The best dental chew for a Shih Tzu mechanically disrupts plaque every day. Toy breeds carry the highest documented rates of periodontal disease.
Dental risks for a Shih Tzu
Crowded teeth, retained deciduous teeth, and shorter jaws don't self-clean. Daily plaque control isn't optional.
Our recommendation: Brushless Toothpaste
Brushless Toothpaste — sized for 20-40 lb dogs. DENTA-METER plus Asta-Shield. See PubMed astaxanthin. 25+ years USA-made.
Daily dental routine
One chew/day, weekly brushing if feasible, vet cleaning at recommended cadence. See VOHC accepted products. Always check with your vet.