We have a diagnosis.

Mary Poppins

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Oct 10, 2004
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And it is not good!

Many of you will know that Ben was taken into hospital due to problems eating a few weeks ago. He stayed in for four days, had a CT scan and the vets were stumped because they couldn't find anything seriously wrong with him. They hoped he had suffered a trauma in his mouth that had caused such deep ulceration and hoped that it would clear up on its own. If not, they thought he may have cancer in his gums.

Last week I got a phone call to say that the senior vets had reviewed his CT scans and were in agreement that there was something very wrong. He has been diagnosed with Equine Odonclastic tooth resorption and hypercementosis (EOTRH) in his cheek teeth. This is a relatively new disease (discovered by better diagnostics) which usually occurs in the incisor teeth. Ben has it in his cheek teeth which is incredibly rare. This is the clearest web page I have found to explain it: https://madbarn.ca/equine-odontoclastic-tooth-resorption-and-hypercementosis

He is on a diet of fast fibre and 3 bute per day, and has somehow worked out how eat very short grass. He is not his normal self and is stressed out. My regular vet is on holiday until next week, and before I make any final decisions I want to talk things through with him. The only treatment is to extract the diseased teeth. However there are several teeth damaged and this would involve potentially removing 4 out of his 5 cheek teeth, which really doesn't leave much left for chewing. Giving his severe arthritis and the inevitable box rest and recovery time for surgery, I don't think this is a viable option for him and I am preparing myself to have him put to sleep before the end of the month. I'm trying to be brave and pragmatic, and I know that I don't have any other choice, but it is devastating. I know horses don't live forever and we have had more than our fair share of bad luck, but I don't feel ready to say goodbye. For the last 10 years my whole life has quite literally revolved around him. I have no idea what to do without him.
 
I am so sorry Mary P. We know that it is true that Ben has been your refuge and support through some difficult times. One way of looking at it is that his (any animal's) life span is shorter than ours and you had him when you needed him most.
You are older and more capable at handling life than when you bought him. I cant predict whether that future for you will be with or without a horse. I can only repeat to you what our RI said when Maisie and my share had both gone, and I was handed Ella. "There are many horses out there".

What she meant was that one always had a choice of horses. It does seem so accidental when one encounters the perfect horse that one might think of it as God given. I always assume another horse will turn up for me.

Meanwhile you are doing right by Ben. She herself did not keepher horses alive if they could not be pain free and walk about when turned out. Even her best personal TB.
 
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@Mary Poppins I am so so sorry to hear this. I've skimmed through the very informative link you provided and see that sometimes horses continue with no teeth at all, but I can see why this might not be an option for Ben. I don't think I would want a horse of mine not to be able to eat grass at all.

You have certainly had more than your fair share of bad luck with Ben and you have always looked after him brilliantly. Whatever you decide I know it will be in his best interests. Sending you all my sympathy and strong vibes.
 
I'm so sorry to read you are going through this after everything else you have been through with him. He's very lucky to have you looking out for his best interests and just know, what little comfort it is, we are all here for you and thinking of you both.
 
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I am so sorry Mary P. We know that it is true that Ben has been your refuge and support through some difficult times. One way of looking at it is that his (any animal's) life span is shorter than ours and you had him when you needed him most.
You are older and more capable at handling life than when you bought him. I cant predict whether that future for you will be with or without a horse. I can only repeat to you what our RI said when Maisie and my share had both gone, and I was handed Ella. "There are many horses out there".

What she meant was that one always had a choice of horses. It does seem so accidental when one encounters the perfect horse that one might think of it as God given. I always assume another horse will turn up for me.

Meanwhile you are doing right by Ben. She herself did not keepher horses alive if they could not be pain free and walk about when turned out. Even her best personal TB.
It is true that he was there when I needed him the most. He has left me in a much better place that I was before he found me.x
 
@Mary Poppins I am so so sorry to hear this. I've skimmed through the very informative link you provided and see that sometimes horses continue with no teeth at all, but I can see why this might not be an option for Ben. I don't think I would want a horse of mine not to be able to eat grass at all.

You have certainly had more than your fair share of bad luck with Ben and you have always looked after him brilliantly. Whatever you decide I know it will be in his best interests. Sending you all my sympathy and strong vibes.
The studies in the report are from horses who have had their incisor teeth removed. Ben had the disease in his cheek teeth and I can’t find any studies where several cheek teeth have been removed. It would be a huge experiment and very stressful for Ben in the process.
 
I'm so sorry to read you are going through this after everything else you have been through with him. He's very lucky to have you looking out for his best interests and just know, what little comfort it is, we are all here for you and thinking of you both.
Thank you l.x
 
So sorry about Ben. I know someone who’s horse lost all the front teeth to eorth and is fine but I’d imagine the back teeth are completely different as they can’t grind 😔.

It sounds like you are doing the best for him, PTS is so hard but quality of life is kore important and watching them decline is really hard.

Vibes to you and Ben
 
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I know you don’t want random stabs in the dark. But there is a horse at the yard who has EORTH. All be it in his front teeth. He has had it for years along with many other problems and he manages fine.

Also my old horse lived to 38 with teeth so worn down he didn’t really have them. He managed to eat grass but with the head pulling up rather than down. He did well on bigger soft feeds until he had a stroke.
 
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I know you don’t want random stabs in the dark. But there is a horse at the yard who has EORTH. All be it in his front teeth. He has had it for years along with many other problems and he manages fine.

Also my old horse lived to 38 with teeth so worn down he didn’t really have them. He managed to eat grass but with the head pulling up rather than down. He did well on bigger soft feeds until he had a stroke.
EORTH is very different in the cheek teeth. I know you are trying to help and give some hope, but after talking to the hospital vets and dentists about possible surgery I know that this isn’t something I will put Ben through. His quality of life must come above my devastation in losing him.
 
I am so so sorry to read this. I have no advice, just absolute confidence that you'll do whatever is best for Ben. Sending you lots of love and saying a prayer for you both xx
 
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Im so sorry to read this.

You have done so well in rehaping him with his poorly legs. You seemed to be managing him so well. It just doesnt seem fair.
 
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Very sorry to read this. You've tried so hard for him, no one could do more. All our horses mean so much to us, so everyone empathises. Hugs.
 
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Hi lovely.
Is he managing to eat the short grass ok? And is the bute holding him?
The bute certainly helps him but I still think he feels pain. He has swelling and heat along the right side of his face where the most diseased teeth are. He eats very short grass by chewing on his left side. I think he has done this for a while because when he went to the specialist dentist to have his root canal fillings in February they noticed that he was eating unevenly as his teeth had different wear along both sides. I think the EORTH has begun to affect the teeth on his left side which is when he stopped being able to eat at all. I wonder if the increased bute has made the pain more bearable on his left hand side so he can now tolerate eating in this way?
 
I'm so sorry it's not better news. Horses are bloody heartbreaking at times.

I'm not going to try and give you any advice, as I know you'll do the right thing for him.

Sending lots of love.
 
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