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10 Cards in this Set

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  • Back
What are some unique features of equine dental anatomy?
canine teeth present in most males > 4.5 yo
wolf teeth (PM 1): upper arcade, can be problematic
PM4 can become trapped, impacted, or displaced medially b/c it is last cheek tooth to erupt
eruption cysts: swelling of face & jaw (usually not present after 5 yo)
upper jaw ~30% wider than lower jaw
occlusal tables of cheek teeth sloped at 10-15º angle, dorsal lingual to ventral buccal
when chewing, jaw moves in rotary motion from side to side: regulated by temporo-mandibular joint
-slight maloclussion b’twn upper & lower arcades is normal
-downward projecting hook develops on upper PM2
-upward projecting hook develops on lower M3
What is the dental formula for the horse?
upper: 3,1,3 (4: wolf tooth), 3
lower: 3,1,3,3
6 upper & lower incisors, 6 upper & lower cheek teeth on either side of mouth
What are the parts of a dental exam/procedure?
hx, BCS, conformation, stable behavior (ex. cribbing, quidding: dropping wads of masticated feed)
percuss sinuses, palpate cheeks, assess d/c, facial swelling
plan of action: equipment, stocks, ropes, halter, speculum (gag), chemical restraint, general anesthesia, light source
rinse mouth, examine oral cavity, assess mandibular excursion
insert speculum, palpate upper & lower arcades, probe cheek teeth infundibulae
dental instruments (ex. molar cutters), rads, endoscopy
What is involved in floating teeth?
remove sharp points
slightly level arcades, smooth hooks on 1st cheek teeth, restore 10-15º angle to occlusal surfaces
equipment: mouth speculum, series of floats (carbide blades), float upper arcade w/o speculum
-use angled molar float for rostral maxillary teeth, use long straight float for caudal maxillary teeth & lower cheek teeth, smooth rostral aspect lower PM2 (accommodate bit)
What are some clinical signs of dental dz?
difficult or slow mastication
quidding, excess salivation, abnormal tongue movements, halitosis
dental sinus or external fistula
paranasal sinus empyema, nasal d/c
head tilt while eating
pain: cold water, teeth floating
riding problems, head shaking: reluctance to take bit (young), behavior or performance change (adult)
non-specific: wt. loss, discomfort &/or infection
What are some abnormalities of wear?
incisor abnormalities very common: grinning, stepped or irregular, tilted, frowning appearance
-expect 10-20% of horses present for routine floating to require some incisor shaping
sharp enamel points & hooks
crib biting
changes in grinding pattern
-wave mouth: teeth have undulating pattern from front to rear
-step mouth, shear mouth: lost, broken, or misplaced teeth
-dystrophic bone dz: osteodystrophia fibrosa
-mandibular fractures
What are some characteristics of

a. dental decay, pulpitis, infundibular necrosis
b. periodontal dz
a. caries of cementum
pulpitis may arise from tooth fx, periodontal dz, maleruption & lysis of alveolar bone in mandible: can lead to periapical osteitis
tooth fractures can be pathological: following severe infundibular necrosis, confluence of adjacent infundibulae & subsequent splitting
lower PM2, PM3, upper PM4 most frequently affected by dental decay, periodontal dz, & trauma

b. most common dental disorder
initial lesion: marginal gingivitis, lateral gingival sulcus becomes eroded, erosion of gingival tissue into periodontum, alveolar sepsis, tooth loss
severe form: periodontal suppuration, loosening of teeth assoc. w/ abnormalities of wear
periodontitis: occurs if abnormal occlusion & alterations in shearing forces
healthy periodontum maintained by normal forces of mastication
What are some common dental disorders?
retained deciduous caps
abnormalities of wear
dental decay, pulpitis, infundibular necrosis
periodontal dz
infected tooth roots
trauma
dentigerous cysts
maxillary or mandibular cysts
neoplasia: rare
What are some dental considerations for older horses?
recommend routine dental care biannually
retain healthy teeth, remove diseased tissues: loose teeth, root fragments
avoid damage to residual tissue when floating teeth
do NOT attempt to level wave mouth
cut or rasp long teeth carefully to reduce step
provide 5-7 d. course of ABs following extractions or if periodontal dz is evident
horses w/ minimal crown visible or palpable: soft diet to maintain body condition
-reliance on pasture or coarse fibrous hay --> wt. loss, colic
infected tooth roots (apical infection)

a. signs
b. dx
c. tx
d. complications
a.pain, maxillary sinusitis, unilateral fetid nasal d/c, halitosis, asymmetrical facial swelling
b. rads to ID affected tooth & root
c. trephination or flap fx technique, ventral or lateral approach to mandible to expose tooth for repulsion into oral cavity or restorative procedure
d. complications from repulsion: many, incl. feed impaction or foreign body