Imagine tiny pearly crowns lined up in a Shih Tzu’s trusting little grin—those 42 permanent teeth pack a surprising punch in a compact jaw. We’ve got 12 incisors, 4 canines, 16 premolars, and 10 molars to keep clean. Dental trouble lurks if we skip care. Daily brushing, vet-approved toothpaste, and biannual cleanings aren’t optional extras—they’re essential. Let’s get into how we protect those precious chompers, starting with what most owners overlook.
Key Takeaways
- Shih Tzus have 28 baby teeth by 4 weeks and 42 permanent adult teeth by 6 months.
- Overcrowding is common due to jaw size, leading to plaque buildup and dental disease.
- Brush your Shih Tzu’s teeth daily, or at least every 72 hours, using dog-safe toothpaste.
- Provide dental chews and schedule annual professional cleanings under anesthesia for optimal health.
- Watch for bad breath, swollen gums, or eating hesitation, which signal potential dental problems.
Shih Tzu Dental Anatomy: Baby vs. Adult Teeth

Dental development in Shih Tzus follows a clear, predictable path—and knowing the stages helps us stay ahead of potential issues.
Our Shih Tzu’s teeth begin with 28 baby teeth, emerging around three to four weeks of age. These tiny, sharp baby teeth guide early chewing but make way for 42 permanent adult teeth by about six months.
The adult set includes 12 incisors, 4 canines, 16 premolars, and 10 molars—each with a role in healthy function. Proper jaw alignment is essential; without it, overcrowding of teeth can disrupt dental health.
We watch closely during this shift because retained baby teeth often misalign the incoming adult teeth, raising risks for dental issues. That’s why regular dental check-ups are non-negotiable—they let us catch imbalances early.
With proper care—daily brushing, chew toys, and vet-guided monitoring—we support seamless dental development. Our hands-on attention now prevents complications later.
We’ve got this, together.
Common Dental Problems in Shih Tzus
It’s understood those tiny jaws hold a full set of 42 adult teeth—12 incisors up front, 4 sharp canines, 16 premolars, and 10 molars working behind—packed into a small space that often can’t comfortably fit them all.
This leads to overcrowding and misalignment in your Shih Tzu, trapping food and accelerating plaque buildup. It’s commonly observed: retained baby teeth blocking adult teeth, worsening crowding and raising the risk of periodontal disease.
By age two, 80% of dogs face dental disease, and our Shih Tzus are especially prone. Early signs? Bad breath, hesitation when eating, or swollen gums. Just as bacterial infections can cause skin irritation in dogs, oral bacteria similarly compromise gum health and tooth stability.
Don’t wait. We recommend scheduling dental check-ups twice a year. Catching dental problems early protects their smile. Professional cleanings remove tartar your brush can’t reach.
We acknowledge their small mouths make care tricky, but consistency matters. We’re in this together—let’s keep their breath fresher and gums healthier.
Preventive care isn’t optional—it’s essential. With regular cleanings and vigilance, we can reduce the lifelong impact of dental problems. Your Shih Tzu counts on us.
At-Home Teeth Cleaning: Best Practices and Tips

