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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.
Equine Standing Surgical Extraction Techniques.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 575-612 doi: 10.1016/j.cveq.2020.08.008
Earley ET, Galloway SS.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.
Journal of equine veterinary science    November 16, 2020   Volume 97 103323 doi: 10.1016/j.jevs.2020.103323
Zetterström S, Groover E, Lascola K, Cole R, Velloso A, Boone L.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 veterinary journal    October 29, 2020   Volume 53, Issue 4 780-786 doi: 10.1111/evj.13359
Jackson K, Kelty E, Tennant M.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.
Journal of veterinary dentistry    October 29, 2020   Volume 37, Issue 3 149-158 doi: 10.1177/0898756420968306
Kunz JR, Granella MCS, Mendes RP, Müller TR, Kau S, Fonteque JH.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.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 445-476 doi: 10.1016/j.cveq.2020.08.001
Baratt RM.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.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 433-443 doi: 10.1016/j.cveq.2020.07.001
True CK, Dotzel AR.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 Nasal Endoscopy: Treating Bullae Disease and Sinus Disease.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 659-669 doi: 10.1016/j.cveq.2020.08.005
Claffey EF, Ducharme NG.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 ...
Adjunct Extraction Techniques in Equine Dentistry.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 565-574 doi: 10.1016/j.cveq.2020.08.002
Henry T, Bishop I.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 dental and skeletal fluorosis induced by well water consumption. Kelly LH, Uzal FA, Poppenga RH, Kinde H, Hill AE, Wilson WD, Webb BT.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...
Equine Dental Floating (Crown Osontoplasty).
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 501-526 doi: 10.1016/j.cveq.2020.08.011
Earley ET, Reiswig JD.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.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 671-689 doi: 10.1016/j.cveq.2020.08.006
Limone LE.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.
Journal of equine veterinary science    October 8, 2020   Volume 95 103274 doi: 10.1016/j.jevs.2020.103274
Serag RM, Abu-Seida AM, Abdelrahman HA, Samir A, Ibrahim IM, AbdElkader NA.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.
Animals : an open access journal from MDPI    September 10, 2020   Volume 10, Issue 9 1618 doi: 10.3390/ani10091618
Miró F, Manso C, Diz A, Novales M.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.
Frontiers in veterinary science    August 13, 2020   Volume 7 504 doi: 10.3389/fvets.2020.00504
Gergeleit H, Bienert-Zeit A.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.
Veterinary medicine and science    July 31, 2020   Volume 6, Issue 4 679-685 doi: 10.1002/vms3.329
Samad L, Tavanaeimanesh H, Mehr Azin H, Moadab SH, Vajhi AR.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.
Frontiers in veterinary science    July 29, 2020   Volume 7 434 doi: 10.3389/fvets.2020.00434
Kau S, Failing K, Staszyk C.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...
Demography, preventative healthcare and reason for relinquishment of donkeys to an equine charity in the UK (2013-2015).
Equine veterinary journal    July 8, 2020   Volume 53, Issue 2 324-330 doi: 10.1111/evj.13310
Fernandez EB, De Blas Giral I, Thiemann AK, Vázquez Bringas FJ.In the UK, there are thousands of donkeys being cared for by charities; however, little is known about the reasons for relinquishment or their previous health status, with even less information available in published literature. Such information could help to identify factors contributing to poor equine welfare and guide the development of appropriate educational resources. Objective: To describe the characteristics of the relinquished donkeys and to better understand the current preventative healthcare status of donkeys relinquished into The Donkey Sanctuary. Methods: Cross-sectional observat...
Transcutaneous Lateral Alveolar Ostectomy for Standing Surgical Extraction of Mandibular First Molar in an 8-Year-Old Miniature Horse.
Journal of veterinary dentistry    June 5, 2020   Volume 37, Issue 1 29-34 doi: 10.1177/0898756420928327
Limone LE, Baratt RM.An 8-year-old, 125 kg (275 lb) female miniature horse was evaluated for a persistently thickened left mandible and cutaneous fistula. Pulp horn defects were identified in pulp horns 1 and 3 of tooth 309 and occlusal pulp exposure was detected with a dental explorer. Radiography of the left mandibular dental quadrant revealed changes consistent with apical infection of tooth 309. Following the failure of oral extraction, a standing surgical approach was taken for transcutaneous lateral alveolar ostectomy and extraction. Roots were sectioned at the level of the furcation and elevated from the su...
Equine saliva components during mastication, and in vivo pH changes in the oral biofilm of sound and carious tooth surfaces after sucrose exposure.
