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What to Know About Dog Dental Chews for Shih Tzus

Shih Tzus are prone to periodontal disease due to their flat faces. We compared top VOHC-certified chews like Greenies to help you choose the best for your pup's dental health.

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80%
of dogs over age 3 have periodontal disease
2-3
times per week recommended for dental chews
25-50 lbs
weight range for regular-sized dental chews
VOHC
seal indicates proven plaque/tartar reduction
โšก Key takeaways
  • Best Overall: Greenies Regular Dental Dog Treats. Greenies are VOHC-accepted and clinically proven to reduce plaque and tartar.
  • Best Vet-Trusted Style: Virbac C.E.T. Enzymatic Oral Hygiene Chews for Dogs. Virbac is a trusted veterinary brand, and these chews contain an enzyme system that helps.
  • Best Budget: Purina DentaLife Small Dog Dental Treats. DentaLife offers an affordable option with a unique porous texture that helps clean teeth.
  • Best for Seniors: Zesty Paws Dental Flex Chews for Dogs. These chews are soft and flexible, making them gentle on aging teeth and gums.
  • Best Chewable: PetLab Co. Dental Chews for Dogs. PetLab Co.
At a Glance

Quick Comparison

Quick answer

Our top pick for Shih Tzus is Greenies Regular Dental Dog Treats. They are VOHC-accepted, sized for small breeds, and clinically proven to reduce plaque and tartar. For a budget-friendly alternative, consider Purina DentaLife Small Dog Dental Treats. If your Shih Tzu has sensitive teeth or gums, Virbac C.E.T. Enzymatic Oral Hygiene Chews offer a softer texture.

What to consider for Dog Dental Chews For Shih Tzus

Shih Tzus have a brachycephalic (flat-faced) skull structure, which often leads to dental crowding and a higher risk of periodontal disease. Their small mouths require appropriately sized chews that are easy to hold and chew without posing a choking hazard. Texture matters: too hard can damage teeth, too soft may not clean effectively. Look for chews with the Veterinary Oral Health Council (VOHC) seal, which indicates proven efficacy. Also consider calorie content, as Shih Tzus are prone to obesity. Always supervise your dog when giving dental chews.

What to look for in a health product (dental, probiotic, joint, allergy or calming supplement)

For dental chews, the VOHC seal is the gold standard for plaque and tartar reduction. For supplements like probiotics or joint support, look for the NASC (National Animal Supplement Council) quality seal, which indicates third-party auditing. Check that active ingredients are present at clinically effective levels: for joint chews, glucosamine and chondroitin should be listed with specific amounts; for probiotics, a guaranteed CFU count (colony-forming units) is essential. Always choose products with clear labeling, avoid proprietary blends that hide individual ingredient amounts, and ensure dosing matches your dog’s weight. Manufacturing standards should follow Good Manufacturing Practices (GMP).

How we chose these picks

  • We evaluated products based on safety, ingredient quality, and brand reputation.
  • We prioritized chews with the VOHC seal or strong clinical evidence.
  • We considered size and texture suitability for small brachycephalic breeds like Shih Tzus.
  • We reviewed customer feedback for palatability and digestibility.
  • We checked for harmful additives, artificial colors, or excessive calories.
  • We compared price per chew to ensure value.
  • We consulted veterinary dental guidelines for best practices.
  • Never ranked a product higher just because it pays a commission.

What to avoid

  • Avoid dental chews that are too hard (e.g., antlers, bones) as they can fracture teeth.
  • Do not choose products that claim to cure or prevent dental disease without scientific backing.
  • Steer clear of chews with vague ingredient blends that do not list amounts.
  • Never exceed the recommended daily serving, as excess calories can lead to weight gain.
  • Avoid chews with artificial preservatives like BHA, BHT, or ethoxyquin.

For more guides, visit our dog guides and check out dog health and dog nutrition sections.

Why this matters

Shih Tzus have a high prevalence of periodontal disease due to their brachycephalic anatomy, making regular dental care essential. Dental chews with the VOHC seal are a convenient tool, but they work best when combined with daily brushing and annual veterinary cleanings.

The Options

Types Explained

VOHC-Accepted Dental Chews

These chews have undergone clinical trials and received the Veterinary Oral Health Council seal for plaque or tartar reduction. They are the most reliable choice for proven dental benefits.

Best for: Owners who want evidence-based dental care and are willing to pay a premium for proven efficacy.

Enzymatic Dental Chews

Contain enzymes like glucose oxidase that help break down plaque-forming bacteria. They often have a softer texture and can be a good option for dogs with sensitive mouths.

Best for: Dogs with sensitive gums or teeth, as these chews are typically gentler while still providing some dental benefits.

