Horse dental disease causes pain that significantly affects quality of life and performance. Annual dental examination and treatment is a welfare necessity for all horses.
Equine dental welfare is significantly underinvested relative to its impact on horse health and quality of life. Horses with sharp enamel points eat with pain every day. Those with more severe dental abnormalities may have difficulty chewing efficiently enough to maintain body condition. The connection between dental disease and behaviour under saddle is well established — resistance, head tossing, and rein sensitivity often improve dramatically after dental treatment, revealing that what was interpreted as attitude was actually pain communication. Annual dental examination, combined with treatment under appropriate sedation to allow thorough assessment and correction, is not a luxury but a welfare necessity for every horse. The cost of annual dental care is modest relative to other horse-keeping expenses and its welfare impact is substantial.