Dental problems are the most common health issue affecting horses over 20 years old. Understanding age-related dental changes is essential for maintaining quality of life in geriatric horses.
Dental pain in horses is often chronic and underrecognised. Horses rarely vocalise pain and may continue eating despite significant dental discomfort, masking the welfare problem from owners. Weight loss, head tossing, bit resistance and dropping partially chewed feed (quidding) are observable signs that dental pain is affecting welfare and behaviour. In older horses, the progressive loss of functional dental surface means that even with regular veterinary care, nutritional management must adapt to declining dental capacity. Horses unable to maintain body condition on hay may require soaked hay cubes, fibre pellets or other easily processed alternatives to prevent slow starvation.