07/12/2026
It’s great to see the growth and development of carefully principled equine dentistry in the veterinary community. Horses need more than a “float” every year, they need an annual oral exam.
Morgan Krause, DVM MS, a mobile equine veterinarian outside Clemson, South Carolina, posits that the annual oral exam is one of the most underused diagnostic tools in equine medicine — and that the community of people around a horse matters just as much as the clinicians treating it.
Ask Morgan Krause why she performs sedated oral exams on horses, and the answer comes back bigger than teeth. Yes, floating helps enamel wear evenly, extending a tooth’s lifespan. Yes, it catches sharp points and hooks before they cause lesions. But Krause, who runs a fully mobile equine practice serving both the show community and rural recreational owners around Anderson, South Carolina, sees the dental appointment as something not as commonly seen and just as valuable: one of the few moments when a veterinarian gets to slow down and look at the whole horse.
“For some horses,” Krause says, “it may be the only real health check they get all year.”
A proper oral exam should be conducted under sedation with a good light source and a full evaluation of the tongue, cheeks, and palate. It should go well beyond checking for sharp points and include visual, tactile, and olfactory observations. Krause looks for dental disease, foreign bodies, and tumors in the soft tissue of the mouth. She assesses symmetry in how the teeth wear, looks at the condition of the incisors and the state of the temporomandibular joint, or TMJ.
That last item matters more than many riders realize. TMJ sensitivity directly influences how a horse carries its head, which has cascading effects on how an athletic horse moves, responds to bit pressure, and performs under saddle. Pain in the poll and jaw often masquerades as training problems or resistance and stays hidden until an oral exam brings it to light.
📎 Continue reading this article at https://www.theplaidhorse.com/2026/07/06/start-with-the-teeth-what-dentistry-reveals-about-the-whole-horse/