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Health06. Februar 2026 · 7 min

Dental health in the horse — why the annual check is prophylaxis

Horse teeth grow throughout life and wear down through chewing. Where this balance tips, sharp edges and hooks develop — usually long before the horse visibly suffers. A look at why the regular oral cavity check is early recognition instead of repair.

ER

Equiterna Redaktion

Veterinarian · Prevention

Article image: Dental health in the horse — why the annual check is prophylaxis

The horse's tooth is built differently from ours. It is hypsodont — high-crowned — and pushes a long reserve piece stored in the jaw continuously forward over years. What looks like lifelong growth is, strictly speaking, a slow pushing-forward of already laid-down tooth substance that compensates the daily wear from chewing.

This system works as long as supply and wear stay in balance. Exactly here lies the weak point: the upper jaw is wider than the lower jaw, and the grinding chewing movement wears the chewing surfaces unevenly. Where the opposing tooth is missing or the movement is restricted, substance stays standing.

Sharp edges and hooks — how they develop

From the uneven wear, over time, sharp enamel edges develop on the outer edges of the upper jaw teeth and the inner edges of the lower jaw teeth. On the frontmost and rearmost cheek teeth hooks can form when the tooth rows do not stand exactly above one another. Both are no rare defect, but an expectable consequence of the anatomy — and exactly therefore a case for regular control.

Routine check
1×/year
adult horse · seniors and young horses more often

The consequences reach further than the mouth suggests. Sharp edges can injure the cheek mucosa, hooks can block the lateral chewing movement. The horse then chews incompletely, drops feed (quidding) or bolts it — and poorly broken-down forage is discussed as one of several factors in the colic risk. The transition to riding is also affected: pressure in the area of the front cheek teeth can influence the acceptance of the bit.

“A horse does not complain about toothache — it adjusts its chewing until at some point the feed or the contact suffers. Whoever looks into the mouth once a year sees the change beforehand.”
From herd care

Age relation: from the wolf tooth to the senior

The oral cavity changes over life. In the young horse it is about tooth change, loose caps (milk tooth remnants) and the small, functionless wolf teeth that can disturb the bit. In the senior the picture turns: the reserve crown is finite, teeth become shorter, loosen or fall out, gaps and wave mouths develop. Studies show that dental diseases become markedly more frequent from about 15 to 16 years on — the check intervals may then become tighter.

Important for context: the assessment and treatment of the oral cavity — from the grinding-down of sharp edges to tooth extraction — belongs in expert (veterinary) hands, with proper sedation and a mouth gag. This text replaces no examination; it justifies why the regular check is sensible.

The actual value of the annual check lies not in the correcting, but in the timely recognition. A sharp edge, discovered early, is a trifle. The same edge, unnoticed for a year, can shape the chewing, the feed management and the rideability. Prophylaxis here simply means: to look before the horse has to adjust.

Sources

AAEPAAEP — Routine Dental Care Guidelines
BMEL 2009BMEL Guidelines for the Assessment of Horse Husbandry
Front Vet Sci 2023Periodontal structures in horses (age relation dental diseases)

Usage note

This content is for information and education. It does not replace veterinary diagnosis or treatment. If your horse shows signs of illness, consult a veterinarian.

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