Why Is Dental Care Essential for the Wellbeing and Performance of My Horse?

Why Is Dental Care Essential for the Wellbeing and Performance of My Horse?

Key takeaways

  • Dental disease is common, not rare: a 2019 study of 932 horses found active periodontal disease in 13.9% and diastemata in 8.7%, with risk rising steadily with age.
  • Watch for quidding, head tossing under saddle, weight loss, bad breath, or sudden attitude changes, since these are common signs of dental pain that a vet check can catch early.
  • Dental pain reaches beyond the mouth: in a study of 144 polo horses, 51.4% of those with a colic history had dental abnormalities, versus roughly 30% of horses with no colic history.
  • Annual dental check-ups are recommended for most horses, with biyearly visits suggested for older horses from around age 15 to 18 once the reserve crown starts to deplete.
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    Did you know a horse’s teeth grow two to three millimeters a year? Without enough wear, sharp hooks can develop on the edges, and those hooks cause wounds and pain fast. That’s why dental problems sit behind so many so-called behavioral and performance issues that owners chase down every other cause for first.

    Just as with humans, a healthy set of teeth is essential to a horse’s overall health and wellbeing. As a horse owner, you’re probably looking for solutions backed by real evidence, not guesswork, to keep your horse healthier and more comfortable [1].

    In this article, we’ll walk through:

    • How to recognize dental problems in your horse
    • Why dental problems develop in the first place
    • How vets treat dental problems today
    • How to prevent problems from coming back
    • Where turmeric may fit into the picture

    What Common Problems in Horses Are Linked to Their Teeth?

    As a horse owner, you might notice changes in behavior, health, or just during everyday handling that trace straight back to the mouth.

    Five of the most common signs your horse is dealing with a dental problem:

    1. Dropping feed (quidding). Your horse spits out or drops partially chewed hay or grain.
    2. Reluctance under saddle. Head tossing, resisting the bit, or a sudden unwillingness to work.
    3. Weight loss or poor condition. Chewing takes more effort, so less feed actually gets broken down and absorbed.
    4. Bad breath or excessive drooling. Often a sign of infection or a wound somewhere in the mouth.
    5. Changes in attitude. Irritability, less interest in people, behavior that seems to shift overnight [2].

    Good to know

    A 2019 study of 932 horses in first-opinion practice found active periodontal disease in 13.9 percent, diastemata (gaps between cheek teeth) in 8.7 percent, and peripheral caries in 8.2 percent, with risk climbing steadily with age [3]. Dental disease is common, not rare, and the odds only go up the longer a check-up gets postponed.

    The Horse Grimace Scale, a facial expression tool first built to score pain after castration, has now been tested specifically on horses with dental disease. The newest study found it unreliable for that purpose: agreement between observers was poor, and the authors concluded that tools built for acute pain don’t translate well to the slow, grinding pain of dental disease [4]. In plain terms, a horse in dental pain does not always pull an obvious face. That is exactly why a regular veterinary check matters more than watching for a grimace.

    Dental pain also shows up somewhere less expected: the gut. In a study of 144 polo horses, 51.4 percent of those with a history of colic had dental abnormalities, against roughly 30 percent of horses with no colic history, and both dental caries and sharp enamel points were significantly linked to colic risk [5]. Chewing properly is the first step of digestion, so a mouth that hurts can end up costing a horse at both ends of the gut.

    If you notice one or more of these signs, book a dental check before things get worse. Waiting rarely makes it cheaper.

    Why Do Dental Problems Occur in Horses?

    Horse teeth are built for a high-fiber diet. Vets call this hypsodont dentition: more crown sits above the gumline, with a deep reserve crown packed in beneath it.

    Unlike human teeth, a horse’s teeth keep erupting, pushing upward through most of its life to make up for the wear that comes from chewing fibrous feed for hours a day.

    That reserve crown is what lets teeth keep replacing what chewing wears away, but it is not unlimited. Once it runs out, older horses start losing teeth outright, which is a big part of why age changes the whole conversation around dental care [6,7].

    How to Treat Dental Issues in Horses?

    High costs and uncertainty. Owners often mention the cost of thorough exams or procedures as a barrier. Regular check-ups, done annually or twice yearly depending on age, tend to catch problems while they are still small and cheap to fix rather than large and expensive.

    Some owners ask whether alternatives to extraction exist, such as fillings or root treatments. They do. Vets and equine dentists perform these today, and better equipment, safer sedation, and more collective experience have made the techniques far more accessible than they were even a decade ago. A second opinion can also help you weigh whether a procedure is the right call before you commit to it [8,9].

    How to Prevent Dental Issues in Horses?

    Routine exams, ideally once a year, are the single best way to catch problems early and spare your horse unnecessary pain. Once a horse hits 15 to 18 years old, twice-yearly visits often make more sense, because the reserve crown is running low and issues progress faster from there. Young horses need attention too. Until roughly age five, adult teeth are still erupting, and more frequent exams during that window can also help a horse get comfortable with having its mouth handled, instead of learning to dread it [2,3].

