29/09/2026
🦷 Case Study: EOTRH
Meet Hero, an 18 year old gelding.
During a routine dental examination, tartar was identified affecting Hero’s incisors. These findings prompted referral to a veterinary BAEDT member for further investigation, including dental radiographs.
The radiographs revealed changes consistent with EOTRH (Equine Odontoclastic Tooth Resorption and Hypercementosis).
EOTRH is a progressive and painful condition that primarily affects the incisor and sometimes the canine teeth. Much of the disease process occurs below the gumline, affecting the tooth roots and surrounding tissues, so the full extent of the disease may not be visible during a routine examination alone.
Following veterinary assessment, the decision was made to extract all of Hero’s incisors to remove the source of pain.
Although this can look quite dramatic, horses can adapt remarkably well following incisor extraction. Their cheek teeth continue to grind their food, and many horses go on to have an excellent quality of life.
As you can see, Hero is doing brilliantly and is already happily grazing long grass 🌱
A great example of the importance of routine dental examinations, recognising abnormalities and referring for further investigation when needed.
A big thank you to Sarah Symth BVMS MRCVS BAEDT NI Equine Dental Vet for sharing this case.