Teething

Teething
Milk teeth will start to sprout out at the age of 3 months, by the time the puppy is around 8 months, the mouth is full of Milk teeth.

Maltese puppies begin teething at the age of 3.5 to 4.5 months old. This is when the 28 milk teeth fall out and make way for 42 permanent adult teeth.

The entire teething process from puppy to adult teeth takes several months. During this time, the biggest issue will be intense chewing urges.
Common Tooth Issues during the Teething Phase
Milk teeth not falling out: Sometimes adult teeth will come out , and the milk teeth are still in place, this causes a second row of teeth show up. This typically may cause a misalignment issue and the a vet intervention may be needed to extract the milk teeth.

It will be important to assess your pup’s teeth twice a week in order to keep an eye out for this.

If an adult tooth is allowed to fully come in while the milk tooth is still in place, this can cause major issues with alignment. For this reason, the veterinarian will need to extract the puppy tooth. This is normally a very minor procedure since milk teeth are very tiny and have very shallow roots.

Once that puppy tooth is out of the way, there is a good chance that the adult tooth will gradually move into place.

Milk teeth missing: Another common event is wondering where in the world the milk teeth have gone. You didn’t see them fall out, so where are they? In many cases, a tooth will come loose and the pup will swallow it. Since it is very small, this will almost never cause a problem. And there is always a chance that it came loose when outside, or even is at the bottom of your pup’s toy collection.