Advanced Dentistry

We recommend that every horse have an oral exam performed at least once yearly to check for abnormalities. Most horses will benefit from a yearly intervention, however it may not be necessary in all cases. Some horses with good, level cheek teeth and a normal wear pattern can go for two years between dentals. On the other hand, older horses or those with significant abnormalities may need to be done twice yearly, or even more frequently.

Most horses do. A complete oral examination can only be performed by inserting a full mouth speculum, which holds the teeth apart and allows us to safely insert our hands and mirrors. Most horses will not tolerate this examination without some sedation. Since we use motorized equipment, there is some noise associated. Due to this many horses do better with at least a light amount of sedation. We always perform a brief physical examination before we use any sedative, and we tailor the drug and amount to each individual horse. The sedatives we use are quite safe, resulting in a calm, quiet horse who remains standing throughout the procedure and wakes up fully in a few hours at most.

In the hands of an experienced person, yes – motorized dental equipment is very safe. The equipment we use is very efficient at removing excessive teeth without damaging the soft tissue structures in the mouth, such as the gums and cheeks. We take frequent breaks to rinse and cool the equipment to avoid overheating. We are also very careful not to remove too many teeth If we cannot safely reduce the tooth to a “normal” level, we will stop, and recommend another visit in about 3 months. This gives the pulp horns a chance to regress. Failure to stop at this point can result in exposure of the pulp cavity (sensitive root) and potential damage to the tooth. We have extensive experience with this dentistry method and are very comfortable with its use.

That being said if used by an inexperienced person, motorized dentistry equipment has the potential to be unsafe. In the wrong hands, too many teeth can be removed, or the teeth may be heated to the point of being damaged. Always make sure the person performing ANY procedure on your horse has sufficient experience.

Keep in mind it’s the user, not the tool. It is equally possible to do damage to a tooth or soft tissues with a hand float as it is with motorized equipment.

This is a great and sometimes controversial question. There are lots of people out there calling themselves “equine dentists”, with varying amounts of training, and many people are confused by this term. This term generally refers to someone who floats teeth but is not a veterinarian. They may go by the title “Certified Equine Dental Technician” or something similar since they are not legally allowed to refer to themselves as a “dentist”.

(As a side note, veterinarians aren’t allowed to use that term either – we may have a “focus in dentistry” or “specialization in dentistry”, but the word “dentist” is reserved for human dentists.) Unlike veterinarians, “Equine Dental Technicians” are generally not regulated by the government or any national board, and they are not a “licensed” profession in either Connecticut or Rhode Island.

Many do not use an oral speculum, so they are unable to visualize or feel the back of the mouth Without a speculum, they can reduce enamel points, but they are not usually able to address hooks or waves especially further back. Additionally, they are not trained to look for pathology the way a veterinarian is. Legally, they cannot sedate, diagnose, perform extractions, or prescribe medications.

Only a veterinarian has the appropriate training to identify and treat all of the various dental abnormalities that can affect a horse’s mouth. We can safely sedate the horse to allow for a complete examination. We have the added benefit of being able to pursue further diagnostics such as radiographs. We can perform extractions if necessary and prescribe antibiotics or anti-inflammatory drugs as well.