## Overview Cheek ulceration from sharp teeth occurs when enamel points on the buccal (cheek-side) edges of the upper cheek teeth lacerate the adjacent mucosa. It is one of the most common oral findings in domestic horses and can cause discomfort, quidding, bit resistance, and reduced performance, especially in ridden horses. ## Causes Continuous eruption of the teeth combined with reduced lateral excursion during chewing allows sharp points to form. The anisognathic jaw relationship predisposes the upper teeth to buccal points. ## Diagnosis Oral examination with a full-mouth speculum and light reveals the ulcers opposite sharp enamel points. The height and location of the points are recorded. ## Treatment Reduction (floating) of the sharp points removes the cause. Ulcers heal within days to a couple of weeks once the trauma stops. Severe or infected ulcers may need additional care. ## Recovery and Prognosis Excellent once the points are addressed and regular dental maintenance is established. ## Prevention Routine dental examinations and floating every 6 to 12 months, adjusted to the individual horse.
oral ulcers opposite upper cheek teeth; quidding; bit resistance; slow eating; foul odor in severe cases
## Overview Cheek ulceration from sharp teeth occurs when enamel points on the buccal (cheek-side) edges of the upper cheek teeth lacerate the adjacent mucosa. It is one of the most common oral findings in domestic horses and can cause discomfort, quidding, bit resistance, and reduced performance, especially in ridden horses. ## Causes Continuous eruption of the teeth combined with reduced lateral excursion during chewing allows sharp points to form. The anisognathic jaw relationship predisposes the upper teeth to buccal points. ## Diagnosis Oral examination with a full-mouth speculum and light reveals the ulcers opposite sharp enamel points. The height and location of the points are recorded. ## Treatment Reduction (floating) of the sharp points removes the cause. Ulcers heal within days to a couple of weeks once the trauma stops. Severe or infected ulcers may need additional care. ## Recovery and Prognosis Excellent once the points are addressed and regular dental maintenance is established. ## Prevention Routine dental examinations and floating every 6 to 12 months, adjusted to the individual horse.
oral ulcers opposite upper cheek teeth; quidding; bit resistance; slow eating; foul odor in severe cases