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Topic:Oral Health

Oral health in horses encompasses the study and management of the dental and oral structures, including teeth, gums, and the oral cavity. It is an important aspect of equine veterinary care, as oral health can affect a horse's ability to chew and digest food properly. Common issues include dental malocclusions, periodontal disease, and the presence of sharp enamel points, which can lead to discomfort and reduced feed efficiency. Regular dental examinations and treatments, such as floating, are employed to maintain proper oral function. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, pathology, and management strategies related to oral health in horses.
Potential impact of natural conditions on the rostral oral health: a study of horses in Iceland.
Journal of the American Veterinary Medical Association    October 9, 2023   Volume 261, Issue S2 S108-S113 doi: 10.2460/javma.23.06.0303
Hain AM, Þórisdóttir SL, Tretow M, Bienert-Zeit A.In the context of a study of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH), elderly Icelandic horses were examined in their originating country. The subject of this survey was the impact of dental treatment and keeping and feeding management on the health of the rostral oral cavity. A total of 170 horses (aged ≥ 15) located in different areas of Northwest, West, and South Iceland. The horse owners completed a questionnaire about keeping, feeding, and preventative dental care. The horses were clinically examined with particular attention to gingival and dental disorders of...
Advances in dental management in the equine geriatric patient: strategies for improved welfare.
Journal of the American Veterinary Medical Association    September 6, 2023   1-7 doi: 10.2460/javma.23.06.0350
du Toit N.Geriatric horses have a high prevalence of dental disease, which is a culmination of age-related dental changes and dental disease throughout the life of the horse that may have long-term consequences. Wear abnormalities, diastemata with periodontal disease, pulpitis and endodontic disease, infundibular caries, and equine odontoclastic tooth resorption and hypercementosis become more prevalent with age. Recognition of age-related dental disease at an early stage can help to treat and possibly preserve teeth for longer. With a natural decrease in masticatory efficiency, it is even more importan...
The effect of pre-dosing with metformin on the insulin response to oral sugar in insulin-dysregulated horses.
Equine veterinary journal    August 6, 2023   doi: 10.1111/evj.13979
Colmer SF, Adams AA, Adam E, Miller R, Stefanovski D, Kulp JC, van Eps A.A single dose of metformin administered 1 h prior to oral glucose challenge was previously shown to reduce insulinaemic responses in horses with experimentally-induced insulin dysregulation (ID). Targeted administration could be useful for controlling post-prandial hyperinsulinaemia in horses with naturally-occurring ID.
Evaluation of field-testing protocols to diagnose insulin dysregulation in ponies using a Bayesian approach.
Veterinary journal (London, England : 1997)    August 1, 2023   106019 doi: 10.1016/j.tvjl.2023.106019
Clark BL, Stewart AJ, Kemp KL, Bamford NJ, Bertin FR.Field tests and their association with laminitis have not been evaluated in large cohorts. The objectives of this study were to evaluate the performance of basal insulin (BI), the oral sugar test (OST) and the insulin tolerance test (ITT) to diagnose ID and investigate their association with laminitis. Insulin dysregulation status was determined in 146 ponies using BI (insulin concentration >20 µIU/mL), an OST (insulin concentration >65 µIU/mL at 60 or 90min after oral administration of 0.45mL/kg corn syrup) and an ITT (< 50% reduction in glucose concentration 30min after intravenous adminis...
A subset of equine oral squamous cell carcinomas is associated with Equus caballus papillomavirus 2 infection.
Journal of comparative pathology    July 19, 2023   Volume 205 1-6 doi: 10.1016/j.jcpa.2023.06.003
Luff J, Weingart S, May S, Murphy B.The aetiology of oral squamous cell carcinoma (SCC) in horses is unknown, but papillomavirus infection as well as chronic periodontal disease are suspected to play a pathogenic role. In humans, some oropharyngeal cancers develop in association with human papillomaviruses. Equus caballus papillomavirus 2 (EcPV2) is suspected to play a causal role in the development of equine genital SCC. Given that association, we hypothesized that EcPV2 is associated with the development of oral SCC in horses. We performed standard polymerase chain reaction (PCR) and in-situ hybridization (ISH) for EcPV2 on 31...
