Diagnostic value of full-mouth radiography in horses.
Abstract: 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 signs of disease that would have been missed if only targeted radiographs had been taken, rather than a full-mouth survey.
Copyright © 2022 Bishop.
Publication Date: 2022-10-05 PubMed ID: 36277061PubMed Central: PMC9581279DOI: 10.3389/fvets.2022.971886Google Scholar: Lookup
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- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This study aims to assess the effectiveness of full-mouth radiography, a dental imaging technique, in diagnosing oral disease in horses. The research discovered that 20% of the time, dental diseases found through radiographic imaging wouldn’t have been detected through oral examinations alone.
Study Design and Participants
- The observational study involved 248 horses presented for routine oral health check-ups.
- The horses underwent thorough oral examinations and full-mouth dental radiographic scans.
Key Findings
- The study found that in 20% of cases (50 out of 248 horses), there were radiographic signs of disease that would not have been diagnosed based on the oral examination alone.
- A significant 46% of the horses (113 out of 248) had findings during the oral examination that would have prompted the use of dental radiography, per the study’s criteria.
- Of these 113 horses, 24% (21% of the total sample) had radiographic signs of oral disease that would have been missed if only targeted radiographs were used instead of a full-mouth survey.
Implications of the Findings
- The findings suggest that full-mouth radiographs can be a valuable tool in diagnosing dental disease in horses, potentially identifying conditions overlooked during traditional oral examinations.
- The research shows that even when oral examinations pick up potential issues, the absence of a comprehensive radiographic survey could result in missed diagnoses. This is highlighted by the 21% of horses that had radiographic signs of oral disease that would’ve been overlooked with targeted radiographs.
- The results argue for the integration of full-mouth radiography in routine oral health examinations for horses as it increases the likelihood of disease detection, thus improving management and prognosis of equine dental health.
Limitations
- As with all observational studies, the findings cannot establish cause and effect. Further research is needed to draw definite conclusions about the efficacy and advantages of full-mouth radiography in equine dental health.
- The study looked at a sample of 248 horses, which, while substantial, might not be fully representative of the wider equine population. Future studies may involve a larger and more diverse sample.
Cite This Article
APA
Bishop IT.
(2022).
Diagnostic value of full-mouth radiography in horses.
Front Vet Sci, 9, 971886.
https://doi.org/10.3389/fvets.2022.971886 Publication
Researcher Affiliations
- Northern Equine Veterinary Services, Kirkfield, ON, Canada.
Conflict of Interest Statement
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer RB declared a past co-authorship with the author to the handling editor.
References
This article includes 20 references
- Limone LE, Baratt RM. Dental Radiography of the Horse.. J Vet Dent 2018 Mar;35(1):37-41.
- Liuti T, Smith S, Dixon PM. A Comparison of Computed Tomographic, Radiographic, Gross and Histological, Dental, and Alveolar Findings in 30 Abnormal Cheek Teeth from Equine Cadavers.. Front Vet Sci 2017;4:236.
- Liuti T, Smith S, Dixon PM. Radiographic, computed tomographic, gross pathological and histological findings with suspected apical infection in 32 equine maxillary cheek teeth (2012-2015).. Equine Vet J 2018 Jan;50(1):41-47.
- Townsend NB, Hawkes CS, Rex R, Boden LA, Barakzai SZ. Investigation of the sensitivity and specificity of radiological signs for diagnosis of periapical infection of equine cheek teeth.. Equine Vet J 2011 Mar;43(2):170-8.
- Dixon PM, Tremaine WH, Pickles K, Kuhns L, Hawe C, McCann J, McGorum BC, Railton DI, Brammer S. Equine dental disease part 2: a long-term study of 400 cases: disorders of development and eruption and variations in position of the cheek teeth.. Equine Vet J 1999 Nov;31(6):519-28.
- Nuttall HE, Ravenhill PJ. Prevalence and analysis of equine periodontal disease, diastemata and peripheral caries in a first-opinion horse population in the UK.. Vet J 2019 Apr;246:98-102.
- Kennedy RS, Dixon PM. The aetiopathogenesis of equine periodontal disease – a fresh perspective. Equine Vet Educ (2018) 30:161–8.
- White C, Dixon PM. A study of the thickness of cheek teeth subocclusal secondary dentine in horses of different ages.. Equine Vet J 2010 Mar;42(2):119-23.
- van den Enden MS, Dixon PM. Prevalence of occlusal pulpar exposure in 110 equine cheek teeth with apical infections and idiopathic fractures.. Vet J 2008 Dec;178(3):364-71.
- Fitzgibbon CM, Du Toit N, Dixon PM. Anatomical studies of maxillary cheek teeth infundibula in clinically normal horses.. Equine Vet J 2010 Jan;42(1):37-43.
- Pearce CJ, Brooks N. Long-Term Follow-Up of Restorations of Equine Cheek Teeth Infundibula (2006-2017).. Front Vet Sci 2021;8:793631.
- Staszyk C, Bienert A, Kreutzer R, Wohlsein P, Simhofer H. Equine odontoclastic tooth resorption and hypercementosis.. Vet J 2008 Dec;178(3):372-9.
- Henry TJ, Puchalski SM, Arzi B, Kass PH, Verstraete FJM. Radiographic evaluation in clinical practice of the types and stage of incisor tooth resorption and hypercementosis in horses.. Equine Vet J 2017 Jul;49(4):486-492.
- Rehrl S, Schröder W, Müller C, Staszyk C, Lischer C. Radiological prevalence of equine odontoclastic tooth resorption and hypercementosis.. Equine Vet J 2018 Jul;50(4):481-487.
- Verstraete FJ, Kass PH, Terpak CH. Diagnostic value of full-mouth radiography in dogs.. Am J Vet Res 1998 Jun;59(6):686-91.
- Verstraete FJ, Kass PH, Terpak CH. Diagnostic value of full-mouth radiography in cats.. Am J Vet Res 1998 Jun;59(6):692-5.
- American Dental Association . X-Rays/Radiographs. Available online at: https://www.ada.org/resources/research/science-and-research-institute/oral-health-topics/x-rays-radiographs (accessed June 3, 2022).
- Easley J, Dixon P, du Toit N. Equine Dental and Maxillofacial Surgery. Newcastle upon Tyne: Cambridge Scholars Publishing. (2022). Chapter 7. p. 111–21.
- Henry TJ. How to perform an oral examination utilizing a five-component protocol. AAEP Proc (2014) 60:455–63.
- American Veterinary Dental Association . Nomenclature. Available online at: https://avdc.org/avdc-nomenclature (accessed June 11, 2022).
Citations
This article has been cited 1 times.- Nugent Z, Jensen A, Owen N, Peffers AJ, Moothanchery M, Peffers MJ. Characterisation of equine odontoclastic tooth resorption and hypercementosis: A comparative study using microCT and radiography in age-matched controls. Equine Vet J 2025 Jul;57(4):1099-1109.
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