Green Animal Osteopathy / Martine Groeneveld

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Green Animal Osteopathy / Martine Groeneveld Equine Osteopath. A PRIVATE MEMBERSHIP ASSOCIATION. Services provided to PMA members only.

ZIMBABWEWhat an experience!Spending time in a Rhino and wildlife conservancy has been an unforgettable experience. Learn...
27/07/2024

ZIMBABWE

What an experience!
Spending time in a Rhino and wildlife conservancy has been an unforgettable experience. Learning about the different species, big and small (humans included), the habitat/vegetation, the climate and the whole ecosystem that it's all part of, was phenomenal. The love and pride exhibited by the people working and running the conservancy 24/7 to protect the wildlife from poachers, fires, drought, loss of habitat, etc. is clearly visible and tangible in everything they do and a joy to be part of temporarily.

We rode horses every day and it has instilled a new love for riding again. Exploring the plains of Africa on horseback is mesmerizing. All the natural sounds are very peaceful to listen to, wildlife is closer and galloping through the fields is exhilarating.

Africa is special. I look very much forward to visiting again.

06/07/2024

FYI, starting tomorrow, I’ll be offline for the next couple of weeks. Messages, texts and emails will be received, but not read and replied to till the end of this month. Thank you.

05/07/2024

Dental balancing and proprioception

This original post and video was about a year ago. Even though this gelding had received dental care on a regular basis, the incisors (front teeth) were too long in comparison to his molars. This left him with insufficient contact on his molars and not enough activation of his vestibular system (the ‘mastermind’ of coordination in the body). As a result, his proprioception (for example, knowing where his feet are in space) was off and he had a hard time walking out without the help of his eyesight to see where he would put his feet.
His proprioception was restored after dental balancing and he had no problems walking out blindfolded (he knew where his feet were without seeing).

One year later, we did the same test. We took him straight out of his corral, blindfolded him, asked him to walk out and he showed no problems. This means the dental balance had held up over the past year with appropriate activation of his vestibular system/proprioception. Upon measuring the dental contact/balance, it showed to be exactly the same as how it was created last year. This means the mouth had been working really well for him over the past year, wearing off as much tooth material as had erupted, which is ideal. No hooks had formed on the teeth, another indication that his mouth had been working and sliding well. Very minor dental care was needed this time and most of the attention was spend on relaxing the structures/tissues that assist the mouth in correct movement (tmj’s, poll, neck) which is a key component for a good mouth.

The combination of dental care with release of connecting structures/tissues seems to be of crucial importance for long term dental balance with as much self-maintenance as possible. The more the mouth can be set up to self-maintain, the less invasive the dental care needs to be. I believe that is the aim of the care for every horse; correct/intervene when something is going in the wrong direction, but step back and only support as needed when it’s working well.

The original post and video
https://fb.watch/t7nwIYJ2_G/?mibextid=cr9u03

A great couple of weeks on the east coast! It started of working a week with equine osteopath EDO, Yarden Cohen (https:/...
02/07/2024

A great couple of weeks on the east coast! It started of working a week with equine osteopath EDO, Yarden Cohen (https://linktr.ee/yardenedo), followed by a couple of days of head dissections and working in Savannah, GA with Diane Dzingle.

Thank you to Pamela Eckelbarger and Diane Dzingle for the opportunity to do these head dissections. Seeing and feeling structures, tissues and their marvelous connections in a real head is an invaluable learning opportunity and so different than in a book/picture. As much as it answers certain questions, it raises just as many more. The wonderment never ends.

After working with Diane for several years directly with horses, she’s now venturing more into doing equine research with a specific interest in ECVM horses. I’ll be following her discoveries with great interest and excitement.

