07/23/2024
๐ท๐จ๐ป๐ฐ๐ฌ๐ต๐ป ๐บ๐ผ๐ช๐ช๐ฌ๐บ๐บ ๐บ๐ป๐ถ๐น๐!
In our next patient success story, we are going to introduce you to Rose, a 25 year old AQHA mare.
Rose had been receiving annual oral examinations by Dr. Newton, and over the past couple years it was noted that she had increased sensitivity to the speculum during examination, as well as losing some weight, was reluctant to eat her grain and treats, and did not respond well to the bit when being ridden. Visually, her gums on her lower incisors looked to be receding, causing her teeth to look โflatโ (picture below). Dr. Newton recommended intraoral radiographs of her incisors to confirm suspicion of a dental disorder called EOTRH.
๐๐ฉ๐ข๐ต ๐ช๐ด EOTRH?
Equine Odontoclastic Tooth Resorption and Hypercementosis is a painful dental disorder affecting the incisor and canine teeth that most commonly develops in older horses (>15 years). Essentially it causes the roots of the affected teeth to decay, and the horse's body tries to stabilize these teeth by laying down extra cementum, which is a hard substance covering the surface of the equine tooth, protecting it and helping to anchor it to the underlying bone.
Characteristics of EOTRH on a visual exam may include hypercementosis, firm bulbous swelling around the roots of the teeth, infected teeth, abscesses, and the teeth may even be loose or fractured. As the disease progresses, it may result in different clinical signs such as; headshaking, weight loss, face rubbing, or even unwillingness to eat or bite down when taking treats such as apples or carrots. EOTRH is a progressive and painful disease.
With Rose, EOTRH was confirmed via intraoral radiographs, since they are key in making a diagnosis of EOTRH. From these, he can tell if the horse has severe resorption or abscessation, or if there is significant hypercementosis present that may make extracions more difficult.
