The use of mirror versus dental scope in dental examination

4 April 2023

The use of mirror versus dental scope in dental examination

A correct dental examination in humans and animals - and therefore also in our horses - requires, among other things, the use of visual aids for correct diagnosis, follow-up and documentation, but also for effective communication with the client and/or veterinarian. The days when dental examinations were performed in the dark and by touch are hopefully gone for good.
A study recently published in the scientific journal "Equine Veterinary Education" compared the results of a dental examination performed with a mirror on the one hand, and a buccal scope (rigid camera) on the other. The sensitivity of the dental camera (scope) examination was several times higher than that of the mirror examination for all diagnosed conditions. In this study, the sensitivity when using a dental camera was 83%, compared to only 39% when using a mirror. In other words, this means that the risk of missing things when using only a mirror is very high. 
It goes without saying that Equide is committed to using the best possible equipment and the most accurate instruments. All patients who come to our clinic are examined using an oral scope. This "live-movie" of the horse's teeth is also projected on a large screen where the client can follow the examination. The relevant images are saved and added to your horse's file. At the practice, Equide offers the diagnostic use of dental scopes to the patients free of charge. 
In addition to diagnosis, dental cameras are also used during treatments and we also have flexible scopes to examine the nasal passages and sinuses in case it is needed.  
Unfortunately, the main disadvantages of these instruments are their cost and fragility. For this reason, a mirror is still used for routine dental check-ups at home/on-site. In case of doubt, the mobile unit is always equipped with an oral scope (additional cost). One more reason to bring your horse to our practice! The most advanced diagnostics in the best possible setting and with shorter waiting times for appointments!
(Full EVE article: "Blinded comparison of mirror and endoscopic oral examination in the horse: Sensitivity, specificity and observer agreement", N.E. Chiero et al)

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