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Topic:Mandible

The mandible in horses is the lower jawbone, essential for mastication and articulation with the skull. It comprises two halves that fuse at the mandibular symphysis and supports the lower teeth, playing a key role in the horse's ability to graze and process food. The mandible also provides attachment sites for muscles involved in chewing and facial expressions. Research on the equine mandible often focuses on its anatomy, development, and the impact of various dental and skeletal disorders. This page compiles peer-reviewed research studies and scholarly articles that investigate the structure, function, and clinical implications of the mandible in equine health and management.
Computed Tomographic Appearance of the Temporomandibular Joint in 1018 Asymptomatic Horses: A Multi-Institution Study. Carmalt JL, Kneissl S, Rawlinson JE, Zwick T, Zekas L, Ohlerth S, Bienert-Zeit A.Published descriptions of nonseptic arthritis of the equine temporomandibular joint (TMJ) are rare and large studies investigating variations in the TMJ for asymptomatic horses are lacking. The objectives of this cross-sectional, retrospective, multi-institutional study were to describe anatomical variations in the TMJ detected using computed tomography (CT) in an equid population asymptomatic for TMJ disease and determine whether these variations were associated with patient signalment, reason for CT examination, or CT slice width. Medical records at eight hospitals were searched for horses t...
The effect of acute unilateral inflammation of the equine temporomandibular joint on the kinematics of mastication.
Equine veterinary journal    June 18, 2015   Volume 48, Issue 4 523-527 doi: 10.1111/evj.12452
Smyth TT, Carmalt JL, Treen TT, Lanovaz JL.Diseases of the temporomandibular joint (TMJ) are well reported in man and some domestic animals other than the horse. The pathophysiology of equine TMJ disease and the effects of disease on the kinematics of mastication are unknown. Objective: To determine whether transient unilateral inflammation of the equine TMJ results in alterations in the masticatory cycle. Methods: An experimental controlled study utilising 6 horses of various ages with normal dentition. Methods: Each horse was equipped with an optical motion tracking (kinematic) system. Horses were observed chewing grass hay over 3 m...
Surgical treatment and a unique management of rostral mandibular fracture with cerclage wire in a horse.
Veterinary research forum : an international quarterly journal    June 15, 2015   Volume 6, Issue 2 181-183 
Naddaf H, Sabiza S, Kavosi N.A 3-year-old Arabian colt was presented for a major gingiva wound at the right rostral part of mandible. After clinical assessments, rostral mandibular fracture was determined. Stabilization of fractured region was achieved via cerclage wire application under general anesthesia. Fixation wires were left in place for 6 weeks. A 3 -month follow up revealed complete fracture healing. The purpose of this case report was to give clinical information about rostral mandibular fractures and treatment of these fractures and nutrition protocol in a horse, as this fracture is of the most common type of j...
Horizontal-guided Bone Regeneration using a Titanium Mesh and an Equine Bone Graft.
The journal of contemporary dental practice    February 1, 2015   Volume 16, Issue 2 154-162 doi: 10.5005/jp-journals-10024-1653
Di Stefano DA, Greco GB, Cinci L, Pieri L.The present work describes a horizontal ridge augmentation in which a titanium mesh was preshaped by adapting it to a stereolithographic model of the patient's jaw that was fabricated from CT scans. Guided bone regeneration (GBR) involves covering the augmentation site with a long-lasting barrier to protect it from the invasion of surrounding soft tissues. Among barriers, titanium meshes may provide a successful outcome, but the intraoperatory time needed to shape them is a disadvantage. The 54-year-old patient, missing the right mandibular second bicuspid, first molar, and second molar, had h...
Gross, computed tomographic and histological findings in mandibular cheek teeth extracted from horses with clinical signs of pulpitis due to apical infection.
Equine veterinary journal    October 9, 2014   Volume 47, Issue 5 557-567 doi: 10.1111/evj.12315
Casey MB, Pearson GR, Perkins JD, Tremaine WH.The most prevalent type of equine dental pulpitis due to apical infection is not associated with coronal fractures or periodontal disease. The pathogenesis of this type of pulpitis is not fully understood. Computed tomography (CT) is increasingly used to investigate equine dental disorders. However, gross, tomographic and histopathological changes in equine dental pulpitis have not been compared previously. Objective: To compare gross, CT and histological appearances of sectioned mandibular cheek teeth extracted from horses with clinical signs of pulpitis without coronal fractures or periodont...
A nonterminal equine mandibular model of bone healing.