Acta veterinaria Scandinavica    May 23, 2020   Volume 62, Issue 1 21 doi: 10.1186/s13028-020-00518-2
Lundström T, Lingström P, Wattle O, Carlén A, Birkhed D.The role of saliva composition and dietary sugar in development of infundibular caries in equine cheek teeth is not fully understood. This study analysed electrolyte and urea concentrations in saliva in relation to different forage and measured pH changes after sucrose application in vivo in sound and carious cheek teeth. Results: Forage type had no effect on the equine saliva electrolyte concentrations, which varied considerably both intra- and inter-individually. Chewing resulted in increased values for all electrolytes except bicarbonate. Compared with stimulated human saliva, horse saliva ...
Dairy pastoralism sustained eastern Eurasian steppe populations for 5,000 years.
Nature ecology & evolution    March 2, 2020   Volume 4, Issue 3 346-355 doi: 10.1038/s41559-020-1120-y
Wilkin S, Ventresca Miller A, Taylor WTT, Miller BK, Hagan RW, Bleasdale M, Scott A, Gankhuyg S, Ramsøe A, Uliziibayar S, Trachsel C, Nanni P....Dairy pastoralism is integral to contemporary and past lifeways on the eastern Eurasian steppe, facilitating survival in agriculturally challenging environments. While previous research has indicated that ruminant dairy pastoralism was practiced in the region by circa 1300 BC, the origin, extent and diversity of this custom remain poorly understood. Here, we analyse ancient proteins from human dental calculus recovered from geographically diverse locations across Mongolia and spanning 5,000 years. We present the earliest evidence for dairy consumption on the eastern Eurasian steppe by circ...
Recent developments in equine dentistry.
New Zealand veterinary journal    February 24, 2020   Volume 68, Issue 3 178-186 doi: 10.1080/00480169.2020.1722971
Pearce CJ.Equine dentistry is a rapidly developing clinical specialty. It has benefitted from key advances in anatomical and physiological research, development of equipment and instrumentation, utilisation of standing sedation and anaesthesia protocols, a change towards minimally invasive surgical techniques, and the introduction of restorative and endodontic techniques translated from techniques used in human and canine dentistry. Anatomical research has provided further insight into the endodontic system of incisors and cheek teeth and how it changes throughout development with age. Studies of the pe...
Repair of an oronasal fistula with a two-layer closure method involving an autogenous fascia lata graft and oral mucosal flap in a pony.
Journal of the American Veterinary Medical Association    January 31, 2020   Volume 256, Issue 4 463-468 doi: 10.2460/javma.256.4.463
Lores M, Yarbrough T.A 9-year-old pony gelding was evaluated because it was suspected that a persistent oronasal fistula had developed after a fractured right maxillary second premolar tooth had been extracted via repulsion 6 months earlier. Results: Unilateral mucopurulent nasal discharge and malodorous breath were noted on clinical examination. Examination of the oral cavity revealed a 1 × 0.5-cm defect at the oral aspect of the right maxillary second premolar alveolus, from which feed material was extracted. Endoscopic examination revealed feed material in the rostral aspect of the right nasal cavity, confirmi...
The Effect of Sedation, Oral Examination, and Odontoplasty on Systemic Inflammation as Measured by Serum Amyloid A in the Adult Performance Horse.
Journal of veterinary dentistry    January 14, 2020   Volume 36, Issue 3 198-201 doi: 10.1177/0898756419893577
Birmingham SSW, Mason RM.Serum amyloid A (SAA) is one of the major acute phase proteins in horses. It serves as a marker for systemic inflammation and infection, as the concentration can increase 100- to even 1000-fold during systemic disease processes. The objective of this study was to evaluate the effect of sedation, oral examination, and odontoplasty on systemic inflammation as measured by SAA in the adult performance horse. This study included 32 clinically healthy adult performance horses. Blood samples were collected immediately prior to sedation, oral examination, and odontoplasty and 48 and 72 hours afterward...
A Study on the Potential Role of Occlusal Fissure Fractures in the Etiopathogenesis of Equine Cheek Teeth Apical Infections.
Journal of veterinary dentistry    January 14, 2020   Volume 36, Issue 3 171-178 doi: 10.1177/0898756419894653
Wellman KY, Dixon PM.Thirty-nine equine cheek teeth diagnosed as having anachoretic apical infections and also having occlusal fissure fractures, but without occlusal pulpar exposure, that had been orally extracted without causing occlusal damage and 10 control teeth were used in this study. The teeth were individually imaged by computed tomography, occlusally stained with methylene blue and visually reexamined, then sectioned subocclusally at 5 mm intervals until the fissure fractures could no longer be detected. A limited histological study was then performed on 7 apically infected and 5 control teeth. Standard ...
Correcting Campylorrhinus Lateralis in a Foal by Bone Distraction: A Case Report.
