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Journal of equine veterinary science2021; 101; 103428; doi: 10.1016/j.jevs.2021.103428

EOTRH Syndrome in Polish Half-Bred Horses – Two Clinical Cases.

Abstract: The aim of this paper is to thoroughly describe the etiology, diagnostic processes and recommended treatment of equine odontoclastic tooth resorption and hypercementosis (EOTRH). It is a relatively recently described disease. Most recent reports show that it is a common problem involving older equine patients. The most common and significant symptom of EOTRH is oral pain. The main clinical signs include periodontitis and gingivitis with a gingival recession, alveolar bone protrusion, periodontic fistulas and soreness of the incisors. When establishing the final diagnosis, it is necessary to compare the results of the clinical and radiological examination, because in the early stage, the disease may not show any symptoms. Authors used two clinical cases of Polish Half-Bred horses to present some aspects of diagnostic and surgical techniques. The knowledge presented in the paper may be valuable for equine practitioners working in the field to achieve more beneficial outcomes and provide a higher level of welfare for their equine patients. Nevertheless, further research and observations are necessary, since the etiology of the disease remains unclear.
Publication Date: 2021-02-24 PubMed ID: 33993931DOI: 10.1016/j.jevs.2021.103428Google Scholar: Lookup
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Summary

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This research discusses a common disease in older horses known as equine odontoclastic tooth resorption and hypercementosis (EOTRH), focusing on its symptoms, diagnosis, and treatment. The authors use two cases of Polish Half-Bred horses as a basis for their study.

Etiology and Symptoms of EOTRH

  • The aim of the paper is to provide a comprehensive explanation of the etiology, or cause, of the equine odontoclastic tooth resorption and hypercementosis (EOTRH). Although it is a relatively recent discovery as a disease in horses, EOTRH is becoming commonly found in older patients.
  • The most predominant indicator of this problem is oral pain experienced by the equine subject. There are significant clinical signs like periodontitis – inflammation around the teeth causing swelling and tenderness; gingivitis with a receding gum line; protrusion of the alveolar bone – the part of the jaw that holds the teeth; periodontic fistulas – abnormal cavities in the mouth carrying pus and soreness of the incisors.

Diagnostic Processes and EOTRH Treatment

  • For proper diagnosis of the disease, a comparison of clinical and radiological examination results is essential owing to the lack of visible symptoms in the early stages. As the disease progresses, the symptoms become prominent. Hence, early detection and treatment are crucial.
  • The research uses cases of two Polish Half-Bred horses for illuminating crucial points about the diagnostic and surgical techniques. This first-hand detail based on real scenarios could prove to be highly beneficial for equine practitioners, enabling them to recognize and treat the disease effectively and provide a better life for their equine patients.
  • The treatment often involves surgical intervention to alleviate the pain and halt the disease’s progression. However, since the underlying cause of EOTRH is still unclear, an exact and exhaustive treatment regime does not exist, and more research is needed in this area.

Conclusion

  • Although the paper presents valuable knowledge about EOTRH, it emphasizes the need for further research and observations regarding the disease’s etiology. By identifying the root of the disease and monitoring a larger number of equine subjects, researchers can devise more accurate and effective treatment techniques.

Cite This Article

APA
Górski K, Tremaine H, Obrochta B, Buczkowska R, Turek B, Bereznowski A, Rakowska A, Polkowska I. (2021). EOTRH Syndrome in Polish Half-Bred Horses – Two Clinical Cases. J Equine Vet Sci, 101, 103428. https://doi.org/10.1016/j.jevs.2021.103428

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 101
Pages: 103428
PII: S0737-0806(21)00058-7

Researcher Affiliations

Górski, Kamil
  • Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland. Electronic address: kamil_gorski@sggw.edu.pl.
Tremaine, Henry
  • B&W Equine Clinic, UK.
Obrochta, Bartłomiej
  • Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland.
Buczkowska, Roma
  • Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland.
Turek, Bernard
  • Department of Large Animals Diseases with Clinic, Warsaw University of Life Sciences, Poland.
Bereznowski, Andrzej
  • Department of Veterinary Epidemiology and Economics, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, Poland.
Rakowska, Alicja
  • Department of Veterinary Epidemiology and Economics, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, Poland.
Polkowska, Izabela
  • Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Poland.

MeSH Terms

  • Animals
  • Horse Diseases / diagnosis
  • Horses
  • Hypercementosis / veterinary
  • Incisor
  • Poland
  • Tooth Resorption / veterinary

Citations

This article has been cited 4 times.
  1. Górski K, Borowska M, Turek B, Pawlikowski M, Jankowski K, Bereznowski A, Polkowska I, Domino M. An application of the density standard and scaled-pixel-counting protocol to assess the radiodensity of equine incisor teeth affected by resorption and hypercementosis: preliminary advancement in dental radiography. BMC Vet Res 2023 Aug 9;19(1):116.
    doi: 10.1186/s12917-023-03675-4pubmed: 37559089google scholar: lookup
  2. Górski K, Borowska M, Stefanik E, Polkowska I, Turek B, Bereznowski A, Domino M. Application of Two-Dimensional Entropy Measures to Detect the Radiographic Signs of Tooth Resorption and Hypercementosis in an Equine Model. Biomedicines 2022 Nov 13;10(11).
    doi: 10.3390/biomedicines10112914pubmed: 36428482google scholar: lookup
  3. Górski K, Borowska M, Stefanik E, Polkowska I, Turek B, Bereznowski A, Domino M. Selection of Filtering and Image Texture Analysis in the Radiographic Images Processing of Horses' Incisor Teeth Affected by the EOTRH Syndrome. Sensors (Basel) 2022 Apr 11;22(8).
    doi: 10.3390/s22082920pubmed: 35458905google scholar: lookup
  4. Górski K, Stefanik E, Bereznowski A, Polkowska I, Turek B. Application of Hyperbaric Oxygen Therapy (HBOT) as a Healing Aid after Extraction of Incisors in the Equine Odontoclastic Tooth Resorption and Hypercementosis Syndrome. Vet Sci 2022 Jan 15;9(1).
    doi: 10.3390/vetsci9010030pubmed: 35051114google scholar: lookup