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September 2004

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Dental care avoids problems

By Dr. Patrick M. McCue
Colorado State University

Preventive dental maintenance is an important part of raising healthy horses. Routine dental care prevents painful problems and costly treatments, and a horse with healthy teeth has reduced risk for colic and weight loss.

Preventive dental maintenance helps horses chew roughage and grain more thoroughly and, therefore, better digest food. Horses with good dental care are usually in better body condition than horses whose teeth are ignored.

All horses should undergo occasional dental examinations by a veterinarian, which include a visual exam and a digital exam to check the incisors, canines, cheek teeth and soft tissues. Common signs of dental disease include:

  • Quidding - repeatedly chewing food and expelling it
  • Spilling or spitting grain or inefficient chewing
  • Sensitive cheeks or abnormal swelling in the cheeks
  • Sensitivity to bits or to drinking cold water
  • Shaking or tilting head
  • A foul odor from mouth or nostrils
  • Excessive salivation
  • Exaggerated tongue movements
  • Bleeding from the mouth
  • Rough hair coat, weight loss or poor performance

A routine oral examination is an important step in preventive dental care for your horse. A veterinarian should look for these common dental problems:

  • Dental caps are deciduous teeth - or milk teeth - that the horse should lose once the permanent tooth emerges from the gum line. Retained dental caps can prevent permanent teeth from emerging; fragment and lacerate; infect or swell the gums, tongue and cheeks; and displace the position of permanent teeth.

  • Wolf teeth are the first permanent premolars, usually only present in the upper arcade. It is common to remove these teeth when horses are yearlings because they can cause difficulty with the bit.

  • Enamel points are sharp outer edges of upper cheek teeth and inner edges of lower cheek teeth that develop as a normal part of wear. These sharp points should be rasped or floated down annually.

  • Molar hooks are a result of a misaligned upper and lower jaw resembling an overbite. A hook is formed when the front portion of the first upper cheek tooth does not wear against a lower tooth or the back portion of the last lower tooth does not wear against an upper molar. These teeth continue to grow and form a hook, which should be removed.

  • Cribbing, or repeatedly biting or chewing on objects such as stall doors, feed racks or fence rails, is a common behavior when horses need more fiber or protein, or more attention and exercise. Cribbing causes excessive wear on the incisors, but may be prevented with a proper diet, toys, companions or exercise.

  • Parrot mouth is an extreme overbite. This condition is the most common congenital oral deformity in horses. Watch for molar hooks and consider shortening the upper and lower incisors.

  • Wave mouth is an uneven wave-like pattern on cheek teeth that is more common on older horses and often occurs in conjunction with parrot mouth and retained dental caps.

  • Incisor abnormalities are more common in horses that are stalled and fed grain or processed diets rather than pasture-fed horses. Watch for a number of conditions such as retained milk incisors, long incisors and uneven jaw alignment.

    Here are recommended dental care practices based on a horse's age.

    • Foals: Check for cleft palate and parrot mouth--or malocclusion--a misalignment of the upper and lower jaws where the upper jaw overbites the lower jaw.
    • Two- to 3-year-old horses: Remove wolf teeth and examine first permanent cheek teeth for caps; float points.
    • Three-year-old horses: Examine second permanent cheek teeth for caps; float points.
    • Four-year-old horses: Examine third permanent cheek teeth for caps; float points.
    • Five years old and older: Examine and float teeth annually.

    Pat McCue, DVM, is an associate professor in equine sciences at CSU with a special interest in equine reproduction, embryo transfer and reproductive endocrinology. He received a Ph.D. in comparative pathology at UC-Davis in 1986. He is a diplomate in the American College of Theriogenologists.


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