Equine Dentistry Flashcards

1
Q

How are equine teeth numbered?

A

triadan system with quadrants for numbering

  • 100-400 permanent
  • 500-800 deciduous
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2
Q

What are canine and wolf teeth?

A

CANINE = ‘04, mostly present in males

WOLF = ‘05, small tooth in front of premolars

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3
Q

How many incisors, canine, wolf teeth, and cheek teeth do horses have?

A

I = 3 per side, deciduous and permanent, 01-03

C = 0-1 per side, 04

W = 0-1 per side, 05

CH = 6 per side, 3 premolars (D & P), 3 molars (P), 06-11

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4
Q

Permanent vs deciduous teeth:

A
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5
Q

What kind of teeth do horses have?

A

hypsodont - long crown with continuous eruption

  • crown shortens over time
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6
Q

What is the difference between the apex and crown of teeth?

A

APEX - area of the tooth root (innermost) that begins to form at ~6 y/o

CROWN - more outer portion of the tooth embedded in the alveolus (reserved) and exposed (1-2 cm)

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7
Q

What is anisognathia?

A

upper cheek teeth are set wider apart than the lower teeth

  • contact surface of cheek teeth set at 10-15 degrees
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8
Q

What is the arcade? Table? Occlusal surface?

A

row of cheek teeth

total occlusal surface

area between two arcades (biting surface)

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9
Q

What are the outer and inner surfaces of the incisors?

A

OUTER - labial surface toward the lips

INNER - lingual surface toward the tonge of mandibular arcade; palatal surface toward the palate of the maxillary arcade

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10
Q

What are the outer and inner surfaces of the molars?

A

OUTER - buccal surface toward the cheek (vestibular)

INNER - lingual surface of the mandibular arcade; palatal surface of the maxillary arcade

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11
Q

What is the alveolar bone of teeth? How does it appear on radiographs?

A

compact bone that lines the alveolus

opaque lines —> lamina dura dentes

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12
Q

What is the periodontal ligament? How does it appear on radiographs?

A

sheet of tendon-like tissue that attaches cementum to alveolar bone to help reduce stress

dark space - radiolucent

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13
Q

Alveolar bone vs. periodontal ligament, radiograph:

A
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14
Q

What is the table angle? What are 3 causes of variability? How is it approached when floating?

A

angle of the occlusal surface

  1. anatomic differences between individuals
  2. front to back - back = steep, front = flat
  3. upper to lower arcade

don’t change artificially —> alters grinding surface

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15
Q

What is the cusp of the tooth?

A

occlusal eminence toward the occlusal surface of the tooth essential for grinding

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16
Q

What are cinguli? What happens when they’re sharp?

A

vertical ridges on the buccal surface of upper cheek teeth (2 per tooth)

responsible for soft tissue injury due to sharp enamel points

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17
Q

What are the 4 dental tissues?

A
  1. CEMENTUM - outer layer that attaches to the periodontal ligament
  2. ENAMEL - laminated sheets under the cementum (hardest tissue in the body)
  3. DENTIN - bulk of tooth under enamel with tubular ultrastructure
  4. PULP - blood and nerve supply to the tooth (inner surface of the tooth)
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18
Q

What produced the cementum? What causes wear?

A

subgingival cementoblasts throughout the life of the tooth

occlusion - wear highest on occlusal surface

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19
Q

What are the 2 functions of the cementum? How does it differ in deciduous teeth and permanent teeth?

A
  1. root formation
  2. periodontal attachment

white at the beginning and can stain with age

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20
Q

What are the 3 major properties of enamel?

A
  1. hardest substance in the body, but brittle
  2. 98% mineral
  3. when damaged, it cannot be repaired
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21
Q

What are the 2 portions of enamel?

A
  1. EXTERNAL - on the outside of tooth
  2. INTERNAL - surrounds infundibula
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22
Q

What are infundibula?

