Just as each horse is an individual, each case is different.  In my experience, not all horses will display obvious signs of discomfort when they need dental attention. 

I perform corrective rasping, bit seating, removal of points, hooks, ramps, waves etc, depending on the requirements of the horse.  I have a wide range of equipment for use in the sedated and unsedated horse and am constantly updating my equipment. By personal choice, I primarily use hand tools for routine work and power tools for major overgrowths under sedation by a Veterinary Surgeon.  

I recommend that all horses should be initially checked before their first birthday and then routinely checked every 6 months, from the age of 2 years to ensure the horses comfort and health. 

I am very flexible in the hours I work.  I understand many horse owners work during the daytime and so I am available for early morning or late evening appointments.  All I ask is for fresh water (cold is fine!) and a lit area to work in. 

I also allow plenty of time per patient so I can give them my full attention in a calm and relaxed manner and have therefore been able to treat many horses who previously had to be sedated for dental work.  This in turn lowers the cost for the owner, as it reduces the expense of calling a veterinary surgeon out to sedate.