Update on Equine Odontoclastic Tooth Resorption and Hypercementosis.
Abstract: 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 multiple extractions have a favorable prognosis. Human oral and dental health may be affected by bisphosophonate use; long-term effects of these drugs are currently unknown in horses.
Copyright © 2020 Elsevier Inc. All rights reserved.
Publication Date: 2020-10-14 PubMed ID: 33067098DOI: 10.1016/j.cveq.2020.08.006Google Scholar: Lookup
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Summary
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The research article discusses the condition of equine odontoclastic tooth resorption and hypercementosis (EOTRH), a progressive dental disease affecting horses. The article explores the symptoms, probable causes, and the need for early identification and treatment of the condition in horses. Long-term effects of certain drugs used in human oral and dental health, on horses are also examined.
Understanding Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH)
- Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is portrayed as a painful and evolving disease affecting the dental health of horses. It affects the incisors, canines, and cheek teeth of the equine.
- The article describes a range of symptoms associated with this disease. These include inflammation of the gums, recession and/or overgrowth of gums, swelling below the gums, enlargement of teeth, associated gum disease, fracture of the tooth, and potential tooth mobility and loss.
Hypotheses Towards Cause of the Disease
- The research discusses current hypotheses regarding the causes of EOTRH in horses. It proposes that biomechanical stresses and secondary bacterial involvement may be possible triggers of the disease.
Importance of Early Detection and Management
- Stressing the importance of early detection, the article states that recognition of the disease in its early stages allows for case management. Nevertheless, the progressive nature of the disease is highlighted, indicating that despite detection and management, the condition can still advance over time.
The Role of Owner Education and Prognosis
- The document strongly advocates for owner education as a crucial factor in managing EOTRH in horses. Owners with knowledge of the disease are better equipped to manage the condition effectively, and the prognosis for horses that have undergone complete or multiple extractions is favorable.
Effects of Bisphosphonate Use
- Beyond the disease itself, the article raises concerns about the use of bisphosphonates, a type of drug commonly used in human oral and dental health. The long-term effects of these drugs on horses is currently unknown, raising potential concerns for their use in equine health.
Cite This Article
APA
Limone LE.
(2020).
Update on Equine Odontoclastic Tooth Resorption and Hypercementosis.
Vet Clin North Am Equine Pract, 36(3), 671-689.
https://doi.org/10.1016/j.cveq.2020.08.006 Publication
Researcher Affiliations
- Northeast Equine Veterinary Dental Services, LLC, PO Box 264, Topsfield, MA 01983, USA. Electronic address: leahlimonedvm@gmail.com.
MeSH Terms
- Animals
- Horse Diseases / diagnosis
- Horse Diseases / therapy
- Horses
- Hypercementosis / pathology
- Hypercementosis / therapy
- Hypercementosis / veterinary
- Tooth / pathology
- Tooth Extraction / methods
- Tooth Extraction / veterinary
- Tooth Resorption / pathology
- Tooth Resorption / therapy
- Tooth Resorption / veterinary
Conflict of Interest Statement
Disclosure No funding sources, financial interests, or conflicts of interest to disclose.
Citations
This article has been cited 4 times.- Sidwell AE, Duz M, Hill B, Freeman S, Hole SL. Application of the horse grimace scale in horses with dental disease: Preliminary findings. Vet Rec 2025 Feb 1;196(3):e4800.
- Bernal Ruiz MA, Fiori Chíncaro GA. [Patterns of hypercementosis and their relationship with possible local etiological factors in radiographs of individuals from a mexican population]. Rev Cient Odontol (Lima) 2023 Jul-Sep;11(3):e163.
- Albers L, Bienert-Zeit A, Staszyk C. Equine Incisor Lesions: Histologic Confirmation of Radiographic, Macroscopic, and Micro-Computed Tomographic Findings. Vet Sci 2022 Jul 11;9(7).
- 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).
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