When Do Shih Tzu Puppies Start Teething? Signs, Tips & Toys

The Shih Tzu, with its charming personality and endearing flat face, goes through a significant developmental stage just like human babies—teething. For every new Shih Tzu owner, understanding the teething timeline is essential. It’s not only about managing discomfort but also about supporting your pup through healthy dental development.
Teething in Shih Tzus begins as early as 2 to 3 weeks old and continues until around 6 to 8 months. During this phase, your puppy’s behavior may change dramatically, from gentle cuddles to constant chewing on furniture or toys. But this is a natural process that shapes their lifelong oral health.
What Is the Shih Tzu Teething Timeline?
The teething timeline refers to the stages your puppy goes through as it transitions from toothless gums to a full set of 42 adult teeth. This process is split into two main phases: the eruption of deciduous (baby) teeth, and later, their replacement by permanent adult teeth.
At first, Shih Tzu dog teeth start emerging around 3 weeks of age. By 6 weeks, most puppies have a full set of 28 baby teeth. These temporary teeth are sharp and help the puppy transition from mother’s milk to solid food. However, they begin to loosen and fall out around 3 months, making room for stronger adult teeth.
By 6 to 8 months, the teething process is typically complete. Your Shih Tzu will now have 42 adult teeth, which should last a lifetime if properly cared for.
A Closer Look at the Shih Tzu Teething Timeline
The timeline can be broken down into stages. Each stage is marked by distinct changes in behavior, gum condition, and dental appearance.
-
2–4 Weeks: The first tiny incisors erupt. Puppies are still nursing but begin exploring with their mouths.
-
5–6 Weeks: Canines and premolars come in. This completes the set of 28 baby teeth. Chewing may start lightly.
-
8–12 Weeks: The baby teeth begin to fall out. This marks the beginning of true teething discomfort.
-
3–5 Months: Adult incisors and canines start replacing the baby teeth.
-
5–8 Months: Final teething stage. Molars come in, and the puppy may now have all 42 adult teeth.
This schedule may vary slightly depending on genetics and nutrition. Still, most Shih Tzu teeth charts reflect this general pattern.
Recognizing the Signs of Teething
Teething can be uncomfortable, and puppies often show clear signs. Understanding these indicators helps in managing this phase more effectively.
Your Shih Tzu may chew everything in sight, from shoes to furniture. This is their natural way of soothing the ache in their gums. You might also notice increased drooling, red or swollen gums, or even blood spots on chew toys. Mild behavioral changes like restlessness, irritability, or whining are also common.
One of the more subtle signs is a decrease in appetite. If chewing becomes painful, your puppy might eat less. This should not last long, but if it does, consult a vet to rule out Shih Tzu teeth problems.
Behavior Changes During Teething
As new teeth push through the gums, your Shih Tzu may seem like a completely different dog. Normally playful and calm pups can become irritable. Some become clingy, while others grow more aggressive toward toys or even hands.
Another common issue is difficulty sleeping. Puppies may wake more often, seeking comfort or a toy to gnaw on. While this can be frustrating, it’s a temporary phase and part of healthy development.
How to Help Your Puppy Through Teething
Support your puppy with patience and a few practical strategies. First and foremost, provide safe chew toys. Look for soft rubber toys or ones that can be chilled in the freezer. Cold can numb the gums and offer relief.
Avoid hard plastic bones or anything that might damage your puppy’s delicate baby teeth. Natural teething sticks, such as those made from coffee wood or yak milk, can also work wonders.
Another helpful tip is to puppy-proof your home. Keep electric cords, shoes, and small household items out of reach. Remember, your puppy doesn’t know what’s safe to chew—they just want relief.
Toys That Truly Help
Not all teething toys are created equal. Choose toys specifically designed for puppy teething, not adult dogs. Brands like Nylabone and KONG offer teething-specific products that are soft enough for sore gums but durable enough to last.
Look for toys with different textures, as they help massage gums. Some toys even come with soothing gels or can be filled with treats for distraction. Rotate toys often to maintain your pup’s interest.
Feeding During the Teething Stage
Because sore gums can make chewing hard kibble difficult, consider moistening dry food or mixing in a bit of wet puppy food during the peak of teething. This makes it easier for your pup to eat without added pain.
Make sure your Shih Tzu gets adequate calcium and phosphorus, which are essential for healthy teeth. Some pet parents add vet-approved dental supplements during this stage.
Dental Problems to Watch For
Some Shih Tzu teeth issues require professional attention. One of the most common is retained baby teeth, where a baby tooth does not fall out even as the adult tooth grows in. This can cause misalignment or overcrowding and may need surgical removal.
Other concerns include broken teeth, excessive bleeding, or an adult tooth coming in at an odd angle. Left unchecked, these problems can affect eating, behavior, and even jaw structure.
Consult your vet if anything seems unusual during teething. Early dental checks ensure long-term oral health.
Why This Timeline Matters
Knowing the teething timeline helps prevent confusion and misdiagnosis. Some owners mistake teething symptoms for illness or behavioral problems. Understanding this normal developmental stage allows you to respond with the right care rather than unnecessary worry.
You also avoid long-term dental complications by addressing issues early. Proper teething management contributes to healthy, aligned, and well-spaced teeth that serve your dog for life.
Brushing and Hygiene After Teething
Once your pup has all 42 adult teeth, dental care doesn’t stop—it begins. Establish a routine of brushing your Shih Tzu’s teeth two to three times a week using a dog-safe toothbrush and toothpaste.
Start slowly, making the experience positive. Some Shih Tzus may resist brushing initially, but with treats and praise, they’ll come around. Also consider dental chews, vet-approved oral rinses, or even professional cleanings once a year.
Common Myths About Puppy Teething
There are a few myths that circulate among new puppy parents. One is that puppies get high fevers while teething. While mild discomfort and a small temperature change are possible, true fever is a sign of illness and should be checked by a vet.
Another myth is that dental care is unnecessary for puppies. This couldn’t be further from the truth. Starting dental hygiene early sets the stage for a healthier adult life and avoids serious Shih Tzu teeth problems like periodontal disease.
Conclusion
Teething is a rite of passage for every Shih Tzu puppy. With the right knowledge, patience, and tools, you can help your furry companion move through this stage smoothly. From the first incisor to the last molar, every tooth marks a step toward maturity—and you’ll be right there, guiding them with care.
Proper attention to teething means fewer dental issues later in life, and more smiles from your little lion dog with a mouth full of healthy, strong teeth.
Ease your Shih Tzu’s teething with expert-backed tips!
FAQs
How many teeth does a Shih Tzu have as an adult?
Shih Tzus have 42 adult teeth, just like most dog breeds.
Is it normal for my puppy to lose teeth at 3 months?
Yes, this is typically when baby teeth begin falling out.
Should I brush my puppy’s teeth during teething?
Yes, use a soft brush and gentle technique to get them used to it early.
What if my Shih Tzu keeps baby teeth past 6 months?
This could be a retained tooth. A vet may need to extract it.
Do Shih Tzus have common dental issues?
Yes, they’re prone to overcrowding, tartar buildup, and early gum disease if not cared for properly.