The toys and chews that send dogs and cats to the dentist are, frustratingly, some of the most popular products on the shelf. Antlers, hooves, real bones, hard nylon bones, tennis balls, and rope toys all carry a real risk of fracturing a tooth, splitting a gum, or ending up surgically removed from the intestine, and most families have no idea until it happens. The damage usually does not announce itself loudly. A dog with a fractured carnassial tooth often eats normally and acts normally for weeks, while the pulp slowly dies and the infection moves into the jawbone underneath. The cat batting around a rubber band finds it interesting until it ends up in the small intestine. Knowing which products carry the most risk, and which alternatives actually deliver on what they promise, is one of the easier ways to spare your pet a painful, expensive surprise.

At Noah's Ark Veterinary Hospital in Williamsburg, our dental services include the digital dental X-rays needed to find damage hiding below the gumline for both routine preventive cleanings and the treatment of chew-related injuries when they happen. We think honest guidance about which products are worth your money is part of what a partner-in-care relationship looks like. If you have noticed your pet favoring one side of their mouth, dropping toys, or bleeding when they chew, request an appointment and we will take a look.

What to Know Before You Buy

  • The chew aisle is mostly traps. Antlers, hooves, raw bones, and hard nylon bones are among the leading causes of fractured teeth in dogs.
  • The thumbnail test is the easiest screen. If you can't dent a chew with your thumbnail, it's too hard for your pet's teeth.
  • Most chew injuries are silent. A fractured tooth often produces no obvious change in behavior until weeks later, when an infection sets in.
  • VOHC-accepted products are the ones with proof behind them. The Veterinary Oral Health Council seal marks products that have demonstrated real plaque and tartar reduction in controlled studies.

How Do Chews and Toys Actually Affect Health?

Chewing is a normal, healthy behavior in dogs and cats. Done with the right products, it provides mental stimulation, helps satisfy natural urges to chew, and can mechanically reduce the plaque and tartar that lead to gum disease. The trick is that effectiveness depends on the product matching the pet. The right chew or toy has enough give to flex against the tooth without fracturing it, enough texture to scrape plaque off the tooth surface, and enough size and shape that the pet has to work for it rather than gulping it whole.

The main categories of safe chew toys and dental products include textured rubber toys (durable, dishwasher-safe, often hollow for food stuffing), enzymatic dental chews with VOHC backing, crunchy treats designed to break apart at specific points, puzzle feeders that combine chewing with problem-solving, and collagen-based rawhide alternatives that are far safer than traditional rawhide. The chews and toys that cause damage tend to fail in the opposite direction: too hard to flex, too abrasive on enamel, too easy to break into swallowable pieces, or sized to be gulped whole.

Which Chews Most Often Cause Tooth Fractures?

The chews we see cause the most dental damage are the ones marketed as "long-lasting," because their longevity comes from being hard enough to resist a dog's bite. Dogs bite down with tremendous force on their back teeth, and the risks of fractured teeth climb sharply with these popular but dangerous chews:

Chew typeThe damage we see
Real bones (raw or cooked)The leading cause of fractured carnassial teeth; cooked bones also splinter and can perforate the gut
Antlers (elk, deer, moose)Classic for slab fractures of the upper premolars, often found weeks after the chew was used
HoovesHard enough to fracture teeth; can also splinter into sharp fragments
Hard nylon bonesCrack teeth, gnaw down into sharp points and nylon fragments that scratch the mouth and gut
RawhideLess of a fracture risk than the above, but poorly digestible and swells into a dense mass that can lodge in the throat or intestine
Anything worn to a nubSmall enough to swallow whole and choke on

The single most useful screening tool costs nothing: press your thumbnail into the chew. If it doesn't leave an impression, it's too hard for your pet's teeth. Real bones, antlers, hooves, and hard nylon bones all fail this test. So do many of the "indestructible" toys marketed for power chewers.

The other thing worth understanding is the carnassial tooth, the large upper chewing tooth toward the back of the mouth. It's the tooth dogs use to break things, and it's the one that fractures most often. A carnassial fracture that exposes the pulp is painful, prone to infection, and almost always has to be extracted, since the root anatomy makes save-the-tooth procedures impractical in most cases. Extraction means anesthesia, dental X-rays, surgical removal, and pain medication, all to address damage that a safer chew would have prevented.

What Does a Chew-Related Dental Injury Actually Look Like?

