Essential Considerations for Equine Oral Examination, Diagnosis, and Treatment

Abstract

Equine dentistry should no longer be thought of as art over science. To be an effective equine dental clinician requires considerable investment in knowledge beyond the basic veterinary degree. It requires current scientific dental knowledge and adherence to the fundamental principles of medicine, dentistry, and surgery. Knowledge and principles will provide clinicians with the necessary information to make more evidence-based decisions as the scientific literature continues to evolve. Diagnosis and therapy should be seen as journeys with a destination, keeping in mind the values of the Hippocratic oath. Equine dentistry no longer needs to be seen as hard physical work with considerable risk to all involved. There is a demand for providers of equine dental care to be appropriately trained veterinarians and for veterinarians to further develop the science of equine dentistry. The rewards to the horse, client, and clinician are likely to be evident to those who make the investment.

Successful Treatment of a Persistent Oroantral Fistula via Transbuccal and Transnasal Endoscopic Debridement in a Horse

“…3,4 Correct diagnosis of related oral, dental, and sinus abnormalities requires a meticulous examination, and knowledge of the involved anatomical structures and ancillary diagnostic instrumentation, especially radiography and endoscopy, can be of particular value. [5][6][7][8] The treatment or oroantral fistula formation as a sequel of dental or periodontal disease and/or exodontia. [1][2][3][4]9 Fistulas can be a challenge for equine practitioners, and an appropriate treatment plan is often limited by owners' commitment, patience, and budget.…”

“…3,4 Correct diagnosis of related oral, dental, and sinus abnormalities requires a meticulous examination, and knowledge of the involved anatomical structures and ancillary diagnostic instrumentation, especially radiography and endoscopy, can be of particular value. 5 –8…”

Diagnosis and Surgical Management of Prevalent Dental Affections in Horses of Equestrian Clubs

“…Dentistry should be scheduled every 4 to 6 months for those horses that have teeth with occlusal areas not in wear and for those that are expected to perform at a high level (pence, 2002). It is important for the oral examination to be performed in a controlled environment to avoid potential distractions that could stimulate the horse (Menzies et al, 2011). Appropriate ambient lighting is necessary, and good-quality intraoral illumination is essential to enable a thorough oral examination without causing clinician eye strain and fatigue.…”