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Nick Moore, DVM

Equine Infundibular Caries



In the realm of equine care, dental health often takes a back seat to more visible aspects of horse maintenance, but it is just as crucial for overall well-being. This article delves into a case study that highlights the importance of monitoring and addressing dental issues in horses, particularly focusing on infundibular caries and the effectiveness of dental treatments.


The Journey of a Horse's Dental Health

Over the past three to four years, we've closely observed the dental health of a particular horse, documenting the changes in his dentition annually. Initially, this horse exhibited significant malocclusions—a misalignment of teeth that can lead to uneven wear and other complications. Photographic evidence from earlier assessments reveals a pronounced wave in the dental arch and substantial wear abnormalities.


Improvement Through Regular Care

Thanks to a regimen of "blue soil equilibration," a specialized dental procedure designed to improve alignment and overall dental health, we have witnessed remarkable progress. The initial dental wave has significantly improved, indicating that proactive care can lead to better outcomes.


Understanding Infundibular Caries

While the visible changes in malocclusions are encouraging, new challenges have emerged: infundibular caries. These dental lesions can be likened to icebergs; the visible part above the surface often belies a more extensive problem hidden below. Studies have shown that what we see on the occlusal surface of the tooth usually reflects a more serious condition within the reserve crown.


In this case, infundibular caries were virtually absent in the earlier evaluations but have since developed to a concerning extent. If left untreated, these carious lesions pose a high risk of tooth fracture, which could lead to further complications and pain for the horse.


The Role of Early Detection

The progression of dental disease in this horse underscores the critical importance of early detection. Regular dental examinations allow us to catch issues before they escalate. The horse's case serves as a reminder that even with significant improvement in malocclusions, the emergence of new dental problems can still occur.


The Restoration Process

During our recent evaluation, we identified significant caries on several teeth, particularly the number six and number eight teeth. As we prepared for treatment, we utilized an endoscope to better visualize the extent of the damage—deep caries that compromised the structural integrity of the affected teeth.


Filling the Cavities

After cleaning out the carious material, we initiated the restoration process. Though challenging to appreciate in two dimensions, the depth of the caries was alarming. To restore the tooth's integrity, we employed a composite material that mirrors the hardness of dentin, ensuring that it wears at a similar rate to natural tooth structure.


The completed restoration not only salvaged the affected teeth but also helped prevent future complications. By maintaining the structural integrity of the teeth, we can prolong the horse's dental health and overall quality of life.


Conclusion: The Importance of Equine Dental Care

This case study exemplifies the complexities of equine dental health and the necessity for ongoing care and monitoring. As we've seen, improvements in malocclusion can be overshadowed by the emergence of infundibular caries if not addressed promptly.


Equine dental health is a vital component of overall horse care, and this case highlights the need for vigilance and timely intervention. Regular dental check-ups, coupled with a proactive approach to treatment, can significantly enhance the longevity and quality of life for our equine companions.


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