When we start cleaning our Shih Tzu’s teeth at home, consistency and technique make all the difference. We aim for daily brushing—every 72 hours at minimum—to prevent plaque buildup and support long-term dental health.
We use a baby toothbrush or soft finger brush, gently reaching all 42 permanent teeth, including those hard-to-reach molars. Only dog-friendly toothpaste works; human formulas can harm our Shih Tzu.
We introduce brushing slowly, especially with older dogs, turning it into a calm, loving ritual. We watch for signs of distress—whining, pulling away, or bleeding gums—as these may signal pain.
Bad breath isn’t normal; it’s a red flag we take seriously. Alongside brushing, we offer dental chews designed to scrub away plaque and freshen breath. These aren’t replacements, but helpful additions to our dental care routine. For dogs who resist traditional brushing, coconut oil can make the experience more appealing while providing natural antibacterial support.
We stay observant, touching bases daily with our dog’s mouth health. Together, our efforts protect their smile, reduce disease risk, and keep their dental health strong from puppyhood through their golden years.
We’ve got this.
Professional Dental Care: Frequency and Costs
Most Shih Tzus need one professional dental cleaning every year—a non-negotiable part of their health routine that catches what at-home care can’t. These annual cleanings are crucial for maintaining strong oral health and preventing serious dental disease.
During each appointment, we rely on anesthesia to perform a thorough examination, clean beneath the gumline, and spot issues like retained baby teeth. It’s also when we address early signs of trouble, like plaque buildup or gum inflammation.
We always run pre-anesthetic blood work to guarantee our dogs are safe under anesthesia—because their well-being comes first. Professional dental cleanings for Shih Tzus typically cost between $750 and $1,250, a range that usually includes the cleaning, anesthesia, and blood testing.
Similar to safety features recommended in veterinary equipment protocols, we prioritize protective measures during dental procedures to ensure optimal outcomes. Skipping these cleanings risks pain, infection, and tooth loss. But with consistent professional care, we’re not just cleaning teeth—we’re actively preventing disease and helping our pets live healthier, more comfortable lives.
Let’s treat these appointments like we do vaccinations: essential, scheduled, and non-negotiable.
Preventive Strategies for Lifelong Oral Health

Because Shih Tzus are prone to dental issues, we take prevention seriously—starting with their full set of 42 permanent teeth: 12 incisors, 4 canines, 16 premolars, and 10 molars, all needing consistent care.
Our preventive strategies begin at home with daily brushing—ideal, but every 72 hours is essential to disrupt plaque buildup. We use dog-specific toothpaste and soft-bristled brushes, focusing on gum lines where plaque hides. We pair brushing with dental chews designed to reduce tartar, reinforcing our Shih Tzu’s oral health routine. Just as gentle, moisturizing formulas benefit sensitive skin in other breeds, specialized dental products are formulated to work effectively without causing irritation in our Shih Tzu’s mouth.
Yet home care isn’t enough. We schedule professional dental cleanings yearly—under anesthesia—to reach below the gumline, where problems start. These cleanings are a pillar of long-term dental health.
We watch closely for signs of dental distress: bad breath, swollen gums, or hesitation while eating. When we spot them, we act fast.
Together, consistent brushing, routine dental cleanings, and vigilance create a shield around our Shih Tzu’s smile—ensuring it stays vibrant, pain-free, and strong for life.
Frequently Asked Questions
How to Take Care of Shih Tzu Teeth?
We brush our Shih Tzu’s teeth daily with dog toothpaste for plaque removal and gum health. We use dental chews, dental toys, and vet check ups to prevent tooth decay, bad breath, and guarantee lasting oral hygiene. We master brushing techniques together.
What Is the Average Cost to Have a Small Dog’s Teeth Cleaned?
we’ll tell you right away—we pay between $750 and $1,250 for small dog teeth cleaning, covering veterinary dental services, anesthesia considerations, and preventive dental care. this includes professional cleaning costs, plaque removal techniques, and dog dental hygiene essentials. consider dental insurance options to ease expenses while using home care methods for lasting dog oral health.
How Often Should I Clean My Shih Tzu Teeth?
We brush our Shih Tzu’s teeth daily—medieval knights guarded castles, but we guard oral health. We use toothbrush options and toothpaste choices for plaque removal. Dental treats help, and we never skip regular check ups. Gum disease worries us, so we follow veterinary advice and stick to home cleaning routines.
Are Shih Tzus Prone to Teeth Problems?
Yes, we’re prone to dental issues like gum disease and tooth decay due to plaque buildup. Our bad breath often signals trouble. We rely on you—regular home care, proper chewing habits, and professional cleaning keep our oral hygiene strong and teeth alignment healthy.
Conclusion
We clean, we check, we care—consistently. Shih Tzus have 42 permanent teeth by six months: 12 incisors, 4 canines, 16 premolars, 10 molars. Daily brushing with dog-safe toothpaste, soft brushes, and vet visits every six months prevent plaque, periodontal problems, and pain. We prioritize prevention, professional cleanings, and proper tools. Together, we tackle tartar, tooth loss, and trouble. Smart, simple steps secure stellar smiles. Start early, stay steady, see results.