Soft Dental Chews

These are flexible and easy to chew, making them ideal for senior dogs or those with dental pain. They may contain ingredients like coconut oil or chlorophyll for fresh breath.

Best for: Senior Shih Tzus or those with dental issues that make hard chews uncomfortable.

Budget Dental Treats

Affordable options that still offer dental benefits, often with a porous texture to help reduce tartar. They may not have VOHC acceptance but can be a good daily maintenance treat.

Best for: Owners on a budget who want a cost-effective way to support dental health alongside brushing.
The Rankings

Top 5 Picks

#1
Greenies Regular Dental Dog Treats
Best Overall

Greenies Regular Dental Dog Treats

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Greenies are VOHC-accepted and clinically proven to reduce plaque and tartar. The regular size is suitable for Shih Tzus weighing 25 to 50 pounds, but for smaller Shih Tzus under 25 pounds, consider the Teenie size. They have a unique texture that helps clean teeth, but some dogs may find them too hard if they have sensitive gums.

#2
Virbac C.E.T. Enzymatic Oral Hygiene Chews for Dogs
Best Vet-Trusted Style

Virbac C.E.T. Enzymatic Oral Hygiene Chews for Dogs

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Virbac is a trusted veterinary brand, and these chews contain an enzyme system that helps reduce plaque and tartar. They are softer than many other dental chews, making them ideal for Shih Tzus with sensitive teeth or gums. However, they are not VOHC-accepted, and some dogs may not like the taste.

#3
Purina DentaLife Small Dog Dental Treats
Best Budget

Purina DentaLife Small Dog Dental Treats

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DentaLife offers an affordable option with a unique porous texture that helps clean teeth. They are sized for small dogs and contain no artificial flavors or preservatives. While they are VOHC-accepted for tartar control, they may not be as effective on plaque as some premium brands, and the small size may be too tiny for some Shih Tzus.

#4
Zesty Paws Dental Flex Chews for Dogs
Best for Seniors

Zesty Paws Dental Flex Chews for Dogs

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These chews are soft and flexible, making them gentle on aging teeth and gums. They contain natural ingredients like coconut oil and chlorophyll for fresh breath. However, they lack the VOHC seal, so their plaque-fighting efficacy is less established. They are also higher in calories, so portion control is important for senior Shih Tzus prone to weight gain.

#5
PetLab Co. Dental Chews for Dogs
Best Chewable

PetLab Co. Dental Chews for Dogs

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PetLab Co. chews are designed to be easily chewed and digested, with a focus on fresh breath and dental health. They contain natural ingredients and are free from artificial additives. However, they are not VOHC-accepted, and some customers report inconsistent texture between batches. They are best used as a supplement to regular brushing.

Before You Buy

Key Buying Factors

01

Size and Texture

Shih Tzus have small mouths, so choose chews that are appropriately sized to prevent choking. Texture should be firm enough to scrape teeth but not so hard that they risk tooth fractures. Brachycephalic breeds may have difficulty with very hard chews.

02

VOHC Acceptance

The Veterinary Oral Health Council (VOHC) seal means the product has been clinically proven to reduce plaque or tartar. While not mandatory, it is a reliable indicator of efficacy. Products without the seal may still be effective, but evidence is less certain.

03

Ingredients and Additives

Look for natural ingredients and avoid artificial colors, flavors, and preservatives like BHA or BHT. Some chews include enzymes (e.g., glucose oxidase) that help break down plaque. Avoid high-calorie chews if your Shih Tzu is overweight.

04

Digestibility

Dental chews should be easily digestible to prevent gastrointestinal upset. Chews made from highly processed starches or rawhide can cause blockages. Opt for chews that break down easily and are labeled as digestible.

05

Calorie Content

Shih Tzus are prone to obesity, so consider the calorie content of dental chews. Many chews provide 50 to 100 calories each, which can add up quickly. Adjust your dog's daily food intake accordingly to maintain a healthy weight.

Living With It

Care, Cost and Maintenance

Brushing Basics

Daily brushing with a dog-specific toothpaste is the gold standard for dental care. Use a soft-bristled toothbrush and gently brush in circular motions. Dental chews are a supplement, not a replacement for brushing.

Introducing Dental Chews

Start by offering a dental chew for a few minutes under supervision. Monitor your Shih Tzu for any signs of choking or digestive upset. Gradually increase frequency to 2-3 times per week as recommended.

Regular Veterinary Checkups

Annual dental exams are crucial for Shih Tzus due to their predisposition to periodontal disease. Your vet can perform professional cleanings and recommend specific dental products tailored to your dog's needs.