30/06/2024

UPDATED SCHEDULE

July 1-28
Break

CALIFORNIA
July:
29: Ojai
30: Sunland
31: Santa Barbara
August:
1: Calabasas
2: Topanga

MONTANA
August 5-9

CALIFORNIA
August:
11: Rancho Santa Fe
12: Menifee
13: Fallbrook
14: Moorpark
15: Sunland
16: Topanga
17: Escondido

COLORADO
August 18-23

CALIFORNIA
August:
26: Santa Ynez, Arroyo Grande
27: Arroyo Grande
28: Templeton
29: Salinas, Carmel Valley
30: Carmel Valley
31: Watsonville
September :
1: Gilroy
2-8 Watsonville
9-20 Bay area
24: Sunland
25: Sunland

OREGON
September:
10-20

SOUTH CAROLINA, NORTH CAROLINA, GEORGIA, MARYLAND, PENNSYLVANIA, MASSACHUSETTS
October 29-November 24

Had a great week working with Yarden Cohen, equine osteopath EDO in Landrum, Tryon, Columbus and Inman (NC/SC). It was a...
27/06/2024

Had a great week working with Yarden Cohen, equine osteopath EDO in Landrum, Tryon, Columbus and Inman (NC/SC). It was a good mix of new and follow up horses and each horse was documented for the database. We discussed everything osteopathy, validated body/teeth/feet connections we’ve found before and wondering about additional connections. So interesting and so much fun!
Yarden recently moved from Texas to Landrum area. She also travels for work through North and South Carolina and Georgia, for anyone in need of osteopathy for their horse(s). https://linktr.ee/yardenedo?

EOTRH, Equine Odontoclastic Tooth Resorption and HypercementosisEOTRH is a dental condition in horses characterized by r...
15/06/2024

EOTRH, Equine Odontoclastic Tooth Resorption and Hypercementosis

EOTRH is a dental condition in horses characterized by resorption (or loss) of the bone and tissues of the roots of the incisors (front teeth) and canine teeth. It is also characterized by formation of extra cementum (dental material), which leads to a bulbous looking enlargement at the roots underneath the gums. It is a progressive condition and affects mostly older horses, 15yrs and up. It can be diagnosed with dental x-rays. The cause of the condition is so far unknown. No known treatment is available other than pulling the incisors.
The above information is what is generally known about EOTRH and what is described on internet and in books.

Shown here are pictures of horses diagnosed with EOTRH (via x-rays). These cases have been added to the documented personal database of currently 39 horses diagnosed with EOTRH. This is by no means scientific research, just observational collection of data and counting numbers which seems to reveal some interesting findings.

Looking at these pictures, what do all these mouths have in common?
Unbalanced incisors (front teeth) with a wedge/diagonal.

The line of the incisor contact is not horizontal (balanced), but on a diagonal line either going left or right with a bite that is not centered.
ALL documented cases in the personal database so far (ALL 39) have this kind of a diagonal in their front teeth. I find this extremely interesting. Is that a coincidence? Is it a coincidence that EOTRH mostly affects the corner teeth (where the pressure is loaded harder in this kind of an unbalanced mouth)?

With no known cause or treatment so far, it is imperative to start collecting more data. Finding common denominators can hopefully help identify predisposing factors and redirect the course of development.

Many factors are most likely playing a role in developing EOTRH, but 39 cases with 39 diagonal bites spikes a curiosity and interest what/if there might be a correlation.

A diagonal bite is a contributing factor in many issues. Is EOTRH one of them after many years of these unbalanced incisors?
To be continued.

4 weeks of traveling through CA/NV is finished. 183 horses worked with looking at bodies, teeth and feet. Great progress...
25/05/2024

4 weeks of traveling through CA/NV is finished. 183 horses worked with looking at bodies, teeth and feet. Great progress in follow up horses and saw many interesting new horses. Learned a lot!
Plus some beautiful scenery along the way (and a bit of northern lights). Thank you everyone for letting me work with your horses!

WEIGHT DISTRIBUTION ON THE ENTIRE BAR, NOT JUST A TIPEvery professional has a certain style of working. Trimming the bar...
18/05/2024

WEIGHT DISTRIBUTION ON THE ENTIRE BAR, NOT JUST A TIP

Every professional has a certain style of working. Trimming the bars not straight, but with a higher/sharp tip in it, seems to be a style of trimming for some barefoot trimmers.

