Get

In Your Inbox

Dogster is reader-supported. When you buy via links on our site, we may earn an affiliate commission at no cost to you. Learn more.

How Do Shih Tzus Teethe? Vet-Verified Timelines

Share

Shih tzu sticking his tongue out

The Shih Tzu is an old breed that originally hails from Tibet. Also known as Chrysanthemum Dogs or Little Lion Dogs, this special breed goes through the same stages of teething as other dogs. However, due to the shape of the Shih Tzu’s face, they often have problems teething that some other breeds are less prone to.

Like other dogs, Shih Tzus teethe in several stages. From the first teeth that emerge when the pups are only a few weeks old, they will grow in (and subsequently lose) their teeth until the last permanent molars grow in when they’re around 6 months of age.

Dogster_Website dividers_v1_Jan 18 2024-01-TEST

Shih Tzu Teething Timeline: From Stage One to Stage Five

Stage One: 2 to 4 Weeks Old

When a Shih Tzu puppy is only 2 weeks old, they’re still dependent on their mother. They’re not yet weaned, so they will still drink her milk, and their eyes will be closed. Even at this young age, the puppy’s teeth will erupt from their gums. Between 2 and 4 weeks, a puppy’s first teeth (their deciduous teeth) will begin to come through, starting with the incisors at around 3 weeks and then the canines at approximately 3 to 4 weeks.


Stage Two: 5 to 6 Weeks Old

The last teeth to come through are the premolars, which appear when Shih Tzu puppies turn 6 weeks old. In total, a puppy of this age will have around 28 teeth. These first deciduous teeth are pointed and sharp (why they’re sometimes referred to as “needle teeth”), and they enable the Shih Tzu to begin weaning onto soft puppy food. Puppies get molars once they grow in their adult set of teeth, at around 12 to 16 weeks old.

cute shih tzu puppy on white background
Image By: WilleeCole Photography, Shutterstock

Stage Three: 8 to 12 Weeks Old

When a Shih Tzu puppy is rehomed to their new owners at around 8 weeks old, they should have a full complement of puppy teeth to explore their new world. Like all other puppies, Shih Tzus love to chew and will spend a reasonable amount of time learning and exploring with their mouths. Then, at around 12 weeks of age, their deciduous teeth will begin to fall out and make room for their final adult set of teeth to emerge.


Stage Four: 12 to 16 Weeks Old

Owners of Shih Tzu puppies of around this age may start to find tiny rice-sized teeth on the ground or stuck in toys. These are the Shih Tzu’s deciduous teeth that fall out to make room for their adult teeth. This is the hardest stage for puppies and owners, as the new teeth can cause discomfort and pain when they break through the gums.

You might see pink-tinged drool or blood in your Shih Tzu’s mouth when they teethe. This is usually normal if it’s minimal, but if you’re ever concerned or there’s more than a small amount of blood, contact your vet for advice. Shih Tzus might not lose all their deciduous teeth when their adult teeth come in, a problem known as having retained deciduous teeth.

If you need to speak with a vet but can't get to one, head over to PangoVet. It's our online service where you can talk to a vet online and get the advice you need for your dog — all at an affordable price!

PangoVet_Mention-in-Content Savings V1


Stage Five: 6 Months and Older

By 7 months, a Shih Tzu will have all of their adult teeth. Their molars will be grown in, and any deciduous teeth should be shed. The teething process is complete in Shih Tzus at around this age, but sometimes the last few teeth can take a couple of months to emerge fully. Dogs have around 42 teeth altogether, but Shih Tzu owners may notice additional teeth (or other teething problems) during the process.

Dogster_Website dividers_v1_Jan 18 2024-03

Frequently Asked Questions

Do Shih Tzus Have Problems Teething?

Shih Tzus are more prone to problems with teething and their teeth due to the shape of their faces and skulls. Shih Tzus are brachycephalic dogs, meaning their muzzles are flattened and shorter than those of other breeds. A Shih Tzu’s mouth is also small, but they have just as many teeth as other breeds. Overcrowding, or more teeth than can comfortably fit in the mouth, can occur, though. It can cause eating problems and tooth decay caused by food caught between the teeth, which brushing can’t remove.

