440 Nicholson Rd, Forrestdale WA 6112
(08) 9397 1286
reception@dentalvet.com.au
Shandy
Patient Information
Shandy the Shetland Pony’s Fractured Incisors and Infection
Patient History
Owner Notices Unusual Incisor Changes
Shandy, a 24-year-old Shetland Pony mare owned by a long-term client, was brought in after her owner noticed two unusual-looking upper front teeth. They appeared discoloured and possibly fractured, prompting a precautionary appointment. Despite these changes, she showed no obvious signs of discomfort. Shandy was eating normally and wasn’t dropping feed.
This case serves as a reminder that horses and ponies, as prey animals, often mask discomfort and continue eating even with significant dental issues.
Presenting Problem
Fractured Incisors with Deep Pulp Exposure
Under sedation and safely secured in the clinic crush, a full oral examination revealed that both of Shandy’s central upper incisors were fractured at the gum line. Probing revealed exposure of the pulp cavity (the sensitive inner chamber containing nerves and blood supply) around 2 cm deep, leaving the area open to feed and bacteria.
Radiographs were taken to assess the roots and surrounding bone. Imaging revealed widening of the periodontal ligament space (the tissue that anchors the tooth to the bone) around both teeth, along with blunted tooth roots, indicating chronic infection. These findings suggested that the teeth had likely been infected for some time before the owner noticed any external signs.
“Even without visible pain, fractured teeth with open pulp exposure are incredibly sensitive and prone to infection.”
Dr Tory Kö-Peternelj
Diagnostics & Treatment
Incisor Extraction and Treatment of Underlying Dental Disease
Following imaging, extraction of both affected teeth (101 and 201) was recommended and performed under standing sedation at the Dental Vet clinic. Shandy was placed on a constant-rate infusion (CRI) to maintain steady sedation and analgesia, along with IV fluids to support hydration and reduce the risk of post-operative complications.
Infraorbital nerve blocks were performed to desensitise the area, and local anaesthetic was infused into the surrounding gum to ensure complete comfort throughout. Both teeth were extracted smoothly and without complication. Post-extraction radiographs confirmed that all dental material had been removed.
To support healing, gelatamp sponges (haemostatic collagen plugs that encourage clot formation) were placed into each socket, and the surrounding gum was trimmed and sutured as needed. Shandy also received pain relief during the procedure and a post-treatment drench containing paraffin oil, electrolytes, and fluids to maintain hydration, which is a standard part of our post-operative care.
While sedated, Shandy also received her routine dental maintenance. Sharp enamel points and minor overgrowths were corrected, and areas of periodontal disease were treated by cleaning and flushing feed pockets before applying metronidazole antibiotics.
Her vaccinations were updated with a 2-in-1 tetanus and strangles booster to protect against infection while her extraction sites healed.
Post-procedure, her owner was advised to gently flush the extraction sites daily and avoid hay nets for several days to prevent disruption of the blood clots.
“Sedation, nerve blocks, and hydration make dental extractions safer and more comfortable, especially for small ponies like Shandy.”
Dr Tory Kö-Peternelj
Outcome
Quick Healing and an Excellent Recovery
At her follow-up appointment one and a half weeks later, Shandy’s extraction sites were healing beautifully. Three-quarters had already filled with healthy granulation tissue. The owner noted no change in appetite or behaviour, apart from a slight odour from the mouth, which is normal during early healing as feed can pack into the sockets.
A small sequestrum (a fragment of dead bone) was removed from one socket during the recheck, a common finding that can slightly delay healing if left untreated. Once cleared, the sites continued to heal well.
Shandy remained bright, comfortable, and eating normally throughout recovery. Full healing typically takes four to six weeks, and she was advised to have time off bitted work during this period. She has since returned to her regular six-monthly dental schedule and continues to do well.
“Shandy recovered quickly and comfortably, a great reminder that even older ponies tolerate extractions very well when managed carefully.”
