For every case, Dr. Niederman approaches the animal with two lenses: dental and nutritional. The goal(s) vary depending upon the horse’s age:

Horses Less Than 5 Years Old

Dental Focus

Goals:

  • Monitor eruption of both deciduous (baby) and permanent teeth.
  • Watch alignment/ respective growth of upper and lower jaws.
[see Dental Education/Dental Anatomy Section for more details]

Nutritional Focus

Diet should

  • Support slow, steady growth of skeleton and jaws (so there is room for the developing teeth)
  • Be balanced
  • Be fed by weight, not volume

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.


Horses Between 5-20 Years Old

Dental Focus

Goals:

  • Relieve pain
  • Maintain proper bite alignment
  • Support the health and longevity of the dental arcades.
  • Identify and educate client on ongoing age related loss on chewing surface.

[see Solutions Section for more details]

Nutritional Focus

Diet should

  • Allow maintenance of an ideal body condition score (BCS) and topline evaluation score (TES)
  • Be adjusted based on horse’s ability to chew long stem hay
  • Be balanced,
  • Be appropriate for horse’s work,
  • Be fed by weight, not volume.

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.


Horses Older than 20 Years Old

Dental Focus

Goals:

  • Relieve pain
  • Identify and educate client on ongoing age related loss of chewing surface.

[refer to 4th item in Solutions Section that illustrates the normal loss of chewing ability]

Nutritional Focus

Diet should:

  • Be adjusted based on horse’s ability to chew long stem hay [ie. Introduce chopped hay, pellet alternatives] to prevent choke and impactions.
  • Be balanced,
  • Be appropriate for horse’s work,
  • Allow maintenance of an ideal body condition score (BCS) and topline evaluation score (TES)
  • Be fed by weight, not volume.

Horse’s body weight, body condition (BCS) and topline evaluation score (TES) should be routinely assessed.

Dr. Niederman offers a complete range of dental services:

  • Floating: removal of commonly found sharp edges on the outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjustment: [odontoplasty]: correction of cheek teeth and incisor malocclusions [hooks, ramps, steps, waves].
  • Wolf teeth extraction.
  • Deciduous [baby] and permanent incisor and cheek teeth extraction.
  • Restoration of appropriate incisor fractures.
  • Periodontal disease treatment [odontoplasty; curettage].
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Digital radiography of all teeth: x-rays taken of the horse in the stock are developed into digital images in the truck, allowing for immediate analysis and treatment planning.

The services provided often depend on the age of the horse:


Horses Less than 5 years of age

  • Jaw alignment assessment: to detect presence of under/over bites; under/overjets. [This evaluation should initially be done when the foal is less than 6 months of age].
  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjustment[odontoplasty]: correction of cheek teeth and incisor malocclusions that may occur during permanent teeth eruption.
  • “Cap” extraction: removal of any persistent deciduous [baby] incisors or cheek teeth [premolars].
  • Wolf teeth extraction.
  • Periodontal pocket cleaning and treatment.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.

Horses between 5-20 years of age

  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Occlusal adjustment [odontoplasty]: correction of cheek teeth and incisor malocclusions that may occur as a result of the horse’s chewing pattern.
  • Periodontal pocket cleaning and treatment.
  • Canine and incisor tartar removal.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Restoration of incisor fractures.

Horses older than 20 years of age

  • Floating: removal of sharp enamel points on outside of the upper and the inside of the lower cheek teeth.
  • Loose [mobile] teeth extraction.
  • Clinical and radiographic evaluation and treatment planning for all fractured teeth.
  • Periodontal pocket cleaning and treatment.
  • Canine and incisor tartar removal.
  • Diet Analysis and consultation.

the exam

Dr. Niederman travels with a portable horse stock pulled behind her truck so she can set up her mobile dental clinic in most locations. The stock provides a safe working environment for her, the horse and the owner. Dr. Niederman uses pneumatic dental instruments for all dental corrections. All horses are sedated to 1) facilitate a safe and complete examination of the horse’s mouth and 2) allow the horse to be more relaxed while dental corrections are made. Please watch the photographic tour above of the routine dental examination procedure to get a better idea of the steps involved.

Dental Record

All examination findings are summarized onto a computerized dental record. This record includes both a written and a schematic description of the dental abnormalities found and the subsequent corrections made.