Dog Dental Chews: The 2026 US Guide to VOHC Picks, Real Costs, and What Actually Works

A dog dental chew is a treat with a job description. It scrapes, scrubs, and occasionally lies about how much it can do. The US market is packed with bones, sticks, rings, and “brushless toothpaste” shapes that all promise cleaner teeth, fresher breath, and fewer vet bills. Some of that is real. Some of it is a $12 bag of calories with a paw print on it.

Here is the working version. A dental chew can reduce plaque and tartar when it is the right size, has real chewing time, and sits inside a routine that includes brushing and professional cleanings. It cannot remove hardened tartar, treat periodontal disease, or replace a $300–$700 anesthetic cleaning. The gap between those two statements is where most dog owners get played.

The 30-second answer: which dental chews are worth buying

If you want the short list before the long argument: Greenies Original is the default benchmark for most dogs, Virbac C.E.T. VeggieDent FR3SH is the strongest plant-based option, OraVet is the tartar-focused pick with delmopinol, and WHIMZEES Brushzees is the chew that tends to last longest among the VOHC-accepted vegetarian crowd. Purina DentaLife is the budget daily habit, Pedigree Dentastix is the large-dog grocery-store fallback, and ProDen PlaqueOff Dental Care Bones is the kelp-based option for owners already loyal to that brand.

That list is not a personality test. It is a starting point built on the Veterinary Oral Health Council accepted-products list, label calories, price per chew, and the specific claim each product is allowed to make. The VOHC seal is not a government approval and it is not a guarantee that your dog will chew the thing instead of inhaling it. It means the manufacturer submitted data and the council accepted a claim for plaque, tartar, or both. That distinction matters more than the logo on the bag.

The real decision comes down to three numbers: your dog’s weight, the calories per chew, and the cost per day. A chew that is too small gets swallowed. A chew that is too hard cracks teeth. A chew that is 88 calories inside a 600-calorie daily budget is not a dental product anymore; it is a meal replacement with a marketing department.

Product Best for VOHC claim Calories per chew Approx. price per chew Main watch-out
Greenies Original Regular Most dogs, widest size range Plaque and tartar 88 kcal About $1.09 Calorie-dense; fast eaters gulp chunks
Virbac C.E.T. VeggieDent FR3SH Medium Plant-based, chicken-free households Plaque and tartar 75 kcal About $1.14 Softer texture; not for power chewers
OraVet Dental Hygiene Chews Medium Tartar-prone dogs, breath-focused buyers Tartar 80.5 kcal About $1.59 Higher cost per chew; tartar claim only
WHIMZEES Brushzees Medium Longer chewing sessions, grain-free buyers Plaque and tartar 87 kcal About $1.32 Hard texture; senior dogs may struggle
Purina DentaLife Small/Medium Daily habit on a budget Tartar 63 kcal About $0.31 Tartar claim only; some dogs finish fast
Pedigree Dentastix Large Large dogs, easy local restocking Plaque and tartar 124 kcal Low to mid Big calorie load; texture varies by line
ProDen PlaqueOff Dental Care Bone Kelp-based tartar control Plaque and tartar 107 kcal About $1.31 Higher calorie load; strong flavor

Prices move. Chewy runs autoship discounts, Amazon flips prices by the hour, and Costco sells giant boxes that make the per-chew math look better than it is. Use the table as a ratio, not a receipt. The useful comparison is cost per day at one chew per day, because that is how the product is designed to be used.

What a dental chew can and cannot do

Mechanical scraping is the core mechanism. As a dog chews, the texture of the product rubs against the tooth surface and disrupts soft plaque before it mineralizes into tartar. Some products add a chemical layer on top of that: delmopinol in OraVet, a prebiotic in VeggieDent, kelp in ProDen, or a porous texture in DentaLife that traps debris as the dog works through it. None of these mechanisms reach below the gumline with the precision of a curette.

A 2024 beagle study found that dogs given a dental chew twice daily reduced plaque accumulation by 37.63%, calculus by 37.61%, and volatile sulfur compounds by 81.08% by day 29 compared with no chew. That is a meaningful reduction. It is also not a clean mouth. The same study notes that regular brushing remains the most effective way to remove plaque, while owner compliance with brushing is roughly 1%. Dental chews exist because humans are unreliable, not because chews are superior.