Veterinary surgery : VS    September 25, 2014   Volume 44, Issue 3 314-321 doi: 10.1111/j.1532-950X.2014.12279.x
Sarrafian TL, Garcia TC, Dienes EE, Murphy B, Stover SM, Galuppo LD.To develop a nonterminal large animal bone defect model for assessing the efficacy of regenerative and pharmacologic treatments designed to enhance bone healing. Methods: In vivo experimental. Methods: Adult gelding horses (n = 6). Methods: Under general anesthesia, using radiographic guidance, 13.5 mm diameter bilateral, full thickness mandibular defects were created in 6 horses using a custom surgical jig and coring bit. After 16 weeks, under general anesthesia, 23 mm diameter cores that encompassed the original healing defects and surrounding parent bone material were removed for evaluation...
The Inferior Alveolar Nerve of the Horse: Course and Anatomical Relationship with Mandibular Cheek Teeth.
Anatomia, histologia, embryologia    September 3, 2014   Volume 44, Issue 5 333-337 doi: 10.1111/ahe.12144
Iacopetti I, Faughnan M, Bono S, Cozzi B, Facchini C.The precise location of neurovascular structures within the relatively long mandibular canal of the horse is of paramount importance in surgical procedures of the area. The inferior alveolar nerve (IAN) enters the mandibular canal on the medial (lingual) surface of the mandible and innervates all the mandibular teeth. During its course, the nerve moves laterally, crossing the roots of the inferior cheek teeth. However, the exact anatomical relationships occurring between the IAN and the roots of the equine mandibular cheek teeth have not been described in detail. In this study, the mandibles o...
Bit-related lesions in Icelandic competition horses.
Acta veterinaria Scandinavica    August 13, 2014   Volume 56, Issue 1 40 doi: 10.1186/s13028-014-0040-8
Björnsdóttir S, Frey R, Kristjansson T, Lundström T.Oral lesions related to the use of the bit and bridle are reported to be common findings in horses worldwide and represent an important animal welfare issue. In order to provide an overview of bit-related lesions in Icelandic competition horses, a field examination of the rostral part of the oral cavity was performed in 424 competition horses coming to the two major national horse events in Iceland in 2012. Records from repeated examination of 77 horses prior to the finals were used to assess potential risk factors. Results: Mild lesions were recorded in 152 horses (36%) prior to the prelimina...
Evaluation and clinical use of an intraoral inferior alveolar nerve block in the horse.
Equine veterinary journal    January 29, 2014   Volume 46, Issue 6 706-710 doi: 10.1111/evj.12219
Henry T, Pusterla N, Guedes AG, Verstraete FJ.Local anaesthesia is often required to facilitate invasive procedures in equine dental patients under standing sedation. Objective: To show that an intraoral approach can be used to desensitise the inferior alveolar nerve in horses and report complications seen with this technique. Methods: The distance of the mandibular foramen from the distal (caudal) edge of the mandibular third molar tooth, rostral edge of the mandibular ramus and ventral margin of the mandible were measured in 26 adult equine skulls of various ages and breeds. Computed tomography (CT) was used to verify the placement of t...
Extensive rostral mandibulectomy for treatment of ameloblastoma in a horse.
Veterinary surgery : VS    January 6, 2014   Volume 43, Issue 2 222-226 doi: 10.1111/j.1532-950X.2014.12110.x
Mendez-Angulo JL, Tatarniuk DM, Ruiz I, Ernst N.To report long-term outcome in a mare that had extensive rostral mandibulectomy to remove an ameloblastoma. Methods: Clinical report. Methods: A 21-year-old mare. Methods: An ameloblastoma, located in the rostral aspect of the mandible, was removed by complete en-bloc resection of the tumor, removing most of the mandibular symphysis. Results: The day after surgery, the remaining mandibular symphysis (<5 mm) fractured causing marked instability of the hemi-mandibles. Partial wound dehiscence occurred 5 days after surgery; however, the mare was able to eat well and the incision healed within 2...
Mandibular degloving injury in an Arabian filly.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 6 599-601 
Tirosh-Levy S, Tatz A, Kelmer G.A 6-month-old Arabian filly escaped its handler while being led and slipped on pavement. The referring veterinarian recognized severe, soft tissue damage to the filly's lower jaw and referred the filly to the Veterinary Teaching Hospital for surgical management. Blessure de dégantage mandibulaire chez une pouliche arabe. Une pouliche arabe âgée de 6 ans s’est échappée de son préposé pendant qu’il la menait et a glissé sur la chaussée. Le vétérinaire traitant a reconnu des dommages graves aux tissus mous de la mâchoire inférieure de la pouliche et a recommandé la pouliche à l...