Leaving a higher tip in the bar has body wide consequences due to an increased level of muscle tension caused by the gamma loop.
The gamma loop is a feedback loop in the nervous system that regulates the tension in muscles. It operates between the spinal cord and the muscles, quickly and automatically, regulating the level of tension in muscles. It’s a complicated system with a lot more detail to it, but for this post, understanding the existence of this loop and how it affects muscle tension is most important.

When the gamma loop is working properly, everything is in balance. Muscles are contracted when needed and automatically relax when not moving.
However, throughout daily life, habitual and compensatory ways of standing and moving are developed based on input to the sensory system. As a result, the gamma loop can become overactive and/or imbalanced, creating an increased level of muscle tension. It then gets from bad to worse. Tight muscles are sore, limit the way of moving, pull on the alignment of joints and increase the risk of injury. Over time, the gamma loop activity adapts by gradually allowing the resting tension in muscles to become higher and higher.

Hooves give sensory input to this gamma loop through mechanoreceptors. These are sensory receptors in the hoof responsible for detecting mechanical stimuli such as pressure.
A higher tip in the bar, like in these hooves, will receive a high amount of pressure in that one spot when the hoof lands and stands on the ground. As a comparison, think about a small pebble in your shoe that you can’t get rid of. You will feel it constantly. It might hurt right away or become painful after a short while. It will definitely be annoying and you will automatically change your gait and stance to get away from this pressure. Gamma loop jumps into action, but in an overactive and imbalanced way. The same is for these horses. The body will try to get away from this pressure by increasing the muscle tension during movement and standing, creating compensatory patterns and new, imbalanced muscle memory.

The hooves in these pictures were trimmed a few days before these pictures were taken. They were trimmed by different trimmers in different areas. All horses (5 in total in the past month) were still sore, tender footed and short striding several days after the trim when the pictures were taken. Maybe a coincidence, or maybe not?

Weight/load needs to be distributed over the entire surface of the bar. Leaving a tip like this has far reaching consequences throughout the entire body. It is small and simple to address in the hoof, but makes a world of difference to the whole horse.

Working with other professionals is invaluable for refining your feel and sharpening your mind. I was recently able to w...
15/05/2024

Working with other professionals is invaluable for refining your feel and sharpening your mind. I was recently able to work for 5 days with Fenja Koningsmann, equine osteopath EDO, in northern CA, looking at bodies and teeth, feeling, discussing, validating, not validating, exchanging ideas and techniques. Two people know/see/feel more than one and you never stop learning.
Fenja lives in NoCA and travels around to other areas, such as NV and OR, for anyone in those areas needing a great equine osteopath.
https://www.facebook.com/fenja.koenigsmann?mibextid=LQQJ4dn

Shown here are pictures of front teeth issues which are recognized as malocclusions in the equine veterinary world, dete...
13/04/2024

Shown here are pictures of front teeth issues which are recognized as malocclusions in the equine veterinary world, determined by the aaep, the American Association of Equine Practitioners.
Dental occlusion is defined as the way the upper and lower teeth come together. A normal occlusion is considered a level, horizontal, bite in which the center of the upper teeth/jaw meets the center of the teeth/lower jaw. Malocclusion is any deviation from a normal bite.

Malocclusions are created for various reasons due to forces and movements acting upon the jaw and teeth. There's always a reason why the body deviates from 'normal'. For some horses, this is needed to function properly and should be respected for what it is. For others, intervention is needed to guide the body back to 'normal' balance. But whatever the situation, issues need to be managed making sure they don't get out of control. Therefore, incisors (front teeth) check/work is extremely important for the overall health and functioning of the horse.

