Enamel points originate from the shape of the molars, and emerge in the upper jaw on the cheek side [buccal], and on the lower jaw on the tongue side. [lingual]. Depending on the wave pattern of the so-called singulae, and the presence of the amount of cement, can cause more or less trouble. In performance horses cheek lesions occur often as a result of the tack that is being used, especially the noseband and teeth shape create the problem.