1. **Excessive Pain or Discomfort**: If your puppy seems to be in significant pain, such as whining excessively, avoiding food, or showing signs of aggression when you touch their mouth, it’s best to consult a vet.
2. **Bleeding Gums**: While some redness can be normal, if you notice excessive bleeding from the gums, this could indicate an issue that needs to be addressed by a professional.
3. **Loss of Appetite**: If your puppy refuses to eat or drink for more than 24 hours, it’s important to consult a vet. This can be a sign of more serious dental issues or pain.
4. **Swelling**: If you notice swelling in the gums or any unusual lumps in the mouth, a vet visit is warranted.
5. **Persistent Bad Breath**: While puppies can have some odor, a strong, foul smell could indicate an infection or dental disease.
6. **Behavioral Changes**: If your puppy shows sudden changes in behavior, such as increased aggression, lethargy, or hiding, these can be signs of distress and should be evaluated by a vet.
In the meantime, you can help soothe your puppy's teething discomfort with appropriate chew toys, frozen treats, or wet washcloths to chew on. Always ensure that the toys are safe and appropriate for your puppy's size and chewing strength.
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