The incisors are easy to see by lifting up the lips. If you see any of the issues shown in these pictures in your horse, or a horse you work with, know that this is not 'normal' and it's telling something about how this horse is functioning.
Talk to your dentist, ask what he/she believes is the reason for it to show up and what to do with it.
Looking at incisors is important. These teeth are telling you something.

Beautiful scenery to enjoy in between horse appointments. From Oregon and Washington to South Carolina, Georgia and Flor...
06/04/2024

Beautiful scenery to enjoy in between horse appointments. From Oregon and Washington to South Carolina, Georgia and Florida. It’s been a great month, seeing lots of horses and working with other osteopaths!

THE IMPORTANCE OF X-RAY’SThis 11-year old mare had been seen by several vets and dentists over the past few years for re...
16/03/2024

THE IMPORTANCE OF X-RAY’S

This 11-year old mare had been seen by several vets and dentists over the past few years for regular dental work. All of them noticed this tooth and all said it wasn’t a problem. None of them recommended an x-ray.
It can’t be decided from ‘the outside’ if something is or isn’t a problem on ‘the inside’. Without an x-ray, you haven’t really looked and don’t know what it is and how it’s sitting. An x-ray is very easy to take.

For this mare, an x-ray would have shown years ago, this tooth IS a problem. It’s an extra tooth (supernumerary)with a large, crooked root. It had possibly been fractured at some point creating a kink in the root. When it was extracted, it showed a possible infection had started.
We don’t know how much of this root has been causing pain and/or pressure on any other roots, or on the roof of the mouth, but it’s likely it might have been to some extent for awhile (she has had head issues for a couple of years ).

An x-ray is easy to take and can give the needed information.

If you see something abnormal, request an x-ray. Make sure it’s not a problem. You might be surprised by what you see.

POSTURE AND FEETShown here are some pictures of horses seen in the past month. These are just a few of the many pictures...
09/03/2024

POSTURE AND FEET

Shown here are some pictures of horses seen in the past month. These are just a few of the many pictures taken showing horses standing in the same kind of posture; they look like a goat standing on a rock. Some more than others, but all show the same stance to some extent. Some are barefoot, some are in shoes.
None of these horses are lame, but ALL of them are short-striding. Think of yourself walking barefoot on pebbles; you might not be limping, but you’re taking short steps due to sensitive/uncomfortable feet. You would be taking larger strides when your feet are comfortable, for example when wearing sneakers.

There are many layers to physical and behavioral issues and often it is like peeling an onion; you address the most dominant issue(s) and the next one will show up. This process takes time, which is also needed for the horse to be able to adapt to the changes.
Many factors play a role in developing this kind of posture shown in the pictures. Restrictions in the pelvis (SI joints) and lumbar area are often causing or exacerbating this posture. The pelvis and lumbar area are connected through muscles, fascia, nerves and blood vessels to the organs in that area, like the intestines and reproductive organs. Any issues in these organs, like a parasite or an irritated o***y, could cause the pelvis to restrict and the stance/feet to adapt. But even issues more forward in the body could cause restrictions in the back/hind. TMJ and/or poll restrictions could cause tension down the fascial lines to the shoulders, pelvis and feet. A low to negative PA is often seen with immobile TMJ’s and dental imbalances.
And of course, human intervention plays a role as well due to improper maintenance of the feet, in whatever way that may be.

What came first, the posture or the feet, needs to be unraveled for each horse based on the issues. But at some point, the feet need to be addressed in order for the horse to progress with further improvement. Uncomfortable feet cause tension and possibly pain and both are a stressor on the body and mind. Improvements will hit a plateau as long as the feet are uncomfortable.

In a perfect horse world, barefoot feet are ideal. Domestication however, is far from perfect for horse bodies and feet. The common denominator in the hooves of horses with this posture is a lack of development in the caudal (back) part of the hoof.
Underneath the frog sits the digital cushion, the shock absorber and cushion of the foot. Without a well-developed digital cushion, the foot becomes sensitive and painful. The shock going into the foot when it hits the ground will now be absorbed by the joints in the foot and leg going up into the lumbar area instead of the digital cushion in the foot where it belongs. These joints aren’t designed to take this kind of shock and will in the long term develop issues, like stiffness/soreness and possibly arthritis.

