My yorkie had two sets of teeth (the permanent set were growing behind the baby set that would not fall out). We started to call him jaws for his razorsharp teeth. The vet said they needed to be removed and surgery was scheduled. I was not sure if insurance would cover it since my policy was only 1 month old. They covered everything. Get dental rewards. It is worth it. I paid for the entire year in advance to also save money. Hopefully he will not have any more teeth issues but we will definitely get dental rewards again!!