dental disorders

Reason for study

Dental disorders have recently been recognised as having major clinical and welfare implications in donkeys. However, no investigation appears to have examined the association of dental disorders with managemental factors and any intercurrent illness.

Objectives

To determine the association of dental disorders observed in a post mortem study with age group, body condition score, time since last dental treatment, feeding and the illness that necessitated euthanasia or caused death.

Methods

A prospective study documented the type and prevalence of dental disorders in 349 mainly aged donkeys (median estimated age of 31 years) that were subjected to euthanasia over an 18 month period in 2005-2006. The estimated age, body condition score, supplemental feed status, time since last dental treatment and nature of the intercurrent disease that necessitated euthanasia or caused death were also recorded. Multivariable analysis was performed to examine associations of these factors with specific dental disorders and between specific dental disorders.

Results

There was a high prevalence (93.4%) of significant dental disease. Age group was significantly associated with the presence of dental disorders and an older age range was a high risk factor for the presence of cheek teeth (CT) diastemata. There was a significant association between the presence of CT diastemata and the concurrent presence of displaced, missing and worn CT. There was also a significant association between the presence of diastemata and colic.

Conclusions and potential relevance

Aged donkeys have a high prevalence of dental disorders especially of CT diastemata. Dental disorders and, in particular, the presence of CT diastemata were significantly associated with colic. Routine, prophylactic dental treatments should be performed, especially in aged donkeys.

Reason for study

Donkey dental disorders are being recognised with increased frequency worldwide and have important welfare implications; however, no detailed investigations of dental disorders in donkeys appear to have been published.

Objectives

To determine the prevalence of specified dental disorders in donkeys by performing a prospective post mortem study on donkeys that were subjected to euthanasia or died for other reasons at The Donkey Sanctuary, UK.

Methods

Post mortem examinations were performed on 349 donkeys over an 18 month period, 2005-2006. The presence and extent of specified dental disorders were recorded and these data analysed to determine their prevalence and common locations.

Results

A high prevalence (93%) of disorders was noted in the population with a median age of 31 years. In particular, cheek teeth diastemata (85% prevalence) were very common, often associated with advanced periodontal disease. Other disorders observed included missing teeth (in 55.6% of donkeys), displaced teeth (43%), worn teeth (34%), local overgrowths (15%), focal sharp overgrowths (3%) and dental-related soft tissue injuries (8%).

Conclusions and potential relevance

Aged donkeys have a high prevalence of significant dental disease, especially cheek teeth diastemata. These findings highlight the importance of routine dental examinations and prophylactic dental treatments to improve the dental health and welfare of donkeys.

Salivary duct lithiasis is a condition characterized by the partial or total obstruction of a salivary gland or its excretory duct due to the formation of sialoliths. A 9-year-old female donkey, belonging to the unique and endangered indigenous breed of donkey in Portugal, was diagnosed with a sialolith in the rostral portion of the right parotid duct based on clinical, oral, dental, and radiographic examination results. Surgical removal of the sialolith was done through a percutaneous approach.

Post-mortem examination of 16 donkey cheek teeth (CT) with caries (both peripheral and infundibular) and pulpar exposure were performed using computerised axial tomography (CAT), histology and scanning electron microscopy. CAT imaging was found to be useful to assess the presence and extent of caries and pulp exposure in individual donkey CT. Histology identified the loss of occlusal secondary dentine, and showed pulp necrosis in teeth with pulpar exposure. Viable pulp was present more apically in one exposed pulp horn, with its occlusal aspect sealed off from the exposed aspect of the pulp horn by a false pulp stone. Scanning electron microscopy showed the amelo-cemental junction to be a possible route of bacterial infection in infundibular cemental caries. The basic pathogenesis of dental caries in donkeys appears very similar to its description in other species.

The domestic donkey is descended from wild asses and has evolved to live in some of the most inhospitable places on earth. Little research has been carried out to address the specific needs of the donkey, which has traditionally been viewed as a small horse. The donkey is different from the horse in many ways; of particular note is its ability to thrive on highly fibrous feeds. This article discusses the nutritional requirements of donkeys and how dental disease may play a role in determining their nutritional requirements.

