Page 56 - The Veterinary Care of the Horse
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        Figure 2.11 Common sites for dental overgrowths which prohibit normal movements of the jaw



             Routine inspection and rasping will prevent these problems developing. Once the hooks
        are present, they can be removed with power instruments, for which the horse may need to be

        sedated.  Small  hooks  can  often  be  rasped  down  with  hand  instruments.  Large  hooks  are
        removed in stages to avoid pulp exposure. Following the procedure, it may take up to six

        weeks for the TMJ pain to subside and for the action of the jaw to return to normal.
             It is not uncommon to see hooks that have grown so long that they have penetrated the

        soft  tissues  of  the  opposite  jaw  causing  wounds  to  the  gum.  The  condition  is  particularly
        common in elderly Shetland ponies who have not received routine dental care. These ponies

        can be presented in an emaciated state after a long period of unnoticed suffering.
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