Swellings of the angle of the mandible in 32 horses (1997-2011).
Veterinary journal (London, England : 1997)    October 18, 2013   Volume 199, Issue 1 97-102 doi: 10.1016/j.tvjl.2013.10.015
Dixon PM, Loh N, Barakzai SZ.Disorders of the horizontal ramus (body) of the equine mandible are well reported, but there is minimal documentation of disorders of the angle of mandible. A retrospective examination of the records of Edinburgh University Equine Hospital (1997-2011) showed that 32 horses were referred due to swellings of the angle of the mandible. The aetiology of these swellings was identified in just 13/32 cases (41%) including fractures (n=2), traumatic, localised periosteal/cortical lesions (n=4), traumatic soft tissue lesions (n=2), neoplasia (n=3), and inflammation of the adjacent salivary gland (n=1) ...
Mandibular corrective osteotomy using novel locking compression plate 3.5/4.5/5.0 mm metaphyseal plates.
Veterinary surgery : VS    October 1, 2013   Volume 42, Issue 8 984-988 doi: 10.1111/j.1532-950X.2013.12067.x
Klaus CS, Vogt C, Lischer CJ.To describe a technique and the outcome of using 3.5/4.5/5.0 Metaphyseal Locking Compression Plate for corrective osteotomy of mandibular brachygnathia. Methods: Clinical report. Methods: Eight-month Thoroughbred horse. Methods: Severe mandibular brachygnathia was surgically treated by corrective osteotomy and fixation with 2 LCP 3.5/4.5/5.0 Metaphyseal plates inserted using minimally invasive technique. Results: Severe mandibular brachygnathia was treated successfully with minor complications and stable fixation after 3 months. Cosmetic outcome and owner satisfaction was excellent. Conclusion...
Long term outcome after surgical correction of mandibular brachygnathia with unilateral type 1 external skeletal fixation.
Veterinary surgery : VS    September 20, 2013   Volume 42, Issue 8 979-983 doi: 10.1111/j.1532-950X.2013.12058.x
Klaus CS, Hertsch BW, Höppner S, Lischer CJ.To describe complications and long-term outcome after surgical correction of severe overbite in 7 horses using corrective osteotomy and a Type I external fixator. Methods: Case series. Methods: Horses (n = 7). Methods: Seven horses with severe mandibular brachygnathia were treated by corrective osteotomy and a Type I external fixator. Data on surgical technique, complications, long-term outcome and owner satisfaction were recorded. Results: Severe mandibular brachygnathia was corrected successfully in all horses. Short term follow-up revealed a relatively high morbidity due to several comp...
What is your diagnosis? Fluid surrounding a submandibular mass from a horse.
Veterinary clinical pathology    September 18, 2013   Volume 42, Issue 4 531-532 doi: 10.1111/vcp.12078
Hoepp NC, Kim DY, Berent LM, Reed SK.No abstract available
Prolonged anesthesia using sevoflurane, remifentanil and dexmedetomidine in a horse.
Veterinary anaesthesia and analgesia    May 29, 2013   Volume 40, Issue 5 521-526 doi: 10.1111/vaa.12048
Benmansour P, Duke-Novakovski T.A 10-year old Arabian mare had a slow-growing mass on the lower right mandible and required a large partial mandibulectomy. Methods: No abnormalities were detected apart from the mass. Results: A temporary tracheostomy was performed pre-operatively. Anesthesia was induced with xylazine followed by ketamine and diazepam. For 13 hours, anesthesia was maintained using sevoflurane, dexmedetomidine and remifentanil infusions, with the exception of surgical preparation time. Intra-operatively, ventilation was delivered through the cuffed tracheotomy tube. Heart and respiratory rates, ECG, arterial ...
Large segmental mandibulectomy for treatment of an undifferentiated sarcoma in a horse.
Veterinary surgery : VS    February 21, 2013   Volume 42, Issue 4 433-439 doi: 10.1111/j.1532-950X.2013.01086.x
Carmalt JL, Linn KA.To describe a large segmental (sub-total) mandibulectomy for removal of an undifferentiated sarcoma in a horse. Methods: Clinical report. Methods: A 10-year-old mare. Methods: A combination of methods including computed tomography (CT) were used to diagnose a large undifferentiated sarcoma of the right mandible. A large segmental mandibulectomy extending from 3 cm below the right temporomandibular joint to immediately caudal to tooth 407 was used to perform an en-bloc resection of the mass under general anesthesia. Results: Surgery time was 11 hours and 35 minutes and total anesthesia time, 12...
