a common problem involving older equine patients. The most common and significant symptom of EOTRH is oral pain. The main clinical signs include periodontitis and gingivitis with a gingival recession, alveolar bone protrusion, periodontic fistulas and soreness of the incisors. When establishing the final diagnosis, it is necessary to co...
Retrospective case review investigating the effect of replacing oaten hay with a non-cereal hay on equine peripheral caries in 42 cases. Equine peripheral caries can cause significant morbidity and can have considerable welfare implications. Recent research suggests that diets with high water soluble carbohydrate (WSC) content are associated with high risk of peripheral caries. Previous work has indicated that the condition may be treatable if the inciting cause is removed and the damaged tooth allowed to erupt out, being replaced by the unaffected tooth previously under the gingival margin. Objective: To see whether the peripheral caries process can be ceased if oaten hay (typically high WSC) is removed from the diet and repla...
A Randomized Controlled Trial Assessing the Effects of Feeding High Water Soluble Carbohydrate (WSC) Oaten Hay Versus Low WSC Oaten Hay on Equine Peripheral Dental Caries. Equine peripheral caries (PC) can cause significant dental pathology and appears to be increasing in prevalence and recognition in many areas [1, 2]. Previous studies have identified risk factors for the condition including the feeding of oaten hay [3]. It was hypothesized that this may be due to the higher water soluble carbohydrate (WSC) or "sugar" content of the hay. A randomized control trial involving 30 horses on three properties was completed. The horses were randomly assigned to two groups: high WSC (H-WSC) or low WSC (L-WSC) oaten hay and were then sedated and intraoral photographs an...
Quantitative and qualitative analysis of operator inhaled aerosols during routine motorised equine dental treatment. Routine equine odontoplasty is performed by both Veterinary Surgeons and Equine Dental Technicians. The production of aerosolised particulates from motorised equipment has been well documented in human orthodontics but has yet to be investigated in the veterinary industry. Objective: To assess the size, quantity and composition of particulates produced during routine motorised odontoplasty and to model their deposition in the human respiratory tree. Methods: Analytic observational study. Methods: Fifteen-minute routine motorised odontoplasties were performed on cadaver heads with monitoring eq...
Investigation of Oral Microbiome in Donkeys and the Effect of Dental Care on Oral Microbial Composition. The objective of this study was to investigate the oral microbial composition of the donkey and whether basic dental treatment, such as dental floating, would make a difference to the oral microbial environment in donkeys with dental diseases using high-throughput bacterial 16S rRNA gene sequencing. Oral swab samples were collected from 14 donkeys with various dental abnormalities on day 0 (before treatment) and day 20 (twenty days after treatment). It is the first report focusing on the oral microbiome in donkeys with dental diseases and the impact of common dental procedures thereon. Identif...
Occlusal Fissures in Equine Cheek Teeth: A Prospective Longitudinal in vivo Study. It has been suggested that fissures of the occlusal surface of equine cheek teeth may develop into crown fractures. To examine the evolution of fissures present on the occlusal surface of cheek teeth. Furthermore, to investigate the presence of a fissure as a risk factor for the development of a subsequent crown fracture. Observational longitudinal study. Bi-annual dental examinations were performed on 36 horses for 3 years. Video-recordings were made to evaluate the evolution of detected fissures. The effect of possible predictors on the development of tooth fractures was investigated by ...
Standing Sedation and Iocoregional Analgesia in Equine Dental Surgery. Procedural sedation has become popular for describing a semiconscious state that allows patients to be comfortable during certain surgical or diagnostic procedures. Sedation may be enhanced by locoregional anesthetic techniques to produce sufficient analgesia and muscle relaxation for surgery to occur. Sedation and local anesthesia for standing diagnostic and surgical procedures on the horse's head circumvents the potential complications of general anesthesia (particularly, complications related to recovery). However, the implementation of a locoregional anesthetic technique requires a thoroug...
A Brief History of Equine Dental Practice. Equine dentistry has been practiced for almost 3000 years, making it one of the oldest areas of equine health care. Progress has been slow and mirrored changes seen in human medical care. Many horsemen practiced equine dentistry during the late nineteenth and early twentieth centuries. Most of what was known then concentrated on sharp enamel points and abnormal dental occlusal wear. This changed slowly in the late twentieth century as research in equine dentistry increased. Today, veterinarians performing equine dentistry focus on detailed oral examination and base treatment for proper diagno...