Seeing all 6 of Roseโs lower incisors having all her lower incisors of a moderate EOTRH case, Dr. Newton felt comfortable extracting her lower incisors and keeping a close eye on her upper incisors. Extractions were performed with sedation, local anesthesia, and nerve blocks. Rose showed some discomfort during the procedure, but seemed to relax after each tooth.
For the next few hours after the extractions, Rose showed signs of instant relief. She comfortably grazed once the sedation wore off and was excited to eat her dinner. She overall seemed happier. Over the next couple days, Rose was eager to eat her grain, treats, and continued to eat for longer periods of time. Dr. Newton will continue to perform annual dental examinations on Rose and monitor for any changes.
๐๐๐ป ๐๐ฎ๐ฐ๐: ๐ ๐ถ๐ป๐ถ๐ฎ๐๐๐ฟ๐ฒ ๐ต๐ผ๐ฟ๐๐ฒ๐, ๐ฑ๐ผ๐ป๐ธ๐ฒ๐๐, ๐ฎ๐ป๐ฑ ๐ฒ๐๐ฒ๐ป ๐บ๐๐น๐ฒ๐ ๐๐ฒ๐ฒ๐บ ๐๐ผ ๐ต๐ฎ๐๐ฒ ๐บ๐ผ๐ฟ๐ฒ ๐ฝ๐ฟ๐ผ๐ฏ๐น๐ฒ๐บ๐ ๐๐ถ๐๐ต ๐๐ต๐ฒ๐ถ๐ฟ ๐๐ฒ๐ฒ๐๐ต ๐๐ต๐ฎ๐ป ๐๐๐ฎ๐ป๐ฑ๐ฎ๐ฟ๐ฑ ๐ฏ๐ฟ๐ฒ๐ฒ๐ฑ๐ ๐ผ๐ณ ๐ต๐ผ๐ฟ๐๐ฒ๐. ๐ง๐ต๐ฒ๐ ๐ต๐ฎ๐๐ฒ ๐๐ต๐ฒ ๐๐ฎ๐บ๐ฒ ๐๐ถ๐๐ฒ ๐ฎ๐ป๐ฑ ๐ป๐๐บ๐ฏ๐ฒ๐ฟ ๐ผ๐ณ ๐๐ฒ๐ฒ๐๐ต ๐ฎ๐ ๐น๐ฎ๐ฟ๐ด๐ฒ๐ฟ ๐ฏ๐ฟ๐ฒ๐ฒ๐ฑ๐. ๐๐น๐น ๐๐ต๐ผ๐๐ฒ ๐ฟ๐ฒ๐ด๐๐น๐ฎ๐ฟ ๐๐ถ๐๐ฒ ๐๐ฒ๐ฒ๐๐ต โ๐ฐ๐ฟ๐ผ๐๐ฑ๐ฒ๐ฑโ ๐ถ๐ป๐๐ผ ๐ฎ ๐ฐ๐ผ๐บ๐ฝ๐ฎ๐ฐ๐ ๐๐ถ๐๐ฒ ๐ต๐ฒ๐ฎ๐ฑ ๐บ๐ฎ๐ธ๐ฒ ๐บ๐ถ๐ป๐ถ๐ ๐บ๐ผ๐ฟ๐ฒ ๐๐๐๐ฐ๐ฒ๐ฝ๐๐ถ๐ฏ๐น๐ฒ ๐๐ผ ๐ฟ๐ฒ๐๐ฎ๐ถ๐ป๐ฒ๐ฑ ๐ฏ๐ฎ๐ฏ๐ ๐๐ฒ๐ฒ๐๐ต, ๐บ๐ฎ๐น๐ผ๐ฐ๐ฐ๐น๐๐๐ถ๐ผ๐ป, ๐ฎ๐ป๐ฑ ๐ฝ๐ฒ๐ฟ๐ถ๐ผ๐ฑ๐ผ๐ป๐๐ฎ๐น ๐ฑ๐ถ๐๐ฒ๐ฎ๐๐ฒ. ๐ ๐ถ๐ป๐ถ๐ฎ๐๐๐ฟ๐ฒ๐ ๐ฎ๐ฟ๐ฒ ๐ฎ๐น๐๐ผ ๐บ๐ผ๐ฟ๐ฒ ๐ฝ๐ฟ๐ผ๐ป๐ฒ ๐๐ผ ๐ฐ๐ผ๐ป๐ด๐ฒ๐ป๐ถ๐๐ฎ๐น ๐ฑ๐ฒ๐ป๐๐ฎ๐น ๐ฝ๐ฟ๐ผ๐ฏ๐น๐ฒ๐บ๐ ๐๐๐ฐ๐ต ๐ฎ๐ ๐ฝ๐ฎ๐ฟ๐ฟ๐ผ๐ ๐บ๐ผ๐๐๐ต ๐ฎ๐ป๐ฑ ๐๐ป๐ฑ๐ฒ๐ฟ ๐ฏ๐ถ๐๐ฒ๐.
Rose has now healed (see picture), and she recovered to the extractions. She has gained some weight, is comfortable with a bit in her mouth, and willing to take all the treats offered to her. As a bonus, she has a charming smile that shows a little bit of her tongue.
๐๐ญ๐ฆ๐ข๐ด๐ฆ ๐ง๐ฆ๐ฆ๐ญ ๐ง๐ณ๐ฆ๐ฆ ๐ต๐ฐ ๐ค๐ข๐ญ๐ญ ๐ฐ๐ถ๐ณ ๐ฐ๐ง๐ง๐ช๐ค๐ฆ ๐ง๐ฐ๐ณ ๐ข๐ฏ๐บ ๐ถ๐ณ๐จ๐ฆ๐ฏ๐ต ๐ฎ๐ข๐ต๐ต๐ฆ๐ณ๐ด, ๐ฐ๐ณ ๐ธ๐ช๐ต๐ฉ ๐ข๐ฏ๐บ ๐ฒ๐ถ๐ฆ๐ด๐ต๐ช๐ฐ๐ฏ๐ด. ๐๐ฆ๐ข๐ท๐ฆ ๐ข ๐ท๐ฐ๐ช๐ค๐ฆ๐ฎ๐ข๐ช๐ญ ๐ข๐ฏ๐ฅ ๐ง๐ฐ๐ญ๐ญ๐ฐ๐ธ ๐ต๐ฉ๐ฆ ๐ท๐ฐ๐ช๐ค๐ฆ๐ฎ๐ข๐ช๐ญ ๐ฑ๐ณ๐ฐ๐ฎ๐ฑ๐ต๐ด.
- ๐๐ถ๐ฎ๐ข๐ญ๐ฐ ๐๐ช๐ฅ๐จ๐ฆ ๐๐ฒ๐ถ๐ช๐ฏ๐ฆ
