My horses don't need sedation, they all behave quite nicely. They have been checked, and don't need it. I get mine checked once a year, and if they need it they get done. If not, they get left alone. My dentist is one of the best in the area. There are only 3, plus the vet that does it. I would much rather have a dentist do it than have a vet do it. I only use the second best dentist because I can't exactly afford $120 each for three horses. I can however afford $60 each, so it's more logical. And I trust my dentist, he's been around the block.