Minimizing Equine Tooth Extraction Complications. Oral extraction has become the most popular extraction technique owing to its high rate of success with minimal major complication. Repulsion continues to produce unacceptably high iatrogenic complication rates. To avoid tooth repulsion, veterinary dentists have introduced procedures to facilitate difficult intraoral extractions and surgical extraction techniques. Minimizing complications is best achieved preoperatively. A comprehensive preoperative evaluation and treatment plan allows the dentist to predict intraoperative complication and prepare for procedures to produce the best outcome. Wi...
Equine Oral Extraction Techniques. This article serves as a template for equine veterinarians to become proficient in basic intraoral premolar and molar extraction techniques of Equidae. Indications, equipment, and methodology are described. Numerous photos and videos are included to achieve a more immersive learning experience than can be accomplished with the written word alone. Clinicians performing these techniques will continue to improve their skillsets to achieve positive outcomes as case specifics become more challenging.
Equine Standing Surgical Extraction Techniques. Dental repulsion techniques reported in the past decades have a high incidence of complications. Although the practice of surgical extractions in horses is limited because of the training, instrumentation, and experience required to perform these techniques, veterinarians should be aware these procedures are available, general anesthesia is not required, and when performed by skilled veterinary dentists they have low complication rates. Surgical techniques are often used after failure of other extraction techniques to remove retained tooth root and fragments or to debride chronically contamina...
Meningitis After Tooth Extraction and Sinus Lavage in a Horse. A five-year-old Thoroughbred mare was evaluated because of chronic, malodorous, unilateral nasal discharge, and suspected maxillary cheek tooth root abscess. Skull radiographs revealed bilateral sinusitis suspected secondary to tooth root abscessation of 109 and 210. Following oral extraction of 109, bilateral conchofrontal sinus trephination and lavage; fever, tachycardia, and cervical stiffness developed. A lumbosacral cerebrospinal fluid tap was performed, and a presumptive diagnosis of bacterial meningitis was made. Targeted therapy consisted of antibiotic treatment with penicillin, enrofl...
A new equine peripheral caries grading system: Are the caries likely active or inactive? Equine peripheral caries can be a significant welfare issue in affected horses. Recent work has shown that complete reversal of the condition may be possible if the primary risk factor can be identified and corrected. Determining whether caries are active (deteriorating) or inactive (improving) is of vital importance when formulating a management and treatment plan. A new grading system is proposed that looks at whether caries are likely active or inactive to assist clinicians deciding whether intervention is required. Objective: To examine the reliability of an alternative grading method for ...
High Prevalence of Orodental Disorders in South Brazilian Cart Horses: Walking a Tightrope Between Animal Welfare and Socioeconomic Inevitability. In developing and emerging countries, many people make a living from picking municipal solid waste to sell for reuse or recycling. These people depend on cost-effective transport vehicles like horse-drawn carts. It is indisputable that the general health of these horses not only plays a major economic role but is a welfare issue as well. Orodental disorders are likely to be of particular importance as they directly impair health, performance, and therefore influence animal welfare and income. However, studies investigating prevalence and distribution of orodental disorders in working horses ar...
Dental Radiography and Radiographic Signs of Equine Dental Disease. Radiography is an important imaging modality and is available to most equine veterinarians providing primary care. Diagnostic radiographic imaging of the equine skull and dentition requires careful positioning and technique. This article is aimed at providing the veterinarian with instructions and guidelines for obtaining diagnostic skull and dental radiographs and a discussion of the radiographic signs of dental disease with case-based examples. The limitations of radiography are discussed with regard to determining the need for adjunct diagnostic techniques and more advanced imaging techniqu...
Equine Oral Endoscopy. Oral endoscopy is a valuable addition to the equine dental examination process. It enables veterinarians to visualize subtle oral disorders and is a useful client education tool. There are several commercially available oral endoscopic systems on the market. Practitioners can also assemble their own systems. An oral endoscope is used to perform a thorough and systematic oral examination and to visualize normal oral structures as well as oral disorders. It is also used to guide instrument placement during oral surgeries and other dental procedures.
Equine dental and skeletal fluorosis induced by well water consumption. Two horses that consumed well water with high fluoride content exhibited clinical signs of chronic dental and skeletal fluoride toxicosis and were later euthanized and autopsied. Both horses had degenerative disease of multiple joints and multiple dental defects. Elevated fluoride concentrations were found in bone and tooth samples of both horses, well water, and feed. Microscopically, abnormalities were noted in bone and tooth samples, and consisted mostly of foci of cement necrosis and hypercementosis. Horses exhibiting bilateral, highly symmetrical dental and/or skeletal lesions, with chron...
Adjunct Extraction Techniques in Equine Dentistry. Adjunct extraction techniques are used when the shape or integrity of the tooth, the shape or size of the patient's oral cavity, the location of the tooth, or the location of the proximal teeth prevents or complicates standard oral extraction. Techniques described and discussed include partial coronectomy, tooth sectioning, minimally invasive buccotomy, transbuccal screw extraction, and commissurotomy.