The most common injuries we treat from unsafe chews and toys:

  • Fractured teeth. Most commonly the carnassial, but any tooth can fracture under enough force. Fractures range from a small chip in the enamel to a complete break exposing the pulp.
  • Slab fractures. A common pattern with antlers and hooves where a thin layer of tooth fractures off the side of the tooth, often without obvious symptoms.
  • Pulp exposure. When a fracture is deep enough to reach the inner pulp, it's painful and creates a direct pathway for bacteria into the tooth root and jawbone.
  • Tooth root abscesses. Infection that started at a fractured tooth and traveled to the root, often presenting weeks or months after the original injury as facial swelling or a draining tract below the eye.
  • Worn enamel. Especially from tennis balls and other abrasive toys, gradual enamel loss exposes the softer dentin underneath.
  • Gum and palate lacerations. Sharp edges from splintered bones, broken hard plastic, or fractured nylon can cut the soft tissue inside the mouth.
  • Mandibular fractures. Less common but serious; can occur in small dogs whose jaws aren't built to withstand the force of biting through hard chews.

The reason most chew-related injuries go unnoticed at home is that pets are remarkably good at hiding oral pain. They keep eating, keep acting normal, and a fractured tooth often only shows up when the family notices bad breath, a swollen face, or a discolored tooth. By the time those signs appear, the infection underneath is usually well established.

How Are Dental Injuries Diagnosed and Treated?

The visible portion of a tooth tells only part of the story, which is why dental X-rays are essential for diagnosing chew-related damage. The roots of the teeth, the bone supporting them, and the pulp inside are all invisible to the naked eye but show clearly on radiographs. Our digital dental X-ray system as part of our dentistry services lets us see exactly what's happening below the gumline and plan treatment accordingly.

For most chew-related fractures, treating a fractured tooth means one of two paths. Surgical extraction is the most common, particularly for carnassial fractures, and it resolves the pain and infection in one procedure. Root canal therapy is possible for some teeth, especially the strategically important canines and carnassials, and preserves the tooth if started early enough. The choice depends on which tooth is involved, how much structure is left, and how long the fracture has been present. For minor enamel fractures without pulp exposure, monitoring may be appropriate, though these teeth need to be watched closely since the fracture can progress.

Soft tissue injuries (gum cuts, palate lacerations) are usually treated with cleaning, suturing if needed, and antibiotics. Root canals and mandibular fractures are serious enough that we may need to refer to a board-certified surgical specialist for repair.

Which Toys Cause the Most Trouble?

Toy-related injuries fall into two broad categories: damage to the teeth and gums, and pieces that get swallowed and become gastrointestinal foreign bodies. The toy types that show up most often in our exam rooms:

Toy typeThe damage we see
Tennis ballsMost dogs do fine with them as supervised fetch toys; the trouble starts when they become chew toys. The abrasive felt coating acts like fine sandpaper on tooth enamel, grinding canine teeth and incisors down to the dentin over months and years, sometimes exposing the pulp. Large dogs can also compress a tennis ball with their jaws and lodge it in the back of the throat.
Hard plastic toysRigid enough to chip teeth and break into sharp-edged pieces that injure the mouth and gut.
Rope toysSwallowed fibers form linear foreign bodies that can saw through the intestine, one of the more dangerous and difficult-to-treat surgical emergencies.
Squeaker toysThe squeaker itself becomes a choking hazard once the toy is opened, and the small plastic parts can be swallowed.
Undersized toysAny toy small enough to fit entirely in the mouth can be gulped whole and lodge in the throat.
Stuffed toys with stuffingSwallowed stuffing balls up inside the gut and can obstruct it. Some stuffed toys are reasonably safe with gentle players; for shredders, they're an emergency waiting to happen.

For cats, the high-risk items are slightly different but follow the same pattern: string, ribbon, yarn, hair ties, tinsel, and rubber bands are all swallowed by curious cats and cause linear foreign bodies that require surgery to remove. Small parts from feather toys or mouse toys can also be ingested. Cats also seem to love to eat foam, like ear plugs and Nerf darts. Safer cat enrichment focuses on toys that engage hunting and play without small swallowable pieces.

The unifying habit that prevents most of these: supervise new toys until you understand how your pet plays with them, retire toys before they start shedding pieces, and size up rather than down so nothing small enough to swallow whole is in the toy bin.

How Are Toy Injuries Diagnosed and Treated?

The challenge with toy injuries is that families often don't witness the swallowing. A piece of a toy goes missing, the dog seems fine for a day, and then vomiting or lethargy starts and nobody is sure what's connected to what. Diagnosis begins with the history we can piece together, the physical exam findings (a tender belly, fever, dehydration), and imaging.

  • Abdominal X-rays show some foreign bodies clearly, particularly hard plastic or metal objects, but soft items like rubber, cloth, and rope often don't appear on plain radiographs and show up only as indirect signs of obstruction (gas patterns, dilated loops of bowel). Sometimes, barium is used to better highlight the object blocking the gut.
  • Abdominal ultrasound fills in much of what X-rays miss and is often the test that confirms an obstruction when the X-rays are equivocal.
  • Bloodwork tells us how sick the patient is and whether anesthesia and surgery can move forward safely.