Periodontal disease is the background risk. By age two, roughly 80% of dogs have some form of periodontal disease, according to figures cited in the veterinary literature. The disease starts with plaque, progresses to gingivitis, and then to periodontitis with bone loss. A chew can slow the early stages. It cannot reverse bone loss, pull a loose tooth back into place, or treat an abscess. If your dog already has visible tartar, bleeding gums, or foul breath that survives a chew, the next purchase is a vet appointment, not another bag of treats.

The honest hierarchy looks like this: daily brushing first, professional cleanings at the interval your vet recommends second, and chews as a supplement that buys you margin between those two. A chew-only routine is better than nothing. It is not a substitute for the other two, and any brand that implies otherwise is selling confidence, not dentistry.

How to read a dental chew label like a skeptic

Start with the VOHC claim, not the front of the bag. The VOHC accepted-products list separates plaque claims from tartar claims. Greenies Original is accepted for both plaque and tartar. OraVet is accepted for tartar. Purina DentaLife is accepted for tartar. That difference is not cosmetic: plaque is the soft, early film; tartar is the hardened mineralized deposit. A tartar-only chew is not useless, but it is not doing the same job as a dual-claim product.

Then read the guaranteed analysis and the calorie statement. A “daily” chew can carry 63 to 124 calories depending on size and brand. For a 25-pound dog eating roughly 600 calories a day, a 124-calorie chew is about 21% of the daily intake. Even an 88-calorie Greenies Regular is roughly 15% of that budget. The common veterinary guideline is to keep treats at or below 10% of daily calories, which for a 600-calorie dog is 60 calories. An 88-calorie chew does not fit inside that budget unless you cut food or accept the overage. Most owners do not do either.

Ingredient order matters less than marketing wants you to believe. “Natural” has no single legal definition that guarantees dental efficacy. “Organic” is even messier for pet treats because the USDA organic seal applies to human food and agricultural ingredients, not to every finished pet chew in the same way. “Grain-free” describes the absence of grain, not the presence of cleaning power. “Chicken-free” is useful only if you read the actual ingredient panel, because “poultry flavor” and “animal digest” can hide behind friendly front-of-bag language.

The “vet-recommended” line deserves its own paragraph. It sounds authoritative. It is not a regulatory category. A brand can say it because it paid for a survey, because a consultant appeared in a video, or because a handful of clinics stock the product. The VOHC seal is the closest thing this category has to a standardized third-party screen, and even that is a review of submitted manufacturer data, not an independent clinical trial run by the council. Treat “vet-recommended” the way you treat “premium”: a mood, not a measurement.

The best dog dental chews in the US for 2026

Greenies Original earns the default position because it covers the widest weight range and carries a dual plaque-and-tartar claim. Teenie is aimed at 5–15 lb dogs, Petite at 15–25 lb, Regular at 25–50 lb, and Large at 50–100 lb. That sizing ladder is genuinely useful in multi-dog homes. The trade-off is calorie density and a texture that determined dogs can finish in under a minute. Greenies are not a conspiracy; they are a convenient benchmark that happens to be calorie-heavy and easy to eat fast.

Virbac C.E.T. VeggieDent FR3SH is the pick for households avoiding chicken or animal protein. The Z-shape is designed to reach the back teeth, the formula is plant-based and gluten-free, and the medium size carries 75 calories with a dual VOHC claim. The texture is softer than Whimzees, which helps older dogs and small mouths, but it also means a committed chewer can shorten the session. A 30-count bag at roughly $31 works out to about $1.04 per chew, which is competitive with Greenies and cheaper than OraVet.

OraVet Dental Hygiene Chews are the mechanism-led option. Delmopinol hydrochloride is a human oral-care ingredient that helps prevent plaque from sticking, and the product carries a VOHC tartar claim. Medium chews run about 80.5 calories and roughly $1.59 each, while large chews hit 128.2 calories. That is the highest per-chew cost in this comparison, and the claim is narrower than Greenies or VeggieDent. Buy it when tartar is the specific problem and your vet has already flagged it, not because the bag looks clinical.

WHIMZEES Brushzees is the long-chew pick. The ridged shape and firm texture give a dog more contact time than a soft stick, and the product is vegetarian, grain-free, and VOHC-accepted for plaque and tartar. Medium is 87 calories at about $1.32 per chew; large jumps to 173 calories, which is a serious number for a big dog and an absurd one for a small dog. The same firmness that makes it useful for a medium breed makes it a poor fit for a senior with worn teeth or a toy breed with a small jaw.