Dental and oral cavity alterations in Quarter Horses of Vaquejada: retrospective study of 416 cases (2012-2022).
Brazilian journal of veterinary medicine    July 5, 2023   Volume 45 e000323 doi: 10.29374/2527-2179.bjvm000323
de Melo UP, Ferreira C.Oral and dental diseases are common in horses, as evidenced by the results of incidence studies of dental diseases carried out on abattoir specimens or sports horses. Thus, periodic dental examinations in horses are essential to ensure the maintenance of dental health and proper use of ingested food. A retrospective study of the dental records of 416 Quarter Horses (256 males, 160 females), distributed in the western region of the Rio Grande do Norte, Brazil, was conducted. Horses were examined between July 2012 and August 2022. The variables collected were age, sex, type of diet, dental alter...
Recent advances in the treatment and prevention of equine peripheral caries.
Journal of the American Veterinary Medical Association    June 19, 2023   1-8 doi: 10.2460/javma.23.01.0036
Jackson K, Kelty E.Equine peripheral caries is a common condition characterized by demineralization and degradation of the clinical crown of equine cheek teeth. The condition can cause significant pain and morbidity, particularly in severe cases. Recent studies indicate that the condition is driven by environmental conditions within the mouth, as only the clinical crown of the tooth is affected (the reserve crown below the gingival margin remains unaffected). It is hypothesized that peripheral caries is driven by changes in oral pH, with risk factors for the condition including the intake of high-sugar feeds (oa...
Equine Gram-Negative Oral Microbiota: An Antimicrobial Resistances Watcher?
Antibiotics (Basel, Switzerland)    April 21, 2023   Volume 12, Issue 4 792 doi: 10.3390/antibiotics12040792
Pimenta J, Pinto AR, Saavedra MJ, Cotovio M.Horses are considered as reservoirs of multidrug resistant bacteria that can be spread through the environment and possibly to humans. The aim of this study was to characterize the oral Gram-negative microbiota of healthy horses and evaluate their antimicrobial susceptibility profile in a One Health approach. For this purpose, samples were collected from the gingival margin of healthy horses, free of antimicrobial therapy, cultured in selective mediums, identified, and tested for antimicrobial susceptibility. Fifty-five Gram-negative isolates were identified, with 89.5% being zoonotic and 62% ...
Intraoral Formation of a Rigid Obturator for the Treatment of Dental Fistulae and Draining Tracts in the Horse.
Journal of veterinary dentistry    March 29, 2023   8987564231163073 doi: 10.1177/08987564231163073
Hunt J, Rice M, Henry T.A retrospective cohort study to describe a novel use of a mechanically retained, rigid obturator (RO) to manage maxillary and mandibular persistent pathologic oral communications (PPOCs). This study included 22 horses with PPOC with at least 6 months of follow-up after treatment with a RO. The RO was made with a flowable, bis-acryl-based composite resin. Medical records were analyzed, including case details, obtained imaging, surgical reports, and follow-up information. There were 10 horses that had follow-up examinations by the authors and 8 horses by the referring veterinarian; in 4 horses, ...
Standing equine cheek tooth extraction: A multivariate analysis of the effect of antibiotics on the risk of post-operative complications.
Equine veterinary journal    January 12, 2023   Volume 55, Issue 6 968-978 doi: 10.1111/evj.13905
Christiansen MS, Rosenmeier JG, Jensen DB, Lindegaard C.Commonly, cheek tooth extraction performed in standing horses using perioperative prophylactic antibiotics, results in low post-operative complication rates. However, no studies have documented the relevance of perioperative antibiotics to the risk of post-operative complications. Objective: To examine the association between perioperative antibiotics and post-operative complications after standing cheek tooth extraction. Methods: Retrospective cohort study. Methods: Information from clinical records and follow-up questionnaires relating to horses subjected to cheek tooth extractions between S...