Treatment depends on what was swallowed, where it is, and how long it's been there. A pet who comes in within an hour or two of swallowing something small enough to potentially pass may be a candidate for inducing vomiting, which avoids surgery entirely when it works. A small object already past the stomach may be monitored with serial X-rays to confirm it's moving along, with surgery reserved for objects that stall. Anything obstructing the gut, anything sharp, and any linear foreign body (string, ribbon, or shredded rope that anchors at one end while the rest moves with the intestine) needs surgical removal, often urgently.

The single biggest factor in how an obstruction case goes is timing. A foreign body caught early, while the patient is stable and the gut is still healthy, is a straightforward surgery with a quick recovery. The same object found three days later, after the intestine has become inflamed or perforated, becomes a much more complex case with peritonitis to manage, longer hospitalization, and meaningfully higher risk. The takeaway: if you know or strongly suspect your pet swallowed something they shouldn't have, don't wait to see what happens. Call us, and we'll work out the right next step together. We offer emergency care during our regular hours, and foreign body blockages are always urgent.

What Are the Safer Toy and Chew Alternatives?

The safer options aren't hard to find once you know what to look for. The thumbnail test gives you the basic chew screen; from there, a few categories consistently work:

  • VOHC-accepted dental chews. The Veterinary Oral Health Council reviews dental products through controlled studies and accepts those that demonstrate real plaque or tartar reduction. If a dental product carries the VOHC seal, the benefit isn't just marketing.
  • Collagen-based chews. Softer than real bones and rawhide, with much lower risk of fracture or intestinal obstruction.
  • Food-stuffed rubber toys. The best return on a toy purchase. They flex against teeth without breaking them, hold up to determined chewers, and keep dogs working productively for the food inside rather than shredding the toy itself.
  • Puzzle feeders. Engage the brain without heavy chewing. Especially useful for dogs whose chewing has more to do with boredom than appetite for destruction.
  • Snuffle mats. Enrichment through sniffing, satisfying for dogs without any wear on the teeth at all.
  • For cats: wand toys for supervised play, durable interactive toys without small swallowable parts, food puzzles, and rotation of a few well-chosen items rather than a bin full of small objects.

A few practical habits to layer on top:

  • Match the chew to the chewer. A toy that holds up to a Bichon won't survive a Labrador, and a chew that's safe for an adult might be too hard for a puppy whose teeth are still developing. Our puppy care services include guidance on appropriate chews for the teething stage.
  • Supervise new toys until you know your pet's style. Some dogs gnaw thoughtfully; some shred immediately. The same toy can be safe for the first and unsafe for the second.
  • Retire toys before they fragment. A toy that's starting to come apart belongs in the trash, not the toy bin.
  • Address destructive chewing behaviors that may have a behavioral or medical contributor; our behavioral medicine services can help when chewing crosses from normal into a problem
  • Schedule dental professional exams and cleanings on the cadence your veterinarian recommends for your specific pet

Frequently Asked Questions About Chew and Toy Safety

My dog has chewed antlers for years with no problems. Should I really stop?

The risk is cumulative and often invisible. A dog who has chewed antlers for years may already have hairline fractures or slab fractures that haven't progressed yet, and the next chew could be the one that breaks through to the pulp. A dental exam with X-rays gives you an honest picture of what's already happened. If the teeth look clean, switching to a safer chew prevents the eventual injury; if there's existing damage, catching it before infection sets in saves a more involved treatment later.

What's actually wrong with rawhide?

Two main risks. First, traditional rawhide softens in the mouth and can lodge in the throat or intestine as a swollen, slow-digesting mass, sometimes requiring surgical removal. Second, the manufacturing process for some rawhide products uses chemicals that aren't ideal for ingestion. Collagen-based alternatives marketed specifically as rawhide replacements address both issues and are widely available.

How can I tell if my pet has a fractured tooth?

You often can't from a casual look. Some fractures are visible (a chipped or discolored tooth), but most happen at the back of the mouth where families don't see them, and pets rarely show obvious signs until the infection underneath becomes severe. A complete dental exam, especially one with dental X-rays, is what reliably identifies the damage.

My cat keeps eating string and ribbon. What should I do?

Treat this seriously, since linear foreign bodies in cats are one of the more dangerous surgical emergencies. Remove all string, ribbon, yarn, hair ties, rubber bands, dental floss, and tinsel from areas your cat can access, and supervise any toys with string components. If you suspect your cat has swallowed string and you can see one end protruding from the mouth or anus, do not pull it; this can cause the string to saw through the intestine. Contact us right away instead.

Making Smart Choices for Your Pet's Mouth

The chew and toy damage we treat at Noah's Ark is overwhelmingly preventable. The right products protect your pet's teeth while satisfying their natural urge to chew and keep them entertained safely, and the wrong ones create injuries that require extractions or surgical procedures that no family wants to face.

If you'd like guidance on the right products for your specific pet, want a dental exam to check for hidden damage from chews your pet has already used, or have noticed any signs of dental trouble, request an appointment, bring their toys and chews along, and we'll work through it with you.