Journal of equine veterinary science    December 24, 2019   Volume 87 102897 doi: 10.1016/j.jevs.2019.102897
Rangel JPP, de Oliveira APL, Baiotto GC, Junior OS, Figueiró GM, Araujo AL, Rossi Junior JL.Campylorrhinus lateralis, also known as "wry nose," is a congenital malformation that mainly affects Thoroughbreds. These horses have a unilateral deviation of the maxillae that may be to one side or the other side, and it causes airway obstruction and dental malocclusion. The choice of treatment is not necessarily operation; however, the treatment of choice, which aims to repair the maxillae deviation, is surgical to improve the horse's respiratory condition and correct the dental occlusion. There are currently no reports describing the first surgical technique for such deformity described by...
The Equine Gingiva: A Histological Evaluation.
Frontiers in veterinary science    December 13, 2019   Volume 6 435 doi: 10.3389/fvets.2019.00435
Steinfort S, Röcken M, Vogelsberg J, Failing K, Staszyk C.Equine periodontal disease in horses has long been recognized as a painful disease, leading to a poor condition. The disease is widespread and attracts growing attention in equine dental medicine. The understanding of the underlying etiological and pathological mechanisms of equine periodontal disease is necessary to develop effective prophylactic and treatment options. As a first step, a thorough description of the histological features of the healthy equine gingiva is required. Specimens were taken from six horses (3 mares, 3 geldings, age: 0.5-26 years). The animals were euthanized for reas...
Occlusal fissures in equine cheek teeth: μCT and histological findings.
Veterinary journal (London, England : 1997)    December 13, 2019   Volume 255 105421 doi: 10.1016/j.tvjl.2019.105421
Pollaris E, Staszyk C, Proost K, Boone MN, Josipovic I, Pardon B, Vlaminck L.Fissures on the occlusal surface of equine cheek teeth are commonly encountered during oral examination. Generally, their presence is considered abnormal but their aetiopathogenesis and clinical impact on pulp disease is still undetermined. The aims of this research were to study the extent of occlusal cheek teeth fissures using high-resolution X-ray computed tomography (μCT) imaging and their histological characteristics. Twenty-seven teeth (of 15 horses) were scanned using μCT imaging to analyse fissure extent. Histological examination of a subset of teeth (n=7) was performed. Forty-three ...
Magnetic resonance imaging and computed tomography of equine cheek teeth and adjacent structures: comparative study of image quality in horses in vivo, post-mortem and frozen-thawed.
Acta veterinaria Scandinavica    December 10, 2019   Volume 61, Issue 1 62 doi: 10.1186/s13028-019-0495-8
Röttiger C, Hellige M, Ohnesorge B, Bienert-Zeit A.The use of cadavers for radiology research methodologies involving subjective image quality evaluation of anatomical criteria is well-documented. The purpose of this method comparison study was to evaluate the image quality of dental and adjacent structures in computed tomography (CT) and high-field (3 T) magnetic resonance (MR) images in cadaveric heads, based on an objective four-point rating scale. Whilst CT is a well-established technique, MR imaging (MRI) is rarely used for equine dental diagnostics. The use of a grading system in this study allowed an objective assessment of CT and MRI a...
Assessment of clinical and computed tomographic findings for association with the outcome of intraoral cheek tooth extraction in horses and ponies.
Journal of the American Veterinary Medical Association    December 4, 2019   Volume 255, Issue 12 1369-1376 doi: 10.2460/javma.255.12.1369
Dubois BB, Dixon JJ, Witte TH.To describe clinical and CT findings for horses and ponies undergoing intraoral cheek tooth extraction and assess potential associations between these features and outcome of the procedure. 74 horses and 7 ponies. Medical records were searched to identify horses and ponies that underwent CT and intraoral extraction of ≥ 1 cheek tooth with standing sedation. Signalment and clinical variables were recorded, and CT scans were reviewed. Anatomic location and measurements of affected teeth; abnormalities of the periodontium, pulp, infundibula, roots, and tooth shape; fracture presence and type; p...
Cephalometric Study of the Overjet Development in Warmblood Foals.
Frontiers in veterinary science    November 29, 2019   Volume 6 431 doi: 10.3389/fvets.2019.00431
Domanska-Kruppa N, Venner M, Bienert-Zeit A.Class II malocclusion is the most frequently occurring congenital malocclusion in horses. Radiographic cephalometric procedures adopted from human dentistry were used to study the development of overjet in a population of 650 Warmblood foals. Thirteen foals were diagnosed with measurable overjet at the beginning of the study. The malocclusion in nine foals resolved spontaneously and four foals without overjet at 2 weeks of age developed the condition during the first year of life. A cephalostat used in human orthodontics to immobilize the patient's head while being radiographed was replaced by...
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