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o.k. that their teeth slowly wear away, since as a given amount
of tooth is used up, the same amount of new tooth crown will
erupt into the mouth to take its place at a rate of about 3-4 mm
per year. A horse’s permanent teeth are about 4 inches long! As
Proper care of your horse's teeth is a hot topic of discussion you can imagine, most of that length is hidden from view in the
these days. Advances in understanding of anatomy and biome- jaw and skull bones. And if you do the math, that’s enough
chanical function of the horse’s masticatory (chewing) appara- tooth to last an average of 25 years under ideal circumstances.
tus are occurring in leaps and bounds. With this deeper under- That “ideal circumstance” is the hitch in this picture. Ideal
standing, the development of new, more precise instrumenta- circumstances for the horse include the following: reproduction
tion is enabling the experienced veterinarian to achieve a very according to the forces of natural selection, exposure to a varied
high level of dental care for their equine patients. The differ- diet including grasses from fine to coarse, grains, broad leaf
ence between “just a float” and the expert dental equilibration plants and the fine sand-like silicates that accompany these
available from specially skilled veterinary professionals is the plants, herbs, twigs, leaves, even bark, and most importantly,
difference between night and day. Many horse owners are exposure to these forages 24 hours a day, every day of their lives.
wondering why all these advances are necessary; “After all,” Does this environment resemble your horse’s lifestyle? Not
some may wonder, “I’ve had horses all my life and they seemed mine, and not likely yours. Add two other factors; domestic
to get along just fine with the old way.” This perfectly reason- horses are usually ridden or driven, requiring communication
able observation deserves a good explanation. through their mouths, and we humans expect our equine
A basic understanding of how a horse chews and some partners to be with us a long, long time, and you have a situation
rudimentary knowledge of the anatomy is necessary to compre- that expects and presumes a lot of the horse’s dentition. With-
hend the need for thorough dental care on a routine basis. The out a fairly regular program of correction and maintenance
most basic differences between a horse’s teeth (an herbivore or beginning early in life and periodically as they age, most domes-
plant eater) and the teeth of humans, dogs or cats (omnivores tic horse’s teeth will not wear properly and will not function into
and carnivores) is that a horses teeth are not completely covered old age, effectively reducing his or her life span.
in enamel and what is visible in the mouth is not meant to last A mature horse has from 36 to 44 teeth. Front to back, he has
the horse’s entire life. Omnivores (creatures that eat all types of 6 upper and 6 lower incisors (front teeth, the ones you can see
food from vegetables to meat) and carnivores (predominantly readily when you part his lips) used for nipping and tearing
meat eaters) have teeth that are completely covered in hard forage. Geldings and stallions usually have four canine teeth
enamel which allows their teeth to withstand the forces neces- (two upper and two lower, these are the teeth that you can see
sary to chew their diet without wearing away the tooth surface. in the bars of the mouth.) Most horses will have two wolf teeth
Horse’s teeth are made up of vertical “columns” of three as youngsters (small, shallow-rooted teeth located just in front
different materials, only one of which is enamel. The other two of the first cheek tooth on the upper jaw, occasionally they also
materials, dentin and cementum, are not as hard. This configu- appear on the lower jaw,) these are typically removed at about
ration is actually designed to allow the horse’s teeth to slowly one year of age. Then there are 12 premolars and 12 molars
wear away as they chew their coarse diet of plant roughage. It’s comprising the cheek teeth, the bulk of the grinding apparatus.
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ These are arranged 6 cheek teeth to an arcade (or row) of teeth
(two upper and two lower arcades.) The cheek teeth are packed mouth open and special instruments to reach the less accessible
so closely together that they appear as one long chewing surface. teeth. Many razor-sharp points will be missed without proper
All together, the horses mouth is (or should be) a highly equipment, adequate sedation and experience. But the sharp
specialized and finely tuned grinding machine, uniquely and enamel points are only the tip of the iceberg. For years,
perfectly suited for its intended purpose. interested and concerned veterinarians recognized that there
The biomechanics of mastication plays a major role in how a were significant abnormalities of wear in most of their equine
horse wears his teeth. There are two or three important concepts patient’s mouths: abnormalities like “waves” or “steps” where
here. One is that the horse’s lower jaw is narrower than his upper some of the teeth in an arcade remain too tall and cause the
jaw. This means that the two upper arcades overhang the two opposing teeth to become overworn, giving the arcade a
lower arcades by 1/4 to 1/2 inch. The teeth in the two lower rollercoaster appearance as you sight down the length of it; or
arcades also sit slightly to the inside of the upper arcades. The “hooks” on the upper first cheek teeth and the lower back cheek
second concept is that a horse moves his jaw in a roughly teeth that overhang the opposing tooth and impede proper jaw
elliptical pattern when he chews. He drops the lower jaw down, movement or can even dig into the opposing gums; incisors
moves it over to the right or left, brings it up into contact with that meet at a diagonal or curve instead of a straight line. But
the upper teeth on that side, then moves the lower jaw back very few had any solid knowledge of how or whether to correct
toward center grinding the lower teeth across the chewing these abnormalities. Over the last 10 to 12 years, veterinarians
surface of the upper teeth on that side. Due to the above outlined have made great strides toward understanding the horse’s
anatomy, it is possible for the horse to chew on only one side at biomechanics of mastication. Greater understanding led to the
a time. The third concept is that each individual horse’s prefer- development of superior instrumentation that allows non-
ences, habits, conformation, diet, and dental health determine traumatic, pin-point accuracy. The development of more ef-
whether or not he will wear both sides evenly—or even if each fective sedatives and the realization that proper sedation is
tooth in each arcade wears evenly with its neighbors. necessary to safely and properly complete the work has helped
Since most domestic horses are not bred for proper dental bring equine dentistry to the level it is today. The idea of simply
conformation, are not housed in such a way that allows them to smoothing sharp points off the edges is giving way to a much
browse on varied forage for at least 18 hours per day, are expected more enlightened approach that addresses the horses whole
to begin work very early in life, and are expected to remain active mouth, indeed the whole horse.
very late in life, it makes sense that we, as their caretakers, should Now veterinarians that have the interest and have made the
contentiously address their dental health. The adage “no hoof, effort to learn of the advances understand the subtle interrela-
no horse” can be applied equally well to dental health: “no teeth, tionships of each element within the horse’s mouth. There are
no horse.” important concepts such as incisor length and angle,
Most horse owners and many veterinarians use the term interocclusal space, occlusal angles, lateral excursion and qual-
“floating” to describe routine equine dental maintenance. Float- ity of premolar and molar contact that a practitioner specially
ing is the process of removing the painfully sharp enamel points trained in equine dentistry can accurately evaluate and correct.
that develop on the outside edges of the upper cheek teeth and There are advances in recognizing and dealing with diseased or
the inside edges of the lower cheek teeth. The term comes from damaged teeth and the surrounding tissues that were largely
the process of “floating” wet cement so that the surface is overlooked in the past. Proper equine dentistry will keep your
smooth. Proper equine dental equilibration involves much, horse’s mouth functioning at its peak potential. This will, in
much more than just floating. Even a basic “float” cannot be turn, help ensure that his or her teeth will be much more likely
properly performed without a full mouth speculum to hold the to remain healthy and effective into the geriatric years. A new