Purina DentaLife is the budget habit. The small/medium chew is 63 calories and a 40-count pouch runs about $12.44, which lands near $0.31 per chew. The VOHC claim is tartar only, and some dogs finish the porous texture quickly. For a dog that already tolerates brushing and needs a cheap daily supplement, that math is hard to beat. For a dog that gulps treats, the low price is irrelevant because the chew is not doing the work.

Pedigree Dentastix is the large-dog grocery-store answer. It is easy to find, carries a VOHC claim in the Advanced line, and a large stick is roughly 124 calories. The texture is not uniform across the entire Dentastix family, so read the specific bag rather than assuming the whole brand behaves the same way. ProDen PlaqueOff Dental Care Bones is the kelp-based option, accepted for plaque and tartar, with 107 calories per regular bone and a price around $1.31 per chew. It suits owners who already use the PlaqueOff powder and want a chew with the same active concept.

Product Pack size and price Cost per day at one chew Cost per year What that year buys you
Greenies Original Regular 54 ct at $58.96 About $1.09 About $398 Daily plaque and tartar reduction, plus a lot of calories
Virbac VeggieDent FR3SH Medium 30 ct at $31.08 About $1.04 About $378 Plant-based dual-claim chew; softer texture
OraVet Medium 30 ct at $35–$50 About $1.17–$1.67 About $427–$609 Tartar-focused delmopinol coating
WHIMZEES Brushzees Medium 28 ct at $34.77 About $1.24 About $453 Longer chew time, vegetarian formula
Purina DentaLife Small/Medium 40 ct at $12.44 About $0.31 About $113 Budget tartar control; shorter chew time

One year of Greenies Regular costs roughly the same as a single professional cleaning without extractions, which typically runs $300–$700. That comparison is tempting but misleading. The chew does not remove existing tartar, does not scale below the gumline, and does not take dental X-rays. What it can do is slow the rate at which new plaque hardens, which may stretch the interval between cleanings. Whether that saves money depends on your dog’s genetics, chewing style, and how honest you are about brushing.

Small dogs, large dogs, and the sizing mistake that costs $700

Small dogs have less mouth room, more crowded teeth, and a tighter calorie budget. A chew that looks tiny to a human can still be a significant part of a 10-pound dog’s daily intake. Greenies Teenie is 25 calories, Petite is 52 calories, and Regular is 88 calories. A 10-pound dog eating around 300 calories a day has a 10% treat budget of 30 calories. One Teenie fits. One Petite is already over the line. Two Petites turn a dental routine into a weight-management problem.

Large dogs have the opposite failure mode. A chew that is too small disappears in two bites, which means no contact time and a higher swallow risk. A chew that is too hard can fracture a molar, especially in older dogs with worn enamel. The right large-dog chew is big enough to force real chewing, firm enough to resist being torn into chunks, and not so dense that it behaves like a rock. OraVet large is 128.2 calories, Greenies Large is 142 calories, and Whimzees Large is 173 calories. Those numbers add up fast for a dog that is also getting training treats and table scraps.

The dangerous middle ground is a “medium” chew given to a dog at the edge of the weight band. A 24-pound dog on a 25–50 lb product is close enough to the lower limit that the chew may be too large for comfortable handling, while a 26-pound dog on a 15–25 lb product may swallow pieces. Use the weight band as a starting point and then watch the first chew. If the dog gulps, cracks off large pieces, or tries to swallow the last third whole, the size is wrong regardless of what the bag says.

Cutting a large chew down to size is not a safe shortcut. The texture, density, and shape change when you saw a chew in half, and a modified piece can break differently in the mouth. Buy the correct size. If your dog is between sizes, go with the smaller product only if the dog is a deliberate chewer; go larger if the dog is a gulper, then supervise and remove the final stub.

Multi-dog homes need separate products, not one bulk bag. A 12-pound terrier and a 70-pound lab do not share a chew size, a calorie budget, or a chewing style. Buying one giant bag and “eyeballing” portions is how small dogs end up with big-dog calories and big dogs end up with tiny chews that vanish. The cost of two correctly sized bags is almost always lower than the cost of one choking incident or one obesity-related vet visit.

