There is a turf war between veterinarians and non-veterinarians, both wanting to provide horses with preventive dental care. It started in the late 1990s and has gained protection behind laws meant to protect horse owners. But is there proof that any approach to floating is better than another? Or is it just positioning based on territorialism? I used the following script to make this podcast, but I also added to it freely to emphasize several points.

This podcast is more formal than usual because I am reading a script I wrote in response to a graduate of my dentistry school challenged by the Veterinary Medical Association of her area. She is a non-veterinarian working in equine dentistry. Most of the United States allows individual states to determine what a profession is, and most states broadly state that veterinarians are the ones to perform medicine, surgery, and dentistry on any animal. This statement includes fish, reptiles, birds, and any other animal other than humans. It is the prerogative of the veterinary board to investigate anyone who does any work on any animal in their state. However, routine care of animals, including preventive medicine, is usually avoided. You can purchase and administer vaccines and dewormers, adjust angles on hooves, apply therapeutic shoes, prepare any mixture of medicinal supplements, breed horses, deliver foals, apply linaments, clip the hair of horses not shedding, splint crooked legs of foals, adjust bones, massage muscles, use red light, PEMF, and a dozen more things to a horse without being a veterinarian. But you cannot remove the unworn parts of the cheek teeth in horses, digging their sharp edges into the tongue and cheeks and causing pain with every movement of their jaw and tongue.

I have been training veterinarians and non-veterinarians in the technique of Horsemanship Dentistry. My definition of this form of working on the teeth of horses is as follows:

1) Removing sharp points from horses' cheek teeth by filing them to a smooth edge is commonly called "floating teeth" but is also known as odontoplasty. The root cause of most dental problems is pain in the tongue and cheeks caused by sharp enamel points. Therefore, routine maintenance of the horse's teeth removes pain from these sharp points. Secondary to the removal of sharp points is finding pathology and addressing this.

2) Administering sedatives to horses for routine floating is unnecessary; instead, horsemanship skills are used for 97% of horses (from annual data consistent over the past decade). The remaining 3% are horses that are reactive to pain, fear the process, or have a painful procedure done, such as extracting a fractured cheek tooth. With those, I administer pain and anxiolytic medications.

My name is Geoff Tucker, and I am a veterinarian who graduated from The New York State College of Veterinary Medicine (Cornell) in 1984. I have worked professionally with horses since 1973, starting on a Saddlebred farm in Ohio and moving to a Thoroughbred breeding and training farm in New York that same year. I completed my undergraduate degree at Cornell University in 1979 and graduated from veterinary school in 1984. In my autobiography, I tell my story: "Since The Days Of The Romans; My Journey Of Discovering A Life With Horses." It's available on Amazon, and I have also read it here on "The Horse's Advocate Podcast."

While in veterinary school, my mentor told me the importance of maintaining horses' teeth. With him, I floated my first horse in 1983 and made this a part of my practice in 1984. Since then, I have logged the number of horses I have worked on or who I have taught. In February 2024, I recorded my 80,000th horse. But I always continued learning about horses' teeth and oral cavities. I have attended many continuing education courses offered by veterinary professional organizations in person or online. 

The New York State Equine Practice Committee invited me to join them in 1996. The reason for this invitation to the board, they told me, was because I performed more dental care on horses in NY than any other vet at that time, and veterinarians were becoming interested in claiming this aspect of horse care for themselves. Non-veterinarians did much more, including all the racehorses at Belmont, Aqueduct, and Saratoga. As one board member stated, this discrepancy between veterinarians and non-veterinarians floating horses was because no good horse vet has time to add floating teeth to their busy schedule. There was one practitioner on the board who, at that time, was stating that only veterinarians should be floating horse teeth. I and the others were somewhere in the middle of these two thoughts. We could not reach a consensus, and we dropped the discussion, knowing it would require much more work than anyone wanted to do for an issue being done well by non-veterinarians. 

The interest of the practice committee and the NY veterinary board came from the introduction of sedation and power floating equipment, and veterinarians started claiming their position from the non-veterinarians to broaden their base. There was no discussion that a non-veterinarian was less able to float teeth, nor were non-veterinary dentists cheating owners with poor quality of service. Cases of lapses in integrity came from both sides, mainly because floating horse teeth is hard work and requires horsemanship skills, and visualization of the finished float by the horse owner is within the depths of the mouth.

In 1999, I attended the Ocala Equine Conference, where a non-veterinarian spoke about filling cavities in horses' cheek teeth. I was shocked when he stated, without any evidence, that horses would live, on average, five years longer if we all started performing this procedure. This same man was later banned from working on horses in several states, became the president of the IAED (International Association of Equine Dentistry), and became the director of equine dentistry at the University of California - Davis veterinary school. While this non-veterinarian was working at this vet school teaching veterinary students, he caused injury to a client's horse. According to her (she emailed and called me all of this information), the man was sued, and then he and the director of the veterinary hospital who had hired him were fired from the school.

On another front, a non-veterinary equine dentist taught non-veterinarians how to float teeth in South Dakota in the late 1980s and 1990s. He was vocal that veterinarians should not be allowed in the horse's mouth because they had no training. His voraciousness upset the veterinary board, forcing him to leave the state and reestablish his school in Idaho. 

Throughout the turf battle of who should be allowed to float teeth, I continued to apply and improve my skills throughout New York. In 1984, no textbooks on equine dentistry were available except one written by a non-veterinarian: "Sound Mouth, Sound Horse," by Ed Gager (published in 1983). Toward the end of the century, more veterinarians started to stand for horse owners' protection by demanding that only veterinarians work on horses' teeth. More textbooks by veterinarians came in 1998 through 2011, but few have come since. In the United Kingdom,