Dr Tory Kö-Peternelj
Meet the Author
Dr Victoria (Tory) Kö-Peternelj
Veterinary Surgeon BSc DVM | DVM | MANZCVS (Equine Dentistry)
Born and raised in Perth, Dr Victoria (Tory) Kö-Peternelj is an experienced equine veterinarian at Dental Vet, where she leads patient care in all aspects of equine dentistry. Known for her clinical precision, her work centres on detailed oral assessments, client education, and treatments ranging from periodontal therapy and extractions to advanced diagnostics such as dental radiography and oral endoscopy.
Key Takeaways
Fractured or discoloured teeth may indicate deep pulp exposure and infection, even without obvious pain.
Radiographs are vital for diagnosing root and bone changes below the gum line.
Sedation, nerve blocks, and hydration ensure a safe and comfortable extraction process.
Early intervention prevents infection from spreading and promotes faster recovery.
FAQs
Do I need a referral?
No referral needed. In fact, we love to see your horse before any issues arise. Preventative dental care keeps your horse’s mouth healthy, so don’t put off going to the dentist. We do also accept referrals from veterinarians for advanced procedures, and will happily work with your vet to keep care seamless.
How do I book an appointment?
You can contact us directly to arrange an appointment on our online booking form or by emailing us at reception@dentalvet.com.au. Alternatively you can call (08) 9397 1286. We also work closely with referring veterinarians, sharing records and updates so your horse receives continuous care.
What’s included in a Dental Vet dental exam?
Every Dental Vet appointment is designed to give your horse a thorough, comfortable, and evidence-based dental assessment. Our experienced veterinarians take the time to thoroughly examine your horse, supported by our nursing team to ensure each visit runs smoothly.
Your horse’s appointment includes:
- A physical examination, including listening to the abdomen for signs of sand.
- A seven-point external head assessment to check for changes linked to dental disease.
- A comprehensive oral examination using a speculum, lights, and endoscopy to assess all teeth and oral tissues.
- Treatment of periodontal disease, if necessary (additional fee may apply for extensive treatment).
- Floating and corrective work, including reduction of sharp points and overgrowths, plus a performance float for bitted horses.
- Discussion of findings, next steps, as well as a dental chart emailed to you with home-care recommendations, so you understand each step.
- Optional bit fit assessment if you have bitting concerns.
Does Dental Vet accept pet insurance?
Yes, many equine insurance policies cover advanced veterinary dental treatment when performed by a registered vet. However, it’s always advisable to contact your pet insurer and check on your policy inclusions before the appointment.
What symptoms might indicate that my horse has a dental problem?
Horses are prey animals and instinctively mask their pain and discomfort, which means dental disease often goes unnoticed until it’s advanced. The signs can be extremely subtle, even the colour of the dentin overlying a 2mm pulp on the surface of the tooth can indicate whether a tooth is healthy or abscessed. By the time symptoms are noticeable, the problem may already be severe and require more extensive (and costly) treatment.
That’s why regular professional dental checks are so important, even if your horse seems completely normal.
If your horse shows any of the signs below, please contact us for a diagnostic examination as soon as possible:
- Dropping feed or slow eating
- Bit resistance or head tossing
- Weight loss or difficulty maintaining condition
- Nasal discharge or foul breath
- Quidding (spitting out half-chewed hay)
- Chewing on one side only
- Dunking feed or rinsing mouth in water trough
- Facial swelling or sensitivity to touch
What is your sedation policy?
Our patients are given a light, controlled sedation for their dental procedure. This keeps them calm and comfortable and ensures we can do a thorough examination, diagnostics and treatment. During our detailed examinations we assess over 140 pulp cavities, as well as infundibula and all dental and soft tissue structures with precision, while protecting both horse and handler. Each horse is individually assessed before sedation, and reversing agents and emergency medications are always on hand.
Whether you've got a new foal, referring a patient for review, or are worried about your horse's wellbeing, we're here to help!