Equine Dentistry 2 Flashcards

(36 cards)

1
Q

What is brachygnathism?

A

*Overbite - overly long maxilla

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2
Q

What are the consequences of brachygnathism?

A

*Ulceration of behind upper incisors
*Maxillary rostral 06 overgrowth + mandibular 11 overgrowth = life long problem

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3
Q

What is prognathism?

A

*Overgrown mandible

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4
Q

What are clinical implications of prognathism?

A

– Few incisor problems
– Develop lower 06 overgrowths and upper 11 overgrowths
i.e. opposite to normal

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5
Q

What is Camylorrhinus lateralis?

A

Deviation of entire maxilla - can cause breathing problems

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6
Q

How is retained deciduous incisors treated?

A

– Loose: remove with forceps
– Firmly attached: remove with dental elevators
– May need to radiograph

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7
Q

How is supernumerary incisors treated?

A

NO tx - cause little problem

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8
Q

What can cause incisor fractures?

A

– Kicks
– Inquisitive youngstock caught on objects e.g. haynets
– Crib-biting on fixed objects

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9
Q

What is Equine odontoclastic tooth reabsorption + hypercementosis?

A

*Swelling + draining tracts over multiple mandibular + maxillary incisors
*Extract loose incisors - may have to remove all - but horses cope well

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10
Q

What are classifications of oral neoplasia?

A

*Dental
*Bone
*Soft tissue

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11
Q

What are oral neoplasia of dental origin?

A
  • Ameloblastoma - most common
  • Cementoma
  • Odontoma
  • Temporal teratoma
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12
Q

What are oral neoplasias of soft tissue origin?

A
  • Squamous cell carcinoma (SCC)
  • Sarcoid
  • Epulis
  • Melanoma
  • Oral papilloma
  • Ossifying fibroma
  • Fibroma
  • Myxoma/Myxosarcoma
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13
Q

What is the most common canine abnormalities?

A

*Calculus around lower canines - remove with dental forceps

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14
Q

What can indicate removal of wolf teeth?

A
  • Bitting problems / ulceration
  • Loose or displaced
  • Blindly erupted – May be painful
  • May become molarised – Look like a molar
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15
Q

What are complications of wolf tooth removal?

A

– Fracture of tooth
– Fracture of bone
– Trauma to the palatine artery – marked haemorrhage

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16
Q

What are retained caps? Tx?

A

*Remnants of deciduous teeth - can cause oral pain
*Easily removed from gingiva with forceps - don’t remove prematurely

17
Q

What can cause cheek teeth displacements?

A

*Overcrowding = lead to -> buccal/lingual trauma

18
Q

What happens with development diastemata? (Gaps in teeth)

A

→ spaces develop
→ food accumulates
→ fermentation
→ periodontal disease

19
Q

What is anisognathism? What can it cause?

A

*When maxilla is wider than mandibular teeth - teeth dont line up
*Causes enamel points to develop - removed during routine dental

20
Q

What is stepmouth?

A

Overgrowth of one tooth - usually when opposite tooth missing

21
Q

What can excessive rasping cause?

A

*Pulp exposure
*Thermal damage
*Risk apical infection

22
Q

What is smooth mouth? How is it managed?

A

*Softer dentine + cementum becomes smooth - worn down
*dietary management - feed chopped forage

23
Q

What happens with dental caries?

A

*Food material becomes stagnated in pits of peripheral cementum
– Fermentation
– Drop in pH of the environment
– Demineralisation
– Pits bigger and blackening of the peripheral cementum
* Cementum becomes eroded first
* May spread into the peripheral enamel

24
Q

What happens with infundibular caries?

A
  • Developmental predisposition
    – Cemental hypoplasia
    – Food accumulates in infundibulum
    – Fermentation -> decay
    – Young horses may have small central opening = site of former infundibular central artery
  • Progressive and irreversible
  • Predisposes to fracture
  • Varying degrees of severity
  • Can be managed in some horses with infundubular restoration
25
What can cause peripheral caries?
*Increased sugars in diet - haylage / molasses
26
What is treatment of diastemata without periodontal disease?
* Must be cleaned out COMPLETELY – Dental Pick/ Diastema forceps / High pressure lavage * Remove ETR’s on opposite arcade and correct other overgrowths that may be contributing to diastema * +/- Pack with impression material to prevent refilling
27
What is treatment of diastemata with periodontal disease?
* Widen with mechanised burr – Painful!! Lidocaine splash block * Remove ETR’s on opposite arcade and correct other overgrowths that may be contributing to diastema * +/- Pack with impression material to prevent refilling * Dietary management essential – Short fibre: grass / ‘short chop’ – Avoid long stem hay / haylage
28
What are the 3 main types of cheek teeth fractures?
*Buccal (lateral) slab fractures *Midline sagittal fracture *Occlusal fissure fractures
29
What should be done with buccal (lateral) slab fractures?
*Dental extraction may not be required - but remove loose fragment
30
Where are midline sagittal fractures seen? What should be done?
*Most commonly 109+209 *EXTRACTION required - as causes apical infection
31
Facial swelling is seen with what teeth?
Maxillary 06 +07
32
Unilateral nasal discharge is seen with what?
Maxillary 09, 10 + 11
33
Bony mandibular swelling is seen with what teeth?
All mandibular cheek teeth
34
What are the causes of apical infections?
1. Anachoresis = blood borne infection 2. Fracture 3. Periodontal spread (Diastema) 4. Pulpar exposure
35
How are apical infections diagnosed?
*Clinical signs *Oral exam - fracture / pulpar exposure *Imaging - radiography, computed tomography
36
What are the options with cheek tooth extractions?
1. ORAL EXTRACTION 2. MODIFIED TRANSBUCCAL EXTRACTION (MTE) 3. Lateral buccotomy - cheek incision 4. Repulsion - only complex cases