Small-Breed Health: Dental and Trachea Concerns
Prepared by the Waggle editorial team. This article is educational, not a diagnosis or an individual veterinary review.

Photo by K on Pexels. Illustrative photo; not a patient or clinical diagnosis.
Small breeds, such as Chihuahuas, Yorkies, Pomeranians, Maltese and Pugs, often live long lives, but they come with specific health risks that deserve attention.
Dental disease
Small mouths mean crowded teeth, which trap tartar and bacteria. Many small dogs develop dental disease early. Brush daily, schedule regular dental exams and ask your vet about professional cleanings.
Collapsing trachea
In some small dogs, the windpipe rings weaken and flatten, causing a dry, honking cough, especially with excitement, pulling on a leash or drinking. Use a harness rather than a collar, keep your dog at a healthy weight and avoid smoke and irritants. A persistent cough needs a vet's attention.
Kneecap problems
Patellar luxation, where the kneecap slips out of place, causes skipping or hopping on a back leg. Mention it at your next exam.
Heart disease
Mitral valve disease is common in older small dogs. Coughing, tiring easily and faster breathing at rest are signs worth reporting.
Low blood sugar in toy breeds
Very small puppies can develop dangerous drops in blood sugar if they miss meals. Weakness, wobbling or seizures are an emergency.
Fragile bones and backs
Jumping off furniture can cause injuries. Use ramps or steps, and ask about back problems in long-bodied breeds.
Weight matters most
Even a pound or two of extra weight is significant for a small dog. Measure food and limit treats.
Care that fits small dogs
For routine exams and dental cleanings, find a nearby veterinarian.
FAQs
Is a honking cough serious?
It can be, so have it checked.
What if I'm unsure about a symptom?
Chat with a licensed vet on Waggle Vet. Keep your dog's health history in your pet health vault.
Related reading
- Flat-Faced Breeds: Health Risks Every Owner Should Know
- Large-Breed Dogs: Joint and Bloat Risks to Watch
- What Belongs in Your Pet's Complete Health File
Waggle resources
Find nearby US veterinary clinics
Store pet documents with Waggle Vault
Sources and further guidance
- Merck Veterinary Manual: veterinary-reviewed pet owner resources
- AAHA: dental care guidelines for dogs and cats
Sources checked October 13, 2026. These references inform the guidance; they do not mean the authors medically reviewed or endorsed this article.
Still have questions?
For non-emergency questions, explore Waggle Vet. Trouble breathing, collapse, suspected poisoning or other severe signs need immediate in-person emergency care—do not wait for an online chat.
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