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Equine Practitioners are challenged by
dentistry techniques of the past.
By Tom Allen, DVM
Veterinary Practice News May 2001 page 40
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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
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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”- |
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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. |
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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. |
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The
Demand for
Equine Dentistry is Changing.
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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
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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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