There is a long list of indicators to be aware of. Head tilting when eating, bitting problems, wadding up hay and spitting it out and weight loss to name a few of the more obvious. The more subtle indicators of tooth problems are: fast eating, slow eating, washing hay, head tossing, or just a bad attitude. Even more commonly, your horse hides any pain he or she may have while eating because of being a prey animal, which is also part of why we recommend annual thorough oral exams.