A

invaginations of enamel in the center of the tooth

  • aka cup
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23
Q

How do the infundibula compare in incisors, maxillary cheek teeth, and mandibular cheek teeth?

A

single (cup)

multiple

none

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24
Q

Maxillary cheek tooth, infundibula:

A

multiple

  • black = external enamel
  • brown = central enamel
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25
Q

Mandibular cheek tooth, infundibula:

A

none

  • black = external enamel
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26
Q

What provides the bulk of the tooth material? What produces it?

A

dentin

odontoblasts and pulp as the tooth erupts

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27
Q

What is the difference between primary and secondary dentin?

A

PRIMARY - forms before tooth eruption

SECONDARY - forms after tooth eruption and fills into the receding pulp chamber and is commonly stained dark from food pigment

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28
Q

What makes up the pulp? How does it compare in immature and mature teeth?

A

nerves, arteries, veins, lymph vessels

  • IMMATURE = larger apex (inner)
  • MATURE = smaller due to increased secondary dentin used for strength of the tooth
29
Q

When do pulp channels cease to communicate?

A

~ 6 years

30
Q

What causes attrition in horse teeth?

A

reserved crown erupts continuously, but the dentin, enamel, and cementum wear at different rates resulting in irregular occlusal surfaces

31
Q

At what rate does mastication wear down teeth? How does this compare with age? Breed?

A

~3 mm/yr

with age, teeth wear slower

smaller breeds (ponies, minis) have slower wear

32
Q

How do cheek teeth communicate with paranasal sinuses? What is the frontomaxillary aperture?

A
  • rostral maxillary sinus = roots of 8, 9, 10
  • caudal maxillary sinus = roots of 10, 11

communication between the conchofrontal sinus and the caudal maxillary sinus

33
Q

When do deciduous teeth erupt?

A
  • INCISORS (01-03) = 6d/6w/6m
  • PREMOLARS (06-08) = 6d
34
Q

When do permanent teeth erupt?

A
  • INCISORS (01-03) =2.5y/3.5y/4.5y
  • CANINES (04) = 4-6y in males
  • WOLF (05) = 6-9 m
  • PREMOLARS (06-08) = 2.5y/3y/3.5y
  • MOLARS (09-11) = 1y/2y/3.5y
35
Q

Equine dental eruption:

A
36
Q

When do incisors and premolars shed? How does this look?

A
  • INCISORS = 2.5/3.5/4.5 yrs
  • PREMOLARS = 2.5/3/4 yrs

caps formed by deciduous teeth on top of permanent ones

37
Q

When do permanent incisors erupt and come in wear?

A

ERUPT = 2.5/3.5/4.5 yrs

IN WEAR = 3/4/5 yrs

38
Q

When do canines and wolf teeth erupt?

A

4-5 years in males

6 months

39
Q

How do deciduous teeth compare to permanent ones?

A
  • different shapes - P = rectangular, long; D = trapezoid, smaller apex, wider occlusal surface
  • deciduous teeth are smaller
  • deciduous teeth are lighter colored
40
Q

How does the incisor angle change with age?

A

becomes more acute with age

41
Q

How is shape of incisors used to age horses?

A
  • OVAL = 5-9 yrs
  • TRIANGLE = 10-15 years
  • SQUARE = 16-20 yrs
42
Q

When do cups disappear and dental stars appear in the incisors?

A

6/7/8 yrs

5/6/7-8 yrs

43
Q

When does the mark (enamel ring) disappear in the incisors?

A
  • 12-15 yrs
  • 14-17 yrs
  • 16-19 yrs
44
Q

How does the shape of corner incisors change as the horse ages?

A
  • <9 y/o = shorter than width
  • 9-10 = square
  • > 10 = taller than width
45
Q

When does the incisor hook appear?

A

at 7 y/o and 11-13 y/o

46
Q

What is Galvayne’s groove? How is it used for aging horses?

