As wild horses roamed their domain, the excess growth on their hooves wore away naturally, leading to a balanced foot. This natural wear through lifestyle and environment is also true of the equine mouth, where balance is just as important to overall health. Natural equine dentistry can help combat the negative effects of domestication on a horse’s mouth.

Natural Equine Dentistry

In its natural state, a horse would graze 14 to 18 hours a day on grasses containing silicas that wore or abraded the teeth in such a manner that the front teeth wore as they erupted. These front teeth, or incisors, are the keys to balance in the mouth. Their length and angle in a wild horse are similar to those in a domestic horse at around age five, and should remain that way through the life of the horse. Beyond the age of five, however, the front teeth of domestic horses begin to exceed the appropriate length and angle. This is when you start getting abnormal rotation of the TMJ (temporal mandibular joint), where the jaw hinges to the skull. The rotation of this joint dictates the wear pattern of the molars. The point of natural equine dentistry is to treat the cause of this problem, not the symptoms, by first maintaining the natural length and angle of the incisors. Further balancing of the molars cannot be accomplished without proper balance in the front of the mouth.

Equine dentists use an instrument called a speculum to help the horse keep his mouth open during treatment. It looks very much like a headstall, with the exception of an adjustable mouthpiece that sits just inside the horse’s mouth with two metal plates for the upper and lower front teeth to rest on. These plates are level in themselves, so as the horse opens his mouth, any imbalance in the incisors will then be shifted to the molars. This makes it appear as though the deviation in the horse’s mouth originates there, because the TMJ has approximately 1⁄4 II of “play” in it. This is why it is so critical to start with the incisors. The angle of the TMJ is exactly opposite to that of the molar table (contacting surfaces of the upper and lower teeth). All of these factors, taken into consideration, are what amount to anatomical balance, according to the individual horse.

Dentistry-chart-2Getting aligned
Many of today’s equine dentists apply centric, or centered, alignment to the mouth. That is, they apply a static “leveling” standard to every equine mouth they treat. The focus currently common among dentists is occlusion. This simply means the meeting, or flush contact, of upper and lower tooth-on-tooth surfaces. However, because of the adaptable nature of equine tooth eruption, occlusion is present in all horses even before dentistry is applied. Horses already have centric occlusion present in their mouths when they show up at the dentist. It should then be up to the dentist to anatomically align the mouth, so that it fits the individual to its optimal range.

The focus should actually be on re-establishing proper biomechanics in the horse’s jaw. The motion of the jaw is 50% of the total mechanics. The tongue rotates in the opposite direction to the jaw. The combined efforts of the two are what move the food bolus from the front of the mouth to the back. If the length and angle of the incisors vary from what nature intended, it causes the jaw to rotate in a more vertical motion – up and down, rather than side to side.

How do we check the biomechanics of the jaw? Rather than pushing the closed jaw from one side to the other, which most people are familiar with, you can properly check the horse by cueing it to contract its own massitors (muscles that control the jaw). This demonstrates the true biomechanical range of the jaw. (Consider this: if pushing the closed jaw worked, human dentists would use this method rather than the traditional carbon paper and “bite” technique to check the surface-to-surface contact of our teeth.) An equine dentist cues the horse by inserting his fingers into the side of the mouth, initiating a chewing motion reflex response. Numerous human dentists have told me that all animals maintain a state of disclusion, or non-contact of teeth, while at rest or engaged in activities other than eating. If the teeth were in contact while moving, their surfaces would be damaged. So occlusion, or mastication of food, is only accomplished when the individual contracts his massitors.

Balance is achieved by starting with the equilibration of the incisors. Generally, a primary angle of adjustment is necessary. If there is a great deal of change to be made, it should be done gradually over time, as it is in humans. After all, the problem took a long time to develop; it should take a while to fix.

I don’t believe an equine dentist needs power equipment any more than a farrier needs a grinder to balance a foot. As it is, most equine dentistry tools are not ergonomically designed to fit in the horse’s mouth, let alone help balance it. I’ve spent three years designing hand instruments that ergonomically fit the horse as well as the practitioner. This results in bloodless equine dentistry and less discomfort afterwards.

Saying no to a bit seat
Another popular method in equine dentistry today is the rolling or rounding of the first molars, called premolars, to produce what is called the bit seat. Over-modification of any mechanical part is generally fine in theory, but falls apart when you put it into practice. The horse is born with his first three molars. They are in contact, although have no real use until the horse is about six to eight months old. In that time, the incisors or front teeth appear. The incisors and premolars are basically all that are present in the mouth until about age two, at which time the plates or sutures of the skull fuse together. By this, nature dictates that these teeth are of primary importance in balancing the head as it develops. When a bit seat is placed on the tooth, it takes away most of the leading molar’s surface-to-surface contact. Removal of this contact from a cornerstone of the mouth creates a lateral (side to side) 5454 equine instability of the TMJ. Amazingly, this shows up externally in a visual hollowing out of the horse’s flanks! When you don’t put in a bit seat, thus allowing for maximum surface-tosurface contact, there is greater stability of the TMJ and performance is enhanced.

Balanced mouth = balanced body
Natural balance in the mouth, and the jaw’s ability to move forward and backward, left and right, up and down, is related to the whole body’s ability to do the same. The jaw’s range of motion dictates the neck’s range of motion, which in turn dictates muscle mass in the rest of the body. I wrote a thesis about three years ago stating that whole horse restoration could be accomplished by whole mouth equilibration. Again, the key starting point is to address the incisors and then proceed from there to balance the mouth in an anatomically correct way to fit the individual horse. For three years, I have actually been trying to disprove my own theory, but as yet, there hasn’t been one instance where it didn’t hold up. The outcome: the least we modify nature, the better it is for both man and beast.

Equine dentistry is a crucial piece of the equation that adds up to the total balance of the horse. There are now many complementary and natural practitioners available to help your horse be the best and healthiest he can. NASCAR has pit crews to help the team achieve ultimate performance – you have a team, too, and a natural equine dentist is a part of it.

Spencer LaFlure, aka The Tooth Fairy, received his advanced certification in Equine Dental Equilibration from the academy of Equine Dentistry in Glenns Ferry, Idaho. He practices and lectures extensively throughout the United States and Australia. He and his wife, Judy, own and operate a ranch and educational riding facility in Thurman, New York.