puppy care

Puppy Dental Care: Teeth, Teething and Tooth Care

Just like human babies, ​puppies have baby teeth that fall out. Most puppies are born without teeth and go through a process known as puppy teething. From birth to six months, sharp puppy teeth erupt from the gums in the jaw in a predictable timeline. Puppies go through teething stages during the development of their teeth, including sore gums, and eventually—the eruption of 28 baby teeth. During teething, puppies may target all kinds of unexpected objects to gnaw and chew on, like baseboards and shoes, to relieve the discomfort. However, most dogs never outgrow the urge to chew. Pet owners are encouraged to learn about how their puppy's teeth grow in so they can best handle their dog as it ages.

Stages of Puppy Teeth and Teething

Birth to 2 Weeks

When your puppy is born, there are no teeth yet. During the first two weeks, you'll notice your puppy nursing and first opening its eyes.


Weeks 2 to 4

In the front of the mouth, narrow-edged teeth known as incisors will begin to emerge. The incisors are the first to appear at about two to three weeks of age. Puppies have six incisors on both the top and bottom jaw.

Premolars and molars also begin to grow behind canines (the pointed teeth between the incisors and premolars) at three to six weeks of age, with three on the top and bottom of each side. Four needle-like canines appear at age four weeks and frame the incisors, one on each side, top, and bottom.

Weeks 5 to 8

The last molars appear by six to eight weeks of age. At about eight weeks, the puppy’s permanent teeth begin pushing out deciduous or "milk teeth." The roots of the baby teeth are absorbed by the body, and in most cases, milk teeth simply fall out.

When the deciduous teeth don't fall out on time, puppies may appear to have a double set of teeth. Retained baby teeth should be extracted by a veterinarian so that permanent teeth have room to grow. Sometimes, a crowded mouth pushes teeth out of alignment, resulting in difficulty eating or poor dental hygiene (which can lead to periodontal disease).

All of your puppy's 28 baby teeth are expected to come in by this time. This is when puppies start to learn how to eat moist and soft puppy food.

Weeks 12 to 16

Breeders often let their puppies go to their new owners' homes around eight weeks. Baby teeth will begin to shed, and permanent adult teeth will start to come in. This process is painful for dogs, so providing puppy safe chew toys is recommended. This is a good time to socialize your dog more, look and touch the inside and outside of its mouth, and prepare for teeth brushing.

6 Months and Older

At this point, all puppy teeth should be gone, and adult teeth emerge. If there are any baby teeth left, let your vet know so it can be removed. Permanent teeth replace the milk teeth tooth-for-tooth and add four premolars and 10 molars. Most pups will have 42 permanent teeth in place by about seven months of age.

Signs to Keep an Eye on During Teething

While it can vary somewhat between breeds, there is a progression you can expect as your puppy develops new teeth. It's important to begin handling your puppy's mouth while it's young so you can periodically check for any potential tooth problems. Any type of facial swelling, changes in eating habits, unexpected night awakenings, or rubbing of the face are signs of possible oral discomfort.

You'll want to take your pup to the veterinarian if you see:

  • Two teeth occupying one spot in your puppy's mouth. This can cause the adult tooth to come in crooked, possibly causing later problems.

  • Spots of blood on your dog's toys, brown tartar on the teeth, or gums that are bleeding, inflamed, and/or sore. These are common symptoms of periodontal disease, a large oral issue for dogs.

  • Broken or cracked teeth. This can cause the nerve of the tooth to expose itself, causing your dog pain or infection.

  • Crooked teeth or malocclusion (misalignment of the upper and lower jaw). While some breeds have a trademark bite, unusual ones could cause chewing issues.

  • Loose adult teeth. Most often, this is caused by trauma to the mouth or from gum loss due to advanced periodontal disease. It could also be a sign of illness.

How to Keep Teeth Healthy

Schedule a visit with your veterinarian for an initial dental exam for your puppy. This examination will include a look at the teeth, gums, and oral cavity. Ask your vet to demonstrate how to clean your pup's teeth. This way, you'll know what brushes, toothpaste, and techniques to use.

Get your pup used to the idea of tooth brushing around six months when its adult teeth start to come in. Regular brushing will prevent plaque, stinky breath, disease, and other medical problems. It's ideal to brush your puppy's teeth daily, but once or twice a week will work.

The Purpose of Each Dog Tooth

Different kinds of teeth serve various functions, based on the position of the mouth and the shape of the tooth. With some breeds, the shape of the jaw impacts how each type of tooth functions. Most dogs have V-shaped upper and lower jaws which allow the mouth to be opened very wide for grasping and capturing prey—or grabbing and holding toys during play. There are several ways dogs use their teeth:

  • Dogs use their incisors to rip and scrape meat from bones. They also use them as a grooming tool to nibble burrs or dirt from their fur.

  • Dogs use their two canine teeth, found on each side of the jaw (on the top and bottom), as pointed daggers to inflict stabbing and slashing wounds.

  • Dogs have eight premolars in the upper jaw and another eight in the lower jaw. They also have four molars in the top and six in the bottom. The extra molars are designed to crush and are used to process vegetable foods and bones.

  • Dogs have specialized carnassial teeth composed of premolars and molars. As they pass each other during the mouth's closure, these teeth act like scissors. The carnassial teeth are innovations of the carnivorous animal that requires shearing action to process flesh.

What a Proper Bite Looks Like

When the mouth is closed, dogs should have a normal "bite." This is very important so that dogs can eat and use their mouth normally.

A normal bite looks like this:

  • The lower canine teeth are situated in front of the upper canines.

  • The upper incisors overlap the lower incisors.

  • The upper premolar points fit into the spaces between lower premolars.

