Equine Practitioners are challenged by dentistry techniques of the past.

By Tom Allen, DVM Veterinary Practice News May 2001 page 40

      Today’s equine veterinarians are faced with a new challenge: to provide as thorough a service as their predecessors did 100 years ago. The importance of equine dental care has long been neglected but is gaining momentum rapidly as veterinarians struggle to resurrect this almost-forgotten aspect of equine healthcare.

      In 1906, Louis A. Merillat, V.S., wrote Veterinary Surgery, and the first volume was Animal Dentistry and Diseases of the Mouth (published by Alexander Eger, Chicago), which lists methods of administering to the dental needs of patients that are recently practiced again. The importance of more thorough dental practices, although looked at skeptically

 

by some veterinary educational institutions, is supported by an increasing number of horse owners.

      Among the items mentioned in the Merillat tome are “blunting” of the first cheek teeth, a practice now called “installing bit seats,” a “dental engine”, consisting of a foot-driven apparatus that delivered rotary power for applying various circular cutting instruments to the teeth of of horses (this is now becoming more common in the form of Dremel-type electric motor-driven equipment for equine dentistry applications); and the fact that enamel points “will recur in about three months”-

 

      Some misconceptions are still accepted by otherwise up-to-date equine practitioners; the most damaging is that horses will show outward symptoms when they are in need of dental care. Recent articles on equine dentistry still commonly include a list of indications that a horse may need dental care. The misleading implication is that if the horse is not showing any of the listed behaviors, it does not require dentistry. As we now routinely conduct more thorough equine dental exams, it is clear that nearly all horses could benefit from thorough dental care, and yet only a small percent of them receive it.

 

An Equine Dental Technician under Veterinary supervision at Equine Affaire, Columbus, OH in 2003, giving a live demonstration in front of an audience of horse owners.

     


The Demand for
Equine Dentistry is Changing.
 

      Gordon Baker, BVSc, Ph.D., MRCVS, Dipl. ACVS, at the University of Illinois College of Veterinary Medicine, has been a strong advocate of equine dental care for more than 30 years. In Equine Dentistry, a book he edited with Jack Easley, DVM, MS Dipl. ABVP (Equine), Dr. Baker said: “Abnormalities of dental development and eruptions occur quite commonly in the horse and result in a wide range of clinical signs and symptoms.”

      A fact that confirms the need for thorough equine dental care.

      Dale Jeffrey of the Academy of Equine Dentistry in Glenns Ferry, Idaho, and Larry Moriarity of the International Association of Equine Dentistry in Vero Beach, FL, have also been instrumental in the dissemination of in-depth practical knowledge in equine dental care for the past 20 to 30 years.

      Jeffrey, who wrote Oral Biomechanics and Dental Equilibration in Equidae, which he self-published in 1998, concurs with Baker. In his book he wrote: “Unfortunately, normal mouths are uncommon among domestic horses.”

      More horse owners are realizing that the old “two floats and a bucket, no speculum, no sedation, no dental-chart, no light-source, no power-equipment, 10 minute” method of “veterinary float job” does not provide adequately for preventative dental care. Unfortunately many current veterinary practitioners were taught this less-detailed version of floating and are lagging behind many non-veterinary equine dental practitioners. In this situation, horse owners are too-often faced with attempting to acquire services from a non-veterinary practitioner and meet with some very unyielding obstacles. For example, most states require a non-veterinary “lay dentist” to be under the direct supervision of a licensed veterinarian, but many veterinarians refuse to be present during the dental exam due to liability issues. Also, horse owners may have chosen an incompetent non-veterinary lay dentist. Unfortunately, there is no certification program for equine dentistry available through professional veterinary organizations. The law is on the side of veterinary practitioners, who are the only individuals who can legally provide the service, but many are not capable of doing so. Meanwhile, some equine practitioners use well-trained non-veterinary lay dentists, adding the availability of thorough equine dentistry to their list of services without having to physically provide the services themselves. This can be a beneficial arrangement for the veterinarian, the client and the technician.

Continuing Education wet lab at The International Association of Equine Dentistry’s annual conference. The IAED welcomes dental technicians and veterinarians to become members and work toward obtaining certification.

Dale Wearing EqDT-IAED/CA at wet lab, 2003.

      Competent lay dentists working with veterinarians will help build their practices by working with them to provide the latest in dental care for their clients and patients. They will stay up to date by taking continuing education opportunities such as attending the annual International Association of Equine Dentistry Conference. Their expertise will help veterinarians provide for the overall healthcare of their client’s horses.

Lay Dentists: How They Affect Client’ Views

      The competent lay dentists working separately from veterinarians will make clients hesitant to admit they have sought outside sources of professional assistance. Clients’ horses will still be receiving good dental care, but veterinarians will not have been a contributing factor in the process of providing that care. On those (increasingly frequent) occasions when a client sees the work of a competent lay dentist, they notice that 1) The horse’s mouth is thoroughly examined, both visually and tactilely, and charted, and the results of the exam are written down thoroughly on a dental chart; 2) the log, sharp canines, as well as the squared-off corners of the first cheek teeth of adult horses, are sculpted into a comfortable radius; and 3) the process required more time and effort than their veterinarian has been expending. This may make the client wonder about their veterinarian’s ability in other aspects of horse care.

      How can veterinarians tell the good lay dentists from the less competent ones? They have to learn dentistry to do that. Only when veterinarians make the effort to learn the differences between thorough dental care and merely using (and possibly abusing) power instruments can they make an intelligent decision about providing this service, or even about hiring someone capable of providing it.

Dental Technicians & Veterinarians working together for the horse

The International Association of Equine Dentistry

www.iaeqd.org



 

The Academy of Equine Dentistry

Fostering a Positive & Coherent Relationship with the Horse

A Practitioners’ School Owned & Operated by

Equine Dental Practitioners

Website: www.equinedentalacademy.com

email address: academy@equinedentalacademy.com

academy@equinedentistry.com

The American School of Equine Dentistry

Promoting an integrated approach to equine dental care

The American School of Equine Dentistry
is a Private School

Website: www.amscheqdentistry.com

email address:  RQHYDEDVM@anent.com

These groups have contributed significantly to horse dentistry knowledge and understanding for both dental technicians and veterinarians; Academy of Equine Dentistry, The American School of Equine Dentistry, the International Association of Equine Dentistry and the American Veterinary Dental Society. The latter two provide annual conferences with continuing education opportunities in the area of Equine Dentistry. The IAED offers a neutral testing ground for certification.

Veterinary organizations do not currently recognize the existing equine dentistry schools, nor do they accept any standards, testing nor certification offered in this area of horse health care.

American Veterinary Dental Society

618 Church Street, Ste 220 Nashville, TN 37219

Website: www.walkermgt.com/AVDF.htm

www.horsedentist.com

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