Left Sided Nasal Discharge

DSC00526Problem: Left sided nasal discharge. Discharge had an odor and was yellow-green in color. Oral examination revealed a saggital fracxture fo the last left upper cheek tooth. The root of this tooth communicates with the sinus, causing a secondary sinusitis. Once the sinus was full of fluid, the nasal discharge started.

Solution:Oral […]

Packing Food in Between Teeth

Problem: Packing food in between cheek teeth on upper left side. Horse may have bad breath.

Solution:Food needs to be removed and underlying gum tissue needs to be visually and radiographically evaluated to determine the extent of the periodontal disease.

Calculus on Lower Right Canine

Problem: Calculus on lower right canine

Solution: Remove using dental forceps. Mild gingivitis may develop underneath the calculus that will resolve on its own.

Very Tall Tooth

Problem: Very tall tooth [step] shown on left. Normal mouth shown on right where all of the teeth are the same height.

Solution: Tooth needs to be reduced in stages to prevent pulp exposure. A tooth this tall may not ever be level to the rest of the teeth in the arcade (row) but […]

Numerous Expired Cheek Teeth

Problem: Numerous expired cheek teeth [enamel in the center of the tooth has worn down to the gum line, thus reducing the horse’s surface area for chewing hay. A normal age related change].  The picture to the right is a view of a the teeth of a young horse, before it […]

Equine Odontoclastic Tooth Resorption and Hypercementosis

Problem: Equine Odontoclastic Tooth Resorption and Hypercementosis. A non infectious process that commonly affects the incisors, starting with the corners and moving towards the midline, and causes these teeth to become loose or even fracture. Radiographs are needed to evaluate what is happening below the gum line. This disease can be quite painful.

Solution: Standing oral extraction: Intra oral radiographs are […]

Discolored Central Incisors

prob3bProblem: Discolored central incisors. Most likely secondary to trauma that led to death of the outer enamel and dentin of these teeth.

Solution: Diseased enamel and dentin removed. Composite restoration placed to prevent further decay. Although the esthetics of the composite needs improvement, it is preventing further the decay from spreading to the […]

Hooks on First Cheek Teeth

Problem: Hooks on first maxillary [upper] cheek teeth [06s]. These will limit the jaw’s rostral-caudal motion.

Solution: Reduction of hook: will be done in stages if large to prevent exposure of underlying pulp tissue [Occlusal adjustment]

Oral Ulcers

Problem: Oral ulcers: Horses can get ulcers on their cheeks and tongue secondary to the presence of sharp enamel points.

Solution: Routine removal of the sharp enamel points on the outside of the upper cheek teeth will allow the ulcers to heal

Overweight Adult Horse

Problem:  Considered an “easy keeper”.  The body condition score is at a 6 of 9 on the Henneke Scale.  Spongy fat deposits behind the shoulder.  Spongy fat deposits at the base of the tail.  Owner concerned with metabolic issues.

Solution:  Analysis of current diet and three month follow up.  Determine what changes must be made to […]

Underweight Young Horse

Problem: Young horse with poor body condition.

Solution: Brief nutritional review. Submit Fecal Egg Count (FEC) for suspect worm overload. Based on FEC findings, it may be necessary to deworm the horse before making changes to the diet. Increase the amount of feed and forage and potentially change the types of both, necessary for a growing […]

Underweight Senior Horse

Problem: Weight loss in a senior horse

Solution: Complete oral examination to determine if the horse is still able to chew long stem hay. Analyze current diet. Change ration to a Senior feed to provide fiber needed if the horse can no longer receive from hay. Senior feed also needs to contain enough fat to allow […]

Poor Topline Evaluation

Problem: Lack of muscle mass over back and loin. Topline evaluation score of B-. Topline Evaluation Score (TES) is an indicator of the amino acid profile of the horse’s diet and his exercise program. The score is a grading scale from A (Ideal) to D (thin along back, loin and croup)

Solution: Brief nutrition review, with […]