For every case, Dr. Niederman approaches the animal with two lenses: a dental and a nutritional one. The goal(s) vary depending upon the horse’s age:

Horses Less Than 5 Years Old

Dental Focus

Goals:

  • Monitor eruption of both deciduous (baby) and permanent teeth.
  • Watch alignment/ respective growth of upper and lower jaws.

[see Dental Education/Dental Anatomy Section for more details]

Nutritional Focus

Diet should

  • Be balanced and
  • Support slow, steady growth of skeleton and jaws (so there is room for the developing teeth)
  • And fed by weight, not volume

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.

Horses Between 5-20 Years Old

Dental Focus

Goals:

  • Relieve pain
  • Maintain proper bite alignment
  • Support the health and longevity of the dental arcades.
  • Identify and educate client on ongoing age related loss on chewing surface.

[see Solutions Section for more details]

Nutritional Focus

Diet should

  • Be balanced,
  • Appropriate for horse’s work,
  • Allow maintenance of an ideal body condition score (BCS) and topline evaluation score (TES)
  • Be adjusted based on horse’s ability to chew long stem hay
  • And fed by weight, not volume.

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.

Horses Older than 20 Years Old

Dental Focus

Goals:

  • Relieve pain
  • Identify and educate client on ongoing age related loss on chewing surface.

[Refer to 4th item in Solutions Section that illustrates the loss of chewing ability that normally happens]

Nutritional Focus

Diet should:

  • Be balanced,
  • Appropriate for horse’s work,
  • Allow maintenance of an ideal body condition score (BCS) and topline evaluation score (TES)
  • Be adjusted based on horse’s ability to chew long stem hay [ie. Introduce chopped hay, pellet alternatives]
  • And fed by weight, not volume.

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.

Dr. Niederman offers a complete range of dental services:

  • Floating: removal of commonly found sharp edges on the outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjustment: [odontoplasty]: correction of cheek teeth and incisor malocclusions [hooks, ramps, steps, waves].
  • Wolf teeth extraction.
  • Deciduous [baby] and permanent incisor and cheek teeth extraction.
  • Restoration of appropriate incisor fractures.
  • Peridontal disease treatment [odontoplasty; curettage ]
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Digital radiography of all teeth: x-rays taken of the horse in the stock are developed into digital images in the truck, allowing for immediate analysis and treatment planning.

The services provided often depend on the age of the horse:


Horses Less than 5 years of age

  • Jaw alignment assessment: to detect presence of under/over bites; under/overjets. [This evaluation should initially be done when the foal is less than 6 months of age].
  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjusstment[odontoplasty]: correction of cheek teeth and incisor malocclusions that may occur during permanent teeth eruption.
  • “Cap” extraction: removal of any persistent deciduous [baby] incisors or cheek teeth [premolars].
  • Wolf teeth extraction: [if appropriate]
  • Periodontal pocket cleaning and treatment.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.

Horses between 5-20 years of age

  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjustment [odontoplasty]: correction of cheek teeth and incisor malocclusions that may occur as a result of the horse’s chewing pattern.
  • Periodontal pocket cleaning and treatment.
  • Canine and incisor tartar removal.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Restoration of incisor fractures.

Horses older than 20 years of age

  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Loose [mobile] teeth extraction.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Periodontal pocket cleaning and treatment.
  • Canine and incisor tartar removal.
  • Diet Analysis and consultation.


Brief Nutrition Review:

Nutitional ConsultationIncludes how to:

  • Feed by weight using a portable scale (scale can be purchased)
  • Obtain body weight using weight tape (weight tape dispensed for future use)
  • Determine:
    • Body condition score
    • Topline evaluation score
    • Reference guides provided for continued use
    • No follow-up

Analysis of Current Diet:

  • Includes Brief Nutrition Review (see above)
  • Evaluation of current diet and delivery methods.
    • All feeds (hay, feed) examined and amounts weighed.
  • Completed at one visit
  • Electronic summary provided after visit.
  • No follow up
  • No samples taken

danny2

hayconsultAnalysis of Current Diet with Hay Analysis:

  • Includes Brief Nutrition Review
  • Evaluation of current diet and delivery methods.
    • All feeds (hay, feed) examined and amounts weighed.
  • Completed at one visit
  • Hay samples taken
  • Electronic summary provided after hay analysis results received and phone follow up

Analysis of Current Diet with Three Month Follow up:

  • Includes Brief Nutrition Review
  • Can be with or without hay analysis
  • Best for horses needing to gain or lose weight or address medical condition
  • Includes initial and three month site visit
  • Electronic summary provided after hay analysis results received and phone follow up

Hay Analysis only:

Basic: Includes the following parameters: DM, CP, Heat Damaged Protein, Est. Lysine, Fat, Ash, ADF, NDF, NFC, RFV, Lignin, Ca, P, Mg, K, Na, Cl, S, WSC/ESC/Starch, Equine DE

Advanced: Includes Basic parameters (see above) plus Cu, Mn, Mo, Fe. Zn

the exam

Dr. Niederman travels with a portable horse stock pulled behind her truck so she can set up her mobile dental clinic in most locations. The stock provides a safe working environment for her, the horse and the owner. Dr. Niederman uses pneumatic dental instruments for all dental corrections. All horses are sedated to 1) facilitate a safe and complete examination of the horse’s mouth and 2) allow the horse to be more relaxed while dental corrections are made. Please watch the photographic tour above of the routine dental examination procedure to get a better idea of the steps involved.

Dental Record

All examination findings are summarized onto a computerized dental record. This record includes both a written and a schematic description of the dental abnormalities found and the subsequent corrections made.