Equine Nasal Endoscopy: Treating Bullae Disease and Sinus Disease. The nasal conchal bullae (dorsal and ventral) are separate, air-filled structures within their respective dorsal and ventral nasal conchae. Computed tomography scans have assisted with the increasing diagnosis of empyema of the nasal conchae. This condition is usually associated with dental or sinus disease. Drainage of affected bullae is considered critical for resolution of clinical signs. The ventral conchal bullae can be easily viewed with a standard 10 mm diameter flexible endoscopy via the middle nasal meatus. This approach can also be used for fenestration of the bullae, using a diode ...
Equine Dental Floating (Crown Osontoplasty). Odontoplasty (floating and occlusal equilibration) is the most commonly performed procedure in equine dentistry. From an anatomic perspective, an irregular occlusal surface, prominent cingula, transverse ridges, and enamel points all contribute to the function, form, and longevity of the equine cheek tooth. With limited reserve crown available and an average functional life range between 18 and 25 years, removal of tooth structure should be conservative. The authors consider a quality oral examination to be the most important dental procedure performed in the horse. Individual tooth evaluatio...
Update on Equine Odontoclastic Tooth Resorption and Hypercementosis. Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a progressive, painful disease, affecting incisors, canines, and cheek teeth. Examination findings include gingival inflammation, gingival recession and/or hyperplasia, subgingival swelling, bulbous enlargement of teeth, associated periodontal disease, pathologic tooth fracture, and/or tooth mobility and loss. Current hypotheses include biomechanical stresses and secondary bacterial involvement. Early recognition allows case management, but it is a progressive disease. Owner education is crucial; horses with complete or multi...
An Epidemiological Study on Orodental Disorders in 3,791 Working Donkeys in Egypt: Prevalence and Risk Factors. Orodental disorders are common in equidae and can lead to serious clinical complications. This study determines the prevalence rate (PR) of orodental disorders in working donkeys in Egypt and their potential risk factors. During 4 years, 3,791 donkeys were examined in six Egyptian governorates. Full case history and thorough clinical and oral examinations were performed. Radiography and oroendoscopy were undertaken whenever possible. All data were statistically analyzed using Poisson generalized linear models to compare PR among governorates, sex, years, body condition score, and age groups an...
Maxillary Incisors of the Horse before and at the Beginning of the Teeth Shedding: Radiographic and CT Study. To gain insight into the radiographic appearance of maxillary deciduous incisors and dental germs of maxillary permanent incisors in the period prior to teeth shedding, radiographs and computed tomography (CT) of 25 horse skulls, with an estimated age of between 12 and 42 months, were studied. Data regarding morphology and development were obtained. Dental germs of first maxillary permanent incisors were identified radiographically as rounded radiolucent areas at the level of the apical parts of the first deciduous incisors, in skulls with an estimated age of twelve months. The first sign of c...
Complications Following Mandibular Cheek Tooth Extraction in 20 Horses. The objectives of this retrospective study were to describe the prevalence and characteristics of post-operative complications that occur following equine mandibular cheek tooth extractions and to assess for possible associated risk factors. Clinically significant post-extraction complications necessitating repeat referral developed following 20/302 (6.6%) mandibular cheek tooth extractions. Horses developing complications were younger than the overall population having mandibular cheek teeth extractions and the most commonly affected teeth were the Triadan 07 s and 09 s. Alveolar sequestratio...
Clinical dental finding in Iranian horses. A horse's well-being is directly related to the management of its dental health. A good knowledge of the epidemiology and aetiology of dental disorders could help the owners and clinicians to prevent not only dental problems but also severe gastrointestinal diseases. In this study we report the prevalence of dental disorders in horses in Iran. We examined 317 horses randomly in eight provinces in Iran and 21 diseases were characterized in the examined horses. The observed diseases were compared among different breeds, genders and ages of the examined horses. The factor of age among the other t...
Computed Tomography (CT)-Assisted 3D Cephalometry in Horses: Interincisal Angulation of Clinical Crowns. The angle encompassed between opposing incisors in horses is assumed to decline with age. Previous studies merely consider the overall profile view of clinical crowns presuming a generalized angle, neglecting potential tooth position-dependent differences. Cephalometric measurements from 3D computed tomographic thick-slab reconstructions of single incisors within a global reference frame were used to determine clinical crown interincisal angulation (IIA) of 48 horses. Based on predefined dentoalveolar landmarks, IIA was defined as the angle enclosed by the respective labial axis of the clinica...