By Dr Duncan Houston
A dog can keep eating with a fractured tooth. A cat can finish dinner despite painful gums. Appetite is useful information, but it does not prove that the mouth is comfortable.
Good dental care combines a manageable home routine with examinations that find disease you cannot see by lifting a lip.
Quick Answer
Brush your dog's or cat's teeth daily with a soft brush and toothpaste made for animals, once your vet confirms the mouth is comfortable enough for brushing. Arrange veterinary oral checks and professional treatment according to their findings. Bad breath, red gums, broken teeth and changed chewing need assessment; home brushing cannot remove established tartar or repair a diseased tooth.
What does dental disease look like?
Plaque collects on teeth and can trigger gum inflammation. When disease damages the tissues supporting the teeth, brushing alone cannot restore that support. A visible brown coating is only part of the picture: roots and tissue below the gumline also need assessment.
Watch for drooling, food falling from the mouth, chewing on one side, pawing at the face or reluctance to play with toys. Cats may also groom less or become withdrawn. Tooth resorption is another important cause of feline dental pain, while fractures, oral inflammation, foreign material and masses can cause similar signs.
AAHA's dental care guidelines recommend a complete approach to assessment, imaging, pain control and treatment rather than judging oral health by visible tartar alone.
How soon does your pet need help?
| Finding | Next step |
|---|---|
| Comfortable mouth without concerning changes | Build daily prevention and include oral checks in routine veterinary visits. |
| Persistent bad breath, red gums or visible tartar | Book a dental examination. Avoid starting vigorous brushing on sore gums. |
| Broken tooth, facial swelling, bleeding or painful eating | Contact your vet today for triage and an appointment. |
| Breathing difficulty, major facial trauma or bleeding that does not stop | Seek emergency veterinary care immediately. |
How do you start brushing?
- Check comfort first. If the mouth is sore, arrange treatment before brushing. AAHA's home-care guidance highlights that brushing inflamed gums causes pain and aversion.
- Practise a brief lip lift. Reward calm participation and let your pet move away. Avoid pinning them down.
- Introduce animal toothpaste. Offer a tiny taste, then introduce a soft brush gradually over several short sessions.
- Brush the outer tooth surfaces gently. Lift the lip rather than forcing the jaws open. Work along the gumline and build towards the teeth at the back.
- Repeat daily. A calm, short session done consistently is a useful foundation. Ask the veterinary team to demonstrate the technique.
Stop if there is marked bleeding, pain, sudden resistance or a risk of being bitten. A change in tolerance can indicate a new mouth problem.
What about dental chews and diets?
Appropriately selected dental diets, chews, wipes or rinses can support a plan when brushing is difficult. Look for evidence of plaque or tartar control, including acceptance by the Veterinary Oral Health Council, and follow the specific directions. They do not treat loose teeth or tooth-root disease.
Choose an appropriate size and texture, supervise chewing and count edible chews within daily food intake. Avoid bones, antlers and other very hard items that can fracture teeth. Human toothpaste and mouthwash are unsuitable, and some contain ingredients hazardous to animals.
Why does professional dentistry need anaesthesia?
A complete procedure involves much more than scraping visible deposits. Dental probing, imaging and treatment below the gumline require a still patient and protection of the airway. AAHA's dental treatment protocol describes the steps needed for proper assessment and cleaning.
Anaesthetic risk is assessed individually using examination, appropriate tests and a monitoring plan. Age alone does not answer whether treatment is suitable. Discuss existing disease, expected benefit and how pain will be managed rather than assuming that avoiding anaesthesia always avoids risk.
Common mistakes
- Waiting until a pet stops eating before investigating dental pain.
- Trying to scrape tartar from teeth at home.
- Brushing forcefully through inflamed or bleeding gums.
- Expecting dental chews or ordinary kibble to replace veterinary treatment.
- Restarting brushing immediately after extractions without checking the recovery instructions.
Keeping the routine practical
Attach brushing to a familiar daily event and keep the supplies easy to reach. Briefly check the mouth during willing handling, and note changes in breath, chewing or drooling. Your vet should set the interval between professional procedures according to actual disease and risk, rather than a fixed schedule for every animal.
Frequently asked questions
Can I brush my cat's teeth?
Yes, if the mouth is comfortable and your cat tolerates gradual training. Stop and seek advice if touching the mouth causes pain.
Will brushing remove brown tartar?
No. Brushing disrupts soft plaque; established mineralised deposits need professional care.
Are dental chews enough?
They may support oral hygiene, but they do not replace examination or treat existing painful disease.
How often should teeth be checked?
Include an oral examination in routine veterinary visits and arrange earlier review for any change. Pets with dental disease may need more frequent checks.
The aim is a comfortable, functional mouth. Start prevention while things are healthy, and seek treatment when pain or disease makes home care difficult.
For help understanding dental signs and preparing for a veterinary visit, explore ASK A VET™.
This article is general veterinary education and does not diagnose or treat an individual animal. Always confirm medication names, doses and interactions with the veterinarian who knows your pet.
If your animal is struggling to breathe, collapsed, bleeding heavily, seizing, or has eaten something toxic, contact your vet or the nearest emergency clinic now.
Animal Poisons Helpline (AU) 1300 869 738 · Animal Poisons Helpline (NZ) 0800 869 738 · ASPCA Animal Poison Control (US) (888) 426-4435
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Ask A Vet articles are written by Dr Duncan Houston BVSc, a practising veterinarian, unless another author is named in the byline.