Natural, grain-free, chicken-free, vegetarian: what the labels actually mean

“Natural” is a useful word for marketing and a weak word for dentistry. It does not mean the product has been tested for plaque or tartar reduction, and it does not mean the texture is safe for your dog’s teeth. A natural chew can still be hard enough to fracture a molar, and a synthetic chew can still carry a valid VOHC claim. Judge the claim and the texture, not the word.

“Grain-free” is relevant for dogs with diagnosed grain allergies, which are less common than the pet-food aisle implies. It says nothing about dental efficacy. WHIMZEES Brushzees is grain-free, vegetarian, and VOHC-accepted, which is a rare combination of labels that actually line up. Many grain-free chews have no VOHC listing at all. If your dog has a confirmed grain allergy, grain-free matters. If your dog does not, grain-free is a price premium with a nice story attached.

“Chicken-free” is the label most likely to be technically true and practically misleading. Chicken protein can appear as “chicken meal,” “chicken fat,” “poultry flavor,” or “animal digest.” Virbac VeggieDent FR3SH is plant-based with no animal-derived ingredients, which makes it a cleaner chicken-free choice than a bag that simply says “chicken-free” on the front. Always read the ingredient panel, not the badge.

“Vegetarian” is a meaningful category because plant-based chews avoid common animal proteins and often suit dogs with poultry or beef allergies. VeggieDent and Whimzees are the two established vegetarian options with VOHC claims. The trade-off is texture: some vegetarian chews are softer and shorter-lasting, while others are firm enough that a senior dog may struggle. There is no vegetarian chew that is automatically gentle just because it contains vegetables.

“Organic” is the weakest of the bunch for dental purposes. The USDA organic seal is a human-food standard, and pet treats occupy a regulatory gray zone. An organic label may tell you something about ingredient sourcing. It tells you nothing about whether the chew reduces plaque, how many calories it contains, or whether it is the right size for your dog. Pay for the dental claim, not the farming philosophy.

Senior dogs, sensitive teeth, and soft chews

Older dogs accumulate dental problems and lose chewing power at the same time. Worn enamel, missing teeth, loose teeth, and arthritis in the jaw all make hard chews a bad idea. WHIMZEES Soft is specifically designed to be about 35% softer than the standard line and is aimed at dogs aged seven and older or dogs with sensitive teeth. That softer texture is a real improvement for a dog that cannot handle the standard Brushzees, but it also means the chew may not last as long.

Soft does not mean risk-free. A soft chew can still be swallowed in large pieces, and a senior dog with reduced jaw strength may tire before finishing, leaving a soggy stub that becomes a choking hazard. Supervise the first few chews, remove the last third, and check the stool for undigested pieces. If the chew comes out looking like it went in, the dog is not chewing it enough to get a dental benefit.

Sensitive teeth are usually a symptom, not a diagnosis. If your dog flinches when chewing, drops food, drools, or avoids one side of the mouth, the correct next step is a veterinary oral exam, not a softer treat. A soft chew may make the dog more comfortable in the short term while an abscess or a fractured tooth gets worse underneath. Dental chews are for prevention and maintenance. They are not pain management.

For dogs with missing teeth or advanced periodontal disease, ask your vet whether any chew is appropriate. Some dogs do better with a soft veterinary oral gel, a water additive, or a prescription dental diet. A chew that requires chewing is a poor tool for a mouth that cannot chew safely.

Are dog dental chews safe? Choking, blockages, and supervision

Most dental chews are safe for most dogs when they are correctly sized and supervised. The exceptions are not theoretical. The ASPCA warns that chews can cause choking or gastrointestinal obstruction, and that obstruction may be more likely in smaller dogs; inappropriately small chews can also be swallowed whole. A dental chew is a foreign object that a dog is supposed to break down. If it does not break down, or if it breaks into pieces that are small enough to swallow but too large to pass, the result is an emergency.

Greenies are the most famous case study. In 2005 and 2006, the FDA received complaints about the product failing to break down and becoming lodged in the esophagus or intestine, and at least 13 deaths were reported in the media. The manufacturer reformulated the product to be more soluble and changed the label to emphasize size matching and supervision. A search of the FDA recall database in October 2026 returned no Greenies recalls. The current product is not the 2005 product, but the history is a useful reminder that “VOHC-accepted” and “safe” are not synonyms.