Shih Tzus can also suffer from retained deciduous teeth. Sometimes, a baby tooth won’t fall out and will remain in the mouth. The most common cause of retained deciduous teeth is overcrowding. The adult teeth are grown along the wrong path (where they should have pushed the baby teeth out) and erupt next to the baby tooth. Retained deciduous teeth don’t usually cause pain but can be uncomfortable and trap food, leading to tooth decay.

puppy Shih Tzu brown
Image By: cynoclub, Shutterstock

How Can I Tell If My Shih Tzu Is Teething?

You can tell your Shih Tzu is teething if they bite everything! Teething is uncomfortable, so puppies bite and chew to relieve their discomfort. It’s normal puppy behavior, and chewing is an integral part of a puppy’s development as they explore the world. Your Shih Tzu may paw at their mouth occasionally, and they may drool. Providing your Shih Tzu with a puppy-friendly chew toy can help them and save your furniture from total destruction!

How Do I Keep My Shih Tzu’s Teeth Healthy?

Maintaining your Shih Tzu’s dental health is vital to their overall health. Getting your puppy used to having their teeth brushed will help keep their teeth and mouth clean and free from decay, preventing the need for dental treatment in the future.

If your Shih Tzu has any overcrowding or retained deciduous teeth, they should be checked out by your vet. Usually, overcrowding and retained baby teeth don’t cause many problems at first, and treatment can wait until your pup is older. The veterinary surgeon commonly removes deciduous teeth during a dog’s spay or neuter procedure while they’re already under anesthetic.

Dry food diets can help keep teeth clean due to the crunchy, hard texture of the kibble. In addition, dry food can scrape leftover food and plaque off of the teeth, but your Shih Tzu will still need regular teeth cleaning even with a dry food diet.

Make sure you use toothpaste specifically for dogs. Human toothpaste is unsafe for dogs and can contain toxic ingredients like xylitol, which is very dangerous for dogs to ingest. Plus, doggy toothpaste is often flavored with tempting bacon or cheese flavors, which makes brushing more of a treat!

silicone pet toothbrush that fits on finger and toothpaste
Image By: Maryia_K, Shutterstock

dogster paw divider

Conclusion

The Shih Tzu undergoes the same teething process as other breeds. They teethe in stages, starting with razor-sharp puppy teeth at 2 weeks and ending with a full complement of adult teeth at 6–7 months old. Shih Tzus can suffer from teething problems due to the shape of their skulls, such as retained baby teeth and overcrowding. However, these problems are usually rectified when the dog is spayed or neutered and often don’t cause any issues.


Featured Image Credit: Elena Rozhenok, Shutterstock

Want content like this delivered to you?

Sign Up For Our Newsletter

News, insights, expert advice, and everything dog

* By submitting, you agree to our Terms & Conditions and Privacy & Cookies Policy.




How useful was this post?

Click on a star to rate (you can leave written feedback after clicking submit)

Help us improve Dogster for pet parents!

Your feedback really matters.

What did you like about this post? Also how can we improve it?

Join the conversation

2 Responses

  1. we have a almost 4 month old male TOY SHIH TZU..we are trying to teach him to go potty in his fenced yard area..basically he runs in circles and wants to eat leaves..any pointers on how to potty train our new furbaby would be greatly appreciated…

    1. Hi Angela, he does sound like a lot of fun! Potty training a puppy can be a bit of a challenge, especially with all those distractions like leaves! Here are a few tips that might help:

      – Establish a Routine: Take him outside at the same times each day, such as after meals, playtime, and naps. Consistency helps him understand when it’s time to go.

      – Designate a Potty Spot: Take him to a specific area in the yard where you want him to go. This helps him associate that spot with potty time.

      – Limit Distractions: If he gets distracted by leaves, try to keep him on a leash when you first take him out. This way, you can guide him to the potty area.

      – Praise and Reward: As soon as he goes potty in the designated area, give him lots of praise and a treat. Positive reinforcement will encourage him to repeat the behavior.

      – Be Patient: It may take time for him to understand what you want. Keep encouraging him and stay patient!

      With consistency and love, he’ll learn in no time! Good luck and let us know how you get on. 🙂

Leave a Reply

You’re very welcome to leave a comment or question. Please know that all comments must meet our community guidelines, and your email address will NOT be published. Let’s have a positive and constructive conversation.


Talk With A Vet Online

Peace of mind,
anywhere, anytime

Affordable vet advice

Marigold Shocks Her Owner By Delivering 17 Irish Doodle Puppies in a Single Day

The one question vets hate hearing as they ultrasound expectant canine mothers is “how many puppies are there?” The reason is that, on...