A

longitudinal depression on the labial surface of the 3rd incisor, often stained dark

  • 10 y/o = start at gingiva
  • 15 y/o = halfway down
  • 20 y/o = all the way down
  • 25 y/o = halfway gone
  • 30 y/o = gone
47
Q

How do cheek teeth rest at rest? What are the 4 phases of the chewing cycle?

A

not in contact

  1. opening stroke
  2. closing stroke = first arcade in contact
  3. power stroke = grinding phase
  4. reset phase
48
Q

What is the most common cause of dental pathology in horses?

A

irregular wear —> hypsodont + anisognatic

49
Q

How do sharp enamel points cause pathology?

A

injury to the cheek or tongue

50
Q

What is shear?

A

abnormally steep angle of the meeting of upper and lower molars

affects lingual surface of the lower arcade and buccal surface of the upper arcade

51
Q

What are hooks? What causes it?

A

long, sharp points that grow on the upper arcade rostral surface (06) and lower arcade caudal surface (11)

52
Q

What is occurring in this picture?

A

hooks

  • upper = rostral
  • lower = caudal
53
Q

What are ramps?

A

when the lower arcade begins overgrowing the upper arcade

  • most common in the molars > premolars
54
Q

What is happening in this picture?

A

ramp

premolars are becoming longer on the lower arcade

55
Q

What are steps?

A

loss of a tooth results in the overgrowth of the corresponding tooth on the other arcade and prevents normal attrition

56
Q

What is occuring in this picture?

A

steps

57
Q

What are waves?

A

multiple teeth begin overgrowing forming a wave

  • common in horses 12 years and older that have not had adequate dental care
58
Q

What are exaggerated transverse ridges? What are 2 common occurances?

A

growth of the transverse ridges, making them more prominent than the rest of the ridging in the arcade

  1. young horses
  2. newly erupted teeth
59
Q

What is the difference between primary and secondary periodontal disease?

A

PRIMARY (dogs!) - change in gingival flora causing the formation of plaques

SECONDARY (horses!) - stasis of food, infection

60
Q

What is periodontal disease most commonly associated with in horses?

A

malocclusion causes the formation of a pocket between teeth, where food commonly gets stuck

61
Q

How does the origin of neoplastic diseases of teeth affect prognosis?

A

dental origin = no treatment option

juvenile ossifying fibroma = good prognosis with amputation (mandibulectomy)

62
Q

What is equine odontoclastic tooth resportion and hypercementosis (EOTRH)? How is it treated?

A

painful disease of unknown etiology common in older horses (>15), starting at the third incisor —> resorption soft tissue proliferation at gingiva, hyperplasia of cementum

extraction of affected teeth

63
Q

What are signs of periapical infection in maxillary and mandibular teeth?

A

sinusitis, nasal discharge

soft tissue swelling of mandible

64
Q

What are the most common causes of periapical infection?

A
  • extensive floatation opens pulp
  • feed pocketing
65
Q

How are periapical infections treated?

A
  • tooth extraction - oral, sinusotomy with dental punch
  • medical management (antibiotics, pain management) if caught early
66
Q

What 4 dental pathologies commonly cause pain? Morphological interference?

A
  1. soft tissue injuries
  2. periodontal disease
  3. infectious disease
  4. TMJ pathology
    - unable/reluctant to chew

incisor/cheek tooth abnormalities

67
Q

What are some common clinical signs associated with dental disease?

A
  • reluctance to eat
  • acting out or pulling head when ridden or driven
  • large particles of straw in manure
  • quidding - dropping of food from mouth
  • colic and choke (impaction!)
  • losing weight and condition, dull coat
  • frothing, excessive salivation
  • swelling and deformities of the face
68
Q

What are 4 signs of dental disease affecting the sinuses?

A
  1. respiratory distress - swelling into nasal tract
  2. loss of performance
  3. draining tracts
  4. epiphora