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I was visiting my gelding in rehab today. He had a bit of a nosebleed when I showed, but I didn't think it was a big deal. We walked him over some cavelttis in the arena, and he tripped, began shaking, and then wouldn't get up. Then he stopped breathing. It all happened so suddenly... I don't...

I'm pretty sure they're not required, they're just used to stop the horse from opening its mouth. If he doesn't need one, he doesn't need one.