Dysmastication, abscessation, severe periodontal disease (grade 4), grade 4 caries, chronic and/or severe soft tissue lesions, large epulis, frothy saliva, pain on palpation, equine odontoclastic tooth resorption and hypercementosis (EOTRH), grossly over-floated whole or part mouth, dysplastic teeth, apical disease (abscess and or apical periodontitis). Dysmastication, abscessation, severe periodontal disease (grade 4), grade 4 caries, chronic and/or severe soft tissue lesions, large epulis, frothy saliva, pain on palpation, equine odontoclastic tooth resorption and hypercementosis (EOTRH), grossly over-floated whole or part mouth, dysplastic teeth, apical disease (abscess and or apical periodontitis)‏ Alex Thiemann et al. In Practice 2018;40:249-257 Copyright © British Veterinary Association. All rights reserved.