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Dental Malocclusion in Puppies: Aiko's Story

Nine-week-old Moodle puppy Aiko being held by a veterinarian during her first health check before treatment for dental malocclusion.

A Dental Problem Identified Early

Aiko is a delightfully tiny fluffball who was only a 9-week-old puppy when we met her and her new family. She’s a female Moodle and even now, as an almost fully mature dog, she’s a petite 3.1kg.

During that first appointment, Dr Kimberley identified a dental malocclusion, which is quite common in ‘oodle’ breeds. This meant her lower left canine tooth was base narrow and pressing into her palate every time she closed her mouth. As you can imagine, biting yourself with those sharp puppy teeth is terribly painful.

Aiko was booked in the following week for Dr Nicole to remove the problematic deciduous tooth to prevent further trauma while waiting for her adult teeth to develop.

“Early intervention gave Aiko the best chance of developing a comfortable, functional bite as she grew.”

Close-up of Aiko's mouth showing retained deciduous teeth and dental malocclusion before treatment.

Watching Her Adult Teeth

Following the extraction, we then had to wait and watch Aiko’s permanent (adult) teeth erupt over the next few months. We needed to see whether they would develop the same problem so we could intervene at the right time if necessary.

It’s not unusual for small dogs to have delayed eruption of their permanent teeth, and this was the case for Aiko. She was seven months old before they had all finally come through. Unfortunately, her deciduous teeth also refused to fall out, which can make malocclusions even worse. In total, she retained three deciduous canines and two upper premolars.

Creating Space for Healthy Adult Teeth

Post-operative close-up of Aiko's mouth showing additional space created for her canine teeth to move into a normal position.
Post-operative view of Aiko's mouth showing improved tooth alignment after removal of retained deciduous teeth and selected incisors.

We booked Aiko in straight away to remove the retained deciduous teeth. We also needed to remove three permanent incisors to create enough space for her much more important canine teeth to move into the correct position.

This type of overcrowding is common in very small dogs. Their jaws can be tiny, but their teeth are often comparatively large. As a result, we regularly see overcrowding, impacted or unerupted teeth, rotated teeth and even roots that curve because there simply isn’t enough room for them to develop normally.

Fortunately for Aiko, she was also missing a number of teeth. Dental X-rays confirmed they were genuinely absent rather than unerupted or impacted, which was important because impacted teeth can form cysts later in life and should be removed before this happens.

“Small dogs often have more teeth than their jaws comfortably accommodate, making early assessment especially important.”

Close-up of Aiko's mouth showing improved alignment of her lower canine tooth after early treatment for dental malocclusion.

Achieving an Optimal Outcome, No Orthodontics Required

The goal was to remove some of Aiko’s less important incisor teeth to create enough space for her canine teeth, which play a much more important structural role, to move into the correct position without the need for orthodontics.

At this stage, ball play with a rubber ball can also be very helpful. Soon after eruption, the teeth are still quite mobile, and the gentle pressure from the ball can encourage the lower canines into a more desirable position, provided there is enough space.

Making Every Procedure Count

We also desexed Aiko during the same procedure. Whenever possible, we coordinate dental treatment with desexing to minimise the number of general anaesthetics a puppy needs.

Thanks to early intervention and careful planning, Aiko has every opportunity to enjoy a healthy, comfortable bite as she continues to grow.

Aiko as a 9-week-old Moodle puppy with Dr Nicole during her first dental procedure.
Close-up of Aiko's mouth showing improved canine alignment following treatment for dental malocclusion.

Frequently Asked Questions

What is dental malocclusion in puppies?

Dental malocclusion means the teeth don’t line up as they should when a puppy closes its mouth. In Aiko’s case, her lower left canine was base narrow and pressed into the roof of her mouth, causing pain every time she closed her jaws.

Why do retained deciduous teeth need to be removed?

Retained deciduous, or baby, teeth can prevent the permanent teeth from erupting into their correct positions. In puppies like Aiko, they can make an existing malocclusion worse and contribute to overcrowding.

Why are small dogs more likely to develop crowded teeth?

Many very small dogs have jaws that are too small for all of their adult teeth. This can lead to overcrowding, rotated teeth, impacted or unerupted teeth, and other developmental dental problems that may require treatment.

Why are dental X-rays important for puppies with dental malocclusion?

Dental X-rays help confirm whether missing teeth are genuinely absent or trapped beneath the gums. In Aiko’s case, they confirmed the missing teeth were not impacted, which is important because impacted teeth can form cysts later in life.

Can early treatment help puppies avoid orthodontics?

In some cases, yes. Aiko’s treatment created enough space for her canine teeth to move into a normal position without orthodontics, showing how early assessment and timely intervention can improve the long-term outcome.