Skip to content

Guide · 8 min read

A dog dental care routine that sticks: brushing, chews and yearly checks

Two minutes of brushing a day, the right chews and a monthly mouth check will prevent most tartar build-up and help you spot dental pain long before it affects eating.

Last updated 23 September 2026 · How we write and check this

Dental disease is one of the most common problems vets find in adult dogs, and it is largely silent. Dogs keep eating through sore gums and cracked teeth because they have little choice, so the first sign owners notice is often bad breath or a vet bill for extractions. Plaque starts forming on clean teeth within a day, and if it is not removed it begins to harden into tartar within a few days.

A routine does not need to be elaborate. Daily brushing does most of the work, suitable chews help between brushes, and a quick look inside the mouth once a month catches problems early. Below is how to teach brushing over two weeks, where to focus the brush, which chews are safe, and what your vet looks for.

Why dog teeth need daily attention

An adult dog has 42 teeth, and the ones that collect the most tartar are the large upper cheek teeth and the canines, close to where the salivary glands open. Small and toy breeds are especially prone to trouble because 42 teeth are packed into a tiny jaw, which leaves tight spaces for food and bacteria. Many Yorkshire Terriers, Chihuahuas and Pomeranians need professional cleaning earlier and more often than larger dogs.

Once tartar sits at the gumline, the gums become inflamed and can slowly pull away from the teeth. That damage below the gum is what leads to loose teeth, pain and infection. Brushing removes soft plaque before it hardens, which is why daily brushing works far better than a weekly scrub.

What you need to start

You need very little, but the toothpaste choice matters. Human toothpaste is not safe for dogs: it contains fluoride at levels meant to be spat out, and some brands contain xylitol, a sweetener that is toxic to dogs even in small amounts. Dog toothpaste is designed to be swallowed and usually comes in flavors like chicken or malt that make brushing feel like a treat.

  • Dog toothpaste in a flavor your dog likes
  • A soft toothbrush sized to the mouth, or a double-headed dog brush
  • A rubber finger brush for small dogs or nervous beginners
  • A square of gauze wrapped round your finger for the first sessions
  • Small treats or praise for after each session

Teaching brushing in two weeks

Keep each session under two minutes and stop while your dog is still relaxed. The plan below works for puppies and adults alike. If your dog pulls away at any stage, go back one step for a few days.

DaysStepGoal
1 to 2Let your dog lick toothpaste from your fingerToothpaste means something good
3 to 4Lift the upper lip for 2 seconds, then give pasteCalm about lip handling
5 to 7Rub paste along the outer gums with your finger or gauzeAccepts touch on teeth and gums
8 to 10Introduce the brush on the front and canine teethTolerates the brush for 20 seconds
11 to 14Brush the full outer surfaces on both sidesA complete routine in about 2 minutes

Brushing technique that reaches the right places

Hold the brush at about a 45 degree angle so the bristles point toward the gumline, and use small circular movements. Spend most of the time on the outer surfaces of the upper back teeth, which you reach by sliding the brush inside the cheek. That is where tartar builds fastest. Around 30 seconds per side on the upper and lower cheek teeth, plus a few strokes over the canines and incisors, is a solid routine.

You do not need to force the mouth open to brush the inner surfaces. The tongue does a reasonable job of keeping those cleaner, and prying the jaw open is the fastest way to make a dog refuse the brush. A good time to brush is at the end of the evening walk, when your dog is calm and slightly tired.

Chews, toys and diet: helpers, not replacements

Chewing scrapes some plaque from the teeth, but no chew reaches the gumline the way a brush does. Treat chews as a useful extra. The key rule is the thumbnail test: if you cannot press a slight dent into the item with your thumbnail, it is hard enough to fracture a tooth. Antlers, cooked bones, hooves and very hard nylon toys are common causes of broken upper cheek teeth.

Pick chews sized so your dog cannot swallow them whole, and supervise the first few sessions with any new item. Remember that edible dental chews carry calories; a large daily chew can add 10 percent or more to a small dog's intake, so reduce meals slightly to compensate. Dental diets with a special kibble texture can help some dogs, but they work alongside brushing rather than instead of it.

A monthly mouth check

Once a month, lift the lips on both sides and look at the teeth in good light. Healthy gums are pink (or naturally pigmented black in some breeds), firm and flat against the teeth. Tartar looks yellow to brown and usually starts at the gumline of the upper back teeth. Also look for chipped or discolored teeth, and in puppies check for baby teeth still in place next to adult ones after about 6 months of age.

Book a vet appointment if you notice bad breath that returns within a day of brushing, a red line along the gums, bleeding, loose or broken teeth, swelling on the face or below the eye, drooling, pawing at the mouth, chewing on one side only, or dropping food. Any of these can signal pain your dog will not show in other ways.

Professional cleaning: what happens and how often

A proper dental cleaning at the vet is done under general anesthesia. That allows the team to scale tartar from below the gumline, take dental X-rays to check the roots and polish the surfaces. Cleaning without anesthesia can make teeth look whiter, but it cannot reach under the gum where the real damage happens.

How often your dog needs one depends on breed, age and home care. Some toy breeds need a cleaning every year from middle age, while a large dog that is brushed daily may go many years without one. An annual check where your vet looks in the mouth is the right baseline for every dog.

Checklist

  • Buy dog toothpaste and a brush sized to your dog's mouth
  • Follow the two-week brushing plan, two minutes a day
  • Focus brushing on the outer upper cheek teeth
  • Apply the thumbnail test to every chew and toy
  • Check the mouth in good light once a month
  • Ask for a dental check at your dog's yearly vet visit

Questions

How often should I brush my dog's teeth?

Daily is ideal, because plaque begins hardening into tartar within a few days. If daily is not realistic, three or four times a week still makes a real difference compared with nothing. Tie brushing to an existing habit, such as the evening walk or your own bedtime routine, so it happens without having to remember it separately.

Can I brush off tartar that is already there?

No. Once plaque has mineralized into tartar it is bonded to the tooth and a brush will not remove it. Brushing still helps by slowing new build-up and keeping the gums healthier. Established tartar, especially under the gumline, needs a professional cleaning. After that, start a daily routine so the teeth stay clean for longer.

My older dog has never had his teeth brushed. Is it too late?

It is never too late to start, but it is wise to have your vet check the mouth first. Brushing painful gums or a cracked tooth will make your dog dislike the routine quickly. If the vet finds problems, they can be treated first. Then use the same gradual two-week plan as for a puppy, going as slowly as your dog needs.

Are water additives and dental sprays worth using?

Some may help a little as an extra, but the evidence varies a lot between products, and none replace brushing. If you want to try one, ask your vet which options have good data behind them. Always introduce anything new to the water bowl gradually and watch that your dog is still drinking normally.

Breeds mentioned in this guide