Palatability, glycemic, and insulinemic responses to various carbohydrate formulations: Alternatives for the diagnosis of insulin dysregulation in horses?
Journal of veterinary internal medicine    January 10, 2023   Volume 37, Issue 1 282-291 doi: 10.1111/jvim.16614
Warnken T, Schaub C, Delarocque J, Frers F, Feige K, Sonntag J, Reiche DB.Oral glycemic challenge (GC) tests are recommended for diagnosis of insulin dysregulation (ID). Various protocols are used, but all have limitations in terms of palatability, ease of use, variable composition, geographic availability, or some combination of these. Objective: To evaluate newly developed formulations with defined carbohydrate composition for use as oral GCs. Methods: Thirty-four horses and ponies in various metabolic states. Methods: Our objectives were carried out in 2 separate cross-over experiments. First, the palatability and acceptance of various GCs (2 syrups, 1 granulate)...
Trialling Locally Made, Low-Cost Bits to Improve Bit-Related Welfare Problems in Cart Horses: Findings from a Study in Senegal.
Animals : an open access journal from MDPI    December 20, 2022   Volume 13, Issue 1 2 doi: 10.3390/ani13010002
Seck M, Jobling R, Brown AF.Bits used for cart horses in Senegal are typically made of recovered construction iron and often have defects related to design, shape, fit and metal quality. Consequently, there is widespread presence of bit-related oral injury amongst these equids. It was hypothesised that improving bit design would ameliorate bit-related welfare issues for working cart horses. This study aimed to develop locally made alternative bit prototypes and test their efficacy as less harmful to working horses, and their acceptability to their drivers. Eight animal-based welfare indicators (four physical and four beh...
The Epidemiology of Infundibular Caries in Donkeys in Inner Mongolia Autonomous Region of China and Associated Risk Factors.
Journal of equine veterinary science    November 4, 2022   Volume 119 104160 doi: 10.1016/j.jevs.2022.104160
Yan J, Sun D, Jiang Z, Zhou L, Gao X.Infundibular caries (IC) affects donkeys of all ages and causes pain, difficulty in mastication and weight loss. The study aimed to determine the epidemiology of IC in donkeys and examine the potential risk factors associated with the disease development. A total of 2118 donkeys in Inner Mongolia were sampled. The first section of the survey was performed by veterinarians and included the oral health of the donkeys. A survey on the donkey's signalment, diet, and husbandry was also conducted. The risk factors associated with IC were assessed using multivariable logistic regression analysis. Uni...
Diagnostic value of full-mouth radiography in horses.
Frontiers in veterinary science    October 5, 2022   Volume 9 971886 doi: 10.3389/fvets.2022.971886
Bishop IT.In this observational study, oral examinations and full-mouth dental radiographs were performed on 248 horses presented for routine oral health care. The findings were assessed to determine how often disease was diagnosed by radiographs without having related findings on oral examination. In 50 horses (20%), there were radiographic signs of disease that would not have been predicted based upon the oral examination. 113 horses (46%) had oral examination findings that would have prompted dental radiography, according to the criteria of the study. Of these 113 horses, 24 (21%) had radiographic si...
Clinical, Diagnostic and Histological Findings Involving Cheek Teeth Hypercementosis in Nine Horses.
Journal of veterinary dentistry    August 22, 2022   Volume 39, Issue 4 358-368 doi: 10.1177/08987564221121735
Brown JA, Murphy BG, Clapp KS, LaDouceur EEB.Hypercementosis is infrequently reported to affect the cheek teeth of horses and presents as mineral deposits either attached (peripheral) or solitary ovoid (nodular) structures in the tooth bearing region. There is overlap between radiological and histological appearance of hypercementosis, cementoma, and equine odontoclastic tooth resorption and hypercementosis (EOTRH). The clinical presentation, imaging features, surgical management, and histological findings of nine horses that presented for dental lesions and associated hypercementosis of cheek teeth are reported. Horses were 4-15 years o...
Case report: Use of penicillin G potassium in poloxamer 407 gel to aid in healing of an equine sublingual abscess.
