This photo is of a 29 year old QH gelding. He was having trouble chewing and was loosing weight. That is one of the largest cheek ulcers I have seen. And the fractured tooth had to be painful as well. We removed the loose part of the fractured tooth and smoothed-off the sharp enamel points. This guy will be able to chew much better and start gaining weight in a month or so.
David Warren, D.V.M.