The digital cushion is inside the hoof and not visible, but the frog is a good indicator of the status of the digital cushion. A well-developed frog means most likely a well-developed digital cushion. Horses in this kind of posture almost always show frogs that are atrophied, often diseased and not reaching ground level. Pressure and release from the ground on the frog is needed to stimulate the development of the frog and therefore the digital cushion. Think of it like a muscle, it will atrophy when it’s not being used, but will develop bigger and stronger when it is used properly.

Building the back of the foot is crucial to turn this situation around in the right direction to healing and comfort. Barefoot or shod, comfort of the horse needs to be the priority.
Shoes, with or without wedges, aren’t necessarily bad and barefoot isn’t necessarily good. Incorrect trimming and/or/with the wrong shoeing package is bad.
Whatever makes the horse comfortable on the feet and in the body is what is needed. Once comfort is created, a plan could be made how to maintain comfort while improving the hoof/frog itself.

Too many horses are living with uncomfortable feet. If you see a horse consistently standing in this posture, the horse needs comfort right NOW. If this is your horse, talk to your trimmer/farrier about how to create comfort. Try to let go of any preconceived ideas you might have of what you consider ‘good or bad’ in regards to barefoot or shoes.

Comfort first.

The horse will show you almost immediately if comfort is improved by standing square and moving out more with longer strides. Any posture less than square is an indicator of discomfort and needs to be addressed sooner rather than later for the comfort and longevity of the body.

28/02/2024

UPDATED SCHEDULE
Below is the updated schedule. If you see a day in your area, but it is full, please don't hesitate to reach out anyway. The schedule sometimes changes when we get closer to the date and there might be a chance your horse could be added. Thank you.

WEST COAST:
CALIFORNIA
Febr. 27-March 2: Watsonville, full
March 3: Watsonville, Gilroy, full
March 4: Gilroy, full
March 5: Atascadero, Templeton, full
March 6: Arroyo Grande, Santa Ynez, full
March 7: Santa Ynez, full
March 10: Temecula, Menifee, full
March 11: Perris, Menifee, full
March 12: Fallbrook, full
March 13: Bonsall, Temecula, full
March 14, Santa Paula, full

OREGON, WASHINGTON
March 16-25, full

EAST COAST:
SOUTH CAROLINA, GEORGIA, FLORIDA
March 27-28: Aiken, full
March 29-30: Beaufort, Bluffton, full
March 31: Fort White, full
April 1: Ocala, full
April 2: Elkton, full
April 3-7: West Palm Beach, full
April 8: Aiken

EUROPE:
April 11-22

WEST COAST:
CALIFORNIA
April 23: Sunland, full
April 24-26: Riverside, full
April 29: Menifee, full
April 30: Sunland, full

CALIFORNIA, NEVADA
Just started scheduling for this trip. This is what the route will probably look like.
May 1: Bakersfield
May 2: Hanford
May 3: Orangevale, Placerville
May 4: Loomis
May 5: Newcastle, Grass Valley
May 6-8: Reno
May 9: Susanville
May 10-13: Mt. Shasta area
May 14: Vacaville, Napa, Petaluma, Sebastopol
May 15: Petaluma
May 16: Nicasio
May 17: San Jose
May 18: Scotts Valley, Santa Cruz
May 19-22: Watsonville, Gilroy

Update on this EOTRH caseOne year after the initial diagnosis of EOTRH and the recommendation to pull all the front teet...
17/02/2024

Update on this EOTRH case

One year after the initial diagnosis of EOTRH and the recommendation to pull all the front teeth, this horse is still happily having his teeth and munching on hay and able to bite a carrot again.
With diet change, incisors correction and cleaning of his gums to heal the periodontal disease as an alternative to pulling all the teeth, his situation has greatly improved.
His gums look beautiful, pink and tight without sign of irritation. This might not be for every EOTRH case, but an alternative might be worth a try for some horses instead of resorting to pulling teeth immediately. Teeth can always be pulled if it doesn’t work out. With continued care, this boy might be able to comfortably keep his teeth.