Complications associated with cheek tooth extraction in the horse.
Journal of veterinary dentistry    January 1, 2013   Volume 30, Issue 4 220-235 doi: 10.1177/089875641303000404
Earley ET, Rawlinson JE, Baratt RM.Common indications for cheek tooth extraction in the horse include dental fracture, periodontal disease, severe decay/ caries, mandibular fracture with alveolar/tooth involvement, and periapical abscess. Complications secondary to extraction of cheek teeth are prevalent. Typical complications may include retained root tip(s), collateral damage of neighboring teeth and alveolar bone, mandibular fracture non-union or delayed union, cemental ankylosis, dilacerated root(s), oroantral/oronasal fistula, palatal deviation of cheek teeth, bone sequestration, sinus involvement, alveolar plug failure, a...
Stent reconstruction of an injured parotid duct in a thoroughbred colt.
Veterinary surgery : VS    April 30, 2012   Volume 41, Issue 4 536-539 doi: 10.1111/j.1532-950X.2012.00960.x
Lempe A, Brehm W, Scharner D.To report successful use of stent repair for a chronically injured parotid duct in a thoroughbred colt. Methods: Clinical report. Methods: A 2-year-old thoroughbred colt. Methods: Chronic injury to the parotid duct was identified 4-cm caudal to the facial vessel notch on the ventral border of the right mandible. After careful surgical dissection of the surrounding firm fibrous tissue, the defect was temporarily stented using an 8-Fr human ureteral catheter (223600 ERU(®) SOFT URETERAL(®) , Laboratoires pharmaceutique, Betschdorf, France) to bridge the tissue loss. The rostral end of the cath...
Comparison of two approaches to performing an inferior alveolar nerve block in the horse.
Australian veterinary journal    March 27, 2012   Volume 90, Issue 4 146-150 doi: 10.1111/j.1751-0813.2012.00897.x
Harding PG, Smith RL, Barakzai SZ.To compare two approaches to performing the inferior alveolar nerve block in the horse and to evaluate the consistency of described topographical landmarks. Methods: Experimental cadaver model. Methods: Eleven cadaver heads were positioned to mimic a standing sedated horse and the position of the mandibular foramen approximated. The vertical approach to the approximate location of the mandibular foramen was undertaken and red dye was deposited. The angled approach was then undertaken and blue ink was used to identify it. The heads were then dissected to determine the location of the dye. Place...
Vertical ridge augmentation using an equine bone and collagen block infused with recombinant human platelet-derived growth factor-BB: a randomized single-masked histologic study in non-human primates.
Journal of periodontology    January 5, 2012   Volume 83, Issue 7 878-884 doi: 10.1902/jop.2012.110478
Nevins M, Al Hezaimi K, Schupbach P, Karimbux N, Kim DM.This study tests the effectiveness of hydroxyapatite and collagen bone blocks of equine origin (eHAC), infused with recombinant human platelet-derived growth factor-BB (rhPDGF-BB), to augment localized posterior mandibular defects in non-human primates (Papio hamadryas). Methods: Bilateral critical-sized defects simulating severe atrophy were created at the time of the posterior teeth extraction. Test and control blocks (without growth factor) were randomly grafted into the respective sites in each non-human primate. Results: All sites exhibited vertical ridge augmentation, with physiologic ha...
[Dermoid cyst in the area of the lower jaw in a 7-year-old gelding].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 15, 2011   Volume 39, Issue 6 397-401 
Bienert-Zeit A, Reinig A, Hellige M, Reichert C, Hewicker-Trautwein M, Feige K.No abstract available
Repulsion of maxillary and mandibular cheek teeth in standing horses.
Veterinary surgery : VS    April 5, 2011   Volume 40, Issue 5 590-595 doi: 10.1111/j.1532-950X.2011.00819.x
Coomer RP, Fowke GS, McKane S.To report the technique and results of cheek teeth repulsion in standing, sedated horses. Methods: Case series. Methods: Horses (n = 12), ponies (6). Methods: Medical records (2006-2009) of horses that had cheek tooth repulsion while standing were reviewed. Inclusion criteria included: maxillary or mandibular cheek tooth disease diagnosed by clinical and radiographic examination where attempted oral extraction failed necessitating repulsion. Horses were sedated and a local nerve block performed. Intraoperative radiographs facilitated instrument positioning and ensured repulsion of all dental r...
