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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.
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...
Exodontia associated bacteremia in horses characterized by next generation sequencing.
Scientific reports    March 18, 2021   Volume 11, Issue 1 6314 doi: 10.1038/s41598-021-85484-z
Townsend KS, Johnson PJ, LaCarrubba AM, Martin LM, Ericsson AC.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...
Risk factors for bit-related lesions in Finnish trotting horses.
Equine veterinary journal    January 28, 2021   Volume 53, Issue 6 1132-1140 doi: 10.1111/evj.13401
Tuomola K, Mäki-Kihniä N, Valros A, Mykkänen A, Kujala-Wirth M.Bit-related lesions in competition horses have been documented, but little evidence exists concerning their potential risk factors. Objective: To explore potential risk factors for oral lesions in Finnish trotters. Methods: Cross-sectional study. Methods: The rostral part of the mouth of 261 horses (151 Standardbreds, 78 Finnhorses and 32 ponies) was examined after a harness race. Information on bit type, equipment and race performance was collected. Results: A multivariable logistic regression model of Standardbreds and Finnhorses showed a higher risk of moderate or severe oral lesion stat...
Quantitative and qualitative analysis of operator inhaled aerosols during routine motorised equine dental treatment.
Equine veterinary journal    November 30, 2020   Volume 53, Issue 5 1036-1046 doi: 10.1111/evj.13379
Bescoby SR, Davis SA, Sherriff M, Ireland AJ.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.
Animals : an open access journal from MDPI    November 30, 2020   Volume 10, Issue 12 2245 doi: 10.3390/ani10122245
Zhu Y, Jiang W, Holyoak R, Liu B, Li J.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...
Computed Tomographic and Histopathological Characteristics of 13 Equine and 10 Feline Oral and Sinonasal Squamous Cell Carcinomas.
Frontiers in veterinary science    November 23, 2020   Volume 7 591437 doi: 10.3389/fvets.2020.591437
Strohmayer C, Klang A, Kneissl S.Squamous cell carcinoma (SCC) is the most common equine sinonasal and feline oral tumour. This study aimed to describe the computed tomographic and histopathological characteristics of equine and feline SCC. Thirteen horses and 10 cats that had been histopathologically diagnosed with oral or sinonasal SCC and had undergone computed tomography (CT) of the head were retrospectively included in the study. CT characteristics of the mass and involved structures were noted. Histological examinations were evaluated according to a human malignancy grading system for oral SCC, which considered four gra...
A Brief History of Equine Dental Practice.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 425-432 doi: 10.1016/j.cveq.2020.08.012
Easley J.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.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 641-658 doi: 10.1016/j.cveq.2020.08.004
Galloway SS, Earley ET.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 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.
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.
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...
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...
Insulin dysregulation in a population of Finnhorses and associated phenotypic markers of obesity.
Journal of veterinary internal medicine    June 17, 2020   Volume 34, Issue 4 1599-1605 doi: 10.1111/jvim.15782
Box JR, McGowan CM, Raekallio MR, Mykkänen AK, Carslake H, Karikoski NP.Obesity and insulin dysregulation (ID) predispose horses to laminitis. Determination of management practices or phenotypic markers associated with ID may benefit animal welfare. Objective: Determine ID status of a population of Finnhorses using an oral sugar test (OST) and compare phenotypes and management factors between ID and non-ID Finnhorses. Methods: One hundred twenty-eight purebred Finnhorses ≥3 years of age. Methods: Owners were recruited using an online questionnaire regarding signalment, history, feeding, and exercise of their horses. Selected contributing stables within a prede...
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 ...
A long-term study of equine cheek teeth post-extraction complications: 428 cheek teeth (2004-2018).
Equine veterinary journal    April 9, 2020   Volume 52, Issue 6 811-822 doi: 10.1111/evj.13255
Kennedy R, Reardon RJM, James O, Wilson C, Dixon PM.Complications, especially delayed alveolar healing, are common following equine cheek teeth extraction, however, limited objective information is available on the prevalence and nature of these problems. Objective: To document the type and prevalence of complications that occur following equine cheek tooth extraction and to identify possible risk factors for these complications that could be used to predict their occurrence and hopefully reduce their prevalence. Methods: Retrospective cohort study. Methods: Clinical records of all cheek teeth extractions performed between February 2004 and Sep...
Bit type exerts an influence on self-controlled rein tension in unridden horses.
Scientific reports    February 12, 2020   Volume 10, Issue 1 2420 doi: 10.1038/s41598-020-59400-w
Kau S, Potz IK, Pospisil K, Sellke L, Schramel JP, Peham C.Bit configuration and acting rein forces play a crucial role in oral health and comfort of ridden horses. Although it is a big animal welfare issue, dynamic response of horses to different bits has yet not been thoroughly investigated. This convenience sample experimental study describes a model to overcome the almost uncontrollable influence of riders on rein tension and evaluates self-controlled maximum side rein tension of ten sound horses randomly bitted with a double-jointed (DJS) and a version of a Mullen mouth snaffle-bit under unridden conditions. Horses were exercised at walk and trot...
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...