Routine Dentistry

Advance Equine Dentistry believes in preventative care being the key to your horse maintaining a healthy mouth. Each appointment is broken up into two parts; a physical examination of the horse to assess its overall condition, then the float.

The dental examination consists of a five step procedure to identify oral pathology and initiate a plan for any potential issues.

External Exam


We begin with a physical exam of your horse including temperature, heart-rate, and listening for gastrointestinal sounds. We then evaluate the horse’s facial structures, nose, and eyes to ensure there is no abnormality that should be considered before proceeding forward. If the physical exam is within normal parameters, we will sedate the horse and slowly move them into the stocks for examination.

Oral Exam


After sedation, we rinse and feed material out of the horse’s mouth and we place on a speculum, a device that allows for us to safely work within the horse’s mouth, then proceed to the oral exam.

Soft Tissues


Evaluation of the then gingiva, tongue, hard / soft palate, tooth structure & any abrasions / ulcerations caused by sharp dental points or tooth abnormalities.

Occlusion /Malocclusion


Refers to the grinding surface of the teeth where both upper and lower teeth meet. Poor grinding function can often be caused by an abnormality of the occlusal surface, which can be a result of a larger dental issue that should be addressed.

Periodontal Status


Refers to the structures surrounding the teeth such as gingiva and the periodontal ligament. Just like humans, horses can have issues affecting the health of the gingiva that may lead to not only periodontal disease but potentially larger problems in the mouth.

Horses can also develop spaces between the teeth (diastemas) where food can pack and eventually lead to gum disease. If gum disease goes untreated it can cause recession, bone / tooth loss, and or more serious affects such as infection.

Endodontic Status


Derived from the Greek roots endo – “Inside” and odont – “tooth,” this is the evaluation on the dental pulp which contains the nerves, blood, and lymphatic vessels supplies to the tooth. Often when a fractured tooth is present, the pulp of the tooth may be damaged. Depending on the tooth affects and radiographic interpretation, various treatment options are considered. Such treatment options include, extraction, root canal therapy, vital pulp therapy or pulp capping. On exam, we can detect many superficial changes that may indicate a larger issue, however, to formulate a treatment plan radiographs are typically recommended.

After the examination, a treatment plan is formulated and we will begin the float.

Horse owners often refer to the actual dental work as “floating.” “Floating” is a masonry term that means to “smooth out,” as in smoothing the sharp enamel points on the outside of the upper cheek teeth and the inside of the lower teeth. More appropriate terminology for complete and proper dentistry, rather than “floating,” may be the comprehensive float, occlusal equilibration, or balancing the mouth.

Regardless of the name you prefer there is much more to routine dentistry than removing enamel points! It also involves examining the horse’s entire mouth then addressing sharp enamel points, abnormalities in occlusion (how the teeth come together), soft tissue trauma, periodontal and endodontic problems.

The appointment will conclude with a completed dental chart that documents the examination results, procedures performed, and future recommendations. This is provided to the owner at the end of the appointment.


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Practice Hours

Our Regular Schedule


9:30 am-5:00 pm


9:30 am-5:00 pm


9:30 am-5:00 pm


9:30 am-5:00 pm


9:30 am-5:00 pm


Flexible Schedule


Flexible Schedule

  • "They took great care of my mare! I was able to set up payment over the phone and I got a detailed email with records of what they did and recommendations for future care. I’m pretty impressed with how affordable it was considering the level of care! I’ll definitely be using them from now on."
    Kayleigh Ann L.
  • "Very thorough and just all around wonderful! Took excellent care of my sweet horse!"
    Jennifer C.
  • "For people that take their horses dental health seriously, these are the best care providers & teachers I have found. Their passion about the science of equine dental health is second to none!"
    Dawn B.
  • "Kari,
    Thank you for the great work you did on our horses yesterday. This older mare with the front teeth problem and tongue hanging out is doing great. She is much, much more comfortable eating. Charlie is also doing much better today, visibly more comfortable eating. Thank you for a great job, my horses are so much happier today - makes me feel good to see that."
    Andrea B.
  • "Dear Dr. Marx and Lisa, too,

    This is just to let you know that you have made a huge difference to our old horse's well-being. He is chewing so much better and no longer drops his grain or leaves wads of hay on the ground. Thank you, thank you. We are delighted to have found out about you and the important and great work you do.
    With sincere gratitude,"
    Margot H.
  • "Scott Marx is not only knowledge and talented but he is kind, funny, easy to work with and reasonably priced. You pay for what you get and with Dr. Marx, you get the BEST! He has been my horses’ dentist for 16 years and I hope he will continue to be for the next 16+!"
    Catherine J.
  • "Awesome service- fantastic Equine Dentist!! I will be using them as a regular client."
    Greg S.
  • "Wonderful work. I trust them completely with my horses teeth. Will never use anyone else."
    Jessica P
  • "Dr. Kari Sanderson treated my horse and was wonderful! She explained everything she did and was very patient. I will use them going forward and will recommend them to all of my friends."
    Jessica S.
  • "Very professional and caring. Dr. Sanderson and her assistant took the time my gelding needed to make him comfortable. In addition, she took the time to show me everything she saw, talked through what was done, and future recommendations. Thank you so much for coming to take care of my boy!"
    Audrey A.