Rawhide is a separate category with its own risk profile. The FDA does not consider rawhide “food,” which means it is not regulated like food, and rawhide can cause choking or obstruction if a dog swallows a large piece. Some dental chews are rawhide-based or rawhide-adjacent. If the ingredient panel says “rawhide,” treat it with more caution than a formulated dental chew with a VOHC claim.

Hard bones and antlers are the other common mistake. They are long-lasting, which owners love, but they are hard enough to fracture teeth. A fractured carnassial tooth can cost hundreds of dollars to extract or repair, and the chew that caused it is often marketed as “natural” and “durable.” Durability is not the same as safety. A dental chew should have some give, especially for older dogs and small breeds.

The supervision rule is simple and non-negotiable: watch the first chew all the way through, and watch every chew if your dog is a gulper. Take away the last small piece. Do not give a dental chew when you are leaving the house, driving, or distracted. If your dog has a history of swallowing treats whole, choose a larger size or a different format entirely. A chew that is too big is annoying. A chew that is too small is a vet bill.

Chews vs. brushing vs. professional cleaning: the real math

Daily tooth brushing is more than three times as effective at controlling plaque as a daily dental chew or a dental diet, according to a randomized clinical trial in dogs. That does not make chews pointless. It makes them a compliance tool. Most owners do not brush daily. A chew is a second-best option that actually gets used, which is why the category exists.

The economics are less flattering than the marketing. A year of Greenies Regular at one chew per day costs roughly $398 at current US prices. A year of DentaLife Small/Medium costs roughly $113. A professional cleaning without extractions costs $300–$700, and with X-rays and extractions it can run $700–$1,200 or more. A daily chew does not replace that cleaning. It may delay it, but it also adds 63–124 calories per day and hundreds of dollars per year. The chew is not saving you money in isolation. It is buying a small amount of mechanical cleaning between professional visits.

The calorie math is where most buyers get caught. A 25-pound dog on roughly 600 calories a day has a 10% treat budget of 60 calories. A single Greenies Regular is 88 calories, or about 147% of that budget. A DentaLife Small/Medium is 63 calories, which is 105% of the budget. Even the “budget” chew slightly overshoots the guideline for a dog at the lower end of its weight band. If you feed a daily dental chew, something else in the day has to shrink: the training treats, the table scraps, or the kibble portion.

Brushing remains the highest-return habit. A soft toothbrush and dog-safe toothpaste cost less than a month of premium chews and do more to disrupt plaque along the gumline. Chews are what you use when brushing does not happen, or as a supplement on the days it does. Professional cleaning is what you use when the calculus has already formed. Each tool has a job. Confusing them is how people end up spending $400 a year on treats and still getting a $700 dental bill.

Where to buy: Chewy, Amazon, Petco, Walmart, Costco

Chewy is the default for autoship and the easiest place to compare VOHC products by size and count. The prices are not always the lowest, but the subscription discount and the return policy make it a low-friction option for a daily habit. Amazon is cheaper on some multipacks and wildly inconsistent on others; check the seller and the expiration date, because dental chews are food-adjacent products and third-party sellers are not always careful about storage.

Petco and PetSmart are the convenient physical options when you need a bag today and do not want to wait for shipping. You will pay for that convenience. Walmart and Target are the budget channels for DentaLife and Dentastix, and Costco is the bulk channel that makes the per-chew price look civilized. The catch with bulk is that a 50-count bag of the wrong size is not a bargain; it is 50 future mistakes.

Vet clinics are the right channel for OraVet and some prescription dental products. You will pay clinic prices, but you also get the vet’s eyes on your dog’s mouth and a product that matches the specific problem. For a dog with existing tartar or gingivitis, that exam is worth more than the online discount. For a healthy dog that just needs a daily chew, the online channels are fine.

Ignore the “free” sample offers and the “free shipping” thresholds for a moment. Free shipping usually requires a minimum basket, and the minimum basket is set above the price of the single item you came for. That is not a gift; it is a nudge to add a second bag, a toy, or a bag of treats you did not need. The same logic applies to “buy 3, save 15%” — the saving is real only if you were going to buy three anyway. Pet retail is a business with margin baked into every “deal,” and the dental chew aisle is no exception.

