The aetiopathogenesis of equine periodontal disease - a fresh perspective

Periodontal disease is a painful and highly prevalent disorder of horses that causes a significant welfare problem. Despite its importance, few scientific studies on its aetiopathogenesis have been performed. Equine periodontitis differs from the plaque-induced periodontitis found in brachydont species where bacteria accumulating in dental plaque induce a destructive inflammatory response in the periodontium. In contrast, equine periodontitis is usually initiated by entrapment of feed between cheek teeth, which causes inflammation of periodontal tissue that likely allows bacterial infection of the periodontal tissues that is later exacerbated by the host's response. Equine oral microbiology is a neglected field of research and identification of the bacteria involved in this disorder by use of molecular bacteriology and examination of the interaction between these bacteria and the equine oral immune response should reveal important information about the pathogenesis of this disease.