New February 2024 pictures added to this original post for continued comparison.

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEETHORSE 3: 11YR OLD PAINT GELDING, last dental 6 months ago Whe...
04/02/2024

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEET

HORSE 3: 11YR OLD PAINT GELDING, last dental 6 months ago

When assessing a dysfunction/adaptation in the horse’s body, it’s imperative to ask the questions ‘why has the horse created this?’ and ‘is this adaptation working for or against the horse?’. An adaptation is sometimes needed to function properly and this case is an example.

This gelding was referred by a bodyworker because ‘something wasn’t right with his head’. Assessing his whole body, he showed multiple issues, but his poll stood out as a primary issue with no motion in any direction, his TMJ’s completely blocked and compressed and his hyoid on the left feeling suspicious for an old injury. X-rays were recommended and taken, showing an old (healed) fracture on the left hyoid and bony changes in the poll. Based on these findings, we know the left hyoid and poll won’t be able to release in the joints. Reducing tension with soft tissue techniques would be helpful, but the structures of the joints should be respected in this adapted position. Recommendations were given for a different bit respecting this hyoid issue.

He had created a diagonal in his incisors to the left. Could be due to his issue on the left hyoid, but could also be due to his laterality. He had a restriction at the base of the neck (C7) on the left side, in line with the diagonal. He also had a lower left front foot than the right front, also in line with the diagonal. His C7 at the base of the neck was not able to release, most likely due to a holding pattern coming from the left hyoid. This determines the approach. If the base of the neck isn’t able to release, the diagonal should be left in to some degree to keep the structures and tissues from the head to the neck in line with each other. Otherwise torque and tension will be created causing more issues.

The diagonal was reduced to a lower degree. It has to be maintained with every dental to make sure it doesn’t go out of control. A slight diagonal for this horse is functionally needed, an extreme diagonal would be dysfunctional.

He had many blockages in the rest of his body and most of those would be able to improve. For the best, long lasting results, his feet had to be in better condition in regards to his angles. Recommendations were given for a different shoeing package to help raise his angles. 3D pads with DIM were applied to all 4 feet and 3 out of 4 feet got a slight wedge.

At the next visit, he had greatly improved. His spine, from withers to lumbar, had released many of the blockages and held the results. His owner reported he was much happier moving forward, more flexible in his body and more willing in his mind.

Even though this horse has a structural change in his hyoid and poll due to an old injury, he was able to improve tremendously with the help of a whole horse, team approach.

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEETHORSE 2: 14YR OLD FRIESIAN, last dental one year ago.Last yea...
03/02/2024

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEET

HORSE 2: 14YR OLD FRIESIAN, last dental one year ago.

Last year this gelding showed a diagonal to the left, which must have been there for several years. We know this because of the changes in his gum line mirroring the diagonal. Due to the long-term pressure on the overlong teeth at the top left, the gums had started to recede in a desperate attempt to deal with the pressure. The diagonal was corrected to what was safely possible, leaving a slight diagonal in. Based on the direction of the diagonal, we know he prefers to bend left, putting more weight over his right front leg. This shows in his front hooves, in particular in his right front hoof. His preferred side was confirmed by his owner who said he’s much more comfortable to ride on the left hand circle and bends better in that direction. In line with the diagonal, he showed a blockage at the base of his neck more on the left than on the right, restricted TMJ’s and his poll. Those were released and they responded well setting him up for a well moving jaw.

