Why Is Dental Care Essential for the Wellbeing and Performance of My Horse?
Last updated: 12/09/2025
Last updated: 12/09/2025
Did you know that a horse’s teeth grow 2–3 mm per year? Without sufficient wear, sharp hooks can develop, which may cause wounds and subsequent pain. No wonder dental problems are often at the root of behavioral-and performance issues.
Just as with humans, a healthy set of teeth is crucial for a horse’s overall health and wellbeing. You, as a horse owner, might be looking for scientifically supported solutions to keep your horse healthier and happier (Patterson, 2020).
As a horse owner, you might notice changes in your horse’s behavior, health, or even during routine care, many of which can actually be linked to dental problems.
Here are five of the most common signs that your horse may be dealing with teeth issues:
The Horse Grimace Scale (HGS) (figure 1) can be a helpful tool in identifying pain signals. Facial expressions can be compared with the HGS to objectively assess dental disease. When in doubt, it is best to consult a veterinarian (Dalla Costa et al., 2014).
If you notice one or more of these signs, it’s a good idea to schedule a dental check-up to catch problems before they get worse.
Figure 1: Horse Grimace Scale (HGS) (Dalla Costa et al., 2014)
The teeth of horses are adapted to a high-fiber diet. Horses have what is called a hypsodont dentition. This means their teeth have more crown above the gumline and a reserve crown beneath it (figure 2).
Unlike humans, a horse’s teeth continue to grow (or erupt) throughout most of their life to compensate for the natural wear from chewing fibrous feed.
The reserves allow teeth to keep growing and replace the parts that wear down from chewing. However, these reserves are finite, which is why older horses often suffer more from tooth loss (SPANA, 2025; Graham, 2002).
Figure 2: (A) brachydont tooth with equal amounts of crown and root (for example: dogs, cats and humans) (B) hypsodont dentition in horses: more crown above the gumline and reserve crown beneath it (Clauss, M. 2015).
Because chewing fibrous feed is essential to this natural wear, horses without daily or insufficient access to grazing may not grind their teeth down evenly. This causes the teeth to not overlap properly and over time, this can result in sharp edges on the teeth. Such sharp edges can cause wounds, leading to pain and swelling (figure 3) (SPANA, 2025; Graham, 2002).
Beyond difficulties with chewing and digesting feed, dental issues may also trigger specific behavioral changes. To support equine welfare, proper care and nutrition are therefore essential (Graham, 2002).
Figure 3: Tooth with sharp edges (left) and without (right) (Texasequinedentist.com, 2019)
High costs and uncertainty: Owners also report high costs for thorough examinations or procedures. Regular check-ups annually or semi-annually, depending on age, can help prevent more severe and costly problems.
Some owners wonder whether alternatives exist to tooth extraction, such as fillings or root extractions. These treatments are indeed possible today and can be performed by veterinarians or equine dentists. Thanks to improved equipment, safer anesthesia, and better knowledge, these techniques have become more advanced and accessible. A second opinion may also provide clarity about the necessity of a procedure (Advanced Equine Dentistry Inc., 2020; Lesté-Lasserre, 2023).
Routine examinations, preferably once a year, are strongly recommended to identify problems early and avoid pain. For older horses, starting around the age of 15-18, biyearly check-ups may be beneficial. With age, the reserve crown is depleted, which makes dental issues more likely. Younger horses may also benefit from regular monitoring. Until around five years old, their adult teeth will come to the surface. Besides the rapid change of their teeth, more frequent exams could help to prevent fear of check-ups in the future (Patterson, 2022; AAEP, 2025; Sellers F., 2015).
Fear in horses: Anxiety is another factor, especially when horses go for check-ups. The way a dentist or vet handles the horse can have a major impact. A calm approach makes a real difference, particularly for young or inexperienced horses.
For young horses, gradual habituation can reduce fear. By regularly looking at the teeth yourself—e.g., by lifting the upper lip or touching the tongue—the horse can get used to these actions in a familiar environment, making future exams easier.
Horses fed grain-based diets spend less time chewing, which results in reduced or uneven tooth wear. This can increase the need for dental procedures (Kentucky Equine Research, 2015).
A diet tailored to the individual horse is therefore essential to maintain natural tooth wear. Factors such as age, weight, and activity level must also be taken into account before making adjustments to a diet (AAEP, 2025). Necessary adjustments should ideally be made in consultation with a veterinarian.
“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.”
Recent studies (Zhang et al., 2022; Umapathy, 2022; Wojtylko et al., 2023) demonstrate that the anti-inflammatory and antimicrobial properties of turmeric can positively influence dental health.
Supplements with turmeric, such as Restore & Revive, are a valuable addition to your horse’s diet. Turmeric also has positive effects on joint and muscle health
Equine dental care is essential for the wellbeing and performance of your horse. Early recognition of symptoms and regular check-ups are key to preventing serious issues. Alongside this, both knowledge and proper nutrition play vital roles in supporting long-term oral health. If you’d like tailored advice for your horse, or if you have questions about nutrition and supplements, don’t hesitate to talk to your vet or reach out to our vet at info@curafyt.com.