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Nick Moore, DVM

Clinical Tips for Diagnosing Dental Disease in Horses



When it comes to diagnosing dental disease in horses, a simple yet effective clinical tip can make all the difference: understanding how pus from an abscessed tooth can signal the need for extraction. This principle is vital for veterinarians and horse owners alike.


The Basics of Abscess Drainage

Pus generated from an abscessed tooth must escape the body, and it will always seek the path of least resistance. This drainage can occur in several ways: directly into the mouth, into the sinus cavities, or externally along the maxilla or mandible. As veterinary professionals, we act like detectives, carefully investigating these drainage paths during dental examinations.


The Examination Process

During a dental exam, it's crucial to take the time to look for signs of drainage. Using tools such as oral endoscopes or mirrors can enhance this process. A fine probe can also help explore the gingival tissue surrounding the suspected tooth. Often, these small investigations reveal a drainage track, which indicates a periapical abscess—an infection at the tooth root.


For instance, in a recent case involving a horse with a fractured tooth, a probe revealed pus indicating a drainage track. This confirmation highlighted the necessity of tooth extraction, despite initial knowledge of the fracture.


The Role of Radiographs

While the visual inspection and probing are essential for initial diagnosis, radiographs play a critical role in surgical planning. They provide detailed images of root structures and help identify any complicating factors such as retained dental material or bone reactions. In the discussed case, radiographs confirmed the presence of a periapical abscess, supporting the decision to extract the problematic tooth.


Misconceptions and Importance of Annual Check-ups

A common misconception among horse owners is that a fractured or broken tooth might not require immediate action, especially if the horse appears to be doing well. However, just because there are no visible signs of pain does not mean an underlying issue isn’t present. This reinforces the importance of conducting thorough annual dental examinations by a qualified veterinarian.


Conclusion

Veterinary professionals should be vigilant in looking for signs of dental disease in horses. By understanding the behavior of pus from abscesses and employing careful examination techniques, practitioners can better diagnose and treat dental issues. Annual dental exams are essential to ensure that horses remain healthy and free from painful dental conditions. Always consult with a thorough veterinarian to keep your horse's dental health in check.

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