Dental anomalies are concentrated exclusively in the anterior dentition, affecting 58.9% of the examined incisors and canines (n = 33 of 56), while premolars and molars show no pathological alterations. Several upper canines display subluxation and malocclusion associated with abnormal growth and atypical wear patterns, consistent with traumatic displacement during life. Biometric comparisons with extant Hippopotamus amphibius suggest that these specimens likely correspond to males, supporting an interpretation linked to aggressive intraspecific interactions similar to those observed in extant common hippopotamuses. In addition, various teeth exhibit enamel hypoplasia. Recurrent linear enamel hypoplasia (LEH) indicates repeated episodes of physiological stress during tooth development. The spacing of LEH bands in one well-preserved canine suggests a higher frequency of stress episodes than previously reported for European Early Pleistocene hippopotamuses (Hippopotamus antiquus).