Pro tip

To maximize the dental benefit, give your Shih Tzu a dental chew after a meal when saliva production is higher, which helps the chew's mechanical action. Also, rotate between two or three different VOHC-accepted chews to keep your dog interested and ensure varied cleaning action.

Frequently asked questions

Do dental chews really work for Shih Tzus?
Yes, dental chews can help reduce plaque and tartar buildup when used as part of a comprehensive dental care routine. However, they are not a substitute for regular brushing or professional cleanings. Look for chews with the VOHC seal for proven efficacy. For Shih Tzus, choose appropriately sized chews to ensure they are effective and safe. Always consult your veterinarian for personalized advice.
How often should I give my Shih Tzu a dental chew?
Most dental chews recommend giving one chew per day, but this can vary based on the product and your dog's size. For Shih Tzus, 2 to 3 times per week is often sufficient to maintain dental health without adding excess calories. Always follow the manufacturer's guidelines and adjust your dog's daily food intake to avoid weight gain. If your dog has specific health conditions, consult your vet.
When should I see a vet about my Shih Tzu's teeth?
You should schedule a veterinary dental exam at least once a year. Signs that warrant a sooner visit include bad breath, visible tartar, red or bleeding gums, difficulty eating, pawing at the mouth, or loose teeth. Shih Tzus are prone to dental disease, so early intervention is key. Your vet can perform a thorough cleaning and recommend appropriate dental care products.
What is the NASC seal and why does it matter?
The National Animal Supplement Council (NASC) seal indicates that a supplement manufacturer has passed a third-party audit for quality and consistency. It ensures the product meets strict standards for ingredient sourcing, manufacturing, and labeling. While dental chews are not supplements, the NASC seal is important for other health products like probiotics or joint chews. Always look for this seal to ensure quality.
Are joint chews or dental chews better for my Shih Tzu?
They serve different purposes. Dental chews focus on oral hygiene, while joint chews support mobility and cartilage health. If your Shih Tzu has both dental issues and joint problems, you may need both. However, always consult your vet before combining supplements. Some products combine dental and joint benefits, but ensure each ingredient is at an effective dose.
Can probiotics help my Shih Tzu's dental health?
Probiotics primarily support gut health, but some research suggests they may also benefit oral health by balancing the oral microbiome. However, dental chews are more directly effective for plaque and tartar removal. Probiotics can be a complementary addition, but they should not replace mechanical cleaning. Look for probiotic chews with a guaranteed CFU count and the NASC seal.
Are dental chews safe for Shih Tzus with sensitive stomachs?
Many dental chews are formulated to be easily digestible, but some dogs may experience gastrointestinal upset, especially if they are not used to them. Start with a small piece and monitor for vomiting or diarrhea. Choose chews with limited ingredients and avoid artificial additives. If your Shih Tzu has a known sensitivity, consult your vet before introducing new chews.
What should I do if my Shih Tzu swallows a dental chew whole?
If your dog swallows a chew whole, monitor for signs of choking, such as gagging, coughing, or difficulty breathing. If these occur, seek emergency veterinary care immediately. For small chews, they may pass through the digestive tract, but large pieces can cause blockages. To prevent this, always choose appropriately sized chews and supervise your dog while chewing.
Can dental chews cause tooth fractures in Shih Tzus?
Yes, if the chew is too hard. Shih Tzus have small teeth that are more prone to fractures. Avoid chews like antlers, bones, or hard nylon. Stick to chews that are specifically designed for dental health and have a texture that bends or flexes. If you are unsure, press the chew with your fingernail; if it leaves an indent, it is likely safe. Always supervise chewing.
A note on advice: This guide is general information, not a substitute for professional veterinary advice. Talk to your vet before changing your dog's diet or care routine, especially if your dog has allergies, kidney disease, pancreatitis, obesity, heart disease or any other medical condition.
Transparency

How we made this guide

How we chose. We compared the options on the factors that matter most for Dog Care Products, using manufacturer specifications, aggregated verified owner reviews and editorial comparison. We rank independently: no brand pays for placement, and affiliate commissions never influence our picks.

How it was written. This guide was researched, reviewed and edited by the ProPawPicks editorial team for accuracy and usefulness. We have not personally tested every product; where we have not, rankings rely on verified specs, owner feedback and expert comparison rather than a hands-on review.

Affiliate disclosure. ProPawPicks is reader-supported. If you buy through links on our site, we may earn a commission at no extra cost to you. See our affiliate disclosure.

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Sources and further reading

Some links below are affiliate links. If you buy through them we may earn a small commission at no extra cost to you. Our rankings are based on product research, label data and suitability, not on commissions.