Radiography and computed tomography in the diagnosis of nonneoplastic equine mandibular disease. Huggons NA, Bell RJ, Puchalski SM.We compared the information gained from computed tomography (CT) vs. radiography in horses with nonneoplastic disease of the mandible. We hypothesized that CT would provide additional diagnostic information. Medical records, radiographs, and CT images of horses with nonneoplastic mandibular disease evaluated between 1994 and 2008 were reviewed. Nineteen horses were identified; 11 had a tooth root abscess and related disease, four had a fracture of the teeth and/or mandible, and four had a nonneoplastic mass. Both CT images and radiographs allowed identification of diseased teeth that appeared ...
Mandibular lymphoma in a three-year-old thoroughbred filly.
The Veterinary record    January 10, 2011   Volume 168, Issue 3 80 doi: 10.1136/vr.c6097
Greet TR, Boys Smith SJ, Foote AK, Steven WN.No abstract available
Ameloblastic fibro-odontoma associated with a retained molar in an Oldenburg mare. Knowles S, Blas-Machado U, Butler AM, Gomez-Ibañez SE, Lowder MQ, Fayrer-Hosken RA.An 11-year-old Oldenburg mare presented with a 3-month history of weight loss and swelling of the posterior right mandible. Physical examination and radiographs showed a soft-tissue mass in the right mandible with foci of mineralization, periosteal proliferation, and a retained molar. The tumor increased in size over several weeks, and the mare was euthanized. On necropsy, a 24 cm × 15 cm × 15 cm firm, white mass had obliterated the posterior right mandible. The mass was multinodular with discrete clusters of blood-filled cystic spaces. Histologically, the mass was composed of neoplastic ...
Squamous cell carcinoma invading the right temporomandibular joint in a Belgian mare.
The Canadian veterinary journal = La revue veterinaire canadienne    November 3, 2010   Volume 51, Issue 8 885-887 
Perrier M, Schwarz T, Gonzalez O, Brounts S.This report describes a rare case of squamous cell carcinoma invading the right temporomandibular joint, right guttural pouch, and calvarium. Radiography, computed tomography, and histopathology were performed in the diagnostic workup. Computed tomography depicted more accurately than radiography the invasive nature, exact location, and extent of the lesion. Ce rapport décrit un rare cas de carcinomes squameux envahissant l’articulation temporomandibulaire droite, la poche gutturale et la calotte crânienne. Une radiographie, une tomodensitométrie et une histopathologie ont été réalisÃ...
Kinematic analysis of equine masticatory movements: comparison before and after routine dental treatment.
Veterinary journal (London, England : 1997)    October 23, 2010   Volume 190, Issue 1 49-54 doi: 10.1016/j.tvjl.2010.09.014
Simhofer H, Niederl M, Anen C, Rijkenhuizen A, Peham C.The objective of this study was to compare masticatory movements before and after dental treatment using kinematic analysis. The masticatory movements of 15 adult Warmblood horses with mild dental pathology chewing standardised hay were recorded on three consecutive days before and three times after (days 7, 21, 28) dental correction. The results of the leading mandibular tracking marker, located at the caudal edge of the inter-mandibular suture, were compared statistically. Reproducibility of measurements prior to dental treatment was excellent (P<0.05). Rostrocaudal mandibular motion was ...
Removal of 11 incompletely erupted, impacted cheek teeth in 10 horses using a dental alveolar transcortical osteotomy and buccotomy approach.
Veterinary surgery : VS    August 12, 2010   Volume 39, Issue 7 884-890 doi: 10.1111/j.1532-950X.2010.00724.x
Tremaine WH, McCluskie LK.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...
Comparative ingestive mastication in domestic horses and cattle: a pilot investigation.
Journal of animal physiology and animal nutrition    July 29, 2010   Volume 94, Issue 6 e402-e409 doi: 10.1111/j.1439-0396.2010.01030.x
Janis CM, Constable EC, Houpt KA, Streich WJ, Clauss M.It is often assumed that horses chew food more intensively during ingestion than cattle, which - as ruminants - complete part of the mastication during rumination. This has been proposed as a reason for more robust mandibles, larger masseter insertion areas and larger masseter muscles in horses as compared to cattle and other grazing ruminants. In this study, we evaluate results of comparative feeding trials with three horses (338-629 kg) and three cows (404-786 kg), on four different roughages. Ingestion time (s/g dry matter) and chewing intensity (chews/g dry matter) differed among animals w...