Frontiers in veterinary science    July 29, 2022   Volume 9 783753 doi: 10.3389/fvets.2022.783753
Larsen EA, Lack AC, Wassack E.The use of poloxamer 407 gels have been reported in several studies to prolong the release of drugs at the injection site. Oral lesions unrelated to dental disease are rare but may result in ulceration and sequestration of bone. To date, there have been no reports on the use of penicillin G potassium poloxamer 407 gel and its effect on wound healing. The present case report describes the use of a penicillin G potassium poloxamer 407 gel for the treatment of a sublingual abscess involving the mandible in a 20 year old Arabian mare who initially presented with acute onset of dysphagia, hypersali...
Oral Dimensions Related to Bit Size in Adult Horses and Ponies.
Frontiers in veterinary science    May 12, 2022   Volume 9 879048 doi: 10.3389/fvets.2022.879048
Anttila M, Raekallio M, Valros A.A bit that fits is essential for horse welfare and good communication with the ridden, driven or led horses. The bit causes pressure on the sensitive structures of the horse mouth. The aim of this study was to investigate variation in oral dimensions related to bit fit in adult horses and ponies and to evaluate bit fit by comparing oral dimensions with the currently used bit size selected by the horse owner. The study population consisted of 554 horses and ponies, 308 geldings and 246 mares, age 5-29 years, presented for routine dental care. Oral dimensions: mouth width, distance between upper...
Colombian Creole Horse: Frequency of oral and motor stereotypies.
Veterinary world    April 27, 2022   Volume 15, Issue 4 1113-1120 doi: 10.14202/vetworld.2022.1113-1120
Mejía JAB, Jaramillo JAN, Corrales NU.The current stable housing of Colombian Creole Horses severely restricts the animals' locomotion and natural behaviors. In addition, their feed consists of a combination of high-energy concentrates with considerably little forage which potentially leads to locomotor or oral stereotypies. This study aimed to report the frequency of locomotor and oral stereotypies in Colombian Creole Horses in Girardota (Antioquia, Colombia) and associated risk factors. Unassigned: A prospective cross-sectional study was conducted from 2019 to 2020, in which 102 stabled horses aged 28 months and older participat...
When Changing the Hay Makes a Difference: A Series of Case Reports.
Journal of equine veterinary science    March 24, 2022   Volume 113 103940 doi: 10.1016/j.jevs.2022.103940
Cavallini D, Penazzi L, Valle E, Raspa F, Bergero D, Formigoni A, Fusaro I.Dry hay (composed of grass, legumes, or a mixture of the two) provides the primary source of alimentary fiber in stabled horses with limited access to fresh pasture. However, hay can also give rise to health problems in the horse, depending on the quality and quantity of its components. Pathologies may be rooted in biological problems, such as inadequate digestion disturbances, or reflect mechanical difficulties-for example, due to the presence of sharp plant parts that irritate the oral mucosa, or due to physical intake problems that inhibit consumption. Unwanted plants in the hay may cause s...
Assessment of Skin and Mucosa at the Equine Oral Commissures to Assess Pathology from Bit Wear: The Oral Commissure Assessment Protocol (OCA) for Analysis and Categorisation of Oral Commissures.
Animals : an open access journal from MDPI    March 3, 2022   Volume 12, Issue 5 doi: 10.3390/ani12050643
Uldahl M, Bundgaard L, Dahl J, Clayton HM.This study addresses the presence and location of natural pigmentation, potentially pathological changes in pigment, interruptions of the natural lining (scars), roughness, and erosions/contusion (bruising) in and around the corners of the lips of 206 horses presented to a veterinarian for routine preventative dental treatment. After sedation, photographs were taken and later evaluated for the presence of lesions. During the photographic analysis, the Oral Commissure Assessment (OCA) protocol was developed to map precisely the areas of skin and mucosa around the corners of the lips, and the pr...
Pre-Competition Oral Findings in Danish Sport Horses and Ponies Competing at High Level.
