Oral Hygiene aka Good Teeth, Sweet Breath

Oral Hygiene aka Good Teeth, Sweet Breath

on Sep 12, 2026

Good teeth and sweet breath are two of the Holy Grails of dog husbandry. Dogs have them as puppies, but, astonishingly, according to the American Veterinary Medicine Association in 2012, 70% of dogs in the USA have periodontal disease (PD: inflammation and/or infection of the structures supporting the teeth) by the age of 24 months old. Most dogs in the USA are fed dry brown kibble. 

Causes and Consequences of Periodontal Disease

PD happens in humans when you don’t floss and brush your teeth properly. If you eat so much sugary junk food, your brushing can’t keep up; then you’re in trouble. Or PD can happen when you’ve had antibiotics to disrupt the mouth microbiome, or are otherwise in poor in health. How? Let’s look at our dogs to show us.

Dogs can’t brush their teeth, but if they have a healthy, varied raw food diet involving daily chewing, this has the same effect. How do we know? Because hundreds of other raw feeding vets and I put thousands of dogs on raw food, including bones and chewy materials like heart, dried hides and defrosted pigs feet and see the resounding difference it makes to oral health. 

Other chewing materials include: chicken carcasses, duck necks and lamb ribs. Yes, we can brush their teeth for them, as our vets suggest, but few normal people can regularly clean thoroughly both inside, outside and the biting surface of every single tooth every day. Chewing bones and animal hoof and hide will do this very well.

Kibble and Bad Breath

Bad food, in the dog world, for me, is kibble. Kibble does not clean teeth. Let me say that again: Kibble does not clean teeth. 

If it did, why would one of the major kibble manufacturers invent a ‘tooth diet’ kibble to supposedly clean teeth? Just because kibble is crunchy doesn’t mean it impacts on tartar and plaque. Most vets expect to do at least 1-3 dental procedures on every dog during the dog’s lifetime. And they are mostly fed dry kibble. 

Kibble is also very high in carbohydrates. These are usually in the form of wheat, maize, sweet potato or oats etc. High carb food particles washing around the mouth all day with no brushing/cleaning/drooling over bones means you encourage strange new, non-doggy bacteria to take up residence in the mouth that are foreign to the dog. These bacteria massively predispose to the atrocious mouths we see on kibble fed dogs. And the classic ‘dog breath’. Poor owner, yes, but I feel sorry for the dog. Imagine. 

Bacterial overgrowth in the mouth will also happen after antibiotics. Just as they can predispose to thrush in us because the native microbiome is disrupted, so it can happen in the mouth. Indeed, thrush or yeast overgrowth is sometimes even seen in the mouth, too. 

Poor general health and disrupted immunity can also predispose to unhappy mouth microbiome, leading to plaque, tartar, gum disease and periodontal disease. 

The Answer: Chew

The answer, of course, is fresh, varied raw food with bones, chews (only healthy ones), chicken wings, carcasses, duck and turkey necks. The list of (healthy) chewy things for dogs is almost endless. That’s the joy of visiting the shop to see what treats healthy we can buy for the dog. 

Chewy dog treats and bones that dogs love and do their teeth a power of good. What’s not to like about that?  


About the author

Nick Thompson is a vet. He has been fighting for responsible, species-appropriate raw food feeding for pets for 25 years. His tireless drive for healthy pets from birth to graceful old age brought him to raw feeding in the mid-1990s.
Nick is Founding President of the international Raw Feeding Veterinary Society (www.rfvs.info) and has co-authored a pioneering worldwide survey of 79 vets and their experiences feeding raw food. He has co-organised international raw food conferences for the RFVS since 2012.
In 1999, Nick established his specialist practice, Holisticvet (www.holisticvet.co.uk). Now based in Corsham, near Bath, he offers homeopathy, natural nutrition and herbal medicine and a lot of good old-fashioned common sense for dogs and horses.
His pet topics are gastroenterology and the microbiome and the misuse of pharmaceuticals in medicine. He loves researching all aspects of human and animal nutrition.
Nick also shares his passion for raw feeding with a nutritional consultancy service to the premier raw pet food companies in the UK and Europe. He has lectured and consulted in Raw Food, Nutrition and Medicine throughout the UK, Eire, Northern Ireland, Finland, Spain, Portugal, France, Germany, the Czech Republic, Belgium and the Netherlands.
Nick is embracing Social Media to spread his message: Facebook: Holisticvet Ltd; FB Public Figure: Dr Nick Thompson; Instagram: holisticvetuk.
Nick is married to Elly and has two children, Arthur and Ophelia, and lives in Wiltshire, UK with chickens a Snowshoe cat called Ziggy and a Whippet-Italian Greyhound cross (mongrel), Bluebell.
When not trying to convert the world to a species-appropriate diet, Nick runs barefoot, swims and eating real food. Not all at the same time.