  • The upper carnassial teeth overlap the lower ones.

Malocclusion refers to the abnormal "bite" or fitting of these teeth. Malocclusion can be normal for certain dog breeds due to differences in the shape of the jaw and mouth. For instance, the flat-faced (brachycephalic) dog breeds like Bulldogs have a normal malocclusion because their lower jaw is longer than the upper. However, this allows the teeth to fit incorrectly, which can cause mouth damage as the dog chews. Thus, a veterinarian or veterinary dentist with orthodontic correction should be aware of malocclusion.


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dog health

Just Puppy Things: Tips to take the bite out of teething

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5 Ways to Help with Puppy Teething

Next to potty training, the puppy teething phase is one of the most challenging periods of puppyhood. A puppy’s drive to nibble, chew, and bite can lead to a household full of destruction and bruised body parts. The puppy teething phase is a normal developmental period that occurs as a puppy’s adult teeth begin to replace the needle-sharp deciduous teeth. Depending on your dog’s breed and size, this can start to happen at about four or five months of age. Keep in mind that puppy biting isn’t caused by teething alone! Puppies also communicate and explore the world with their mouths, and it’s up to you to help your new puppy select what is and is not okay to chew.

1. Puppy Proof Your Home

You should puppy proof your home in anticipation of your puppy’s increased need to chew. Pick up anything on the ground that could be a teething target. That includes obvious items like shoes, socks, and low garbage bins, as well as things that might not be as obvious at first glance, like rugs with fringe on the end, decorative baskets, magazine racks, and semi-hidden cords. The desperate-to-chew puppy might zero in table legs, chair/sofa legs, and cabinetry, so consider treating them with a bitter chew deterrent spray. If your puppy picks up an item that they aren't supposed to have, offer them a trade with one of their special toys or a treat.

2. Teach Your Puppy ‘Gentle Mouth’

Puppies quickly learn that they get a reaction when they bite, whether it’s from their littermates or from their human caregivers. It hurts! Teaching your new puppy the importance of a gentle mouth is an important lesson. When your puppy clamps down on your hand too hard, mark the painful infraction by saying “Ouch!” and pull your hand away. Withdraw your attention for a few moments, and then resume contact with your dog. If your puppy bites down too hard again, mark the bite by saying “ouch” again, but this time get up and walk away from your dog, leaving them alone. This is social isolation, a potent but gentle punishment. If your timing is good, your puppy will soon learn that biting too hard makes their favorite person leave.

3. Provide Appropriate Chewing Outlets

Puppies need to have a variety of appropriate chewing outlets. Although plush dog toys are cute, they don’t last long enough to provide the teething puppy the type of resistance their sore gums require. Hard rubber dog toys are ideal, particularly the kind that have spots for treat stuffing. Some toys have small holes that require the puppy to move the toy around to get the goodies out, while others have larger holes that encourage the puppy to hold on to the toy and gnaw and lick to get the treats.

4. Try Frozen Goodies

Frozen goodies can also help a teething puppy. You can fill your puppy’s hard rubber toys with peanut butter and freeze them, or invest in a teething toy that can be wet like a sponge and frozen. A low-cost alternative is to wet and freeze a washcloth, but make sure to take it away once it’s thawed so your dog doesn’t rip it apart. Finally, try giving your teething puppy a frozen carrot for a healthy way to relieve some of the pain.

5. Buy Quality Dog Food

Make sure to feed your puppy a balanced diet that supports controlled growth and dental health. Quality dog foods that contain a whole named protein, like chicken, and have a mix of vitamins and minerals, including calcium for strong bones and teeth, will help your puppy’s smile look good for a lifetime. Ask your veterinarian about what is best for your dog!

Remain Patient

Puppy teething is a rite of passage that all puppy parents must endure, but with the right equipment and attitude, it can be a lot less painful!


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Socialization of Cats and Dogs

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What is socialization?

Socialization is the process of preparing a dog or cat to enjoy interactions and be comfortable with other animals, people, places, and activities. Ideally, socialization should begin during the "sensitive period" which is between 3 and 14 weeks of age for puppies, and 3 and 9 weeks of age for kittens.

Advice to new puppy and kitten owners

Adopting a new kitten or puppy is a wonderful and exciting experience. It is also a time where a little extra planning can help a new pet develop a calm and confident temperament that will help them enjoy life to the fullest. The basic tenets of socialization are outlined below.

  • When adopting a puppy or kitten, ask for a pre- and post-adoption socialization plan.

  • Create a socialization plan specifically for your dog or cat to prepare him or her for life in your household. Plan exposures to the animals, individuals, environments, activities, and objects that will be part of his or her new life.

  • Provide regular positive and diverse experiences to encourage your dog or cat to enjoy new experiences without becoming fearful or aggressive.

  • Provide praise, play, and treats to reward engagement. Allow the dog or cat to withdraw if he or she is uncomfortable. Move at a pace appropriate for your pet's personality.

  • Well-managed puppy or kitten socialization classes are a good way to socialize your new pet within the “sensitive period” of a pet’s life.

  • Puppies or kittens that are not fully vaccinated should not be exposed to unvaccinated animals or places they may have been (such as outdoor parks).

  • Continue to reward your dog or cat for calm or playful responses to social interactions throughout his or her life.

  • For dogs or cats with special behavioral needs, develop a plan with your veterinarian and/or another animal behavior expert.


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New Kitten and Puppy Care: Vet Visits

New Kitten and Puppy Care: Vet Visits

So you’ve gained a four-legged family member. Now what? In this series we will lay out what to expect when you’re expecting a new feline or canine friend to join the family. We are kicking off this series with the most important factor: vet visits