Animals : an open access journal from MDPI    March 1, 2022   Volume 12, Issue 5 doi: 10.3390/ani12050616
Uldahl M, Bundgaard L, Dahl J, Clayton HM.This study addresses the presence and location of oral lesions in 342 dressage, show jumping, and eventing horses examined at an obligatory veterinary inspection before competing in the Danish National Championship in 2020. Ulcers in the lip commissures were photographed for subsequent pathological analysis. If a lesion was found at the lip commissures on one side, there was an increased risk of finding a similar lesion on the other side (ulcer: p < 0.0001; scarring/depigmentation: p < 0.0001; fissure: p = 0.002; erosion/contusion: p < 0.0001). At the lip commissures, external (cutaneous) ulce...
Antibacterial Properties of Biodegradable Silver Nanoparticle Foils Based on Various Strains of Pathogenic Bacteria Isolated from the Oral Cavity of Cats, Dogs and Horses.
Materials (Basel, Switzerland)    February 8, 2022   Volume 15, Issue 3 doi: 10.3390/ma15031269
Rutkowski M, Krzemińska-Fiedorowicz L, Khachatryan G, Kabacińska J, Tischner M, Suder A, Kulik K, Lenart-Boroń A.Frequent occurrence of microbial resistance to biocides makes it necessary to find alternative antimicrobial substances for modern veterinary medicine. The aim of this study was to obtain biodegradable silver nanoparticle-containing (AgNPs) foils synthesized using non-toxic chemicals and evaluation of their activity against bacterial pathogens isolated from oral cavities of cats, dogs and horses. Silver nanoparticle foils were synthesized using sodium alginate, and glucose, maltose and xylose were used as reducing agents. The sizes of AgNPs differed depending on the reducing agent used (xylose...
Successful treatment of a chronic oroantral fistula infected with extensively drug resistant bacteria using long-term oesophageal tube feeding and several non-conventional treatments in a horse.
Australian veterinary journal    December 2, 2021   Volume 100, Issue 3 107-113 doi: 10.1111/avj.13136
Fletcher JR, Yuen KY, Stewart AJ, Young AC, Gibson JS, James OA, Medina-Torres CE, Forde BM, Sole-Guitart A.Chronic oroantral fistulae (OAF) with secondary sinusitis can occur following repulsion of cheek teeth in horses. Methods: An 8-year-old Andalusian cross gelding presented with an iatrogenic clinical crown fracture of tooth 209, which underwent repulsion of its apical portion (day 0). The horse was treated with intramuscular penicillin and intravenous gentamicin (5 days), followed by oral trimethoprim-sulphonamide (10 days) and then oral doxycycline (14 days). The acute iatrogenic OAF created during the initial repulsion persisted; a chronic OAF was identified on day 24. On day 48, septi...
Multidrug-resistant Serratia rubidaea strains in the oral microbiota of healthy horses.
Open veterinary journal    November 5, 2021   Volume 11, Issue 4 598-602 doi: 10.5455/OVJ.2021.v11.i4.9
da Costa Pimenta J, Saavedra MJ, da Silva GJ, Cotovio M.Many emergent pathogenic agents are cross-transmitted from animals to humans. Horses are considered as potential reservoirs of commensal, zoonotic, and multidrug-resistant bacteria. Equine bites could lead to infections caused by these agents, considering equine species as a public health concern. The more it is known about the equine oral microbiota the best secondary problems created by their commensal flora can be controlled. There are very few reports of , a zoonotic and opportunistic bacterium, both in human and veterinary medicine. Objective: This study aimed to evaluate the Gram-negativ...
The facultative human oral pathogen Prevotella histicola in equine cheek tooth apical/ periapical infection: a case report.
