21/06/2026
A small swelling can hide a much bigger problem. 🕵🏼
When 13-year-old mare Paddy P was examined following a colic episode, a routine dental examination identified the cause of a swelling and recurring draining fistula on the right side of her lower jaw that had been present for several years.
The examination showed a severely fractured tooth, with feed trapped between the tooth fragments. Radiographs also revealed advanced changes affecting the tooth root, including significant damage and partial root atrophy. 🦷
Cases like this remind us that swellings in the lower jaw region – especially when accompanied by small skin openings or draining fistulas – are often linked to underlying dental disease. Further diagnostics can be key to identifying the true cause.
The affected tooth was removed using an intraoral screw extraction technique. Just four weeks later, the swelling had significantly decreased and the fistula had completely healed. 🙏🏼
Paddy P’s case also highlights another important point: when investigating a colic patient, a thorough examination of the oral cavity is always worthwhile. After all, every meal begins in the mouth, and dental disease can have a much greater impact on a horse’s overall health.