Brego's broken tooth

Before we got him, Brego had a cracked tooth that turned into an abscess that ended up as a sinus infection that he had to have flap surgery to clear out. The story is here, if you want to read it. We kept up with his every-six-months visits to a specialist equine dentist, so we were surprised to see him quidding hay early this fall. We had the dentist out immediately, since we were quite concerned that Brego might lose a pound or two if he didn't have his full chomping capabilities.

As it turned out, the tooth next to the one he had removed had cracked and was causing him some discomfort. We found a second surprise when we took x-rays to try to see how extensive the crack was: Brego had a mass in his skull, at the site of the old abscess.

Side view

Top view

The radiographs were sent off for a secondary consultation, and the results were mixed. The consensus was that the mass was not an immediate threat, and had likely developed after the flap surgery. However, if we tried to remove the tooth, there was a good possibility that the process would disturb the mass, which could cause significant problems and a potentially even a follow-up surgery to remove it. Our dentist recommended taking Brego for a standing MRI before we attempted to remove the tooth so that he would be able to plan the surgery around the mass, or plan to remove the mass as part of the surgery if necessary.

There was, however, a second option. Apparently, up to about Brego's age, horses are able to lay down enamel over broken or chipped teeth. We could give it a month or two and wait to see if he might be able to repair the damage enough to keep the tooth. We agreed that this would be the preferred option, so our vet showed us how to do daily "tap tests" and "breath tests" to make sure there was no sign of infection (horse heads should sound hollow when tapped, and their breath shouldn't smell like something died). We opted for this option, since it seemed like the best and safest for everyone. Brego didn't quite understand the tap tests, although he did appreciate the daily cookie he got after Hubby thumped his skull every morning.

Last week when we had the vet out to look at Paddy, we also checked up on Brego. BEST NEWS EVER - he managed to lay down enough enamel to keep the tooth! You can see that it's broken off just below the gumline, but there's no redness or swelling, and there's also no sign of pain.

The inside 1/3 of the tooth is broken off just below the gumline - but it's looking great! 

We'll continue to keep an eye on it, but hopefully Brego will stop eating rocks or whatever he's snacking on between meals, and we won't have any more dental fun.

Old horses are fragile

We've been watching Cash's teeth carefully for the last few years, and he's finally reached the point where his teeth are failing him. He's been having issues eating in the month or so, and we finally took him to the vet to have a look.

Sadly, Cash doesn't have any grinding surfaces left on any of his teeth. In addition, the vet found one tooth that was so far gone that it was loose in the socket and needed to be removed. Two of the roots didn't want to let go, so it ended up being a bit more complicated than the vet initially expected. Still, the surgery was a success and Cash came home with bute and a great prognosis.

Mmmmdruuuugs.

Unfortunately, after the sedation wore off, he was very agitated and worked himself into a sweat pacing. He didn't want to eat, and was having a very hard time drinking. We tucked him in Thursday night with hopes that he'd feel better by morning, but when we went out to feed Friday morning, he was laying down, breathing heavily, and staring at his side. Cash NEVER lays down except when he's colicking, and I've nearly lost him to colic more times that I can count. With another horse we might have gotten him up to walk or given him Banamine, but with Cash any signs of colic are an emergency. So we hitched up the trailer immediately and took him back to the vet.

Once there, they tubed him, palpated him (no impaction), and started him on IV fluids. 15 liters of fluids later and he was back to his usual perky self. Sadly, when they looked in his mouth the reason for not wanting to eat or drink became apparent - before the block on his mouth wore off, he had completely lacerated the inside of his cheek. It's so bad that we're rinsing his mouth out with Nolvason twice a day to try to get it to heal. We left him overnight last night so they could keep an extra close eye on him, but he was still doing great, so we brought him back home this morning.

He's still having quite a hard time both eating and drinking. He sort of sticks his tongue out and tries to drink - it takes him some time and he can do it, but it's not easy or the normal way horses drink. I don't think he can form the suction with his mouth so messed up. He's also not interested in his senior mash, but was trying to eat hay scraps which the vet says he cannot have due to choke risk. We have some Purina Hydration Hay, so we gave him some of that and it was a big hit. The vet has also said he can have as much short grass as he wants, since he can still tear it and shorter soft grass doesn't require much chewing. Cash spent most of the day in the back pasture eating, so that was good.

After having a good roll, Cash discovered that there was grass right under his nose.

Omnomnomnom….

Why bother standing when you can eat lying down?

For the immediate future, the goal is to keep him eating and drinking as much as possible, and rinse out his mouth with Nolvason. Going forward, we're going to have to change his diet a bit - he'll be getting chopped hay and alfalfa instead of whole, since he can't really chew anything. Soaked hay and/or alfalfa cubes are also an option, but in the summer here it's hard to feed since it spoils so quickly in the heat. We'll keep giving him as much Senior as we can stuff down his throat, and beet pulp as well if we can get him to eat it. I may try to get my hands on some Wendland's One And Only, which is a free-choice extruded feed that I've used in the past. He'll also be getting as much pasture as we can manage. Basically we're going to throw everything at him that we can think of getting him to eat, and hoping that he eats enough to keep him at a reasonable weight.

So please keep your fingers crossed for Cash for the next few days. We've got to get his mouth healed and then find a feeding program that works for him. He's in a bit of a fragile state right now, but he seems in good spirits and I'm hopeful that he will pull through!