BMC veterinary research    October 30, 2021   Volume 17, Issue 1 343 doi: 10.1186/s12917-021-03048-9
Kau S, Mansfeld MD, Šoba A, Zwick T, Staszyk C.Prevotella histicola is a facultative oral pathogen that under certain conditions causes pathologies such as caries and periodontitis in humans. Prevotella spp. also colonize the oral cavity of horses and can cause disease, but P. histicola has not yet been identified. Methods: A 12-year-old Tinker mare was referred to the clinic for persistent, malodorous purulent nasal discharge and quidding. Conservative antibiotic (penicillin), antiphlogistic (meloxicam), and mucolytic (dembrexine-hydrochloride) treatment prior to referral was unsuccessful and symptoms worsened. Oral examination, radiograp...
Effect of Dose and Fasting on Oral Sugar Test Responses in Insulin Dysregulated Horses.
Journal of equine veterinary science    September 16, 2021   Volume 107 103770 doi: 10.1016/j.jevs.2021.103770
Lyn Macon E, Harris P, Partridge E, Day Barker V, Adams A.The oral sugar test (OST) is frequently used to identify insulin dysregulated (ID) equines. The effect of fasting and varying sugar dose for the OST has been investigated in the pony but little work has been done in the horse. This study aimed to investigate (1) an OST response with access to forage continued until the time of the OST or prevented for 3 hours prior to the OST and (2) responses of ID and non-insulin dysregulated (NID) horses to two different OST doses. Twenty-one mixed-breed horses (14.8 ± 3.2 years; 574.3 ± 83.3 kg) were used in two randomized crossover studies. Seven ID and...
Invasive leiomyosarcoma involving the tongue of an Arabian mare.
Journal of equine veterinary science    July 18, 2021   Volume 104 103718 doi: 10.1016/j.jevs.2021.103718
Pinzón-Osorio CA, Meneses-Martínez H, Botero-Espinosa L, Herrera-Luna CV.A 10 year-old endurance Arabian mare was presented with an invasive, firm, multilobulated mass at the left ventral face of the tongue. The mare had a history of four months of ptyalism, dysphagia, severe halitosis, and dysmastication. The Evaluation of the horse included physical and oral examination, complete blood count and serum biochemistry profile, computed tomography evaluation of the head, and histopathology of the mass. The computerized tomography (CT) head scan showed the homogeneous mass in the oral cavity confirming the degree of invasion on the tongue, as well as a small mineral fo...
Equine “Idiopathic” and Infundibular Caries-Related Cheek Teeth Fractures: A Long-Term Study of 486 Fractured Teeth in 300 Horses.
Frontiers in veterinary science    May 28, 2021   Volume 8 646870 doi: 10.3389/fvets.2021.646870
Dixon PM, Kennedy R, Reardon RJM.Background: Limited objective information is available on the prevalence of non-traumatic equine cheek teeth fractures, the signalment of affected horses, and the clinical features and treatment of these fractures. Objectives: This study aims to document patterns of idiopathic and infundibular caries-related cheek teeth fractures in a referral population and evaluate associations between fracture patterns and horse age, Triadan position of affected teeth, clinical signs, and deemed necessity for treatment. Study Design: A retrospective case review. Methods: The clinical records at Edinburgh Un...
Bacterial meningitis after dental extraction in a 17-year-old horse.
The Canadian veterinary journal = La revue veterinaire canadienne    April 20, 2021   Volume 62, Issue 4 403-407 
Arndt S, Kilcoyne I, Heney CM, Wong TS, Magdesian KG.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...
Bit-Related Lesions in Event Horses After a Cross-Country Test.
Frontiers in veterinary science    March 31, 2021   Volume 8 651160 doi: 10.3389/fvets.2021.651160
Tuomola K, Mäki-Kihniä N, Valros A, Mykkänen A, Kujala-Wirth M.Bit-related oral lesions are common and may impair horse welfare. The aim of this study was to investigate the prevalence of oral lesions and their risk factors in a sample of Finnish event horses. The rostral part of the oral cavity (the bit area) of 208 event horses (127 warmbloods, 52 coldbloods, and 29 ponies) was examined in a voluntary inspection after the last competition phase, i.e., the cross-country test. Acute lesions were observed in 52% (109/208) of the horses. The lesion status was graded as no acute lesions for 48% (99/208), mild for 22% (45/208), moderate for 26% (55/208) and s...
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