    Fear in horses. Anxiety around check-ups is its own problem, separate from the teeth themselves. How a vet or dentist handles the horse matters as much as which tools they use. A calm, unhurried approach makes a real difference, especially for young or inexperienced horses.

    For young horses, gradual habituation helps. Regularly looking at the teeth yourself, lifting the upper lip or touching the tongue every so often, lets the horse get used to the sensation in a familiar setting. That alone makes the real exam far less of an event.

    Horses on grain-heavy diets chew less overall, and less chewing means uneven wear, which can mean more dental work down the line [10].

    A diet built around the individual horse, accounting for age, weight, and workload, helps keep wear natural and even. Any changes are best made with a vet involved rather than guessed at.

    Good to know

    Dental care is not a stand-alone fix for weight problems. In a controlled study of 56 pregnant mares, routine floating on its own produced no measurable change in body weight, condition score, or feed digestibility over the following weeks [11]. Floating fixes how a horse chews. Diet and overall management still carry most of the load for body condition.

    “The right nutrition is the foundation of health. By harnessing the power of nature, we can ensure that horses and pets enjoy optimal health and vitality.”— Valerie De Clerck, veterinarian, nutritionist and Curafyt founder

    Is There a Natural Solution to Boost Dental Health?

    Turmeric has drawn real interest in human dentistry. A 2022 systematic review and meta-analysis of 18 randomized trials in periodontal patients found that curcumin, turmeric’s active compound, reduced gum inflammation and bleeding when added to standard periodontal treatment [12]. A separate review of turmeric’s effects on oral health across human, animal, and lab studies reached a similar conclusion: its antimicrobial and anti-inflammatory action helps limit plaque and support gum tissue [13].

    Equine-specific trials on turmeric and dental health do not exist yet, so this is extrapolation from human and lab research, not a horse study. The mechanism still holds up across species for two reasons:

    • Antimicrobial action. Turmeric disrupts bacterial cell walls, making it harder for bacteria to stick to tooth surfaces and build up dental plaque.
    • Anti-inflammatory action. Turmeric moderates the immune response in gum tissue, suppressing pro-inflammatory cytokines while supporting anti-inflammatory ones.

    This is why a turmeric supplement such as Restore & Revive can be a reasonable addition to a horse’s routine, particularly one already dealing with joint stiffness or a slow gut, alongside actual dental care rather than instead of it. It supports muscle recovery, joint comfort, and digestion too, so it earns its place in the feed room for reasons beyond the mouth.

    Conclusion: A Well-Informed Owner and Preventive Care Are What Keep a Horse’s Mouth Healthy

    Equine dental care is not a side note. It shapes how well a horse eats, moves, and behaves under saddle, and the research above suggests it reaches further into digestion and comfort than most owners assume. Catching the early signs and keeping to a regular check-up schedule heads off the expensive, painful problems down the line.

    If you want tailored advice for your horse, or have questions about nutrition and supplements, talk to your vet, or reach out to ours at info@curafyt.com.

    Support your horse from the inside out

    A horse that chews well tends to digest well too. If dental issues have affected your horse’s weight or gut comfort, our Stomach & Digestion range is built to help.

    Shop digestive support

    References

    [1] Patterson Veterinary. AAEP Equine Dental Care Guidelines. 2020.
    [2] American Association of Equine Practitioners. Introduction to Equine Dentistry. Reviewed 2025.
    [3] Nuttall HE, Ravenhill PJ. Prevalence and analysis of equine periodontal disease, diastemata and peripheral caries in a first-opinion horse population in the UK. Vet J. 2019;246:98-102.
    [4] Sidwell AE, Duz M, Hill B, Freeman S, Hole SL. Application of the horse grimace scale in horses with dental disease: preliminary findings. Vet Rec. 2025;196(3):e4800.
    [5] Olusa TAO, Akinrinmade JF. Do dental abnormalities predispose horses to colic? J Vet Med Anim Health. 2014;6(7):192-197.
    [6] SPANA. Equine dentistry. 2025.
    [7] Graham BP. Dental care in the older horse. Vet Clin North Am Equine Pract. 2002;18(3):509-522.
    [8] Advanced Equine Dentistry Inc. Horses get cavities too. 2020.
    [9] Lesté-Lasserre C. Composite dental fillings can fix horses’ cavities. TheHorse.com. 2023.
    [10] Kentucky Equine Research. Feeding practices may impact horse dental health. 2015.
    [11] Carmalt JL, Townsend HGG, Janzen ED, Cymbaluk NE. Effect of dental floating on weight gain, body condition score, feed digestibility, and fecal particle size in pregnant mares. J Am Vet Med Assoc. 2004;225(12):1889-1893.
    [12] Zhang Y, Huang L, Zhang J, De Souza Rastelli AN, Yang J, Deng D. Anti-inflammatory efficacy of curcumin as an adjunct to non-surgical periodontal treatment: a systematic review and meta-analysis. Front Pharmacol. 2022;13:808460.
    [13] Umapathy VR, Swamikannu B, Jones S, Kiran M, Lell T, Mayasa V, Govindaraj J. Effects of turmeric (Curcuma longa) on oral health. Bioinformation. 2022;18(6):538-542.

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