Dental disease is among the most prevalent welfare problems in domestic horses, yet dental care remains inconsistent and the welfare impact of dental pain is frequently underestimated.
Equine dental welfare is both preventable and significantly undertreated. The prevalence of dental abnormalities in domestic horses — over 70% in most surveys — means that dental disease is the norm rather than the exception for horses receiving less than recommended care frequencies. The welfare impact of chronic dental pain extends beyond obvious discomfort: horses with dental pain have reduced feed conversion efficiency (suffering nutritional welfare deficits even when adequate food is provided), may resist handling or tack in ways attributed to behavioral problems rather than pain, and experience ongoing discomfort during basic activities like chewing hay. The behavioral expression of dental pain is subtle enough that owners frequently miss it, meaning horses can suffer for extended periods without receiving treatment. Annual or biannual dental examination as part of routine preventive care is the most effective welfare intervention.