Equine odontoclastic tooth resorption and hypercementosis (EORTH) is a very painful condition for the horse once lesions become infected and/or supragingival.EORTH most commonly affects the incisors but canine teeth can be severely involved; therefore, intraoral radiographic exam of incisor and canine teeth is warranted upon initial exam.Extraction is currently the only viable treatment option when teeth become moderately to severely affected by EORTH.All dental material should be removed during extraction to provide the best response to extraction therapy.Extractions can be challengingon EORTH teeth due to weakened dental structure, ankylosis of the periodontal ligament, and severe inflammation and infection of surrounding alveolar bone.Horses with no incisor teeth have a high quality of life, and dietary recommendations post-extraction rely on appropriate pelleted feed and hay products with reduced fiber length (e.g. hay stretchers, dengi, chopped hay). Most horses maintain the ability to graze on new growth in pasture.
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