Dogster’s Weekly Photo Contest Winners: Out Adventuring (March 12, 2026)

Every week our team gets the privilege of sorting through our readers photos to choose what dogs will win this weeks contest! See...

Ask Dr. Paola- Help! My Dog Gets Reoccurring UTIs (March 9, 2026)

Welcome to our “Ask Dr. Paola” series, where every Monday we bring expert advice straight from Dr. Paola Cuevas (MVZ) to help our...

DIY Repellents for the Dog Who Thinks Everywhere Is His Toilet

Dog urine and everything nice have a complicated relationship. One thrives, the other suffers, and if you’re reading this, you already know which...

More related

Ask Dr. Paola- Help! My Dog Gets Reoccurring UTIs (March 9, 2026)

Welcome to our “Ask Dr. Paola” series, where every Monday we bring expert advice straight from Dr. Paola Cuevas (MVZ) to help our...

Dog Poop DNA Testing: Does It Catch Non-Scoopers? Vet-Verified Facts

If you’ve ever been walking outside and felt a soul-crushing squish underfoot, you’ve likely been the victim of a dastardly non-scooper. In years...

Beagle Dog Breed: Info, Pictures, Facts & Traits

The Beagle is a popular dog, well known for their droopy ears and doe-eyed expressions. They come in various colors, though they are...

National Pet Memorial Day: When Is It & What to Do

Those who have been pet parents for a while have likely lost a pet at some point. The sad truth is we outlive...

Keep reading

Can Dogs Eat Cayenne Peppers? Vet-Approved Advice

Cayenne peppers, also colloquially called chili peppers, are a delicious spicy fruit, but they aren’t a suitable treat for your pup. What happens if your dog gets into the cayenne peppers? Should you worry or even panic? Cayenne peppers are...

Can Dogs Eat_cayenne peppers

Stock Up, Look Sharp, and Save While You Shop at PetSmart

When it comes to caring for our dogs, certain things simply come with the territory, like feeding, exercising, training, and grooming. We don’t expect to be paid for these responsibilities – a happy, healthy dog is its own reward! But...

PetSmart Grooming

How Long Does It Take for a Dog to Digest Food? Vet-Approved Digestive System Basics

We all know that what we feed our dogs—and how they digest it—plays a key role in their overall health. If you’re wondering how long it takes for a dog to digest their food, unfortunately, the answer is not a...

french bulldog eating or drinking from a bowl

Why Does My Puppy Eat So Fast? 5 Vet-Reviewed Reasons & Advice

Bringing a new puppy into your home is always exciting, but along with the good can sometimes come some bad. Your puppy may exhibit some behaviors that you need to train them out of, like chewing on absolutely everything or...

Great Dane Puppy Eating

8 Best Wet Dog Foods in the UK in 2026 – Reviews & Top Picks

We want to give our dogs the best life, and part of that means providing nutritious food. If you are searching for the best wet food to give your pup or are thinking about switching from dry food to wet,...

shih tzu dog getting wet food from owner at kitchen

What to Do When Your Dog Won’t Eat: Possible Causes & Solutions (Vet Reviewed)

It can be stressful if your dog suddenly stops eating, especially if they’re typically a big eater. There are a few reasons that some dogs stop eating, and sometimes, it can be difficult to identify the cause, so it’s always...

white dog refuses to eat his food in the bowl

Can Dogs Eat Wheat Thins? Vet-Approved Nutrition Advice

Wheat Thins is a popular brand of crackers often advertised as healthy snacks. They are baked whole-wheat crisps that are relatively low in calories and often paired with other food items like dips or sliced meat. While Wheat Thins are...

Can Dogs Eat_wheat thins

Hill’s Science Diet vs Blue Buffalo Dog Food: 2026 Comparison, Pros & Cons

Dog food can seem like a never-ending brigade of decisions. There are endless dog food brands available, and each brand produces dozens of recipes. On the shelf, it can be challenging to discern which dog foods are worth buying. We...

Dogster_Dog Food Hill’s Science Diet VS Blue Buffalo

Love Dogs? So Do We! Join the Dogster Community

Stay informed with expert pet care insights delivered straight to your inbox! Discover professional guidance on animal behavior, feeding tips, trusted product picks, and much more.




Sign up for the Dogster Email Newsletter