An 18-year old jenny was observed with a right maxillary tumefaction, presenting weight loss, quidding, dysphagia and halitosis. An external and intra oral examinations were performed. Both exams revealed a complete blockage of motion in the right mandible, due to the presence of severe shear mouth. A pedunculated mass was observed in the right maxillary vestibular space. It was speculated that the mass resulted from food debris acting as a source of gingival irritation, as a consequence of the shear mouth.

Gingival hyperplasia is a common histological feature in equids, due to close contact between an abrasive diet and oral tissues. However, on a macroscopic level, pathological proliferation of the gingival tissue is uncommon and seldom reaches significant dimensions, but still should be considered differential diagnoses when examining an equid with pertinent clinical signs, mainly when severe dental disorders are diagnosed.

This clinical case seems to be the first describing the occurrence of gingival fibrous hyperplasia apparently as a direct consequence of shear mouth in a donkey.

Equine cheek teeth (CT) diastemata often cause deep periodontal food pocketing and are therefore regarded as a painful dental disorder of equidae. However there appears to be no information available on the size or shape of these diastemata. This post mortem study examined 16 donkey skulls (mean age = 32-years) containing 45 CT diastemata to define the anatomical shape and dimensions of these diastemata, and of the associated periodontal food pockets that occur with this disorder. Diastemata were found to more commonly involve mandibular (56.0%) compared with maxillary CT (44.0%), and 71.0% of these diastemata had adjacent intercurrent dental disorders that may have predisposed donkeys to the diastemata. The median widths of all diastemata were 2.0-mm at the occlusal surface and 3.1-mm at the gingival margin, with no diferences in widths between the lateral or medial aspects of diastemata. Diastemata were defined as open (60.00%) or valve (40.00%) based on their gross appearance. This classification was confirmed to be accurate by measurements that showed valve diastemata to have an occlusal to gingival width ratio of 0.4, in contrast to open diastemata where this ratio was 1.07. Food was impacted in 89.0% of diastemata, but all diastemata had adjacent periodontal disease. Periodontal food pocketing was present adjacent to 76.0% of diastemata, more commonly on the lateral aspect (73.0% prevalence; mean pocket depth = 4.1-mm) than the medial aspect (47.0% prevalence; mean pocket depth = 2.4-mm). The depth of periodontal pockets of diastemata was not associated with the height of the erupted crowns of adjacent CT.

Research and clinical understanding of equine dentistry has progressed in recent years; however, specific knowledge about donkey dentistry is lacking. This article intends to revise unique anatomic features of the head and oral cavity of donkeys, as well as how to correctly examine, diagnose, prevent, and/or treat dental pathology, allowing for a better comprehension of oral and dental disorders affecting these animals throughout their life. It also emphasizes that these disorders need to be taken into account when assessing the welfare of donkeys.

Published online ahead of print.

Normal dental anatomy and the range of dental disorders found in donkeys are largely similar to those described in horses. Recent studies have shown dental disease to have a high prevalence in donkeys. Some dental disorders, such as diastemata, displaced teeth and wave mouth can have serious clinical consequences by causing oral pain and weight loss and even predispose to colic. Many of these signs can be prevented by regular dental treatment that can slow down or even prevent the progression of these disorders.

Dental disorders have a high prevalence in older donkeys and horses, but the nature and pathogenesis of many of these disorders have yet to be established.

Objectives

The identification and determination of the prevalence of important dental disorders in different age groups in a large single population of donkeys, to establish a better understanding of the nature and pathogenesis of these disorders.

Methods

A prospective cross-sectional study was performed on the donkey population at The Donkey Sanctuary with detailed oral examinations of 357 donkeys within 7 different age groups (age range 2-53 years) recorded.

Results

The prevalence of dental disease in all donkeys was 73%, increasing in prevalence from 28% in the youngest to 98% in the oldest age group. There was an increase in prevalence of commonly recognised dental disorders with increasing age, such as: diastemata (3.8% in youngest to 86% in oldest group); missing teeth (0-56%); overgrown teeth (15-86%); worn teeth (8-84%); displaced teeth (0-38%); and periodontal disease (0-28%).

Conclusions

There was a significant increase in the prevalence of dental disorders with increasing age with the largest significant increase for most dental disorders occurring in the 15-20 year age group.

Potential significance

Most dental disorders significantly increase in prevalence in the 15-20 year age group and, therefore, prophylactic geriatric dental treatment in donkeys should be commenced from age 15 years.