"Dog breath" isn't normal. A healthy dog's mouth shouldn't smell strongly, and persistent bad breath (halitosis) is usually the first sign of periodontal disease, which affects most dogs by the age of three, according to the American Animal Hospital Association.
Plaque, a film of bacteria, forms on teeth within hours of a meal. If it isn't removed, it hardens into tartar within days, and bacteria spread under the gumline, where they cause inflammation, pain, gum recession and eventually tooth loss. The smell comes from the sulphur compounds those bacteria produce.
Most of the disease is hidden below the gums, so a mouth that looks fairly clean can still be sore. Dogs rarely show dental pain; many keep eating normally even with infected teeth.