One year later, he showed this approach has been working well for him and he had maintained his teeth beautifully. The diagonal of 1 degree was the same as how it was left a year ago, it had not progressed, plus he showed no hooks in his front teeth or any of his molars, no waves, ramps or any other issues. The alignment between the upper and lower teeth maintained over the year. All these are signs that his mouth and connecting structures/tissues have been able to move well this year.
Minimal dental work was needed this time as the mouth is working well. The diagonal was now corrected to a horizontal plane and attention was paid to the structures and tissues connecting to the jaw to make sure it can keep moving well. He had a blockage at the base of the neck on both sides, but more on the left than the right (like last year). This is his pattern of holding and adapting his body and it will create a blockage again in the future. As long as he compensates in his natural pattern, this isn’t a problem. Problems arise when this isn’t released and he stays in these blockages long term; the body will then create chronic adaptations. His TMJ’s and poll were slightly restricted, but once the neck was released and the diagonal was corrected, his jaw changed to centric alignment (it had been slightly deviated to the left, causing tension in the TMJ’s) and the TMJ’s and poll released on their own.

A prerequisite for a good mouth is a well moving jaw and its connecting structures. Only paying attention to the teeth and not the connecting structures is an incomplete approach. The mouth can only work the way the connecting tissues and structures allow it to work. If the same tensions and blockages are not addressed, the mouth will not work properly and will keep creating the same hooks, ramps, waves, etc. in the teeth. Working with the mouth in conjunction with the connecting tissues shows it’s very well possible to create a self-maintaining, healthy, balanced mouth. A well moving mouth, TMJ’s, poll and neck are a prerequisite for a well moving body.

Horse 3 tomorrow :)

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEETI’ll start posting some cases to give an idea of how teeth co...
03/02/2024

THE WHOLE HORSE APPROACH TO LOOKING AT TEETH, BODY AND FEET

I’ll start posting some cases to give an idea of how teeth could be assessed from a whole horse perspective. The focus is on the incisors (front teeth) as those are easily accessible and visible for anyone.

HORSE 1: 5YR OLD MARE, last dental one year ago.

She’s showing a hook at the back of the corner teeth at the top. These hooks are not supposed to be there, it’s due to lack of wear. This has been created over the past year because her jaw has not been sliding properly. Seeing these hooks, we know she has limited jaw movement from restricted/blocked TMJ’s. With the hook on the right being larger than the left one, we know the right TMJ is more restricted.
We also see a diagonal (slant) to the right (right side is higher) of 3 degrees. She didn’t have this last year. We know, based on the direction of the diagonal, that she has been putting more pressure on the right side of her front teeth compared to the left. We also suspect she bends easier to the right than to the left and puts more weight over her left front leg/hoof creating a banana shaped bend in her body to the right. The owner confirmed this mare likes going on the right-hand circle and is more quite and easy to ride in that direction.
The diagonal to the right tells us she most likely has a blockage at the base of the neck to the right. She actually showed to have a blockage on both sides, but much more on the right than the left. The right TMJ was also more restricted and had shifted the whole mandible (lower jaw) to the right. Due to restricted TMJ’s, we can suspect she has limited motion in her poll. According to the owner, this horse over-flexes (due to being unable to flex at the poll, she flexes a bit lower in the neck at C2-C3) and has a hard time bringing her hind end underneath herself and elevate the back (the blockage at the TMJ’s and poll prevent her from bringing the hind end underneath and rounding her back). Her feet have not been affected yet by these compensations, but most likely would eventually.
The diagonal was corrected (brought back to horizontal balance) in combination with release of the base of the neck, TMJ’s and poll. All structures and tissues responded well and were moving freely afterwards. These structures have to be addressed when balancing the teeth, otherwise the same dental issues will show up again next year and following years, often exacerbating as the years progress. Due to her young age, there were no structural changes yet in the joints, tissues, teeth and feet and her body responded easily and will have long lasting results from this approach.

This mare had created this diagonal in the past year. Oftentimes these issues start to show up around 5 years old when they have shed all their baby teeth for permanent ones. If it goes undetected or untouched, it often perpetuates and exacerbates over the following years setting the horse up for chronic body, hoof and dental issues. Better to take care of it when the issues are minor and can be easily redirected back to healthy balance.

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