All dental treatments include a general health exam to make sure the horse can be sedated, a thorough special exam of the head including the hyoid, the lymphnodes and the temporomandibular joint. The exam along with the patient history will already give a good idea of what the problem might be and if the problem is multifocal or purely dental related. After sedating the horse and rinsing the mouth i will thoroughly examine the closed and open mouth and the teeth. I measure the amount and way of contact of the cheek teeth and incisors (called occlusion) and then examine every single tooth using a mirror (or if necessary with an endoscope). The findings will be noted on the electronic chart that every owner receives a copy of via email. The dental treatment focuses not only on the health and integrity of each tooth and the mouth as a whole, but also on the funcionalty of the set of teeth being a biomechanical and functional entity. The goal of dental equilibration is to maintain bilateral occlusal symmetry, the physiological dental anatomy and function and to remove any occlusal obstacles and restrictions in incisors and cheek teeth. I work with diamond coted electric instrumentation and dust collection and i am strictly following the IAED Anatomical Guidelines, meaning (amongst other) i will remove only as much as needed and as little as possible tooth material. Horses presenting severe malocclusions that need a lot of work will be scheduled for several consecutive treatments to make sure the horse can adapt and no teeth are being harmed.