The daily routine that works (and the 10% calorie rule)

Feed one correctly sized chew per day, at roughly the same time, and count it as food. The 10% rule is a useful ceiling: treats, including dental chews, should stay under 10% of the dog’s daily calorie intake. For a 600-calorie dog, that is 60 calories. For a 300-calorie toy breed, it is 30 calories. If the chew exceeds the budget, reduce the kibble or skip the other treats. A dental chew that causes weight gain is trading one health problem for another.

Put the chew after a meal rather than before. The chewing action helps distribute saliva and mechanically disrupt plaque when the mouth is already active. Some owners give the chew while they brush their own teeth, which turns it into a reliable daily habit instead of an occasional treat. The exact time matters less than the consistency.

Watch the clock. A useful chew should last long enough for real contact, not disappear in 30 seconds. Chewing sessions of 20–40 minutes are a reasonable benchmark for a long-lasting chew, though dental chews are usually shorter. If your dog finishes in under two minutes, the product is too small, too soft, or too tasty for the job. If your dog gives up after five minutes, the product may be too hard or too large.

Keep a simple log for two weeks: product, size, calories, how long the chew lasted, and what the mouth looked like. That log will tell you more about whether the product works for your dog than any review section. Dogs are individuals. A chew that works for a 40-pound mixed breed may be useless for a 12-pound terrier with crowded teeth and a sensitive stomach.

Do dog dental chews really work?

Yes, but within limits. VOHC-accepted chews have submitted data showing reduced plaque, tartar, or both when used as directed. A 2024 study found plaque and calculus reductions of roughly 37% and volatile sulfur compound reductions of about 81% in beagles given a dental chew twice daily. Chews work best as a supplement to brushing and professional cleanings, not as a replacement.

Are dog dental chews safe?

Most are safe for most dogs when correctly sized and supervised. The real risks are choking and gastrointestinal obstruction, especially in small dogs or dogs that swallow pieces whole. Avoid chews that are too small, too hard, or made from rawhide, and watch the first chew from start to finish. A chew that breaks into large chunks is a hazard, not a dental tool.

How often should I give my dog a dental chew?

Once a day is the standard recommendation for daily-use products, and it matches the 24-hour window in which plaque begins to form. More than one per day adds calories and cost without a proportional dental benefit. If you miss a day, do not double up. Consistency over weeks matters more than intensity on a single afternoon.

What is the best dental chew for a dog with tartar?

OraVet is the most tartar-focused option in this comparison because of its delmopinol coating, and it carries a VOHC tartar claim. Greenies Original and VeggieDent FR3SH carry dual plaque-and-tartar claims. For visible, hardened tartar, no chew will remove it; that requires a professional scaling. Use the chew to slow new buildup after the cleaning.

Can I give my dog dental chews instead of brushing?

No. Daily brushing is more than three times as effective at controlling plaque as a daily chew. Chews are a supplement for the days you cannot brush, not a replacement for the toothbrush. If your dog will not tolerate brushing, use a chew plus a water additive plus regular vet checks, and be honest with yourself about the trade-off.

Are grain-free dental chews better for dogs?

Only if your dog has a diagnosed grain allergy. Grain-free describes an ingredient profile, not a dental benefit. WHIMZEES Brushzees is grain-free and VOHC-accepted, which makes it a solid choice for grain-sensitive dogs, but many grain-free chews have no VOHC listing at all. Judge the dental claim first, then the ingredient panel.

The short version for people who skipped to the end

Buy a VOHC-accepted chew that matches your dog’s weight band, count the calories, and supervise the first one. Greenies Original is the safe default. VeggieDent FR3SH is the plant-based alternative. OraVet is the tartar-focused clinical pick. Whimzees Brushzees is the long-chew vegetarian option. DentaLife is the budget habit. None of them replace brushing, and none of them remove tartar that has already formed.

The dental chew aisle is full of confident packaging and thin evidence. The VOHC seal is not perfect, but it is the best quick screen available. Calories are the number most owners ignore and the one that matters most after size. Cost per day is the number that separates a sustainable habit from a $400 annual subscription to expensive treats.

One more thing: “vet-recommended” is a phrase, not a test result. Your vet’s recommendation for your dog’s mouth is worth more than any badge on a bag. If the mouth already has tartar, bleeding gums, or a broken tooth, book the cleaning. Then buy the chew for the months in between.